{"volume_path": "dataset/train_fixed/train_3/train_3_b/train_3_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3/train_3_b/train_3_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3_b_1.nii.gz", "findings": "Central venous catheter is seen on the right. The catheter terminates in the right atrium. 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. Pericardial effusion was not detected. 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 15 mm. There is bilateral pleural effusion. The pleural effusion measured 50 mm on the right at its thickest point. The pleural effusion continues to the apex of both lungs when the patient is in the supine position. There is no pathological wall thickness increase in the esophagus within the sections. There is an occlusive hiatal hernia at the lower end of the esophagus. There is no obstructive pathology in the trachea and both main bronchi. There are uniform interlobular septal thickenings in both lungs. It was also observed in millimetric centriacinar nodules. It is understood that these findings are new. When evaluated together with the pleural effusion and the patients clinical information, it was thought that the described manifestations might be due to pulmonary edema. It is recommended to evaluate the patient together with clinical and physical examination findings. Apart from these, there are small consolidations in the right lung upper lobe posterior segment and lower lobe superior segment. These appearances may be due to pulmonary edema. This appearance may be less likely in pneumonic infiltrates. It is recommended to evaluate the patient together with clinical and laboratory findings. Both lungs have millimetric nodules, some of which are calcific. No mass was detected in both lungs. No upper abdominal free fluid-collection was detected in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections.", "impression": " Chronic renal failure in follow-up.  Bilateral pleural effusion, interlobular septal thickenings and centriacinar nodules in both lungs patient is recommended to be evaluated for pulmonary edema.  Minor consolidations in the right lung, which may again be compatible with pulmonary edema or pneumonic infiltration.  Millimetric nodules in both lungs.  Mediastinal and hilar lymph nodes.  Atherosclerotic changes in the aorta and coronary arteries.  Hiatal hernia."}
{"volume_path": "dataset/train_fixed/train_8/train_8_a/train_8_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_8/train_8_a/train_8_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_8_a_1.nii.gz", "findings": " Trachea is in the midline and both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: A port catheter extending to the right atrium is observed. Calcific plaques were observed in the aortic walls. Heart sizes increased and minimal pericardial effusion was observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Several lymph nodes with a short axis of 9 mm are observed in the pre-tracheal area. When examined in the lung parenchyma window; Interseptal thickness increases and fibrotic densities are observed in the apical anterior part of the upper lobe of the right lung, and in the anterior part of the upper lobe of the left lung, which is considered primarily in favor of a sequelae change. Several pulmonary nodules were observed in both lungs, the largest of which was 5 mm in diameter, located laterally in the upper lobe of the right lung. Pleural effusion reaching a thickness of 4 cm on the left and 4.5 cm on the right and atelectasis in the accompanying parenchyma are observed in both lungs. Effusion is observed in the fissures. The upper abdominal organs included in the examination appear natural. No fractures, lytic or sclerotic lesions were detected in the bones.", "impression": "Pleural effusion and concomitant compression atelectasis in both lungs. Nonspecific nodules in both lungs.  Cardiomegaly and minimal pericardial effusion. Patient 14.10."}
{"volume_path": "dataset/train_fixed/train_16/train_16_a/train_16_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_16/train_16_a/train_16_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_16_a_1.nii.gz", "findings": " The right breast was not observed secondary to the operation. Thickening of the skin in the operation site, and increases in density consistent with post-op sequelae changes in subcutaneous fat planes were observed. Surgical suture materials were observed in the operation site and right axilla. A mass lesion with distinguishable borders in the left breast, no lymph node in pathological size and appearance was observed in the left axilla. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. On the left, a catheter image extending to the port chamber and superior-right atrium junction of the vena cava and anterior chest wall was observed. 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. Pathological lymph nodes were observed in the bilateral supraclavicular region, measuring 25x14 mm in size on the left and 12x10 mm in size on the right. Lymph nodes of 15x13 mm in pathological size and appearance were observed adjacent to the left subclavian artery and at the level of the left aortapulmonary window, the largest of which was adjacent to the left subclavian artery. In other parts of the mediastinum, lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed. It is also present in previous examinations. No significant difference was detected. In both hemithorax, effusion measuring 16. In the left hemithorax, thickening of the posterior costal pleura is observed. It is stable. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Patchy ground-glass consolidations were observed in the right lung apex, anterior and posterior segments, and in the peripheral subpleural areas of the middle lobe, forming a crazy paving pattern. The findings described may be compatible with radiation pneumonia or Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Suspicious ground glass opacities are also observed in the peripheral subpleural areas of the left lung lingular segment. A few millimetric nonspecific parenchymal nodules were observed in both lungs. In the non-contrast examination, intra-abdominal solid organs and vascular structures could not be evaluated. Further testing is recommended. Destruction area compatible with metastasis was observed in the sternum corpus. PET-CT examination revealed that FDG uptake belonging to metastasis in the thoracic vertebral corpus was found in the patient, and no lytic-destructive lesion in favor of metastasis was detected in the vertebrae within the CT limits.", "impression": " Postoperative sequelae changes in the operation site in the patient who was learned to have had right mystectomy and axillary curettage.  Pathological lymph nodes adjacent to bilateral supraclavicular, aortopulmonary, and left subclavian arteries; is stable.  Stable lymph nodes that do not reach pathological dimensions in other parts of the mediastinum.  Slightly increased pleural effusion in the right hemithorax, stable sequelae thickening in the left posterior costal pleura.  Patchy ground glass consolidations with crazy paving patterns in the peripheral subpleural areas of the upper and lower lobe of the right lung; the outlook may be compatible with radiation pneumonia or Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory.  Millimetric pulmonary nodules in both lungs; is stable.  Metastatic mass lesions thought to increase in number and size in both lobes of the liver, although optimal evaluation could not be made in the examination performed without IV contrast; Further examination is recommended.  Metastasis in the sternum corpus"}
{"volume_path": "dataset/train_fixed/train_16/train_16_b/train_16_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_16/train_16_b/train_16_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_16_b_1.nii.gz", "findings": "Metastatic lymph nodes were observed in the supraclavicular fossa, lateral to the right axilla pectoralis minor muscle, and in the mediastinum. Heart sizes are normal. Calibration of the mediastinal main vascular structures is normal. The acquisition was performed in expiration. Trachea and both main bronchi appear collapsed. Pleural effusion with a diameter of 12 mm between the leaves of the right pleura and 10 mm in diameter between the leaves of the left pleura is observed. Asymmetric parenchymal infiltration areas, predominantly in the form of ground glass density and areas of consolidation in both lungs, were evaluated in favor of pneumonic infiltration and there is a radiological pattern compatible with Covid pneumonia. It caused compression in the bronchial lumens. It may belong to new metastatic lesions. Contrast-enhanced examination will be appropriate. In the upper abdominal sections, an increase in liver size and metastatic lesions in the parenchyma are observed. In the case with bone metastases, no space-occupying lesion that can be distinguished by CT was observed in the bone structures.", "impression": " Metastatic breast Ca  Findings compatible with Covid pneumonia  Bilateral supraclavicular right axillary and mediastinal lymph node metastases, hilar-located mass lesions that cause stenosis due to pushing in the lumens of both main bronchi, cannot be evaluated clearly due to lack of contrast agent. However, it is not present in his previous study. It was evaluated with high suspicion in favor of new metastasis. Contrast-enhanced examination is recommended.  An increase in the number of liver metastases is observed.  Bilateral mild pleural effusion"}
{"volume_path": "dataset/train_fixed/train_26/train_26_a/train_26_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_26/train_26_a/train_26_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_26_a_1.nii.gz", "findings": "KT port is observed in the anterior part of the right hemithorax. Trachea and main bronchi are open. Right upper paratracheal-lower paratracheal aortopulmonary lymph nodes with millimetric size are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion measuring 15 mm is observed in the thickest part of the left hemithorax. In the evaluation of both lung parenchyma; Subsegmental atelectasis is observed in the middle lobe of the right lung, the lingular segment of the upper lobe of the left lung, and the basal segment of the lower lobe of both lungs, and a nonspecific nodule smaller than 2 mm in the middle lobe of the right lung. According to the previous PET-CT examination, newly developed intra-abdominal effusion is observed in the sections passing through the upper part of the abdomen. Hypodense lesions, which were also observed in the previous examination, are observed in the liver. No lytic-destructive lesion was detected in bone structures.", "impression": "Newly developed left pleural effusion, . Subsegmental atelectasis in the right lung middle lobe, left lung upper lobe lingular segment and lower lobe basal segment of both lungs, and nonspecific nodule smaller than 2 mm in the right lung middle lobe, subsegmentary atelectasis appearances are new according to the previous examination. has developed."}
{"volume_path": "dataset/train_fixed/train_40/train_40_a/train_40_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_40/train_40_a/train_40_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_40_a_1.nii.gz", "findings": "Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be seen; An increase in heart size was observed. Pericardial effusion with a depth of approximately 19 mm was detected. It is understood that the patient underwent aortic valve replacement. Pulmonary trunk calibration is 35 mm, right pulmonary artery 30 mm, left pulmonary artery 28 mm wider than normal. There are calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures. Bilateral pleural effusion was observed. It was measured at its deepest point at a depth of 45 mm on the right and 30 mm on the left. No pathological increase in wall thickness was observed in the thoracic esophagus. Diffuse calcification is observed in the walls of the trachea and both main bronchi. Trachea, both main bronchi are open and no occlusive pathology is detected. There are lymph nodes in the mediastinum that have fusiform configuration and are not pathological in size and appearance. In both lungs, adjacent to the effusion, there is an area of increase in density consistent with consolidation in which airbronchograms are observed, which is evaluated in favor of atelectasis. No active infiltration or mass lesion was detected in both lung parenchyma. Both lungs have a mosaic attenuation pattern small airway disease?, small vessel disease:?. As far as it can be seen within the limits of non-contrast CT in the upper abdominal sections within the image; There is a hyperdense appearance showing leveling in the gallbladder lumen. It is recommended to be evaluated together with USG findings in terms of bile sludge. No intraabdominal free fluid, loculated collection was detected. Mild stenosis was observed in both renal artery orifice localizations. No lytic or destructive lesions were detected in the bone structures within the image. There are common degenerative changes.", "impression": " Increased pulmonary trunk and both pulmonary arteries calibration, increased heart size, pericardial and bilateral effusion.  Calcified atheromatous plaques in the wall of thoracic aorta, coronary vascular structures.  Density increase areas evaluated in favor of atelectasis in both lungs adjacent to effusion and mosaic attenuation pattern small airway disease?, small vessel disease:?.  Hyperdense appearance with leveling in the gallbladder lumen; It is recommended to evaluate with USG findings in terms of biliary sludge.  Calcified atheroma plaques in the calibration of the abdominal aorta and vascular structures originating from the aorta.  Degenerative changes in bone structures."}
{"volume_path": "dataset/train_fixed/train_44/train_44_a/train_44_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_44/train_44_a/train_44_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_44_a_1.nii.gz", "findings": "Evaluation of solid organs, vascular structures, and mediastinal structures is suboptimal because the examination is non-contrast. In the left hemithorax, in the 6th and 7th ribs, a fragmented fracture line is observed in the lateral part. Similarly, fragmented fracture lines are observed at the costovertebral junction level in the 9th rib on the left. Also, fragmented fractures are observed in the transverse process of the 9th vertebra. Parenchymal damage and hematoma are observed along the wide linear trace in the left hemithorax, and there are appearances of bone fragments within the hematoma area. There is a hyperdense appearance with a diameter of approximately 9 mm in the area of parenchymal damage. It could be lead. Pneumothorax is observed in the left hemithorax. On the left, air images in the pleural space and hemorrhagic components are observed. Again on the left, at the level of the 6th rib, a defective appearance of a gunshot wound is observed under the skin and under the skin. Emphysema is observed under the skin extending to the axilla in the left hemithorax. A small amount of air is present in the mediastinal space. Heart size and contours are normal. Pericardial effusion was not observed. Within the limits of the non-contrast examination, no injury that may be compatible with trauma was observed in the mediastinal vascular structures. No lymphadenopathy was detected in the mediastinal area in pathological size and appearance. The trachea is normal and in the midline. Thoracic esophageal wall thickness is normal. Upper abdominal organs included in the examination are normal.", "impression": " Parenchymal damage, pulmonary hemorrhage, pleural effusion in the left lung lower lobe superior segment in a patient with a history of gunshot injury.  Segmented fracture in the lateral surfaces of the 6th-7th ribs on the left, at the costovertebral junction of the 9th rib posteriorly, and in the transverse process of the 9th vertebra.  Pneumothorax.  Emphysema."}
{"volume_path": "dataset/train_fixed/train_44/train_44_b/train_44_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_44/train_44_b/train_44_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_44_b_1.nii.gz", "findings": " There is a significant decrease in the rates of subcutaneous emphysema in the left hemithorax. The dimensions of the appearance, which is considered as parenchymal damage in the left lung, have decreased. The amount of pleural effusion in the left lung has decreased. Other findings are stable.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_45/train_45_a/train_45_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_45/train_45_a/train_45_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_45_a_1.nii.gz", "findings": "Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be observed, the diameter of the pulmonary trunk is 30 mm, the diameter of the right pulmonary artery is 29 mm, and the diameter of the descending aorta is 32 mm, which is wider than normal. Heart contour size is natural. Pericardial effusion was not detected. In both pleural spaces, an effusion measuring 55 mm at its deepest point on the right and 30 mm at its deepest point on the left was observed. There are calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures. Trachea, both main bronchi are open and no obstructive pathology is observed. Air-fluid densities were observed in the esophagus and there was an increase in its calibration. It is recommended to be evaluated in terms of lower end pathologies. No pathological increase in wall thickness was detected in the esophagus. No lymph node was detected in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; There is an area of increase in density in the lower lobe of both lungs, in the lateral segment of the right lung middle lobe, which is compatible with consolidation in which air bronchograms are also observed. Pneumonic infiltration was considered primarily in its etiology aspiration pneumonia?. There are emphysematous changes in both lungs. No discernible mass was detected in both lungs. No lytic or destructive lesions are observed in the bone structures in the examination area, and there are degenerative changes.", "impression": " Increased calibration of the pulmonary trunk, right pulmonary artery, and descending aorta, calcified atheroma plaques in the wall of thoracic aorta, coronary vascular structures  Increased calibration of the esophagus and air-fluid densities in its lumen; It is recommended to be evaluated in terms of esophageal lower end pathologies.  Bilateral pleural effusion.  Density increase area in the lower lobes of both lungs, in the lateral segment of the left lung middle lobe, consistent with consolidation in which air bronchograms are also observed; suggested primarily pneumonic infiltration in its etiology aspiration pneumonia?  Emphysematous changes in both lungs."}
{"volume_path": "dataset/train_fixed/train_46/train_46_b/train_46_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_46/train_46_b/train_46_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_46_b_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a bilateral minimal pleural effusion and an appearance evaluated in favor of atelectasis in the lower lobes of both lungs adjacent to the pleural effusion. There are millimetric nodules 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. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. Central venous catheter is seen on the right. The catheter terminates in the superior distal part of the vena cava. 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. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There is thickening in the periportal region, which is evaluated in favor of edema. This appearance is observed in the patients previous examination. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Tracking ALL.  Bilateral minimal pleural effusion and atelectasis in both lungs adjacent to the pleural effusion.  Millimetric nodules in both lungs."}
{"volume_path": "dataset/train_fixed/train_51/train_51_c/train_51_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_51/train_51_c/train_51_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_51_c_1.nii.gz", "findings": "Trachea, both main bronchi are open and no occlusive pathology is detected. A central venous catheter is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are natural. Pericardial, pleural effusion is not observed, and there is a subcentimetric minimal effusion in the right pleural space. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. compatible density increase areas are available. Viral pneumonias are considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. In addition, there are nodules of stable size and appearance in the comparative evaluation of the previous CT examination in millimetric sizes in both lung parenchyma. No newly developed nodules were detected. There are increases in pleuroparenchymal sequelae in both lungs apical. There are atelectatic changes in the subsegment of both lungs. In the upper abdominal sections within the image, hypodense lesions belonging to multiple metastases are observed in the liver as far as can be observed within the borders of unenhanced CT. No intra-abdominal free fluid or loculated fluid was observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.", "impression": "Findings consistent with the newly developed viral pneumonia in both lungs are observed in the current examination."}
{"volume_path": "dataset/train_fixed/train_52/train_52_a/train_52_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_52/train_52_a/train_52_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_52_a_1.nii.gz", "findings": "Movement and breathing artifacts are observed in the study. There is a plunging nodule measuring up to 78 mm in the craniocaudal axis extending to the mediastinum, which is thought to be in the left lobe of the pressing thyroid that pushes the trachea superiorly to the right. Thyroid parenchyma is hypertrophic. Clinical laboratory correlation is recommended for parenchymal disease. Both main bronchi are open. The cardiothoracic index increased in favor of the heart. 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. When examined in the lung parenchyma window; Space-occupying nodular lesions with contours measuring up to 10 mm are observed in the middle lobe of the right lung, the size of which is measured up to 25 mm adjacent to the fissure in the superior lower lobe of the right lung. Findings a carcinomatous process? Or fluid loculated within the fissure? Clinical laboratory correlation, further diagnosis and follow-up are recommended for differential diagnosis. There is a small amount of effusion in both hemithorax. Upper abdominal organs are partially included in the study and measure up to 52 mm. It is observed in fluid attenuation. It was evaluated in the direction of the cyst. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Findings that can hardly be distinguished from motion artifacts evaluated in the direction of primarily space-occupying lesions measured up to 25 mm in the right lung lower lobe superiorly adjacent to the fissure and in the right lung middle lobe. Bilateral low effusion, cardiomegaly.  Plonjan goiter and nodule measuring up to 78 mm extending to the upper mediastinum in the left thyroid lobe?. Cortical cyst in the left kidney. Cardiomegaly."}
{"volume_path": "dataset/train_fixed/train_57/train_57_a/train_57_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_57/train_57_a/train_57_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_57_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Lymphadenopathies in a round configuration are observed at the prevascular, paratracheal and left supraclavicular levels, the largest of which is in the upper paratracheal area, with a short diameter of 17 millimeters. No active infiltration or mass lesion was detected in both lung parenchyma. Density increases evaluated in favor of atelectasis in the bilateral lower lobes of the lung were noted. There is bilateral pleural effusion measuring 14 millimeters on the left at its deepest point. In the upper abdomen sections within the image, the liver parenchyma is observed in heterogeneous density and there is a mass measuring approximately 25 x 32 millimeters at the segment 4B level on this ground within the borders of non-contrast CT. Evaluation by MRI is recommended. Also, lymphadenopathy with a short diameter of 15 millimeters in the vicinity of the lesser curvature of the stomach has lost its fusiform configuration. is monitored . No lytic or destructive lesions were detected in the bone structures in the imaged state.", "impression": "Lymph nodes in the mediastinum with pathological size and appearance at the prevascular, paratracheal and left supraclavicular level, the largest lymph nodes in the abdomen, lymphadenopathy adjacent to the lesser curvature of the stomach . Bilateral minimal pleural effusion . Increases in density evaluated in favor of atelectasis in both lung lower lobes . Heterogeneous appearance is observed in the liver parenchyma in the upper abdomen sections, which In segment 4B localization on the ground, a heterogeneous lesion that cannot be characterized within the borders of non-contrast CT is observed. Evaluation with MR Examination is recommended. No lytic or destructive lesion was detected in the bone structures within the examination area."}
{"volume_path": "dataset/train_fixed/train_61/train_61_a/train_61_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_61/train_61_a/train_61_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_61_a_1.nii.gz", "findings": "Bilateral pleural effusion was observed. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and centrally located ground glass areas are observed in both lungs, being more prominent in the upper lobes. There are uniform interlobular septal thickenings in the localization of the ground glass areas. The described findings are also observed in the previous examination of the patient. The views described are not specific. Many pathologies can cause similar appearance. The distribution and appearance of the lesions are not as common in Covid-19 pneumonia. However, these appearances may be due to other viral infections as well as lymphangitis carcinomatosa.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_61/train_61_b/train_61_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_61/train_61_b/train_61_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_61_b_1.nii.gz", "findings": "Left mastectomized. In this localization, the skin is thick. Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. A millimetric lymph node is observed in the right upper paratracheal subcarinal. Stable lymphadenomegaly of approximately 1.5 cm in diameter is observed in the right axilla. In the evaluation of both lung parenchyma; Bilateral stable pleural effusion entering the fissure on the right in both hemithorax is observed. In the current and previous examination, the ground glass densities and crazy paving appearance formed by interlobular septal thickenings were observed in the previous examination, which was more prominent in the upper lobes of both lungs prominent on the right, whereas in the current examination, infiltrations with more regression in the ground glass densities and more patchy consolidations are observed. Appearance is nonspecific. It may be compatible with an infective process. Moreover, multiple metastases are observed in both lungs, the larger ones in both lungs being 1.2 cm in diameter in the left lung laterobasal segment. There is no significant difference in metastases. In the sections passing through the upper part of the abdomen, there is an unenhanced examination and hypodensities consistent with multiple metastases in the liver are observed. Bilateral adrenal glands appear natural. Diffuse bone metastases are observed in the bones. Malignant compression fracture, which causes more than 75% loss of central height in the T12 vertebra, is also present in previous examinations.", "impression": " Left mastectomized.  Stable metastases in both lung parenchyma.  In the previous examination, ground glass densities with crazy paving appearance were observed in both lung parenchyma.  Stable pleural effusion in both hemithorax.  Extensive, stable bone metastases.  Malignant compression fracture in T12 vertebra."}
{"volume_path": "dataset/train_fixed/train_61/train_61_c/train_61_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_61/train_61_c/train_61_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_61_c_1.nii.gz", "findings": " Mediastinal and abdominal 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. Central venous catheter is seen on the right. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. In the right axilla, there is a short lymphadenopathy measuring 17 mm in diameter. Apart from this, there are no pathologically enlarged lymph nodes in both axillae and bilateral retropectoral regions. Bilateral pleural effusion was observed. The pleural effusion continues to the apex of the lung when the patient is in the supine position. There is no obstructive pathology in the trachea and both main bronchi. Atelectasis is observed in the lower lobes of both lungs adjacent to the pleural effusion. Ground-glass areas and interlobular septal thickenings and microcystic changes accompanying the ground-glass area, more prominently in the upper lobes, are observed in both ventilated lungs. The described appearance is consistent with pneumocystis jiroveci pneumonia reported at clinical prediagnosis. There are emphysematous changes in both lungs. Numerous nodules were observed in both ventilated lungs. The largest of these nodules is observed in the lower lobe of the left lung and its longest diameter is 13 mm at its widest part. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are hypodense lesions in the liver. When evaluated together with the patients previous examinations, it was learned that these lesions were metastases. Although these lesions could not be evaluated optimally because no contrast agent was given, the largest one was observed at the junction of the medial segment-lateral segment of the liver left lobe, and the longest diameter was 32 mm. Metastatic lesions are observed in the bone structures within the sections. Most of the metastatic lesions described are sclerotic. These metastatic lesions were also present in the previous examinations of the patient and no significant difference was detected. No soft tissue component was detected accompanying the described metastatic lesions. A height loss approaching 50% is observed in the T12 vertebral body. Apart from this, minimal height losses are also observed in other vertebral bodies.", "impression": " Breast Ca, metastases in both lungs, liver metastases, right axillary lymphadenopathy, bone metastases in follow-up.  Ground glass areas, interlobular septal thickenings and microcystic areas in both lungs.  Bilateral pleural effusion."}
{"volume_path": "dataset/train_fixed/train_61/train_61_d/train_61_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_61/train_61_d/train_61_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_61_d_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. Right axillary LAP is stable. 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. When examined in the lung parenchyma window; Metastatic lesions are stable in both lung parenchyma. A minimal decrease is observed in the ground glass densities present in both lung parenchyma. Emphysematous appearance is observed in both lungs. Left pleural effusion decreased to almost total. Right pleural effusion continues. There is a decrease in linear atelectic changes due to effusion. Upper abdominal organs included in sections; metastatic heterogeneous appearance in the liver is stable. Widespread metastatic lesions are present in the bone structures within the examination area and are stable. Nearly 50% height loss in the T12 vertebral body is stable.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_76/train_76_a/train_76_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_76/train_76_a/train_76_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_76_a_1.nii.gz", "findings": " Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. As far as can be seen; The left breast was not observed operated. No mass lesion with discernible borders was observed in the right breast. Conglomerate lymphadenopathies associated with each other in the paraesophageal area, adjacent to the bilateral infra-supraclavicular, right upper-lower paratracheal, left lower paratracheal, subcarinal, right hilar and right lower lobe bronchi are observed. It was measured in the short axis of the right upper paratracheal area 35 mm in the previous examination. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. In the pericardial space, an effusion reaching 7 mm in thickness is observed at its thickest part 15 mm at its thickest part in the previous examination. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Effusion reaching a thickness of 32 mm in the right pleural space 27 mm in the previous examination and reaching a thickness of 10 mm in the left pleural space was observed. A mosaic attenuation pattern is observed in both lungs small airway disease? small vessel disease?. It is recommended to be evaluated together with the clinic. In the middle and lower lobes of the right lung, the most prominent interlobar-interlobular septal thickening in the middle lobe and focal ground-glass densities were observed in the peripheral subpleural areas of both lungs. Thickening is observed in the bilateral peribronchovascular interstitium. Findings were evaluated as secondary to infective-inflammatory processes. Fibroatelectasis sequelae are observed in the left lung inferior lingular segment and right lung middle and lower lobe. No mass lesion with distinguishable borders was detected in both lungs. Liver, gallbladder, spleen, both adrenal glands and pancreas are normal as far as can be seen on non-contrast images. No stones were observed in both kidneys. Left-facing scoliosis was observed in the thoracic vertebral column. Vertebral corpus heights are normal. No lytic-destructive lesion in favor of metastasis was observed in bone structures.", "impression": "Findings were evaluated as secondary to infective-inflammatory events.  Left-facing scoliosis in the thoracic vertebral column."}
{"volume_path": "dataset/train_fixed/train_82/train_82_a/train_82_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_82/train_82_a/train_82_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_82_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. No dilatation was detected in the thoracic aorta. The diameter of the pulmonary artery was 31 mm and showed mild dilatation. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs small airway disease? small vessel disease?. Atelectasis areas were observed in the middle lobe of the right lung and in the lower lobes of both lungs. There is bilateral minimal pleural effusion. Nonspecific ground-glass-like density increases were observed in the lower lobe of the right lung, the posterior segment of the upper lobe, and the inferior lingular segment of the left lung. Bilateral peribronchial thickenings were observed. Pleuroparenchymal sequelae density increases were observed in the right lung apical. No lesion occupying the liver parenchyma was detected in the non-contrast examination limits in the upper abdominal sections that entered the examination area. Density increases, which may be compatible with minimal calculus, were observed in the gallbladder. US control is recommended. Degenerative changes were observed in the bone structure. No lytic-destructive lesion was detected. Fusion was observed in the thoracic vertebrae and facet joints.", "impression": "Mild dilatation of the pulmonary artery.  Sequelae changes in both lungs.  Ground-glass density increases in both lungs. Mosaic attenuation pattern in both lungs small airway disease? small vessel disease?. Bilateral peribronchial thickenings. Atelectatic changes in both lungs and bilateral pleural effusion.  Cholelithiasis? US control is recommended."}
{"volume_path": "dataset/train_fixed/train_82/train_82_b/train_82_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_82/train_82_b/train_82_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_82_b_1.nii.gz", "findings": "No occlusive pathology was detected in the trachea and right main bronchus. An appearance extending towards the lobar bronchi is observed in the left main bronchus, and it was evaluated primarily in favor of secretion. In the left lung lower lobe and upper lobe posterior segment, there is an appearance that is evaluated primarily in favor of consolidation. The described appearance is absent in the previous examination of the patient. No significant volume loss was detected in these localizations. These appearances were primarily thought to be compatible with pneumonic infiltration. It is recommended to evaluate the patient together with clinical and physical examination findings. In the right lung lower lobe superior segment and right lung upper lobe anterior segment, there are density increases in the peripheral areas, structural distortion and minimal volume loss. These findings can also be observed in the previous examination of the patient. The described findings were primarily thought to be compatible with sequelae changes. No mass was detected in both lungs. Bilateral minimal pleural effusion was observed. There is no pericardial effusion. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_84/train_84_a/train_84_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_84/train_84_a/train_84_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_84_a_1.nii.gz", "findings": "Massive pleural effusion is observed on the right. There is a total loss of aeration in the right lung. There is no pleural effusion on the left. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Left lung aeration was normal, and no mass or infiltrative lesion was detected in the left lung. 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. 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. Vertebral corpus heights, alignments and densities within the sections are normal. The neural foramina are open.", "impression": " Massive pleural effusion on the right, total loss of aeration in the right lung."}
{"volume_path": "dataset/train_fixed/train_84/train_84_b/train_84_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_84/train_84_b/train_84_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_84_b_1.nii.gz", "findings": "There is massive pleural effusion on the right and atelectasis in the lower lobe of the right lung, and there is a drainage catheter on the right. Contrast material given to the patient by lymphangiography was not detected to pass into the right effusion. Trachea, both main bronchi, mediastinal main vascular structures, heart size are within normal limits. Minimal effusion is observed on the left. When examined in the lung parenchyma window; There was no finding in favor of a mass or infiltration in the lung parenchyma. The liver parenchyma within the sections has a cirrhotic appearance.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_84/train_84_c/train_84_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_84/train_84_c/train_84_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_84_c_1.nii.gz", "findings": " There is a drainage catheter in the right hemithorax. The AP diameter of the present pleural effusion on the right has decreased to 30 mm. Atelectasis continues in the vicinity of the effusion. In the upper abdominal sections, cirrhotic appearance in the liver and findings of ascites in the abdomen continue. Apart from this, no significant difference or newly developed pathology was detected between the examinations.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_85/train_85_a/train_85_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_85/train_85_a/train_85_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_85_a_1.nii.gz", "findings": "In the previous examination of the patient, an appearance of soft tissue density filling almost the entire breast was observed in the left breast. In this examination, it is observed that the described lesion has almost completely shrunk. No mass with discernible borders was detected in this examination in the right breast. There are lymphadenopathies in the left retropectoral region and axilla, the largest in the axilla and measuring 16 mm in short diameter. The short diameter of lymphadenopathy, which was described as the largest in this examination, was measured in the previous examination27. No enlarged lymph node was detected in the right axilla in pathological size and appearance. No pathologically enlarged lymph node was detected in the right retropectoral region and bilateral internal mammary artery traces. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Heart contour and size are normal. Minimal pericardial effusion was observed. There is also bilateral minimal pleural effusion, more prominent on the left. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the prevascular, paratracheal and subcarinal regions. The short diameters of all lymph nodes are less than 1 cm. There is a mixed type hiatal hernia at the lower end of the esophagus. There is no obstructive pathology in the trachea and both main bronchi. Minimal peribronchial thickening is observed in both lungs, especially in the central parts. There are smooth interlobular septal thickenings in both lungs, more prominent in the lower lobes. When evaluated together with the patients primary disease, it was primarily thought that interlobular septal thickenings were due to lymphangitis carcinomatosis. Occasionally, linear atelectasis is observed in both lungs. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. As far as it can be observed within the limits of non-contrast CT, there is no mass that can be distinguished in the upper abdominal organs within the sections. Lytic bone lesions are observed in almost all bone structures within the sections and are compatible with metastases. No soft tissue component was detected accompanying the described metastatic lesions. Height loss is observed in the L1 vertebral corpus, more prominently in the central part. The height loss is observed almost completely in the central section. The anteroposterior diameter of the vertebra has increased, and the anterior-posterior diameter of the spinal canal has narrowed at this level. Apart from this, minimal height losses are also observed in the thoracic vertebral corpuscles within the sections. Significant regression is observed in the appearance of the left breast, which is thought to be a primary mass. There is also a significant regression in the thickening of the skin in the left breast. Significant reduction in the number and size of lymphadenopathies observed in the left axilla and retropectoral region was also observed. Significant regression was observed in the amount of pleural effusion. A regression is also observed in the findings evaluated in favor of lymphangitis carcinomatosa observed in both lungs. No significant difference was found in the number and size of metastatic lesions in the bones.", "impression": "On follow-up, breast Ca, skin thickening in the left breast, lymphadenopathies in the left axilla and retropectoral region, uniform interlobular septal thickenings in both lungs evaluated in favor of lymphangitis carcinomatosa, bone metastases.  Pleural and pericardial effusion.  Mediastinal and hilar lymph nodes. Hiatal hernia.  Nonspecific nodules in both lungs. Atelectasis in both lungs"}
{"volume_path": "dataset/train_fixed/train_86/train_86_a/train_86_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_86/train_86_a/train_86_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_86_a_1.nii.gz", "findings": "Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. Global enlargement of the cardiac cavities was observed. There is an appearance of replacement in the pulmonary valve. Bilateral minimal pleural effusion is observed. In the evaluation of both lung parenchyma; Vascular prominence was considered in both lungs. In the sections passing through the upper part of the west; The nephrogram phase of the previously applied contrast agent continues in bilateral kidneys. Perihepatic, perisplenic minimal free peritoneal fluid was observed. S scoliosis was observed in the vertebral column. Metallic sutures were observed in the sternum.", "impression": "Cardiomegaly, Bilateral pleural effusion Vascular enhancement in bilateral lungs Free peritoneal fluid Scoliosis"}
{"volume_path": "dataset/train_fixed/train_90/train_90_a/train_90_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_90/train_90_a/train_90_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_90_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. A small amount of effusion is observed in the left hemithorax. Oval-shaped hypodense findings measuring up to 24x15 mm in the paratracheal and aorticopulmonary window were evaluated in the direction of the lymph nodes. When examined in the lung parenchyma window; There are budding tree images and slight thickening of the bronchial walls at the middle and inferior posterior levels of the upper lobe of the right lung. Close follow-up of clinical laboratory correlation of findings in terms of bronchiolitis is recommended. 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. Multiple lytic lesions are observed in the bone structures within the study area. If there is clinical laboratory correlation and follow-up in terms of multiple myeloma, it is recommended to compare with previous studies.", "impression": "Tree bud images and bronchiectasis in the upper lobe of the right lung. Clinical laboratory correlation and follow-up of findings in terms of infective process is recommended.  Small amount of effusion.  Lymph nodes measuring up to 23 mm in the paratracheal and aorticopulmonary window in the mediastinum. Lytic lesions in all multiple bone structures. Multiple myeloma?"}
{"volume_path": "dataset/train_fixed/train_90/train_90_b/train_90_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_90/train_90_b/train_90_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_90_b_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. Calibration of mediastinal major 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 in the non-contrast examination. Siliding type hiatal hernia is observed. When examined in the lung parenchyma window; Mild emphysematous changes are observed in both lungs. Acinar opacities are observed in the upper lobe of the left lung, in the posterior lingular segment and in the lower lobe superior segment. The outlook was primarily evaluated in favor of the infectious process. Clinical and laboratory correlation is recommended. It just appeared in the current review. An appearance consistent with the infectious process observed in the previous examination in the posterior segment of the right lung upper lobe was not detected in the current examination. Pleuroparenchymal sequelae density increases were observed in the lower lobes of both lungs and in the left lung inferior lingular segment. A free pleural effusion is observed between the bilateral pleural leaves, with a thickness of 15 mm on the right and 9 mm on the left. Upper abdominal sections entering the examination area have a normal appearance. Multiple lytic lesions are observed in the bone structures within the study area.", "impression": "Branches with buds and acinar opacities in a large area in the upper lobe and lower lobe of the left lung, the appearance was primarily evaluated in favor of the infective process. Clinical and laboratory correlation is recommended. It has just emerged in the current examination.  Sequela changes in both lungs. Bilateral pleural effusion. Mediastinal stable lymph nodes.  Multiple lytic lesions in bone structure consistent with bone involvement of multiple myeloma."}
{"volume_path": "dataset/train_fixed/train_92/train_92_a/train_92_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_92/train_92_a/train_92_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_92_a_1.nii.gz", "findings": "Significant 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, and its anteroposterior diameter was measured 70 mm at its widest point. There is also minimal pleural effusion on the left. Nearly complete atelectasis is observed adjacent to the pleural effusion in the lower lobe of the right lung. There is also minimal atelectasis in the basal segments of the lower lobe of the left lung. No occlusive pathology was detected in the trachea and both main bronchi. Peribronchial thickening and consolidation are observed in the central part of the right lung. The described appearance is not specific. It is recommended to evaluate the patient together with previous examinations and clinical and 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. The widths of the mediastinal main vascular structures are normal. There is lymphadenopathy with a short diameter of 15 mm in the prevascular region. In addition, millimetric lymph nodes are observed in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. Intraabdominal minimal free fluid is observed. There are hypodense lesions in the liver that fill almost all of the liver and were evaluated in favor of metastases. In the pericardial fat pad adjacent to the right heart, oval-shaped lesions with a short diameter of 9 mm are observed and evaluated in favor of lymph nodes. Sclerotic bone lesions are observed in the bone structures within the sections. The lesions described are not specific. In the presence of primary disease, the diagnosis of metastasis could not be excluded. It is recommended that the patient be evaluated together with previous examinations, if any.", "impression": "Nasopharynx Ca in follow-up, lymphadenopathy in the prevascular region, lymph nodes in the mediastinal and hilar region and pericardial fat pad, liver metastases, bilateral pleural effusion. Sclerotic bone lesions in bone structures within the sections.  Nearly complete atelectasis in the lower lobe of the right lung. Minimal preibronchial thickening in the right lung and consolidation in the central section."}
{"volume_path": "dataset/train_fixed/train_98/train_98_a/train_98_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_98/train_98_a/train_98_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_98_a_1.nii.gz", "findings": "CTO is within the normal range. Calibration of mediastinal major vascular structures is normal. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed. There is a slight prominence on the wall at this level. Although it is peripheral in the left lung lower lobe superior segment, which is scattered in both lungs, there are generally centrally located ground-glass-like density increases. The outlook is not typical for Covid pneumonia. However, it is recommended to be evaluated together with clinical and laboratory findings. Bilateral pleural effusion, pneumothorax were not detected. Upper abdominal organs included in the sections are normal. Nodular density, which may be compatible with the accessory spleen, is observed in the posteromedial neighborhood of the spleen. No space-occupying lesion was detected in the liver entering the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Prosthesis is observed at both breast levels. The contours of the prosthesis show lobulation and there is a prominent effusion around the prosthesis on the right. It is recommended to be evaluated together with US for rupture. Degenerative changes are observed in the bone structure entering the examination area.", "impression": " Although scattered in both lungs, the left lung lower lobe is peripheral in the superior segment, generally centrally located ground-glass-style density increases, the appearance is not typical for Covid pneumonia. However, it is recommended to be evaluated together with clinical and laboratory findings.  Prosthesis appearance in both breasts rupture on the right?. It is recommended to be evaluated together with breast USG.  Mild hiatal hernia."}
{"volume_path": "dataset/train_fixed/train_100/train_100_a/train_100_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_100/train_100_a/train_100_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_100_a_1.nii.gz", "findings": "A central venous catheter inserted from the right was observed. Trachea and both main bronchi are open and no obstructive pathology is detected. Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast. The pulmonary trunk caliber was measured at 30 mm and was wider than normal. Heart contour, the size is natural. There is minimal pericardial effusion. The effusion measuring approximately 80 mm in size is observed on the right. There is an area of increased density in the lung parenchyma adjacent to the effusion, which is considered secondary to compressive atelectasis. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes were observed in pathological size and appearance. In the lower lobe of the left lung, there is an area of increase in density consistent with the consolidation observed in the air bronchograms. Although the appearance may be secondary to atelectasis, underlying pneumonic infiltration cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings. No mass lesion was observed in both lungs. There are a few millimetric nodules in the left lung, the largest of which is 5.5x3.5 mm in the upper lobe inferior lingular segment. Emphysematous changes were observed in both lungs. There are findings consistent with peritoneal carcinomatosis in the upper abdominal sections within the image, and hypodense lesions in the liver and spleen parenchyma that cannot be characterized in this examination. No lytic or destructive lesions were detected in the bone structures within the image.", "impression": " Right pleural effusion, area of increased density in the adjacent lung parenchyma evaluated in favor of compressive atelectasis.  Density increase area in the lower lobe of the left lung consistent with the consolidation observed in air bronchograms; Pneumonic infiltration, which may be related to atelectasis, cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings.  A few millimetric nodules in the left lung."}
{"volume_path": "dataset/train_fixed/train_104/train_104_a/train_104_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_104/train_104_a/train_104_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_104_a_1.nii.gz", "findings": "CTO is normal. 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. In the anterior paracervical-supraclavicular lymph nodes at the thoracic inlet level, there are lymph nodes of approximately 30x27 mm in size with millimetric-amorphous calcifications, the largest of which has a tendency to merge on top of each other in the left paracervical area in a superposed appearance. It has progressed in size and number according to his previous review. Apart from this, multiple lymph nodes are also observed in the mediastinum and the largest ones are observed in the subcarinal area. There are lymph nodes with a partially calcific appearance at both hilar levels. At the right pectoral level, a venous port and a catheter are observed in the superior vene cava. When examined in the lung parenchyma window; Multiple lymph nodes with a partially calcified appearance are observed at the para-aortic level, the largest of which is at the level of the renal hilus, and their sizes cannot be clearly evaluated because it cannot be distinguished from the surrounding soft tissue planes in the non-contrast examination. However, according to his previous review, there is progression. In both lungs, nodules compatible with diffuse metastases are observed in almost all zones, which tend to merge from place to place. There is a regression in the amount of pleural effusion observed on the right in the previous examination. There is a ground-glass-like density increase in which partially consolidated air bronchograms are observed in the superior segment of the right lung lower lobe, which was not observed in the previous examination. A similar appearance is also observed at the upper lobe level in the left lung. This is a new finding in the field. The consolidation area observed along the bronchovascular sheath in the paramediastinal area in the anterior segment of the right lung upper lobe persists, although slightly regressed in the current examination. Compression is observed in the bronchial structures on both sides secondary to lymph nodes-masses defined at the hilar level. In the sections passing through the upper abdomen, there are faceted stones in the gallbladder. Right adrenal is normal. Nodular densities are observed in the left adrenal medial crus and are also observed in the previous examination. There is an appearance of old fracture sequelae in the posterior at code 10 on the right. Degenerative changes are observed in the bone structure.", "impression": "The examination was evaluated together with the old CT. Diffuse metastatic lesions in both lungs . Consolidation-ground glass-style density increases in both lungs that were not observed in the previous examination . Paramediastinal in the anterior segment of the right lung upper lobe Mild regression in the consolidation area, which was also observed in the previous examination, ."}
{"volume_path": "dataset/train_fixed/train_119/train_119_a/train_119_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_119/train_119_a/train_119_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_119_a_1.nii.gz", "findings": "A central venous catheter is observed. Subcarinal conglomerated lymph nodes whose borders could not be clearly evaluated were observed in the mediastinum. The heart is in natural appearance. There are calcific atheromatous plaques in the main vascular structures. In the bilateral hemithorax, massive pleural effusion reaching 5.5 cm at its widest point on the right and 2.5 cm on the left was observed. Follow-up is newly developed. In the evaluation of both lung parenchyma; In the upper lobe of the right lung, there is an appearance of a mass of 6 cm in diameter surrounding the upper lobe bronchi, located centrally, adjacent to the mediastinum. Pneumonic infiltration? Lymphangitic spread? An appearance of a thin-walled air cyst of 3.8 x 2.4 cm was observed in the lateral segment of the right lung middle lobe. The 3 most pulmonary parenchymal nodules, 4 mm in diameter, in close proximity to each other in the anterior segment of the left lung upper lobe, decreased, and they were thought to have newly developed in the follow-up. In the anterior part of the right lung, the 7 mm diameter nodule identified in PET CT was thought to be slightly prominent in the follow-up. In the sections passing through the upper part of the abdomen, bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures.", "impression": "Mass defined in right lung Pneumonic infiltration in both lungs? Lymphangitic spread? Bilateral pulmonary nodules Bilateral pleural effusion Bule in the right lung Atherosclerosis"}
{"volume_path": "dataset/train_fixed/train_121/train_121_a/train_121_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_121/train_121_a/train_121_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_121_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Trachea and both main bronchial lumens are open as far as can be observed. 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. Minimal effusion measuring 3 mm was observed in the thickest part of the pericardium. Pericardial thickening 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; Widely patchy ground-glass density increases and accompanying interlobular septal thickening were observed in both lungs. The appearance was initially thought to be compatible with viral infections. Clinical and laboratory correlation is recommended. In both lungs apical, right lung lower lobe posterobasal segment, pleuroparenchymal sequelae density increases were observed. Mild emphysematous changes are present in both lungs. No mass was detected in both lung parenchyma. A minimal effusion measuring 5 mm in thickness is observed between the pleural leaves on the left. No gall bladder was observed in the upper abdominal sections included in the examination area cholecystectomized. Density increases consistent with edema-inflammation were observed in the fatty planes in the subhepatic area. No lytic-destructive lesion was detected in bone structures.", "impression": "Patchy ground-glass density increases in both lung parenchyma, interlobular septal thickening, minimal left pleural effusion and pericardial effusion are recommended to be evaluated together with clinical-laboratory data for possible atypical viral infections."}
{"volume_path": "dataset/train_fixed/train_124/train_124_a/train_124_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_124/train_124_a/train_124_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_124_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. There are lymph nodes with a short axis measuring 15 mm in the mediastinum. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; There is a mass lesion located in the anterior of the left lung upper lobe anteriorly, extending to the apical level of the left lung upper lobe and inferior to the left lung upper lobe, with indistinguishable borders from the mediastinum, measuring 130 mm in the craniocaudal axis 90 mm in the previous study, with a marked increase in size. The pulmonary trunk of the described mass lesion has erased the fatty planes between it and the right pulmonary artery, and the upper lobe bronchus is obliterated. There are prominent parenchymal ground glass densities and interlobular septal thickenings around the lesion. It shows compression of the mediastinum towards the aorticopulmonary window. There is an increase in the frosted glass densities described. In series 2 image 83 at the apical level of the right lung upper lobe, in series 2 image 257 at the posterior basal level in the right lung lower lobe, and in series 2 image 243 in the right lung upper lobe inferior, in the subpleural location of the largest, the size of which was measured up to 18 mm in axial sections. the largest of the lesions was measured 14 mm in the previous study and they show an increase in size. In the upper and lower lobes of the right lung, new patchy ground glass densities, bronchiectasis, and subsegmental atelectasis, which were not observed in the previous study, are observed. Clinical laboratory correlation of findings with a new infectious process is recommended. In the previous study, 18 mm diameter parenchymal nodule with irregular borders described in the vicinity of the lesion at the left apical level, large lesions described in the left lung in the current study tend to coalesce. Boundaries are not clearly defined. There is a small amount of new pleural effusion in both lungs, more prominent on the left. Nodular densities observed in the right paracardiac fat pad, close to the heart and posterior to the costasternal junction, were measured up to 31 mm in the current study 24 mm in the previous study, and they show a dimensional increase. Upper abdominal organs included in the sections are partially included in the study, and postoperative clips are observed in the right lobe of the liver. There is a small amount of free fluid in the perihepatic and perisplenic areas. Hypertrophy is observed in the left lobe of the liver and the caudate lobe. Collateral veins are observed in the anterior abdominal wall in the perigastric, periesophageal and perisplenic areas. Atherosclerotic changes are observed in the abdominal aorta. Stable solid nodular lesion with calcifications in the paravertebral area is observed in the left half at the level of T11-T12 vertebrae. There are degenerative changes in bone structures. A new fracture, which does not show separation, is observed in the left 5th rib.", "impression": "Dimensional increase in nodular lesions observed in the right paracardiac fat pad and in close proximity to the heart . Findings consistent with chronic liver disease, postoperative defective appearance in the right lobe, collateral veins in the abdomen. Hypertrophy in the left lobe and caudate lobe .Stable calcified nodular lesion in the left half at the level of T11-T12 vertebrae. There are patchy ground glass densities, interlobular septal thickenings, subsegmental atelectasis and bronchiectasis in both lungs, which are more prominent in the right side, which are newly described in the current study. Clinical laboratory correlation and follow-up of findings in terms of pneumonic infiltration is recommended. The described findings may also be compatible with the appearance of viral pneumonia Covid-19. Clinical laboratory correlation is recommended in the differential diagnosis.  Undifferentiated fracture on the left 5th rib."}
{"volume_path": "dataset/train_fixed/train_125/train_125_a/train_125_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_125/train_125_a/train_125_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_125_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. Bronchiectasis and peribronchial thickening are observed in both lungs, especially in the central parts, especially in the lower lobes. Hyperdense appearances are observed within the bronchiectatic ducts in the lower lobes of both lungs. These appearances are primarily thought to be secretions and/or mucus plugs. There are common budding tree appearances in both lungs. The described appearances were evaluated in favor of infective pathologies. It is recommended that the patient be evaluated for specific infections together with clinical and laboratory findings. There are ground-glass areas and minimal interlobular septal thickening in the upper lobe of the left lung. The views described are not specific. Many pathologies can cause similar appearance. However, when evaluated together with other findings, it is recommended to evaluate the patient in terms of infective pathology viral pneumonia?. There is minimal pleural effusion on the right. Emphysematous changes and occasional atelectasis were observed in both lungs. 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. There is no pericardial effusion. The widths of the mediastinal main vascular structures are normal. The liver and spleen are larger than normal. Upper abdominal collection within the sections was not detected in this examination. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": "Bronchiectasis and peribronchial thickenings in both lungs, appearances compatible with secretion-mucus plugs in bronchiectatic ducts in both lower lobes of both lungs, diffuse budding tree appearance compatible with infective pathology in both lungs . Ground-glass appearance and interlobular septal thickenings in the upper lobe of the left lung viral pneumonia? . Emphysematous changes and occasional atelectasis in both lungs"}
{"volume_path": "dataset/train_fixed/train_129/train_129_a/train_129_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_129/train_129_a/train_129_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_129_a_1.nii.gz", "findings": "No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node in pathological pathological size and appearance was observed in the mediastinum. There are several nonspecific mediastinal lymph nodes. Stent material is observed in LAD. There are calcified atheroma plaques in the coronary arteries. A central venous catheter is observed. Pericardial effusion was not detected. There is aortic valve calcification. Heart size increased. There is a pleural effusion reaching 13 mm in diameter between the right pleural leaves. In parenchymal evaluation, a more distinct mosaic attenuation pattern is observed in the upper and lower lobes of both lungs. In hyperdense parenchyma areas, the lumens of slightly ectatic bronchi are open, and the shadow of the pulmonary vascular structures is evident in this localization. Due to the absence of secondary findings suggestive of small airway disease, chronic thromboembolism was primarily suspected in the mosaic attenuation pattern, and it would be appropriate to evaluate the patient in this direction. A focus of parenchymal calcification is observed in the lingula superior segment of the left lung upper lobe. No pneumonic consolidation was detected in the lung parenchyma. Fissural edema is not observed. There is lobulation in the liver contour in the upper abdominal sections and it was evaluated in favor of chronic liver parenchymal disease. The splenic vein is dilated and has a tortuous appearance. There are areas of lobulation in both kidney contours and focal parenchymal thinning areas in both kidneys. In the left adrenal gland, there is a 4.5 cm diameter nodular lesion with areas of fat density, which is evaluated in favor of adenoma. Due to its dimensions, it would be appropriate to follow up and evaluate it with MRI. Since it exceeds 4 cm, it will be appropriate to follow up. No lytic-destructive lesions were detected in bone structures. Osteoporosis is observed. There are degenerative changes in the vertebrae.", "impression": "Stent in LAD, calcified atheroma plaques in coronary arteries, increase in heart size, aortic valve calcification . Mild pleural effusion on the right . Mosaic attenuation pattern in lung parenchyma, imaging findings are primarily considered suspicious in favor of chronic thromboembolism, and it is recommended to be examined in this direction.  Chronic liver parenchyma Findings compatible with the disease .Lesion compatible with left adrenal adenoma, it would be appropriate to follow up due to its large size. Pneumonic infiltration was not detected in the lung parenchyma."}
{"volume_path": "dataset/train_fixed/train_137/train_137_a/train_137_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_137/train_137_a/train_137_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_137_a_1.nii.gz", "findings": "In the inferior pole of the left thyroid lobe, a hypodense nodule with exophytic extension, measuring 25x33 mm, is observed. Heart contour and size are normal. An effusion measuring 5 mm is observed in the thickest part of the pericardial area. There is minimal pleural effusion in the right hemithorax. The widths of the mediastinal main vascular structures are normal. A few lymph nodes are observed in the mediastinum and bilateral hilar regions with a short diameter of less than 5 mm. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In both lungs, there are areas of nodular consolidation more common in the lower lobes, predominantly peripherally located, accompanied by ground glass areas. Findings are consistent with viral pneumonia COVID-19 pneumonia. Linear atelectasis areas are observed in the lateral segments of the lower lobes of both lungs. No discernible mass was detected in both lungs. Sliding type hiatal hernia is observed at the esophagogastric junction. No pathological increase in wall thickness was detected in the esophagus. Within the limits of non-contrast BT; No mass with discernible borders was detected in the upper abdominal organs within the sections. There is a 7 mm diameter coarse calcification in the left breast lower quadrant. In the thoracic region, left-facing scoliosis is observed. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Nodular consolidations in both lungs, more common in the lower lobes, with areas of ground glass; compatible with viral pneumonia.  Pericardial effusion, minimal right pleural effusion  Hypodense nodule with exophytic extension in the left lobe of the thyroid gland; US control is recommended under elective conditions.  Hiatal hernia"}
{"volume_path": "dataset/train_fixed/train_143/train_143_a/train_143_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_143/train_143_a/train_143_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_143_a_1.nii.gz", "findings": "Millimetric calcific foci are observed in both thyroid lobes. Plunging extension towards the interthoracic cavity is observed in the left thyroid lobe. Trachea, both main bronchi are open. Heart size increased. Other mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion with a thickness of 6 mm is observed. Calcific atheroma plaques are observed in the abdominal aorta and its branches. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Small lymph nodes measuring up to 6 mm in multiple dimensions are observed in the mediastinum. When examined in the lung parenchyma window; Thickening of the interlobular septa in both lungs and mosaic attenuation patterns in the lower lobes are observed. There are effusions with bilateral thickness of 16 mm on the left and 12 mm on the right. In the upper abdominal organs, including sections; In the fluid attenuation, one size of which was measured as 26 mm in the right lobe of the liver, an oval-shaped, well-contoured finding was evaluated in favor of a cyst. Hyperdense findings with multiple dimensions up to 6 mm in the gallbladder were evaluated in favor of stones. Diffuse density reduction in bone structures, hypertrophic osteophytic tapering in the anteriors of the vertebral corpuscles and endplates are observed.", "impression": " Changes secondary to cardiac stasis.  Small airway disease?, small vessel disease?.  Small lymph nodes in the mediastinum.  Atherosclerosis.  A small amount of bilateral effusion.  Diffuse density reduction in bone structures, hypertrophic osteophytic tapering in the anteriors of the vertebral corpuscles and endplates.  Findings consistent with thyroid parenchymal disease; clinical laboratory correlation is recommended.  Cyst in the right lobe of the liver.  Cholelithiasis."}
{"volume_path": "dataset/train_fixed/train_145/train_145_a/train_145_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_145/train_145_a/train_145_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_145_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. Calibration of thoracic main vascular structures is natural. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart size has increased cardiomegaly. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Upper-lower paratracheal, prevascular, subcarinal, bilateral hilar and paraesophageal multiple lymph nodes measuring 19x15 mm in size were observed. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Contour irregularities, subpleural lines, and honeycomb appearances in the lower lobes were observed in both pleura. The appearance is suggestive of interstitial lung disease. Bilateral minimal pleural effusion and atelectatic changes in the lower lobe of the left lung were observed. A large consolidation area extending along the paramediastinal fissure was observed in the upper lobe of the left lung. Although the appearance is primarily suggestive of an infectious process, post-treatment control is recommended in terms of underlying malignancies. In the upper abdominal sections in the study area, the left lobe of the liver and the caudate lobe appear hypertrophied. Liver contours are irregular. It is recommended to be evaluated for chronic liver disease. A hypodense lesion with a diameter of 6 cm was observed in the upper pole of the right kidney cortical cyst?. Thoracic kyphosis has increased. Tapering in the vertebral corpus corners and compression fracture in the T11 vertebra, which causes more than 50% height loss, were observed. Metallic suture materials were observed in the sternum.", "impression": "Cardiomegaly . Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Mediastinal multiple lymph nodes. Honeycombing in both lungs and an appearance suggestive of interstitial lung disease, emphysematous changes in both lungs.  Wide area of consolidation in the upper lobe of the left lung; the appearance is suggestive of an infectious process in the first place, but post-treatment control is recommended in terms of malignant processes that may lie behind. Bilateral mild pleural effusion, atelectatic changes in both lungs.  It is recommended to be evaluated in terms of chronic liver disease.  Right renal hypodense lesion cyst?"}
{"volume_path": "dataset/train_fixed/train_153/train_153_a/train_153_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_153/train_153_a/train_153_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_153_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 thickenings are observed in the peribronchial area of both lungs. In addition, ground glass areas and irregular interlobular septal thickenings are observed in both lungs, especially in the central parts. In addition, peribronchial consolidations are also observed in places. The described findings are not specific. Since they are very common, differential diagnosis cannot be made. When evaluated together with the patients clinical information Lung Ca, it was primarily thought that these appearances were compatible with lymphangitis carcinomatosa. However, these appearances may also belong to a viral pneumonia. There is minimal pleural effusion adjacent to both lung lower lobes. In addition, loculated pleural effusions are observed in the neighborhood of the right lung upper lobe and lower lobe superior segments. Loculated pleural effusion observed adjacent to the superior segment of the lower lobe of the right lung, measured 50 mm in its thickest part. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. There is minimal pericardial effusion. 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 a hypodense lesion measuring approximately 20 mm in diameter in the posterior segment of the right lobe of the liver. This lesion could not be characterized because contrast agent was not given. However, in the presence of primary disease, metastasis may occur. It is recommended that the patient be evaluated together with previous examinations and further examination if indicated. There are lymphadenopathies in the left axilla and retropectoral regions that have lost their normal fusiform shape. The largest of these lymphadenopathies is observed in the anterior of the subclavian vessels and its short diameter is 15 mm. Lytic bone lesions are observed in the sternum and thoracic vertebrae and were evaluated in favor of metastases. There is also a metastatic bone lesion in the C6 vertebral body. Metastatic lesion in the T11 vertebral body causes minimal height loss.", "impression": "In the follow-up, lung Ca, bone metastases, bilateral minimal pleural effusion, loculated pleural effusion on the right, lymphadenopathies in the left axilla and rectopectoral region, hypodense lesion metastasis? in the posterior segment of the liver right lobe.  Ground-glass areas in both lungs, especially in the central parts, and Irregular interlobular septal thickenings in places, peribronchial consolidations in both lungs lymphangitis carcinomatosa? Viral pneumonia?."}
{"volume_path": "dataset/train_fixed/train_163/train_163_a/train_163_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_163/train_163_a/train_163_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_163_a_1.nii.gz", "findings": "There is an appearance of a tracheostomy cannula extending into the tracheal lumen. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Mediastinal structures due to pneumonectomy in the left lung are deviated to the left. There is thick-walled fluid in the left hemithorax. The wall thickness in the left hemithorax reaches 18 mm at its widest point. Lymphadenopathy with a short axis of 10 mm was observed in the left retrocrural region. There is an effusion measuring 1 cm in the widest part of the pericardium. When examined in the lung parenchyma window; Interlobular septal thickenings were observed in the right lung. Mass lesions were observed in the upper lobe of the right lung, in the middle lobe, and in the lower lobe, the largest in the posterior segment of the middle lobe, with a long axis measuring 1 cm, with diffuse irregular borders, which was evaluated in favor of metastasis in the first plan. It is observed that the mass with a diameter of 4 cm observed in the posterobasal segment of the lower lobe of the right lung developed in the central necrotic area. The described findings were evaluated primarily in favor of metastasis. No pleural effusion thickening was detected on the right. In the upper abdominal sections in the study area, liver density decreased diffusely in line with adiposity. Lymphadenopathies measuring 12 mm in the short axis of the largest were observed in the peripancreatic area at the level of the celiac trunk. Diffuse thickening was observed in both adrenal glands. Postoperative defective appearance is observed in the posterior of the left 6-7-8.costa and there is irregularity in the bone cortex. No lytic-destructive lesion was detected in bone structures.", "impression": "Operated locally advanced lung Ca, left pneumonectomy, thick-walled effusion in the pneumonectomy site . Pericardial effusion . Widespread multiple in all lobes of the right lung, mass lesions evaluated primarily in favor of metastasis . Interlobular septal thickenings in the right lung lymphangitic spread?.  Emphysematous changes in the right lung . Left retrocrural lymphadenopathy, infra-abdominal lymphadenopathy . Hepatosteatosis . Findings were evaluated in favor of progressive disease."}
{"volume_path": "dataset/train_fixed/train_167/train_167_a/train_167_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_167/train_167_a/train_167_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_167_a_1.nii.gz", "findings": "CTO increased in favor of the heart. Especially the atria are dilated. There is a prosthetic valve appearance in the tricuspid and mitral valves. Pulmonary trunk calibration is 37 mm and wider than normal. Right pulmonary artery calibration is 27 mm and it is in the maximal physiological limit. Left pulmonary artery calibration is normal. Calibration in the aortic arch is at the maximal physiological limit. Calibration of other major mediastinal vascular structures is normal. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch, descending and ascending aorta. 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. There are multiple millimetric lymph nodes at the mediastinal and hilar levels. When examined in the lung parenchyma window; there is a mosaic attenuation pattern in both lungs small vessel disease?small airway disease?. There is thickening of the peribronchial sheath and consolidative lung parenchyma around it at the level of the right lung middle lobe and lower lobe basal segments. and in the right lung, there is a smear-like pleural effusion-pleural thickening at the base. Thickening of the subpleural interlobular septa in the anterior and lingular segments of the upper lobe and thickening of the central interlobular septa are also observed. Thickening is observed in the peribronchial sheath of the left lung. There are also thickenings in the interlobular septa. In the upper abdominal organs included in the sections, mild hepatosteatosis is observed in the liver. Mild contamination is present in the mesenteric planes and slightly evident in peritoneal reflections. There is a 9x10 mm nonspecific hypodense lesion in the posterior-anterior segment transition of the right lobe of the liver. Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.", "impression": "Cardiomegaly, localized increase in calibration and atherosclerotic changes in mediasintal main vascular structures . Smear-like effusion and pleural thickening in the right pleural space, thickening of interlobular septa and peribronchial sheath. It is recommended to evaluate the case in terms of cardiac stasis.  Mosaic attenuation pattern small vessel disease?small airway disease?.  More prominent on the right and consolidative areas along the peribronchial sheath basally, partly in the middle lobe"}
{"volume_path": "dataset/train_fixed/train_169/train_169_a/train_169_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_169/train_169_a/train_169_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_169_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour are normal. Heart size increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes measuring 11 mm are observed in the mediastinum, anterior to the carina and distal to the trachea. When examined in the lung parenchyma window; Little to moderate effusion is observed in both lungs on the right and a small amount on the left. There are mosaic attenuation patterns in both lungs, and linear atelectasis and areas of atelectasis consolidation with air bronchogram signs are observed in the left lung upper lobe inferior and superior lingula, and in the right lung middle lobe small vessel disease?, small airway disease? accompanied by infectious processes?. Clinical-laboratory correlation is recommended. Upper abdominal organs included in the sections are partially included in the examination and were evaluated as suboptimal. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Cardiomegaly and atherosclerosis.  Infectious processes with minor to moderate effusion on the right and minor effusion on the left, accompanied by changes secondary to cardiac stasis?. Clinical-laboratory correlation follow-up is recommended.  Lymph nodes measuring 11 mm are observed in the mediastinum, anterior to the carina and distal to the trachea."}
{"volume_path": "dataset/train_fixed/train_171/train_171_b/train_171_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_171/train_171_b/train_171_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_171_b_1.nii.gz", "findings": "Significant edema is observed in the skin-subcutaneous fatty tissue in the newly developed right hemithorax, which was not present in previous examinations. In the retroareolar localization of the right breast, the most prominent mass is 40x42 mm in size. Multiple nodular densities are observed in the breast tissue adjacent to the mass. In the right axilla localization, there are soft tissue densities, possibly belonging to lymphadenopathies, which can be difficult to distinguish from each other on non-contrast examination. Except for a small lung tissue in the anterior segment of the upper lobe of the right lung, the right lung has a near-total atelectasis appearance. Right main bronchus and segmental bronchi are open. Interlobular septal thickenings are observed in the observed lung parenchyma areas. Consolidation area interlobular septal thickenings, approximately 2.7x2.8 cm in size, extending towards the parenchyma on the lateral aspect of the anterior lobe are selected. Lobulated contoured pleural effusions measuring 5.3 cm in the thickest part are observed around the atelectatic lung tissue in the right hemithorax. There is a pleural effusion measuring 2 cm in the thickest part of the left hemithorax. Aorticopulmonary and right upper-lower paratracheal narrow diameters of 11 mm and lymphadenomegaly and lymph nodes, which can be selected in non-contrast examination, are observed. The cardiothoracic index is natural. Pericardial effusion is observed in the form of smearing. No obvious lesion that can be distinguished from motion artifacts was detected in the left lung. No significant pathology was detected in the sections passing through the upper part of the abdomen.", "impression": " In the right lung, the right lung is near-total atelectasis, except for a focal lung parenchyma in the upper lobe anterior segment. In the remaining intact lung tissue, interlobular septal thickenings on the right and a 2.8 cm diameter consolidation area extending into the parenchyma adjacent to the pleural effusion on the lateral face.  Pleural effusions lobulating in the right hemithorax. Pleural effusion measuring 2 cm at its thickest point in the left hemithorax.  Significant lymphedema in the subcutaneous fatty tissue in the right hemithorax, a mass in the retroareolar localization of the right breast, and nodular densities with lobulated contours adjacent to the mass.  Soft tissue densities that may belong to right axillary possible lymphadenopathies."}
{"volume_path": "dataset/train_fixed/train_178/train_178_a/train_178_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_178/train_178_a/train_178_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_178_a_1.nii.gz", "findings": "Imaging is suboptimal due to motion artifact. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. In the mediastinum, several lymph nodes with increased dimensions are observed in the right paratracheal and subcarinal region, the largest of which is in the right paratracheal area, with a short axis measuring 14 mm in diameter. An increase in heart size is observed. Pericardial effusion was not detected. Calcified atheroma plaques are observed in LAD. Right pulmonary artery diameter was 32 mm, left pulmonary artery diameter was 29 mm, and pulmonary artery diameters increased. The esophagus is observed in normal calibration. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. Diffuse bronchial wall thickness increase is observed in segmental bronchi in both lungs. In the lower lobes of both lungs, more prominent smooth interlobular septal thickness increases, fissural thickness increases and subsegmental linear atelectasis are observed in places. In the upper abdominal sections included in the image, the right kidney is atrophic. Contour lobulations are observed in the left kidney. The left renal pelvis is slightly prominent. There is a cortical localized 19 mm diameter parenchyma and isodense lesion in the lower pole of the left kidney. It is recommended to evaluate with USG in terms of solid cystic differentiation. There are degenerative changes in bone structures.", "impression": "Mediastinal pathologically sized lymph nodes. Right pleural effusion. Increased heart size. Calcific plaques in coronary arteries.  More prominent mild smooth septal thickenings interstitial edema? in the lower lobes of both lungs. Right atrophic kidney, solid density cortical lesion in left kidney may belong to hemorrhagic cyst. It is recommended to evaluate with USG in order to exclude the presence of possible solid lesion."}
{"volume_path": "dataset/train_fixed/train_186/train_186_a/train_186_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_186/train_186_a/train_186_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_186_a_1.nii.gz", "findings": "Trachea and main bronchi are open. In the upper middle and lower hemithorax, locating pleural fluids with a locating HU value that extends to the mass are observed, with a fluid density varying between about 4-12. In addition, a mass appearance of approximately 3.5x2 cm with irregular spiculated contours is observed in the paramediastinal localization, whose borders can hardly be distinguished from the pulmonary conus and aortic arch in the aortopulmonary localization of the left hemithorax. Also available in previous review. It causes atelectasis medially in the lingular segment of the left lung. Pleural effusion with localized localization is observed in the left hemithorax. There are pleuroparenchymal sequelae in the lung parenchyma, which can be observed in the lower lobe superior and basal segments of the right lung. In the anterior segment of the upper lobe on the left, a few nodules with a diameter of 3.5 mm IMA 68 subpleural, the present appearance of which is nonspecific, the largest of which is 3.5 cm in diameter, and the others with a nonspecific appearance, a few nodules with a diameter of 1-2 mm are observed. Density increases are observed in the lung parenchyma adjacent to the effusion in the left lung upper lobe posterior and lower lobe superior segments. 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. No obvious pathology was detected in bone structures.", "impression": "Left pleural effusion. An irregularly contoured mass with a stable appearance although not clearly evaluable according to PET CT, which caused atelectasis in the middle lobe selected in the previous examination, whose borders could not be clearly distinguished from the pulmonary conus and aortic arch in the paramediastinal area in the anterior segment of the left lung upper lobe."}
{"volume_path": "dataset/train_fixed/train_199/train_199_b/train_199_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_199/train_199_b/train_199_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_199_b_1.nii.gz", "findings": " The left breast was not observed secondary to the operation. In the mastectomy site, no mass lesion that could be delineated was detected in this examination. No mass lesion with clear borders was observed in the right breast. 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 mediastinal main vascular structures, heart contour and size are normal. A calcific atheroma plaque was observed in the aortic arch. Pericardial effusion-thickening was not observed. No lymph nodes in pathological size and appearance were observed in bilateral supraclavicular and axillary fossae. Lymph nodes that did not reach pathological dimensions were observed in the mediastinum, the largest of which was 6.3 mm in the short axis of the right lower paratracheal. 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. A smear-like effusion was observed in the left hemithorax. It is new in current review. The increase in pleural thickness observed in the apical posterior segment of the left lung upper lobe has increased and it was measured 7.3 mm in the thickest part in the current examination. Emphysematous changes, parenchymal sequelae atelectasis and parenchymal air cysts were observed in both lungs. In both lungs, 4.5 mm in diameter, some of them calcific nodules, the largest of which is in the right lung lower lobe superior segment, were observed. In the superior segment of the right lung upper lobe, there are centriacinar nodules in the peripheral area, in the peribronchovascular interstitium, and a budding tree view. The described findings are also present in the previous examination of the patient. Evaluated in favor of infectious processes. There was no finding in favor of a mass lesion with a distinguishable border in the lung parenchyma. Hypodense mass lesions were observed in both lobes of the liver as far as can be seen on non-contrast sections, and it was evaluated in favor of metastasis in the primary case. The largest of the metastatic mass lesions was measured 23 mm in the long axis of the peripheral subcapsular at the junction of segment 4A-8. In the previous examination, it was measured 31 mm and there is a millimetric decrease in its dimensions. The gallbladder was not observed operated. Diffuse sclerotic bone lesions were observed in the thoracolumbar vertebrae, sternum, ribs and scapula within the sections.", "impression": "\u00b7 In follow-up, operated breast Ca, left mastectomized, multiple bone metastases. \u00b7 Stable some calcific parenchymal nodules in both lungs, atelectasis sequelae, parenchymal air cysts. \u00b7 Left swabbing style pleural effusion is new in the current study. \u00b7 Metastases with reduced size in both lobes of the liver."}
{"volume_path": "dataset/train_fixed/train_200/train_200_a/train_200_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_200/train_200_a/train_200_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_200_a_1.nii.gz", "findings": "Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortopulmonary, prevascular lymph nodes with narrow diameters less than 1 cm are observed. Mediastinal lymph nodes are also selected in this examination. No pathological LAP was detected in the mediastinum. The cardiothoracic index increased in favor of the heart. The AP diameter of the main pulmonary artery is approximately 45 mm and wider than normal. Right pulmonary artery AP diameter is 3 cm, left pulmonary artery AP diameter is 2.6 cm, and it is wider than normal. Calcific plaques are observed in the aortic arch, descending aorta, and aortic walls. The AP diameter of the ascending aorta is 4.4 cm and wider than normal. Suture materials are observed in the sternum secondary to bypass surgery. Calcific plaques are present in the coronary arteries. Placing pleural effusion is observed in both hemithorax. In the evaluation of both lung parenchyma; Mosaic perfusion is observed in both lung parenchyma small airway disease? small vessel disease?. Subsegmentary atelectasis and mild alveolar interstitial density increases are observed in the middle lobe of the right lung and in the lower lobes of both lungs, which were also present in the previous examination. A nonspecific nodule is observed in the posterior segment of the upper lobe of the right lung, measuring 3 mm in the current examination IMA: 72 and 2 mm in the previous examination. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. There is a 50% loss of height in the L1 vertebral corpus, which was also observed in the previous examination.", "impression": "Right lung middle lobe, both lung lower lobe basal segments, pleuroparenchymal sequelae densities, subsegmentary atelectasis and mild alveolar interstitial density increases observed in previous examination are stable.  Mosaic perfusion in both lungs small airway disease? small vessel disease ?.  Cardiomegaly . Ectasia in the ascending aorta . Increase in the diameters of the main pulmonary artery and right-left pulmonary artery . 50% loss of height in the L1 vertebral corpus, which was also observed in the previous examination,"}
{"volume_path": "dataset/train_fixed/train_200/train_200_b/train_200_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_200/train_200_b/train_200_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_200_b_1.nii.gz", "findings": " A 22 x 12 mm hypodense nodule was observed in the left thyroid lobe. Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen of the trachea and both main bronchi. Calcific atheroma plaques were observed in the main vascular structures and coronary arteries. Pulmonary arteries and aorta are dilated. Global enlargement of the cardiac cavities was observed. The appearance of mitral valve replacement was observed. There are suture materials in the mediastinum. Thoracic esophageal calibration was normal, and no significant pathological wall thickening was detected in the non-contrast examination. A pericardial effusion with semisolid density 41 HU reaching 2.2 cm in thickness was observed in the posterolateral neighborhood of the left ventricle. It was thought that it was not found in previous examinations. Echocardiography is recommended. Numerous millimetric-sized lymph nodes were observed in the mediastinum and bilateral hilar. There was no significant change in size and number. When examined in the lung parenchyma window; Peribronchial thickenings were observed in both lungs. Interlobular septal thickenings were observed in the peripheral subpleural area in both lungs. There are bilateral mild pleural effusion and atelectatic changes in the lower lobe. A 5.6 mm parenchymal nodule is observed in the left lung lingular segment, and it was thought to have developed newly in the follow-up. There is a stable nodule of 3 mm in diameter in the posterior segment of the right lung upper lobe. There are fibroatelectatic changes in both lungs. The gallbladder was not observed. Diffuse thickening was observed in the left adrenal gland. In bone structures, there are suture materials belonging to sternotomy in the sternum. There are plates and screws in the right humerus. There is an increase in trabeculation due to osteopenia and degenerative osteophytes in bone structures. Compression fractures were observed in L1 and L3 vertebral bodies.", "impression": "Nodule in thyroid Atherosclerosis Dilatation of pulmonary arteries and aorta Cardiomegaly Mitral valve replacement Pericardial effusion in posterolateral neighborhood of left ventricle? Echocardiography is recommended. Mediastenal lymph nodes Fibrotic and atelectatic chronic changes in the lungs Newly developed nodule in the left lung lingular segment Stable nodule in the posterior segment of the right lung upper lobe Cholecystectomy Diffuse thickening of the left adrenal gland Degenerative changes in the bones, osteoporosis Old compression fractures in the L1 and L3 vertebral bodies"}
{"volume_path": "dataset/train_fixed/train_226/train_226_a/train_226_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_226/train_226_a/train_226_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_226_a_1.nii.gz", "findings": "Mediastinal vascular structures were not evaluated optimally because the cardiac examination was without IV contrast. As far as can be observed, the diameter of the ascending aorta increased by 48 mm and the diameter of the pulmonary trunk increased by 31 mm. The effusion is 75 mm deep in the pericardial space, 65 mm deep in the right pleural space, and 35 mm deep in the left pleural space. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. Lymph nodes with fatty hilus in fusiform configuration with a short diameter of 18 mm were observed in the mediastinum, in the paratracheal, prevascular, aorticopulmonary window localization, the largest at the paratracheal level. Apart from this, as far as can be observed in the axillary region and supraclavicular fossa, no lymph nodes in pathological size and appearance were observed. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. In the lung parenchyma adjacent to the effusion, there are areas of increased density evaluated in favor of compressive atelectasis. In addition, areas of increase in density consistent with linear atelectasis are observed in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. 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 detected in the bone structures in the study area.", "impression": " Ascending aorta, increase in pulmonary trunk calibration, increase in heart size, pericardial and bilateral pleural effusion  Lymph nodes with a short diameter over 1 cm in the mediastinum, the largest of which has a fusiform configuration at the paratracheal level, and fatty hilus observed in the paratracheal level  Increase in density evaluated in favor of compressive atelectasis adjacent to both lung effusions areas and areas of density increase compatible with linear atelectasis."}
{"volume_path": "dataset/train_fixed/train_227/train_227_a/train_227_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_227/train_227_a/train_227_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_227_a_1.nii.gz", "findings": "There is a port chamber on the right chest wall. Trachea, both main bronchi are open. Thyroid gland dimensions are markedly increased on the left. There are hypodense nodular appearances. USG correlation is recommended. Heart size increased. Pericardial thin effusion is present. Mediastinal main vascular structures are natural. There are also reticular density increases and fluid appearances in the mediastinal spaces. There is an appearance of a drainage catheter that ends in the posterobasal right lung lower lobe. In the ventilated lung parenchyma, interlobular septal thickness increase in diffuse nodular form, thickness increase in peribronchovascular interstitium and subsegmental atelectatic changes in linear form are observed. The effusion values decreased. 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": "Lymphadenopathies with increased mediastinal size and number."}
{"volume_path": "dataset/train_fixed/train_228/train_228_a/train_228_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_228/train_228_a/train_228_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_228_a_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 observed, the anterior-posterior diameter of the ascending aorta is 40 mm, and the anterior-posterior diameter of the descending aorta is 31 mm, which is larger than normal. Calibration of pulmonary arteries is natural. Heart size increased. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. In the mediastinum, lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed. Thoracic esophagus calibration was normal, and no significant tumoral wall thickening and enlarged lymph nodes were detected. When examined in the lung parenchyma window; Bilateral pleural effusion was observed in both hemithoraxes, reaching a diameter of 61 mm in the thickest part on the right and 30 mm in the thickest part on the left and entering the fissures and causing fissuritis. A consolidation area in which air bronchograms are observed is observed in the superior and basal segments of the right lung lower lobe. Consolidation was also observed in the posterobasal and mediobasal segments of the left lung lower lobe. The appearance is consistent with pneumonic infiltration aspiration pneumonia?. Diffuse linear-subsegmental atelectatic changes were observed in both lungs. Uniform interlobular septal thickening was observed in both lungs cardiac stasis. Millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion with distinguishable borders was detected in both lungs. As far as can be seen in the non-contrast sections, an increase in reticular density and thickening of the pararenal fascia were observed in bilateral perinephrtic fatty planes. Appearance is nonspecific. It is recommended to be evaluated together with the clinic and laboratory in terms of infection. 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. Spur formations bridging with each other were observed in the right anterolateral corner of the vertebra at the mid-thoracic level.", "impression": "\u00b7 Fusiform aneurysmatic dilatation in the thoracic aorta, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries, cardiomegaly. Bilateral pleural effusion and areas of more extensive consolidation on the right in the lower lobe lobes of both lungs; Compatible with pneumonic infiltration. It is recommended to be evaluated together with the clinic and laboratory. \u00b7 Cardiac stasis in both lungs, millimetric nonspecific parenchymal nodules. \u00b7 Increases in reticular density in bilateral perinephric fatty planes, thickening of pararenal fascia, appearance is nonspecific. It is recommended to be evaluated together with the clinic and laboratory in terms of possible infection. \u00b7 Findings compatible with mid-thoracic DISH"}
{"volume_path": "dataset/train_fixed/train_238/train_238_b/train_238_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_238/train_238_b/train_238_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_238_b_1.nii.gz", "findings": "There is a view of the tracheostomy cannula. The dimensions of both thyroid lobes have increased and the parenchyma density is slightly heterogeneous. It is recommended to be evaluated together with US examination for thyroiditis. The ascending aorta measures 39 mm in diameter and shows slight dilatation. The diameter of the main pulmonary artery was 33 mm and it shows dilatation. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Heart sizes are slightly increased. No lymph node was detected in mediastinal pathological size and appearance. When examined in the lung parenchyma window; There is widespread pleural effusion and compression atelectasis reaching 7.5 cm in its widest part, which widely fills the left hemithorax and causes significant volume loss in the left lung parenchyma. Left lung aeration was markedly reduced. There is minimal pleural effusion between the pleural leaves on the right and atelectatic changes in the adjacent lung parenchyma. Patchy ground glass density increases were observed in the right lung. In addition, preferic subpleural focal ground glass density increase was observed in the anterior segment of the right lung upper lobe. The outlook may be predictive for Covid-19 pneumonia but not specific. Other infectious - non-infectious processes can be considered in the differential diagnosis. Contours of the liver show lobulation in the upper abdominal sections in the study area. Other upper abdominal sections are normal. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There is free fluid in the perisplenic area in the abdominal sections entering the examination area. Old fracture sequela changes were observed in the ribs. Diffuse density increase is observed in bone structures, and Schmorl nodules and degenerative mild height losses are present on the vertebral corpus end plate faces.", "impression": "Extensive pleural effusion and compression atelectasis filling the left hemithorax, minimal pleural effusion and atherosclerotic changes in the right lung. Patchy and focal ground-glass density increases in the right lung; The outlook can be seen in Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis.  Free intra-abdominal fluid. Changes in the ribs with old fracture sequelae. Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary aorta. Mild dilatation of the thoracic aorta and pulmonary artery."}
{"volume_path": "dataset/train_fixed/train_263/train_263_f/train_263_f_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_263/train_263_f/train_263_f_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_263_f_1.nii.gz", "findings": " There are sternotomy changes in the sternum. In the anterior medasthene, the appearance of the collection near the pulmonary artery is stable. When examined in the lung parenchyma window; Ground-glass densities in both lung parenchyma, especially in the upper lobes, effusion in the lower part of the left hemithorax and effusion at the level of major fissure are stable. There were central bronchiectasis and thickening of the bronchial wall in both lungs, and no significant difference was found. No significant difference was found between newly developed pathology and examinations.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_263/train_263_g/train_263_g_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_263/train_263_g/train_263_g_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_263_g_1.nii.gz", "findings": " There are changes related to sternotomy. Minimal effusion is observed in the anterior mediastinum. Truncus pulmonaris and pulmonary arteries are ectatic. Minimal pleural effusion is observed on the left, which does not differ significantly. It is observed that the ground glass densities in both lungs have decreased from place to place. No newly developed pathology was detected.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_263/train_263_h/train_263_h_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_263/train_263_h/train_263_h_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_263_h_1.nii.gz", "findings": "In the midline of the trachea, both bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: The thoracic aortic diameter has increased by 32 mm. Heart size increased. Other mediastinal main vascular structures are normal. Effusion is observed in the pericardial area. Thoracic esophageal wall thickness is normal. No lymphadenopathy was detected in the mediastinal area at the level of both lung hilum and bilateral axillae in pathological size and appearance. When examined in the lung parenchyma window; Minimal pleural is observed in both lungs, more prominently on the left. Mosaic attenuation pattern is observed in both lungs. Peribronchial thickness increases. In both lungs, nodules in the form of a budding tree view, which are more prominent in the middle and lower lobes of the right lung, are observed. There are areas of linear atelectasis 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": " Pulmonary nodules in the form of a budding tree view, which are more prominent in the middle and lower lobes of the right lung, are observed in both lungs. Interpreted in favor of the infective process,  Peribronchial thickness increases.  Mosaic lung pattern, which is more prominent in the upper lobes of both lungs, is observed.  There are atelectasis in both lungs.  An increase in heart size and pericardial effusion are observed.  Minimal pleural effusion is observed."}
{"volume_path": "dataset/train_fixed/train_266/train_266_a/train_266_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_266/train_266_a/train_266_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_266_a_1.nii.gz", "findings": "Bilateral gynecomastia was observed. The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. Both thyroid parenchyma are heterogeneous and hypodense nodules are observed. Correlation with USG is recommended. Mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination. As far as can be observed, the thoracic aorta calibration is normal. The pulmonary trunk, both pulmonary arteries, and the heart have increased in size. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Pericardial effusion-thickening was not observed. Stent is observed in LAD, and there are atherosclerotic wall calcifications in the coronary arteries and aortic arch. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Type 1 hiatal hernia was observed in the lower end of the esophagus. Prevascular right upper, bilateral lower paratracheal, aorto pulmonary lymph nodes reaching pathological dimensions with the largest 17x14mm were observed. Effusion reaching a thickness of 28 mm in the right pleural space and 12 mm in the left pleural space is observed, and the effusion extends to both major fissures. No enlarged lymph nodes in subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Thickening and diffuse ground glass densities were observed in the peribronchovascular interstitium of both lungs. Interlobar-intralobular septal thickenings were observed in both lungs, and focal ground glass density and focal nodular consolidation area were observed in the anterior segment of the left lung upper lobe. Ground glass densities were concentrated in the posterobasal segment of the lower lobe of the right lung, and centriacinar nodular infiltrates were also noted in places. Findings were initially evaluated in favor of infective processes. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. No pleural effusion was detected. In the evaluation of upper abdominal organs including sections; liver, spleen, pancreas and both kidneys are natural. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Diffuse thickening was observed in the left adrenal gland. Millimetric calculus was observed in the gallbladder lumen. No intra-abdominal free fluid or pathological lymph nodes were detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Bilateral gynecomastia . Surgical sutures secondary to previous bypass surgery in pulmonary arteries, dilatation, cardiomegaly, sternum and anterior mediastinum . Bilateral pleural effusion . Widespread ground glass densities in both lungs, intralobular-interlobular septal thickenings, left lung upper lower lobe anterior segment and right lung nodular consolidations to ground glass density in the lobe posterobasal segment. Findings were evaluated in favor of infective processes. It is recommended to be evaluated together with clinical and laboratory.  Type 1 hiatal hernia . Cholelithiasis . Slight thickening of the left adrenal gland"}
{"volume_path": "dataset/train_fixed/train_266/train_266_b/train_266_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_266/train_266_b/train_266_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_266_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. No pericardial effusion or thickening was detected. Atheroma plaques are observed in the aorta and coronary arteries. It is understood that the patient underwent coronary bypass surgery. There is a stent appearance in the left coronary artery. Aorta diameter is normal. The main pulmonary artery diameter was 33 mm and was wider than normal. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. No enlarged enlarged lymph nodes were detected in pathological dimensions. There is no pathological wall thickness increase in the esophagus within the sections. There is a sliding type minimal hiatal hernia at the lower end of the esophagus. Minimal pleural effusion is observed on the right. No pleural effusion was detected on the left. Trachea and both main bronchi are normal. There is no obstructive pathology in the trachea and both main bronchi. There are linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. Uniform interlobular septal thickenings are observed in both lungs. When the patient was evaluated together with the findings described in the heart, these findings were thought to belong to cardiac pathology. Emphysematous changes were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": "Atherosclerotic changes in the aorta and coronary arteries, coronary bypass surgery, increased pulmonary artery diameters, cardiomegaly. Minimal pleural effusion on the right.  Uniform interlobular septal thickenings in both lungs. Atelectasis in both lungs.  Emphysematous changes in both lungs."}
{"volume_path": "dataset/train_fixed/train_275/train_275_a/train_275_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_275/train_275_a/train_275_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_275_a_1.nii.gz", "findings": "Heart contour and size are normal. Bilateral minimal pleural effusion is observed. There is no pericardial effusion. The widths of the mediastinal main vascular structures are normal. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Mosaic perfusion attenuation is present in both lower lobes of the lungs small airway disease?, small vessel disease?. There is a 3 mm diameter calcific nodule in the posterior segment of the right lung upper lobe. 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 enlarged lymph nodes in pathological dimensions were detected. As far as can be observed within the limits of non-enhanced CT in the upper abdominal organs within the sections; There is a hypodense low-density 10 HU hypodense lesion with a diameter of 25 mm in the right kidney US confirmed anechoic cyst. There are sclerotic lesions with faint borders on the 4th left, 4th, 7th and 8th ribs on the right. No cortical destruction or soft tissue component was observed. It is recommended to evaluate the patient by comparing them with previous examinations.", "impression": " Bilateral minimal pleural effusion, mosaic attenuation pattern in both lungs small airway disease?, small vessel disease?.  Millimetric calcific nodule in the right lung.  Right renal hypodense lesion US confirmed; anechoic cyst.  4th left; Sclerotic lesions with faint borders on the 4th, 7th, 8th ribs on the right. It is recommended that the patient be evaluated together with previous examinations."}
{"volume_path": "dataset/train_fixed/train_287/train_287_a/train_287_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_287/train_287_a/train_287_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_287_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the ascending aorta is 42 mm and shows dilatation. The diameter of the main pulmonary artery was 39 mm and it shows dilatation. Heart size has increased cardiomegaly. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. 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; Patchy ground-glass density increases and interlobular septal thickening were observed in both lungs secondary to cardiac pathology?. However, viral pneumonia cannot be excluded in the background. Clinical and laboratory correlation is recommended. Atelectatic changes were observed in the inferior lingular segment of the left lung. There is a free pleural effusion measuring 22 mm on the right and 21 mm on the left between bilateral pleural leaves. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Both kidney sizes are below physiological limits. Diffuse degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.", "impression": "Cardiomegaly . Dilatation of the thoracic aorta and pulmonary artery . Interlobular septal thickening and patchy ground-glass density increases in both lungs secondary to cardiac pathology? Bilateral pleural effusion"}
{"volume_path": "dataset/train_fixed/train_288/train_288_a/train_288_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_288/train_288_a/train_288_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_288_a_1.nii.gz", "findings": "Partially calcific nodules are observed in both lobes of the thyroid gland. Thyroid gland is slightly full. If necessary, US examination is recommended. CTO is at the maximal physiological limit. There is a cardiac pacemaker in the right pectoral region. Their catheters extend from the superior vena cava to the right heart. Calibration of mediastinal major vascular structures is natural. In the mediastinum and at both hilar levels, no lymph node with pathological size and configuration was detected as far as can be evaluated in the non-contrast examination. Calcific atheroma plaques are observed in the coronary arteries. Calcific atheroma plaques are present in the abdominal and thoracic aorta. In the case with COVID positive anamnesis; mosaic attenuation pattern is observed. There are occasional frosted glass-style density increments. There is thickening of the pleura at the level of the right lung upper lobe posterior segment and lower lobe segments, and atelectatic lung segments are observed in its vicinity. There is a thin pleural effusion in the right lung basal thickness 20 mm. There are mild emphysematous changes in her old CT. Mild hiatal hernia is observed. The spleen is full. Nodular densities compatible with the accessory spleen are observed in the anterior of the abdomen. Both kidney sizes are smaller than normal. Significant degenerative changes are observed in the bone structure. In the case, there are significant degenerative changes in the end plateaus at the D5-D6 level.", "impression": " In the case with COVID positive anamnesis; mosaic attenuation pattern, occasional ground glass-style density increments.  Pleural thickening at the level of the right lung upper lobe posterior segment and lower lobe segments and adjacent peripheral consolidative parenchyma areas and mild pleural effusion. There is mild emphysema appearance in his old CT.  Mild hiatal hernia.  Cardiac pacemaker.  Significant degenerative changes."}
{"volume_path": "dataset/train_fixed/train_288/train_288_b/train_288_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_288/train_288_b/train_288_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_288_b_1.nii.gz", "findings": "The cardiothoracic ratio increased in favor of the heart. Cardiac pacemaker is observed in the right pectoral region and its catheter extends into the right ventricular lumen. Pericardial effusion was not detected. Widespread calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. Trachea, both main bronchi are open and no occlusive pathology is detected. There is no pathological increase in wall thickness in the thoracic esophagus, and there is a slight sliding type hiatal hernia at the lower end. There are lymph nodes in the mediastinum, the number and dimensions of which are not stable in pathological size and appearance, which were also observed in the previous CT examination of the patient. When examined in the lung parenchyma window; In the current examination in the right pleural space, an effusion up to 70 mm is observed in its deepest part. In the lower lobe of the right lung, there is an area of increase in density consistent with consolidation, which is observed in air bronchograms, adjacent to the effusion. Although it may belong to compression atelectasis, underlying pneumonic infiltration cannot be excluded. Apart from this, there are areas of increased density in the ground glass density, which was observed in the previous CT examination of the patient in both lungs. There are minimal emphysematous changes in both lungs. A mosaic attenuation pattern is observed in both lungs small airway disease? Small vessel disease?. In the upper abdominal sections within the image, chronic atrophic changes are observed in both kidneys. There are degenerative changes in the bone structures within the image.", "impression": "  Areas of increase in density in the lower lobe of the right lung adjacent to the effusion, consistent with consolidation, as seen in air bronchograms; Pneumonic infiltration, which may be due to compressive atelectasis, or underlying pneumonic infiltration cannot be excluded.  Areas of increased density in ground glass density in both lungs, which were observed in the previous CT examination of the patient.  Minimal emphysematous changes.  Mosaic attenuation pattern small airway disease? Small vessel disease?.  Sliding type mild hiatal hernia at the lower end of the esophagus.  Chronic atrophic changes in both kidneys.  Degenerative changes in bone structures."}
{"volume_path": "dataset/train_fixed/train_314/train_314_a/train_314_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_314/train_314_a/train_314_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_314_a_1.nii.gz", "findings": " A double lumen dialysis catheter placed in the right subclavian is observed and the dialysis catheter tip ends in the center. Mitral valve replacement is observed. There are calcific plaques in the wall of the descending aorta and coronary artery walls in the aortic arch. The heart size has increased. Pericardial effusion was not observed. Pulmonary trunk diameter increased by 34 mm. Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Bilateral minimal pleural effusion, more prominent in the right hemithorax, is observed. When examined in the lung parenchyma window; Mosaic perfusion is present in both lungs. Millimetric-sized nonspecific nodules are observed in both lungs. Some of the nodules are calcific. There are atelectatic areas in both lung bases and right lung upper lobe anterior segment, middle lobe. No mass or infiltrative lesion was detected in both lungs. Minimal free fluid is observed in the perihepatic area and perisplenic area in the upper abdomen. There is an increase in calibration in the body part of the left adrenal gland. When the bone is examined in the window, the intervertebral disc distance has completely disappeared at the T8-T9 level, and destruction is observed in the adjacent end plateaus. No lytic destructive lesion was detected in the bone structures included in the study area.", "impression": "Diffuse atelectatic changes in both lungs, millimetric some calcific nonspecific nodules in both lungs. Bilateral minimal pleural effusion.  Aortic sclerosis and sclerotic changes in the coronary artery, appearance of mitral valve replacement. mild cardiomegaly. At the T8-9 level, the intervertebral disc space has completely disappeared and destruction is observed in the adjacent end plateaus, but bilateral syndesmophytes and an anterior osteophyte reaction have occurred subacute spondylodiscitis?."}
{"volume_path": "dataset/train_fixed/train_317/train_317_b/train_317_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_317/train_317_b/train_317_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_317_b_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; In the anterior mediastinum, a slightly hyperdense lesion with a size of 52x55x34 mm with slightly lobulated contours was observed. In addition, there is a dense effusion measuring 15 mm in the widest part of the pericardial area. The lesion observed in the anterior mediastinum may belong to a pericardial hematoma or an anterior mediastinal mass, but it cannot be characterized in this examination. Further review is recommended. A catheter image extending to the superior vena cava was observed. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. 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; bilateral mild pleural effusion was observed. Variational azygos lobe and fissure were observed in the upper lobe of the right lung. 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": " Pericardial effusion with dense contents.  A slightly hyperdense soft tissue lesion in the anterior mediastinum may belong to a pericardial hematoma or a mediastinal mass, but cannot be characterized in this examination. Further testing is recommended.  Bilateral mild pleural effusion.  Variational azygos lobe and fissure in the upper lobe of the right lung."}
{"volume_path": "dataset/train_fixed/train_317/train_317_c/train_317_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_317/train_317_c/train_317_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_317_c_1.nii.gz", "findings": " The patients port catheter extending from the right anterior chest wall to the right atrium is observed. Trachea, both main bronchi are open. Heart contour, size is normal. Thoracic aorta diameter is normal. In the anterior mediastinum, a slightly hyperdense lesion with a slightly lobulated contour of 58x24 mm is observed in the axial plane. In addition, a dense effusion reaching 18 mm in its widest part is observed in the pericardial area. The lesion observed in the anterior mediastinum could not be characterized within the limits of this examination. Lymphadenopathies with a short axis of approximately 15 mm in the pretracheal region are observed in the mediastinal area. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Newly developed pleural effusion is observed in both hemithorax. There are pleural effusions that are approximately 28 mm in the thickest part on the left and 17 mm in the thickest part on the left. These appearances were primarily thought to be secondary to opportunistic infections. It may be secondary to the primary disease. Variational azygos lobe and fissure are observed in the upper lobe of the right lung. When examined in the lung parenchyma window; Diffuse reticulonodular nodular and density increases are observed in both lungs. Some of these nodules have ground glass densities around them. Nodular appearances in the posterobasal segments of the lower lobes of the lungs tend to merge and form consolidation from place to place. 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": "These views tend to be consolidated in the lower lobes. First of all, it was evaluated in favor of opportunistic infections. It may be secondary to the involvement of the primary disease.  An increase in the amount of pleural effusion in both hemithorax is observed.  The lesion observed in the anterior mediastinum is stable.  The amount of pericardial effusion slightly increased.  An increase in the size of lymphadenopathies in the mediastinal area is observed."}
{"volume_path": "dataset/train_fixed/train_317/train_317_d/train_317_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_317/train_317_d/train_317_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_317_d_1.nii.gz", "findings": " There is a port catheter extending into the superior vena cava. Trachea, both main bronchi are open. Heart contour, size is normal. Thoracic aorta diameter is normal. There is a slightly pressed lesion superiorly at the right lateral level of the contours of the slightly hyperdense heart with a slightly lobulated contour, measuring 62x30 mm in axial sections 58x24mm in the previous examination, extending to the right lateral, adjacent to the heart in the anterior media, asthenia, adjacent to the heart. It does not show significant dimensional and structural differences. It cannot be fully characterized within the limits of the study. There is a pericardial effusion measuring 12 mm in thickness. Pleural effusion is observed with a thickness of 23 mm on the right side and a thickness of 22 mm on the left. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. It is evaluated as suboptimal within the limits of the study. There are several lymph nodes in the mediastinum, especially in the para-pretracheal region, with a short axis measuring up to 13 mm. It does not differ significantly. When examined in the lung parenchyma window; There are more than one reticulonodular nodules in both lungs. In the previous examination of these described nodules, the patchy ground glass densities observed around them have undergone total resolution. Dimensional regression and progression were suboptimal due to the patchy ground glass densities observed in the previous examination. In his current examination, patchy subpleural contours of the left lung lower lobe, anteromedial and lateral consolidation area are observed. The findings were evaluated in favor of secondary involvement of the primary disease accompanied by opportunistic infections. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " New consolidation area in left lung lower lobe anteromedial and lateral; findings were evaluated in favor of the involvement of the primary disease accompanied by opportunistic infections.  There was no significant difference in the amount of pleural effusion in both hemithorax.  There was no significant dimensional and structural difference in the mass lesion observed in the anterior mediastinum.  Pericardial effusion amount is stable.  No significant difference was found in lymph node sizes in the mediastinal area."}
{"volume_path": "dataset/train_fixed/train_325/train_325_a/train_325_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_325/train_325_a/train_325_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_325_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Calcific plaques are observed in the aorta and coronary arteries. Heart size slightly increased. Other mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Millimetric calcific lymph nodes were observed in the mediastinum and hilar region. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; the right pulmonary artery is 34 mm and is ectatic. The left pulmonary artery is 34 mm ectatic. Pleural effusion reaching a diameter of 19 mm on the right and fine linear calcifications in the pleura are observed. There are thickening and calcifications in the pleura, especially at the diaphragmatic level, on the right. There are prominent central peribronchovascular structures in both lungs and interlobular septal thickening, especially in the lower lobes. Emphysematous appearance is observed in the upper lobes of both lungs. There is a colonic hernia in the abdominal wall in the epigastric region. 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. Degenerative changes are observed in the vertebrae.", "impression": " Atherosclerosis of the aorta and coronary artery, cardiomegaly, ectasia in the pulmonary arteries.  Mediastinal calcific lymph nodes  Findings in favor of emphysema and chronic bronchitis in both lungs.  Right pleural effusion, bronchial thickening in both lungs, interlobular septal thickenings pulmonary edema?.  Pleural calcifications.  Epigastric hernia  Spondylosis in thoracic vertebrae."}
{"volume_path": "dataset/train_fixed/train_325/train_325_b/train_325_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_325/train_325_b/train_325_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_325_b_1.nii.gz", "findings": "No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Thoracic aortic calibration is natural. Right and left pulmonary artery diameters increased. It measured 34mm and 31mm respectively. Aortic and mitral valve calcification was observed. Heart size slightly increased. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the thoracic 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; A thick-walled pleural effusion reaching 29 mm in diameter was observed in the right hemithorax. Sequelae calcifications are observed in the posterior costal and diaphragmatic pleura. Emphysematous appearance is observed in both upper lobe and lower lobe superior segments of both lungs. Right lung volume decreased. Subsegmental atelectatic changes were observed in the right lung and left lung upper lobe inferior lingular segment. Linear subsegmental atelectatic changes were also observed in the basal segments of the lower lobe of the left lung. In both lungs, more prominent thickening of the peribronchovascular sheath on the right and prominent interlobular septal thickening in the lower lobes were observed cardiac stasis?. A mosaic attenuation pattern secondary to small airway stenosis was observed in both lungs. No mass lesion-pneumonic infiltration infiltrate with distinguishable borders was detected in the lung parenchyma. Diastasis recti was observed. Degenerative changes are observed in the bone structures in the study area.", "impression": " Atherosclerosis, cardiomegaly, increase in pulmonary artery diameters, aortic-mitral valve calcification in the thoracic aorta and coronary arteries  Thick-walled effusion locating in the right hemithorax, decrease in right lung volume, atelectatic changes in both lungs  Peribronchovascular sheath thickening in both lungs and secondary mosaic attenuation pattern  Emphysematous changes in both upper lobe and lower lobe superior segments of both lungs, calcific pleural plaques  Diastasis recti"}
{"volume_path": "dataset/train_fixed/train_333/train_333_a/train_333_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_333/train_333_a/train_333_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_333_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Widespread ground-glass appearances are observed in the upper, middle and lower lobes, peripheral and central parts of both lungs. In addition, interlobular septal thickenings are observed in places. The distribution and appearances of the described appearances are not specific. Many pathologies can cause this appearance. When evaluated together with the clinical information of the patient, this appearance was thought to belong primarily to a viral pneumonia. 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. There is no pericardial effusion. There are atheromatous plaques in the aorta and coronary arteries. It is understood that the patient underwent coronary bypass surgery. There is bilateral minimal pleural effusion, more prominent on the right. Lymphadenopathies are observed in the mediastinum and hilar regions. The largest of the described lymphadenopathies is observed in the subcarinal area and its short diameter is 21 mm. 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 enlarged lymph nodes in pathological dimensions were observed. There are millimetric stones in the gallbladder. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Diffuse ground glass appearance in both lungs and interlobular septal thickening in places . Bilateral minimal pleural effusion . Mediastinal and hilar lymphadenopathies"}
{"volume_path": "dataset/train_fixed/train_339/train_339_a/train_339_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_339/train_339_a/train_339_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_339_a_1.nii.gz", "findings": "Pleural effusion was observed in and around a giant mass that completely filled the left hemithorax and ended in the left main bronchus and left pulmonary artery. There was no prominent pulmonary tissue that could be distinguished from the lesion and was ventilated. Nodular appearances suggestive of metastasis in the pleura were observed on the left. There are multiple lymphadenopathies reaching 5 cm in diameter as far as can be observed in the left supraclavicular region. They showed progression in follow-up. Prevascular, aortopulmonary, left hilar, subcarinal and paraesophageal multiple lymphadenopathies up to 3.5 cm in diameter were observed in the mediastinum. There are round lymphadenopathies up to 2 cm in diameter in the left axilla. They showed progression in follow-up. Minimal pleural effusion and pneumothorax are observed on the right. Pleural effusion decreased in follow-up. Chest tube is seen on the right. Increasing pericardial effusion was observed in the follow-up 2 cm thick. Ground-glass densities and consolidations in the diffuse acinar pattern, prominent in the lower lobe of the right lung, branch appearances with buds and nodules with irregular edges were noted. There is marked progression in follow-up. Pneumonic infiltration? Metastasis? Multiple hypodense lesions were observed in the liver, the largest of which was approximately 4 cm in diameter in the 7th segment of the right lobe. They showed progression in follow-up. The gallbladder was observed as distant. It shows dense content, its wall is thickened. Heterogeneous density was observed in the upper thoracic vertebral corpuscles. Sternal foramen variation was observed. In the left thoracic wall, the muscles are thickened relative to the symmetry, and the subcutaneous adipose tissue shows linear density increases, edema? Left subclavian vein patency should be evaluated", "impression": ""}
{"volume_path": "dataset/train_fixed/train_340/train_340_a/train_340_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_340/train_340_a/train_340_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_340_a_1.nii.gz", "findings": "In the upper lobe and lingular segments of the left lung, a mass obliterating the upper lobe bronchus is observed, which cannot be clearly distinguished from the mediastinal vascular structures and lymphadenopathies in the pathological size and appearance observed in the mediastinum due to the lack of contrast in the borders, and therefore the size cannot be measured. There are lymphadenopathies, the largest of which is approximately 15 millimeters in diameter at the prevascular level. In both lungs, there are multiple metastatic nodules measuring 15 millimeters in the medial segment of the large lower middle lobe on the right and 16 millimeters in the left upper lobe superior segment. Effusion up to a depth of 35 millimeters is observed in the left pleural area. Pathology was not detected in the intra-abdominal parenchymal organs in the abdominal sections within the image. There are lymphadenopathies measuring 18 millimeters in muscle diameter, the largest on the left, in the paraaortic area. No evidence of metastasis was detected in the bone structures within the image.", "impression": "Mass obliterating upper lobe bronchus in left upper lobe and lingular segment, mediastinal lymphadenopathies, metastatic nodular lesions in both lungs, left pleural effusion, Abdominal lymphadenopathy"}
{"volume_path": "dataset/train_fixed/train_341/train_341_a/train_341_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_341/train_341_a/train_341_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_341_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. Pericardial minimal effusion was observed. Calcific atheroma plaques were observed in the aortic arch. Thoracic esophagus calibration was normal and no significant pathological 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; Bilateral pleural effusion was observed in the previous examination of the patient. The pleural effusion on the right appears to be totally resorbed. Sequelae thickening was observed in the posterocostal pleura on the right. Segmental-subsegmental peribronchial thickening was observed in both lungs. A consolidation area extending from the central to the periphery was observed along the peribronchial area in the basal segment of the lower lobe of the left lung, and it was evaluated in favor of pneumonic infiltration. Linear atelectasis was observed in both lungs. Millimetric nonpsychic parenchymal nodules were observed in both lungs. It is stable. No mass lesion with distinguishable borders was detected in the lung parenchyma. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Partially regressed pneumonic infiltration in the basal segment of the lower lobe of the left lung.  Millimetric nonspecific stable parenchymal nodules in both lungs  Linear atelectasis in both lungs"}
{"volume_path": "dataset/train_fixed/train_341/train_341_b/train_341_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_341/train_341_b/train_341_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_341_b_1.nii.gz", "findings": "CTO is within the normal range. Calibration of mediastinal major vascular structures is natural. Multiple lymph nodes are observed in the mediastinum, the largest in the aorticopulmonary window and the largest in the subcarinal area with dimensions of 20x15. There are millimetric lymph nodes at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. The liver is normal as far as can be seen in the sections passing through the upper abdomen. Metallic artifact is observed at the hilus level. The right adrenal gland is normal. The right kidney is normal. Perinephritic fatty planes in the left kidney are contaminated. The left adrenal gland cannot be evaluated. There is a mass lesion in the left subdiaphragmatic area, the contours of which cannot be distinguished from the stomach, spleen, and adrenal-left kidney on non-contrast examination, and there are aerial images in it. There are linear density increments in the mesenteric planes. Gerotas fascia is thickened. Placing pleural effusion is observed in the left lung basal. It was not detected in the previous review. In the left lung, a consolidation area extending from the lower lobe basal to the posterolateral pleura along the peribronchial sheath is observed and was not detected in the previous examination. Reticulonodular fine density increments are also observed around it. There are densities compatible with pleuroparenchymal sequelae at the apical level. Focal ground-glass-like density increase is observed at the anterior-posterior segment level of the upper lobe of the right lung, and it is partially observed in the previous examination. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "  Multiple lymph nodes in the mediastinum; there is progression according to his previous review.  Placing pleural effusion at the base of the left lung; not detected in the previous review.  A mass lesion in the left subdiaphragmatic area whose contours cannot be distinguished from the diaphragm, and which cannot be distinguished from the stomach, spleen and adrenal-kidney on non-contrast examination.  Focal ground-glass-like density increase at the level of the anterior-posterior segment of the upper lobe of the right lung; partially observed in the previous review."}
{"volume_path": "dataset/train_fixed/train_341/train_341_c/train_341_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_341/train_341_c/train_341_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_341_c_1.nii.gz", "findings": " CTO is within the normal range. Calibration of mediastinal major vascular structures is natural. There is also an increase in size in the lymph node observed in the right lower paratracheal area. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Peribronchial sheath thickening is observed in the lower zones. There are bilateral sequelae changes at the apical level. In the anterior segment of the right lung upper lobe, thickenings are observed in the interlobular septa extending towards the middle lobe and were not detected in the previous examination. This level is accompanied by a slight frosted glass-like density increase. A pleural effusion with a thickness of 10 mm was detected at the level of the lower lobe superior segment in the left lung. It was not tracked in the previous review. Consolidated parenchyma area is observed in the basal part of the left lung lower lobe and cannot be distinguished from the diaphragm. Possible metastatic lesion at this level could not be excluded with this examination. In the upper abdomen sections included in the section; At the central level of the upper abdomen, a large mass lesion that fills between the stomach, pancreas, left adrenal, kidney and spleen and whose borders cannot be distinguished from these structures is observed. The observed mesenteric plans have decreased within the sections according to the previous examination. Mild degenerative changes are observed in the bony structure.", "impression": " Consolidative parenchyma area of the left lung lower lobe at basal level, progressive according to the previous examination; A mass lesion within the defined area cannot be excluded.  Lymph nodes in the mediastinum that have progressed from previous examination.  Thickening of the interlobular septa and ground-glass-like density increases in the anterior segment of the upper lobe of the right lung, which were not observed in the previous examination."}
{"volume_path": "dataset/train_fixed/train_341/train_341_d/train_341_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_341/train_341_d/train_341_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_341_d_1.nii.gz", "findings": " Evaluation is not optimal in non-contrast examination. The patient, who was followed up for adrenocortical tumor, had a mass measuring 18x12 cm in the widest part, in which air bubbles compatible with necrosis were observed, with the borders indistinguishable from the stomach in the upper abdominal sections, displacing the spleen laterally and the left kidney posteriorly. However, there is an increase in the necrotic component. There are increases in density in the omental fatty tissue. The left hemidiaphragm is elevated due to a mass. A 10 mm thick pleural effusion is observed in the left hemithorax. There are atelectasis, ground glass areas and interlobular septal thickness increases in the vicinity of the effusion. Heart contour and size are normal. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. A nodular lesion with a diameter of 8 mm is observed in the left epicardial fat pad and is stable. Metallic densities are observed secondary to procedures in the perihepatic area. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": " Adenocortical carcinoma, a stable-sized mass with indistinguishable borders from the stomach, elevation of the left hemidiaphragm, and an increase in the necrotic component in the follow-up.  Left stable pleural effusion, adjacent atelectasis and nonspecific ground glass areas.  Nodular ground-glass area with faint borders in the subpleural area in the upper lobe of the right lung; is stable.  Mediastinal stable lymphadenopathies.  Density increase in omental fatty tissue."}
{"volume_path": "dataset/train_fixed/train_343/train_343_a/train_343_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_343/train_343_a/train_343_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_343_a_1.nii.gz", "findings": "The size of each thyroid gland has increased, more prominently on the right. A 48x50x61 mm nodule was observed in the widest part anteroposteriorxtransversxkroniocaudal extending to the mediastinum along the paratracheal area on the right. The nodule narrows the tracheal air column from the right. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Suture materials secondary to previous bypass surgery are observed in the sternum and anterior mediastinum. Heart size increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries. 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. When examined in the lung parenchyma window; Multilobar, multisegmented peripherally located nodular patchy ground glass consolidations were observed in both lungs, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Subsegmental atelectic changes are observed in the anterior and lingular segments of the left lung upper lobe and in the right lung middle lobe. A 12 mm diameter calcific nodule was observed in the middle lobe of the right lung. Apart from this, no mass lesion with distinguishable margins was detected in both lungs. An effusion with dense contents measuring 22 mm in its thickest part was observed anteriorly in the left hemithorax. In bilateral perinephric fatty planes, a smear-like effusion and a reticular-like density increase are observed. It is recommended to be evaluated together with clinical and laboratory in terms of infection. Small epigastric hernia was 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. Widespread degenerative changes are observed in the bone structures in the study area.", "impression": " Increased size of both thyroid glands, large nodule in the right thyroid gland that compresses the trachea and extends to the mediastinum; It is recommended to be evaluated together with US.  Calcific atheroma plaques in the coronary arteries, cardiomegaly  Hiatal hernia  Anxious pleural effusion in the anterior of the left hemithorax, subsegmental atelectic changes in both lungs  Findings consistent with Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory.  Placing-like effusion and reticular-like density increases in bilateral perinephric fatty planes; It is recommended to be evaluated together with clinical and laboratory in terms of infection  Small epigastric hernia  Diffuse degenerative changes in bone structures"}
{"volume_path": "dataset/train_fixed/train_344/train_344_c/train_344_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_344/train_344_c/train_344_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_344_c_1.nii.gz", "findings": "Bilateral pleural effusion is observed. It is understood that the pleural effusion has just appeared. Pericardial effusion was not detected. Peripheral and centrally located ground-glass appearances and interlobular septal and interstitial thickenings are observed in both lungs. There is also consolidation in the posterobasal segment of the lower lobe of the right lung. The findings described in the upper lobe of the left lung are most prominent and involve approximately 25-50% of the lung lobe. Less involvement is observed in other lobes. Although the described appearances are not specific, when evaluated together with the previous examination, the appearance was evaluated in favor of Covid-19 pneumonia during the pandemic process. Apart from the described findings, there are smooth interlobular septal thickenings in both lungs. When evaluated together with pleural effusion, this appearance was thought to belong to cardiac pathology.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_344/train_344_d/train_344_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_344/train_344_d/train_344_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_344_d_1.nii.gz", "findings": " Minimal pericardial effusion was observed. It followed bilateral minimal pleural effusion and was measured approximately 24 mm deep on the left at its deepest point. Paraseptal emphysematous changes are observed in both lungs. In both lungs, there are areas of increase in density at minimal ground glass density in the current examination, in the localizations of areas of increase in density consistent with the consolidation described in the previous CT examination. Findings evaluated in favor of pneumonic infiltration in the previous CT examination showed significant regression in the current examination. No newly developed pathology was detected.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_345/train_345_a/train_345_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_345/train_345_a/train_345_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_345_a_1.nii.gz", "findings": "There is bilateral gynecomastia. 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 patient who was not given a contract substance, as far as it can be followed; both thyroid parenchyma are heterogeneous, more prominent on the right, and multiple hypodense nodules are observed. Correlation with USG is recommended. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Heart size increased. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Right upper paratracheal, bilateral lower paratracheal and aortopulmonary lymph nodes were observed, some of which were pathological in size, measuring approximately 20x13 mm at the precarinal level. When examined in the lung parenchyma window; An effusion reaching a diameter of 21 mm in the right pleural space and 5 mm in the left pleural space was observed. Volume loss in the lower lobe basal segment of the right lung and passive atelectatic changes in the lung areas adjacent to the effusion were observed. Mosaic perfusion in the lower lobes of both lungs and thickening of the peribronchovascular interstitium in both lungs were observed. The outlook may be compatible with bronchopneumonia. Focal consolidation areas were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung, which were initially evaluated in favor of atelectasis. As far as can be seen in non-contrast sections; It was understood that the patient had undergone liver right lobe transplantation. The spleen was larger than normal. The gallbladder was observed operated. Density increases consistent with edema-inflammation were observed in the mesentery. Both adrenal glands are normal. The pancreas is natural. Degenerative changes were observed in the bone structures within the sections.", "impression": "Mosaic perfusion in the lower lobes of both lungs and marked thickening of the peribronchovascular interstitium, the appearance may be compatible with viral pneumonias involving small airways and interstitium. Correlation with clinic and laboratory is recommended.  In favor of atelectasis in the right lung middle lobe and left lung inferior lingular segment in the first place sequelae evaluated consolidated areas.  Significant right bilateral pleural effusion.  Liver right lobe transplantation, splenomegaly.  Degenerative changes in bones."}
{"volume_path": "dataset/train_fixed/train_345/train_345_b/train_345_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_345/train_345_b/train_345_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_345_b_1.nii.gz", "findings": "CTO is within normal limits. The aortic arch calibration was measured as 30mm, slightly above normal. Calibration of other mediastinal major vascular structures is normal. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and coronary arteries. Thyroid gland is observed as hypertrophic in both lobes. There is a heterogeneous hypodense appearance and a nodule with a diameter of approximately 19 mm in the right lobe. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, and in the aorticopulmonary window, the largest of which is measured in the aorticopulmonary window and measures approximately 13x7mm. No lymph node was detected in the size and morphology that could be evaluated in the non-contrast examination at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of the lung parenchyma window; Trachea, calibration of both main bronchi is normal. Lumens are clear. Pleural effusion extending from basal to apex in the previous examination and extending at the basal level at its thickest point has regressed in the current examination. In the current examination, its thickness was measured as approximately 14mm. There is a slight thickening of the pleura and a suspicious appearance in terms of empyema. Contrast-enhanced examination is recommended if it should be evaluated together with clinical and laboratory findings. Consolidative lung parenchyma is observed in the air bronchograms in the area extending to the fissure neighborhood in the lower lobe of the right lung. Consolidation is observed at the middle lobe level in the right lung. No significant mass formation or pneumothorax was detected in both lungs. In the sections passing through the upper abdomen, changes in the liver secondary to transplantation were observed. Mild air appearance in the intrahepatic biliary tract was also observed in previous examinations. Post-op changes are observed in the midline in the anterior of the abdomen. A collection of approximately 13 HU density is observed under the skin, which was not detected in the previous examination. Possible breast tissue, which is considered compatible with gynecomastia, is observed on both sides. There are nodular appearances lymph node? on the right, at the ectrapleural level, posteriorly, the largest of which is approximately 14x 8mm in size. Degenerative changes are observed in the bone structure. It is sharply limited. It did not cause destruction in the cortex. However, it did not completely enter the field of view in the previous review.", "impression": "Pleural effusion in the right lung, which was observed in the previous examination, regressed in the current examination. However, there is significant thickening of the anterior and posterior contours of the pleura at the level of the effusion empyema?. Evaluation with the clinic and, if necessary, contrast-enhanced examination is recommended.  At this level, there are nodular appearances in the extrapleural-retrocrural areas in the posterior, compatible with a possible lymph node that was not observed in the previous examination.  Consolidative area with air bronchograms in the right lung, which is slightly more prominent than the previous examination, adjacent to the fissure in the lower lobe. Post-op changes are observed in the midline in the anterior of the abdomen. A 40x20 mm collection is observed under the skin, which was not detected in the previous examination.  Degenerative changes in bone structure."}
{"volume_path": "dataset/train_fixed/train_347/train_347_b/train_347_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_347/train_347_b/train_347_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_347_b_1.nii.gz", "findings": "No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Heart dimensions and compartments appear natural. A central venous catheter is observed. Pericardial effusion was not detected. A slight increase in left ventricular diameter volume was observed. Pleural effusion is observed with a diameter of 2.5 cm between the leaves of the right pleura and 1.5 cm between the leaves of the left pleura. Mild interlobar septal thickenings are observed in both lungs in the lung parenchyma. The patients findings with pleural effusion were primarily evaluated in favor of pulmonary congestion. The area of nodular consolidation in the basal segment of the lower lobe of the right lung belongs to subsegmental atelectasis. Mild millimetric centracinar nodularities are observed in the localization of segment bronchi in the lower lobe of the right lung. It is in a focal area. Although early bronchopneumonic infiltration cannot be excluded, the finding is nonspecific. No effusion was detected in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures.", "impression": "Bilateral mild pleural effusion and bilateral symmetric mild interlobular septal thickenings in both lung parenchyma are considered in favor of mild pulmonary congestion. There are millimetric centracinar nodules in a focal area adjacent to segmental bronchi in the lower lobe of the right lung. Early bronchopneumonic infiltration cannot be ruled out, but the finding is nonspecific."}
{"volume_path": "dataset/train_fixed/train_354/train_354_a/train_354_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_354/train_354_a/train_354_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_354_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is atelectasis in the lower lobe of the lung adjacent to the right pleural effusion and pleural effusion. There are several millimetric nonspecific nodules 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. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries. Central venous catheter is seen on the right. The catheter terminates at the superior distal portion of the vena cava. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. 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 detected in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open.", "impression": " Right pleural effusion and atelectasis in adjacent lung  Millimetric nonspecific nodules in both lungs  Atherosclerotic changes in aorta and coronary arteries  Thoracic spondylosis"}
{"volume_path": "dataset/train_fixed/train_354/train_354_b/train_354_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_354/train_354_b/train_354_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_354_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 are observed in the wall of the thoracic aorta and coronary artery. The ascending aorta measures 40 mm in diameter and shows mild fusiform dilatation. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed, no lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A well-circumscribed, benign-looking hypodense lesion of 30x18 mm was observed between the subcutaneous fatty planes adjacent to the left scapula Sebaceous cyst?. US control is recommended. When examined in the lung parenchyma window; Subpleural focal ground-glass density increases were observed in both lung lower lobe posterobasal segment and left lung lower lobe superior segment. The outlook may be observed in the early phase of Covid-19 pneumonia but is not specific. Other viral pneumonias may be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. A few millimetric nonspecific parenchymal nodules, some of which are calcified, are observed in both lungs. A free pleural effusion measuring 16 mm in thickness was observed between the pleural leaves on the right. In the upper abdominal sections included in the study area, it was understood that liver right lobe transplantation was performed in the patient. The gallbladder was not observed operated. Spleen size increased. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. The incision line was observed in the midline of the abdomen. No significant hernia defect was detected at the levels entering the cross-sectional area. No lytic-destructive lesion was detected in bone structures.", "impression": " Mild fusiform dilatation, atherosclerotic changes in the ascending aorta.  Right pleural effusion.  Peripheral subpleural focal ground-glass density increases in both lungs, appearance can be observed in the early stage of Covid-19 pneumonia, but is not specific. Other viral infections may be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  A few millimeter-sized nonspecific parenchymal nodules, some of which are calcified, in both lungs.  Liver right lobe transplantation.  Cholecystectomy.  Splenomegaly."}
{"volume_path": "dataset/train_fixed/train_359/train_359_c/train_359_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_359/train_359_c/train_359_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_359_c_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. There is fluid extending to the fissure in the left hemithorax and its loculation is present. Significant regression is observed in the findings evaluated in favor of infectious processes in the previous examination of the lower lobe of the left lung. In the current examination, there are mild patchy ground glass densities adjacent to the large nodules described at the basal level of the left lung lower lobe atelectasis?, evaluated in favor of the continuation of the infectious process?. Clinical and laboratory correlation is recommended. In the liver parenchyma entering the cross-sectional area, a large hypodense area, which may be compatible with metastasis, is observed. Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The finding described in the T2 vertebra right posterior element in the previous PET-CT cannot be differentiated within the limits of the examination in the current examination. At this level, there is a hypodense area. No significant fracture was detected. No pathological fracture was detected.", "impression": " No significant dimensional difference was detected in the space-occupying nodular lesions described in both lungs.  No significant dimensional or numerical difference was detected in the lymph nodes described in the mediastinum.  There is significant regression in the consolidation areas that were observed more frequently in the previous examination at the basal level of the lower lobe of the left lung, and it is also observed in a small amount in the current examination. Clinical and laboratory correlation is recommended for the differential diagnosis of the continuation of the infectious process or post-infective atelectatic changes.  The area observed in the previous examination of the T2 vertebral body in the right posterior element is difficult to distinguish in the current examination and is present. No obvious pathological fracture was detected.  A small amount of effusion extending to the fissure area in the left hemithorax.  Upper abdominal organs are partially included in the examination and were evaluated as suboptimal.  A large hypodense area, which may be compatible with metastasis, is observed in the liver parenchyma."}
{"volume_path": "dataset/train_fixed/train_370/train_370_a/train_370_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_370/train_370_a/train_370_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_370_a_1.nii.gz", "findings": "Bilateral minimal pleural effusion, more prominent on the right, was observed. There is a pleural drainage catheter on the right. Consolidation is observed in the right lung lower lobe superior and anterobasal segment. It is understood that the described consolidation has just occurred. This appearance may be pneumonic infiltration. There is no typical appearance that can be evaluated in favor of pneumocystis jiroveci. Pericardial effusion was not observed. Intraabdominal free fluid-collection was not detected in the sections.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_389/train_389_a/train_389_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_389/train_389_a/train_389_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_389_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Linear atelectasis was observed in both lungs. There are minimal emphysematous changes in both lungs. Millimetric nonspecific nodules 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: Heart contour and size are normal. There is minimal pleural effusion on the right. No pericardial effusion or left pleural effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed within the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Millimetric nodules in both lungs . Linear atelectasis in both lungs.  Minimal emphysematous changes in both lungs. Atherosclerotic changes in the aorta and coronary arteries."}
{"volume_path": "dataset/train_fixed/train_408/train_408_a/train_408_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_408/train_408_a/train_408_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_408_a_1.nii.gz", "findings": "A pacemaker is observed on the anterior left chest wall and there is a catheter extending to the right ventricle. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; heart size increased significantly. Particularly, an increase in left atrium dimensions was noted. Calcific atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures. Pericardial effusion was not detected. A free effusion up to 5 cm is observed 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 wall thickness was observed in the thoracic esophagus. No lymph node was detected in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Sequelae are parenchymal changes. In the upper abdominal sections within the image, hyperdense stones are observed in the gallbladder lumen as far as they can be observed within the borders of non-contrast CT. Liver contour acuity is decreased. Evaluation for liver parenchymal disease is recommended. The sizes of both kidneys have decreased and cortical localized, some hyperdense, hemorrhagic cystic lesions are observed in both kidneys. Thoracic kyphosis has increased. Left-facing scoliosis is observed in the thoracic vertebral column. There are changes in the bone structures of ankylosing spondylitis. No lytic or destructive lesion was detected.", "impression": " Calcified atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.  Further increase in heart size.  More pronounced bilateral pleural effusion on the right.  Active infiltration or mass lesion is not detected in both lungs and there are sequela parenchymal changes.  Findings consistent with liver parenchymal disease.  Decreased size of both kidneys and cortical lesions in both kidneys, some with hyperdense fluid density hemorrhagic and simple cystic lesions?  Cholelithiasis.  Findings consistent with ankylosing spondylitis in bone structures, increase in thoracic kyphosis and left-facing scoliosis in the thoracic vertebral column."}
{"volume_path": "dataset/train_fixed/train_408/train_408_b/train_408_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_408/train_408_b/train_408_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_408_b_1.nii.gz", "findings": " In the current examination, it was noted that the amount of effusion observed in both pleural spaces increased and it was measured as 32 mm in the deepest part on the right and 52 mm in the deepest part on the left. No active infiltration or mass lesion was observed in both lungs. Near the effusion in both lungs, there are density increases in which air bronchograms are also observed, which is evaluated primarily in favor of compressive atelectasis. However, the underlying pneumonic infiltration cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_410/train_410_a/train_410_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_410/train_410_a/train_410_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_410_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the lumen. Calcified atheroma plaques were observed in the mediastinal main vascular structures. The diameter of the ascending aorta was 38 mm at its widest point. The heart is normal. No pericardial effusion or thickening was detected. Tubular plaques were observed in the coronary arteries, and it is noteworthy that the patient underwent coronary artery bypass surgery. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short diameter of up to 5 mm were observed in the mediastinal prevascular area and paratracheal area. There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region. When examined in the lung parenchyma window; Pleural effusion reaching a thickness of 7 cm on the right and 6 cm on the left was observed, and compression atelectasis was observed in the adjacent lung. Linear atelectatic changes were observed in the left lung lingula superior and inferior segments. No pleural thickening was detected. Upper abdominal organs entering the imaging field 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. Sternal dehiscence is noted in the patient, and there is a distance of 17.5 mm at the widest point on both sides of the sternal bone, especially in the corpus. At this level, the skin is defective and it is noteworthy that air densities pass from the skin to the anterior mediastinum. There are slight reticular density increases in this area. In addition, there are significant degenerative changes in other bone structures. In the lower thoracic vertebrae, sclerosis compatible with hyperosteosis is noted and the vertebral corpus heights are decreased. Fracture line is observed in the 1st rib on the left.", "impression": "Sternal dehiscence, defect in the skin at this level and air passage to the mediastinum, contamination and reticular lines in the mediastinal fatty planes . Bilateral pleural effusion and atelectasis in the adjacent lung . DISH disease in the vertebrae"}
{"volume_path": "dataset/train_fixed/train_412/train_412_a/train_412_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_412/train_412_a/train_412_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_412_a_1.nii.gz", "findings": "It was learned that the patient was followed up for pulmonary Ca. A mass is observed in the left pulmonary hilus that surrounds the distal part of the main bronchus and the proximal parts of the upper and lower lobe bronchi and causes significant narrowing of the upper lobe bronchus. The mass borders cannot be distinguished from the aorta and pulmonary artery. Since contrast material was not given, a clear assessment could not be made, but the longest diameter of the described mass was 58 mm at its widest part series 2, section 156. Consolidation is observed in the left lung upper lobe anterior segment and apicoposterior segment. There is a nodular appearance in the apicoposterior segment of the left lung upper lobe, the margins of which cannot be clearly distinguished from consolidation, but when evaluated together with the patients previous examination, it is understood to be a soft tissue mass. The longest diameter of the described view was measured 31 mm at its widest point series 2 section 155. The described mass was considered to be metastasis. Ground glass areas and centriacinar nodules are observed in the upper lobe lingular segment and apicoposterior segment of the left lung, especially in the posterobasal and anteromediobasal segments of the lower lobe. It is understood that the described manifestations have just appeared and were evaluated in favor of infective pathology. In the superior segment of the left lung lower lobe, there is a nodule with a minimal ground glass appearance around it and the longest diameter of 8 mm. This nodule is not observed in the previous examination. However, when evaluated together with other findings, it was thought that this appearance may belong to infective pathology. No mass or infiltrative lesion was detected in the right lung. There are millimetric nonspecific nodules in both lungs. Heart contour and size are normal. There is minimal pericardial effusion. Minimal pleural effusion is observed on the left. It appears that the pleural or pericardial effusion has just appeared. The widths of the mediastinal main vascular structures are normal. There are lymphadenopathies in the paratracheal and subcarinal regions. The larger lymphadenopathies described are observed in the proximal paraaortic region series 2, section 120 and in the subcarinal region series 2, section 184. Their short diameters were measured 21 mm and 22 mm, respectively. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No pathologically enlarged lymph nodes were observed. No mass was detected in the adrenal glands. There are no lytic-destructive lesions in the bone structures within the sections. The primary mass of the patient was the 1st target lesion, the mass in the left lung upper lobe apicoposterior segment was the 2nd target lesion, and the subcarinal lymphadenopathy was the 3rd target lesion. In the patients previous examination, the diameters of the target lesions 90 were measured in this examination 111 approximately 23% growth. It appears that the pericardial or pleural effusion has just appeared. The anterior segment of the left upper lobe of the lung is completely consolidated in this examination. It just appeared in this view. The lesion observed at the head of the areola in the left breast in the PET CT examination of the patient could not be distinguished from the breast tissue in this examination. The findings were evaluated in favor of progressive disease.", "impression": "Lung Ca, mass in the left pulmonary hilum, mass evaluated in favor of metastasis in the left lung upper lobe, lymphadenopathies in the mediastinum in the follow-up. Findings evaluated primarily in favor of infective pathology in the left upper lobe of the left lung, consolidation in the upper lobe of the left lung."}
{"volume_path": "dataset/train_fixed/train_412/train_412_c/train_412_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_412/train_412_c/train_412_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_412_c_1.nii.gz", "findings": "Mediastinal structures cannot be evaluated clearly because contrast material is not given. As far as can be followed: It was learned that the patient was followed up for lung cancer. In the left pulmonary hilus, an infiltrative mass surrounding and narrowing the left main bronchus is observed. It is understood that the mass has invaded the carina and the right main bronchus and mediastinal structures. Since no contrast material is given, the mass dimensions cannot be evaluated clearly. However, as far as it can be traced, its longest diameter was approximately 70 mm. However, the narrowing of the left main bronchus was markedly increased. Left lung is total atelectatic. Pneumothorax is present in the left hemithorax. There are lymphadenopathies in the paratracheal and subcarinal regions. The largest of the lymphadenopathies is observed in the paratracheal area and its short diameter is approximately 29 mm. There is no pathological wall thickness increase in the esophagus within the sections. Heart contour and size are normal. The ascending aorta measures 43 mm in anterior-posterior diameter and is wider than normal. The diameters of the pulmonary artery are normal. There are atheromatous plaques in the aorta and coronary arteries. There is no obvious pericardial effusion. There is no pleural effusion. No obstructive pathology was detected in the right main bronchus. Widespread ground glass areas are observed in the upper lobe of the right lung. A similar appearance is observed medially in the right lung lower lobe superior segment. It is understood that these appearances are new. These appearances were evaluated primarily in favor of infective pathology. No mass was detected in the ventilated right lung. No upper abdominal free fluid-collection was observed in the sections. No enlarged lymph nodes in pathological dimensions were detected. No mass was observed in the adrenal glands. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Lung ca, malignant mass with infiltrative character in the left pulmonary hilum, total loss of aeration in the left lung, prominent pneumothorax on the left, mediastinal lymphadenopathies in the left lung. Findings evaluated in favor of infective pathology in the right lung"}
{"volume_path": "dataset/train_fixed/train_416/train_416_a/train_416_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_416/train_416_a/train_416_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_416_a_1.nii.gz", "findings": "Postoperative clips are observed in the mediastinum. There are appearances compatible with hyperemia edema in mediastinal fatty tissues at the level of the right atrium. The mass lesion mentioned in the patients history is not observed within the limits of the examination. 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; In the middle lobe of the right lung, there are patches of patchy light ground glass densities and thickenings in the interlobular septa. Atelectasis is observed in both lung lower lobe basal segments. There is a small amount of effusion in the left hemithorax. 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": "Slightly patchy ground-glass densities described in the middle lobe of the right lung and thickening of the interlobular septa, clinical laboratory correlation is recommended in terms of the onset of an early infectious process due to the current pandemic.  Small-to-moderate effusion in the left hemithorax . Atelectatic changes secondary to effusion in the left lung lower lobe . Postoperative clips in the upper mediastinum, mild hyperemia and edema in the mediastinal fatty tissues in the right atrium, and a 5 cm mass all around the vena cava extending into the vena cava in the right atrium, known in the patients history, were evaluated as suboptimal in the current non-contrast examination and are not observed."}
{"volume_path": "dataset/train_fixed/train_417/train_417_a/train_417_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_417/train_417_a/train_417_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_417_a_1.nii.gz", "findings": " Left breast skin is thick. An irregularly circumscribed mass lesion of approximately 38x30 mm in size, invading the skin, extending to the upper-inner quadrant of the left breast retroareolar area was observed. Two nodular mass lesions with a diameter of 1 cm on the anterior surface of the pectoral muscle and one with a diameter of 13.5 mm on the outer quadrant were observed in the posterior of the mass, and it was evaluated in favor of a satellite nodule. No mass lesion with discernible borders was detected in the right breast. Trachea, both main bronchi are open. Mediastinum and heart are deviated to the left. Mediastinal vascular structures could not be evaluated optimally in the non-contrast examination. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the aortic arch and its supraaortic branches. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Starting from the right lower paratracheal area, a mass lesion measuring approximately 20 cm in craniocaudal size was observed, extending from the retrocarinal area to the subcarinal area and to the paraesophageal-paraaortic area and extending to the diaphragm and right retrocrural area. In bilateral internal mammary and right anterior pericardial recess, lymph nodes with a size of 22x11 mm in pathological size and appearance were observed. No lymph node was observed in bilateral supraclavicular and axillary pathological size and appearance. When examined in the lung parenchyma window; Pleural effusion measuring 8 cm in its deepest part, extending from the apex to the basal apex, was observed in the right hemithorax, and it was also present in the previous examination of the patient. No significant difference was detected. Multiple nodular mass lesions were observed on the pleura and fissures in the right hemithorax, the largest measuring 2x1.5 cm. It was evaluated in favor of metastasis. No pleural effusion was detected on the left. Right lung volume was decreased. Linear atelectasis was observed in both lungs. Emphysematous changes are present in both lungs. Irregularly circumscribed subcentimetric nodules, some of which are calcified, are observed in the left lung, and the appearance is nonspecific. In addition, atelectasis segment is observed in the mediobasal subsegment in the anterior mediobasal segment of the left lung lower lobe. No mass lesion with distinguishable borders was detected in both lungs. In the upper abdominal organs included in the sections, liver, spleen, both adrenal glands, pancreas are normal. The gallbladder was not observed operated. No stones were observed in both kidneys. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Mass lesion with irregularly circumscribed spicule contour and accompanying satellite nodules extending to the upper-inner quadrant in the retroareolar area of the left breast. Conglomerate metastatic lymph nodes extending to the mediastinum, right diaphragmatic crus and paraesophageal-paraaortic area . In bilateral internal mammary artery trace, right Pathologically sized lymph nodes in anterior pericardial recess.  Metastatic nodules in the right pleura, right pleural effusion . Linear atelectatic changes and emphysematous appearance in both lungs . Subcentimetric nonspecific parenchymal nodules, some of them calcified, with irregular borders, in the left lung."}
{"volume_path": "dataset/train_fixed/train_421/train_421_a/train_421_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_421/train_421_a/train_421_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_421_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There is an appearance of soft tissue density around the left lung upper lobe bronchus. When evaluated together with the patients medical history, it was thought that this appearance might belong to a lung mass. It may also cause a similar appearance in a central consolidation. This distinction was not made in this study. In the previous examination of the patient, it was understood that the left lung was almost completely atelectatic except for a small area in the lower lobe. In this percentage, it is understood that the ventilated parts of the left lung have increased. Bilateral pleural effusion is observed, more prominently on the right. There is minimal pleural thickening adjacent to the pleural effusion on the left. However, it is understood that the pleural effusion on the right has just appeared. There are consolidated lung segments in the ventilated left lung, especially in the anterior segment of the upper lobe and in the anteromediobasal segment of the lower lobe. The described appearances were evaluated primarily in favor of atelectasis. Widespread ground glass areas and centriacinar nodules are observed in both lungs, more prominently on the right. There are also nodular consolidations in the left lung. The views described are nonspecific. Many infective pathologies can cause similar appearance. However, the prevalence of ground glass areas suggests that it may primarily be compatible with an opportunistic infection viral pneumonia?. However, the described findings are not common findings in Covid-19 pneumonia. There is intraabdominal diffuse free fluid.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_432/train_432_a/train_432_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_432/train_432_a/train_432_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_432_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary arteries were observed. Heart size slightly increased. Calcified lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal and subcarinal areas. Trachea, both main bronchi are open. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; Mild emphysematous changes are observed in both lungs. A calcified parenchymal nodule with a diameter of 5.8 mm was observed in the anterobasal segment of the lower lobe of the right lung. Fibroatelectatic changes were observed in the inferior lingular segment of the left lung and the middle lobe of the right lung. Bilateral peribronchial thickenings were observed. Minimal pleural effusion is observed on the left. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta. 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. A hypodense lesion with a diameter of 4 mm was observed in the upper pole of the spleen. Degenerative changes were observed in the bone structures in the study area.", "impression": " Mild cardiomegaly.  Fibroatelectatic changes in both lungs, mild emphysematous changes in both lungs.  Mediastinal milimetric lymph nodes, some of which are calcified.  Calcified nonspecific parenchymal nodule in the right lung, bilateral peribronchial thickenings, minimal left pleural effusion.  Hypodense lesion in the upper pole of the spleen.  Atherosclerotic changes."}
{"volume_path": "dataset/train_fixed/train_438/train_438_a/train_438_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_438/train_438_a/train_438_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_438_a_1.nii.gz", "findings": "Bilateral minimal pleural effusion, more prominent on the right, is observed. There is also minimal pericardial effusion. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are uniform interlobular septal thickenings in both lungs. The described appearance is non-specific. However, when evaluated together with pleural and pericardial effusion, it was primarily thought that this appearance was due to pulmonary edema. 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. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. 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. There are nonspecific sclerotic bone lesions in the bone structures within the sections.", "impression": "Minimal pericardial and pleural effusion . Uniform interlobular septal thickening in both lungs"}
{"volume_path": "dataset/train_fixed/train_439/train_439_a/train_439_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_439/train_439_a/train_439_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_439_a_1.nii.gz", "findings": "The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. Nodular wall calcifications consistent with tracheobronchopathia 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; Calibration of mediastinal major vascular structures is normal. Heart size increased. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches 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; A smear-like effusion was observed between the leaves of the pleura in both hemithorax. Peribronchial sheath thickening was observed in both lungs. The findings were evaluated as secondary to cardiac stasis. Segmentary-subsegmental peribronchial thickness increases and luminal narrowing were observed in both lungs. There is a mosaic attenuation pattern in both lungs. Mosaic attenuation was found to be secondary to small airway stenosis. Subsegmental atelectatic changes were observed in the right lung middle lobe medial, left lung upper lobe inferior lingular segment, and lower lobe basal segments of both lungs. A nonspecific calcific nodule with a diameter of 6 mm was observed in the laterobasal segment of the lower lobe of the right lung. 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. Atherosclerotic wall calcifications were observed in the abdominal aorta and iliac artery walls. No lytic or destructive lesions were detected in the bone structures in the study area. Secondary sequelae changes are observed in the right 4th, 5th, and 6th ribs. There are degenerative changes in bone structures. Mild scoliosis with left opening was observed in the thoracic vertebra. Thoracic kyphosis has increased.", "impression": " Cardiomegaly, atherosclerotic wall calcifications in the thoracic aorta-supraaortic branches and coronary arteries  Mosaic attenuation pattern secondary to small airway stenosis in both lungs  Cardiogenic edema accompanied by bilateral smearing pleural effusion  Sequelae teletatic changes in both lungs  Right 4,5 and Sequelae fracture views on the laterals of the 6th rib"}
{"volume_path": "dataset/train_fixed/train_449/train_449_a/train_449_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_449/train_449_a/train_449_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_449_a_1.nii.gz", "findings": "Surgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum were observed. 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 ascending aorta is wider than normal, with an anterior diameter of 41 mm and an anterior diameter of 35 mm in the descending aorta. 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, its supraaortic branches and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. An occlusive 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, a 14 mm diameter effusion was observed in the deepest part on the right, and a smear-like effusion was observed on the left. Segmental-subsegmental peripronchial thickening and luminal narrowing were observed in both lungs. Mosaic attenuation pattern was observed in both lungs. Mosaic attenuation was found to be secondary to small airway stenosis. Linear atelectasis were observed in the right lung middle lobe, left lung upper lobe inferior lingular and both lung lower lobe basal segments. Nonspecific parenchymal nodules with a diameter of 5 mm were observed in both lungs, the largest on the right minor fissure. Peribronchial ground-glass centriacinar nodules were observed in the mediobasal segment of the lower lobe of the right lung. It is recommended to be evaluated together with clinical and laboratory in terms of infective processes. No mass lesion with distinguishable borders was observed in the lung parenchyma. As far as can be seen within the sections; Sludge and millimetric stones that level the gallbladder lumen were observed. Liver parenchymal density is diffusely decreased, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Spur formations bridging with each other were observed in the right anterolateral corners of the thoracic vertebrae. Vertebral corpus heights are preserved.", "impression": " Changes in the sternum and anterior mediastinum secondary to bypass surgery, atherosclerotic wall calcifications in the thoracic aorta-supraaortic branches and coronary arteries, fusiform aneurysmatic dilatation in the thoracic aorta.  Hiatal hernia.  Minimal free fluid in both hemithorax.  Mosaic attenuation patterns in both lung parenchyma secondary to small airway stenosis.  Sequela parenchymal changes in both lungs, millimetric nonspecific parenchymal nodules.  Appearance compatible with infective processes in the right lung lower lobe basal; It is recommended to be evaluated together with clinical and laboratory.  Hepatic steatosis.  Mud-stone in the gallbladder."}
{"volume_path": "dataset/train_fixed/train_461/train_461_a/train_461_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_461/train_461_a/train_461_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_461_a_1.nii.gz", "findings": "Due to the lack of contrast in the examination, mediastinal main vascular structures and the heart could not be evaluated optimally, and the calibration of the vascular structures, heart contour and size are natural. No pericardial effusion or thickening was detected. There are calcified atheroma plaques on the walls of the main vascular structures and the wall of the coronary artery. In mediastinal lymph node stations, no lymph nodes in pathological size and appearance are observed, and fusiform lymph nodes with a short diameter of 7.8 mm are observed in the right upper paratracheal area. Trachea and both main bronchi are open and no obstructive pathology is detected. Thoracic esophageal calibration is normal, no significant tumoral wall thickening is observed, and there is a hiatal hernia at the lower end. When examined in the lung parenchyma window; An effusion measuring 8 mm in the thickest part in the right pleural area and measuring 7 mm in the thickest part in the left pleural area is observed, and an increase in density compatible with atelectasis is observed in the adjacent lung parenchyma. There is centrilobular emphysematous change, which is more prominent in the lower lobes of both lungs. There is a sequel fibrotic nodular structure in the apical segment of the upper lobe of the bilateral lung, with sequelae fibrotic nodular formation in millimetric calcified foci. Tubular ectasia is observed in the bronchial structures, which are more prominently observed in the central level and lower lobe of both lungs, and there are increased peribronchial thickness in the lower lobe of the right lung and ground-glass densities accompanied by bud-like tree-like centriacinar nodular opacities in the adjacent lung parenchyma. Evaluation of the described findings in terms of infectious pathologies and control CT examination after treatment is recommended . In both lungs, intrapulmonary and subpleural localized nodules with ground glass density are observed in both lungs, the largest of which is 5.5 mm in size in the middle lobe media segment, and subpleural localized. Structural distortion and volume loss in the left lung linguloinferior segment are accompanied by local sequela fibrotic nodular structures in the bilateral lung. Upper abdominal organs included in the sections are normal. An increase in the size of the liver and spleen in the cross-sectional area was noted. Apart from this, no obvious pathology was detected in the intra-abdominal parenchymal organs. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is an increase in thoracic kyphosis in the bone structures in the study area, and osteophytic taperings that tend to merge anteriorly in the vertebral corpus end plateaus. Findings compatible with DISH A past fracture line showing displacement is observed in the lateral part of the left 5 ribs, and there are sequela fibrotic structures and linear density increases consistent with atelectasis in the adjacent lung parenchyma.", "impression": "Calcified atheroma plaques in the main vascular structure and coronal artery wall . Lymph nodes that do not have pathological size and appearance in the mediastinal area . Bilateral pleural effusion . Centriacinar emphysematous change in both lungs, sequela fibrotic nodular formation in the apical segment of the bilateral lung upper lobe . Tubular ectasia in the bronchial structures observed more prominently in the lobe, peribronchial thickness increase in the right lung lower lobe posterobasal segment and centrinodular millimetric opacity in the appearance of a tree with buds nearby; it is recommended to be evaluated in terms of infectious pathologies. Density increases consistent with fibrotic bands and linear atelectasis . Nodules with ground glass density in bilateral lung, intrapulmonary and subpleural localized . Findings compatible with DISH in bone structures within the image . Thoracic ki increase in phase . Increase in size of liver and spleen in abdominal slices"}
{"volume_path": "dataset/train_fixed/train_464/train_464_a/train_464_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_464/train_464_a/train_464_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_464_a_1.nii.gz", "findings": "Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortopulmonary lymphadenomegaly with a narrow diameter of 18 mm in the larger one is observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index increased in favor of the heart. Calcific plaques and stent-like appearance are observed in the coronary arteries in the aortic arch, ascending and descending aorta. In both hemithorax, pleural effusions measuring 22 mm in the thickest part on the right and 15 mm in the thickest part on the left are observed. In the evaluation of both lung parenchyma; Diffuse mosaic perfusion is observed in both lungs small airway disease? small vessel disease?. Millimetric pleuroparenchymal recessions are observed in the left lung apex. Subsegmental atelectasis is observed in the middle lobe of the right lung and the lingular segment of the left lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No additional pathology was distinguished in abdominal sections. Metallic sutures secondary to bypass surgery are observed in the sternum. Apart from this, no obvious pathology was distinguished in bone structures.", "impression": "Diffuse mosaic perfusion in both lungs small airway disease? small vessel disease?.  Bilateral pleural effusion . Cardiomegaly . Mediastinal lymphadenopathies"}
{"volume_path": "dataset/train_fixed/train_484/train_484_a/train_484_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_484/train_484_a/train_484_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_484_a_1.nii.gz", "findings": " 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 aneurysmatic appearance with an anterior-posterior diameter of 41 mm. Calibration of other vascular structures of the mediastinum is natural. Heart contour, size is normal. A focal pericardial effusion with a diameter of 4.5 mm was observed anteriorly in the pericardial space. It is also observed in the previous examination. No significant difference was detected. A pleural effusion measuring 10 mm in the deepest part on the right 17.8 mm in the previous examination and 15 mm in the deepest part on the left 24 mm in the previous examination was observed between the pleural leaves in both hemithorax. Diffuse paraseptal-centracinar emphysema areas were observed in both lungs. Emphysema areas are panacinar in the right lung lower lobe basal and left lung upper lobe apical segments. Bula formations were observed in the left lung apex and in the left inferior lingular segment. In addition, 97x50 mm sized infected bulla formation with air-fluid leveling was observed in the right lung lower lobe basal. It is stable. Segmentary-subsegmental tubular bronchiectasis and peribronchial thickening were observed in both lungs. Other findings are stable.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_494/train_494_a/train_494_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_494/train_494_a/train_494_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_494_a_1.nii.gz", "findings": " Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. Although the mediastinal cannot be optimally evaluated in the patient who is not given IV contrast, the heart contour size of the main vascular structures in the mediastinum is normal. Minimal pericardial effusion was observed. Pericardial thickening was not detected. The port chamber and the catheter extending from the left internal jugular vein to the superior vena cava were observed on the anterior chest wall on the left. 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. In the examination made in the lung parenchyma window; Metastatic nodules with increased number and size are observed in all segments of both lungs, the larger ones measuring 16.3 mm 10.2 mm in the previous examination in the right lung lower lobe mediobasal segment and 12.2 mm 7 mm in the previous examination at the junction level of the right lung upper lobe anterior-posterior segment. Newly emerged metastases are also observed in the current examination. Right lung middle lobe, both lung lower lobe basal segments, and left lung inferior lingular segment, along the peribronchial area in which air brobcograms are observed, consolidation areas extending from the center to the periphery were observed, and it was seen that they appeared recently in the current examination. In the first place, it was evaluated in favor of infective processes. Post-treatment control is recommended. An effusion with a diameter of 13 mm was observed in the right pleural space. It just appeared in the current review. No left pleural effusion was 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": "Metastatic nodules increasing in number and size in both lungs. Right pleural effusion on current review.  Large areas of consolidation in the right lung middle lobe, both lung lower lobes basal, and left lung inferior lingular segment, through which air brobcograms are observed; it has just emerged in the current examination, it has been evaluated as secondary to infective processes. Post-treatment control is recommended."}
{"volume_path": "dataset/train_fixed/train_505/train_505_a/train_505_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_505/train_505_a/train_505_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_505_a_1.nii.gz", "findings": "CTO is within normal limits. Calibration of the aortic arch and other major vascular structures is natural. Calcific atheroma plaques were observed in the aortic arch, ascending aorta, and descending aorta. There is mild paricardial thickening at the apical apex at the level of the atrioventricular transition. There is a slight smear-like pleural effusion on the right. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Multiple calcific lymph nodes are observed in the mediastinum and at the right hilar level, and millimetric lymph nodes are observed, except for the calcific lymph nodes reaching 19x13 mm2 in the axial plane, the largest of which tends to merge from the right upper paratracheal space to the aorticopulmonary window. Except for calcific lymph nodes at both hilar levels, no pathologically sized and configured lymph nodes were detected. In the evaluation of both lungs in the parenchyma window, a decrease in density compatible with diffuse emphysema and widespread bulla-blep formations are observed. On this background, there are pleuroparenchymal density increases compatible with sequelae changes in the parenchyma. A calcific nodule with a diameter of approximately 6 mm is observed in the upper lobe anterior-posterior segment transition in the right lung. Calibration of trachea and main bronchi is normal, their lumens are clear. 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 slightly filled. The spleen is natural. Millimetric sized nodular formation in the spleen hilum was evaluated as compatible with accessory spleen. There are nodular formations, which may be compatible with cortical cyst, with exophytic appearance and 26x16 mm dimensions in the middle part of the left kidney in millimetric dimensions and in the anterior part of the middle part of the right kidney. Calcific atheroma plaques are observed in the abdominal aorta. Calcification of approximately 13x9 mm is observed in the vicinity of the descending colon. Sequelae were evaluated as compatible with epiploic appendagitis. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure. There is S-shaped scoliosis in the dorsal region.", "impression": "Findings consistent with significant emphysema in both lungs, bulla-blep formations and sequelae changes. Mediastinal and right hilar lymph nodes, some with calcific appearance, in the mediastinum and right hilar level.  Bilateral renal coritcal cysts.  Fully appearance in both adrenals."}
{"volume_path": "dataset/train_fixed/train_518/train_518_b/train_518_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_518/train_518_b/train_518_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_518_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; atelectatic changes in the basal segment of the lower lobe of the left lung. In the left lung upper lobe inferior lingula, mild patchy ground glass densities and thickening of the interlobular septa are observed, accompanied by atelectatic changes. Findings were evaluated in terms of a suspected early infectious process accompanied by pulmonary edema. Clinical laboratory correlation monitoring is recommended. There is an effusion with a pericardial thickness of 11 mm. There is a pleural effusion measuring 22 mm in thickness in the left hemithorax. 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 effusion measuring 11 mm thick, left-sided pleural effusion measuring 20 mm thick.  Thickening of the interlobular septa, more prominent in the left lung, mild patchy ground glass densities, mosaic attenuation patterns accompanied by atelectatic changes in the left lung upper lobe inferior lingula and lower lobe basal segment. The findings were initially evaluated in favor of secondary to pulmonary edema, and clinical laboratory correlation is recommended for the differential diagnosis of an infectious process."}
{"volume_path": "dataset/train_fixed/train_524/train_524_a/train_524_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_524/train_524_a/train_524_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_524_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Since the patient does not breathe properly during the examination, the lung parenchyma cannot be evaluated optimally, especially in terms of focal lesion. There are linear atelectasis in both lungs. No mass or infiltrative lesion was detected in both lungs. Bilateral minimal pleural effusion is observed. The pleural effusion measured 20 mm at its thickest point. 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. Atheroma plaques are observed in the aorta and coronary arteries. The ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal. The diameters of the aortic arch and descending aorta are normal. Pulmonary artery diameters are normal. 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 was detected in the sections. No pathologically enlarged lymph nodes were observed. There is a low density compatible with osteopenia in the bone structures within the sections. Height losses are observed in the thoracic vertebral corpuscles. Height losses are more prominent in the middle and lower thoracic levels, and there is an increase in kyphosis in these localizations.", "impression": "Atherosclerotic changes in the aorta and coronary arteries, minimal fusiform aneurysmatic dilation in the ascending aorta . Bilateral pleural effusion . Emphysematous changes in both lungs . Atelectasis in both lungs"}
{"volume_path": "dataset/train_fixed/train_527/train_527_b/train_527_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_527/train_527_b/train_527_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_527_b_1.nii.gz", "findings": "No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Mediastinal calcified lymph nodes are present. Heart size slightly increased. Mild smear-like pericardial effusion was detected. In lung parenchyma evaluation; In the right lung, there is a slight smear-like pleural effusion between the pleural leaves. Tubular bronchiectasis foci are observed in the upper lobe of the right lung. There are diffuse areas of atypical pneumonic infiltration in both lungs. It is accompanied by pleuroparenchymal linear atelectasis in places. Radiological findings are compatible with Covid pneumonia. It was understood that it developed in the process between the two imaging. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.", "impression": " Widespread atypical pneumonic infiltration areas in both lungs are consistent with Covid pneumonia.  Right pleural effusion with mild smearing.  Increased heart size, traction bronchiectasis in the upper lobe of the right lung."}
{"volume_path": "dataset/train_fixed/train_538/train_538_a/train_538_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_538/train_538_a/train_538_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_538_a_1.nii.gz", "findings": "As far as can be observed within the limits of non-contrast CT: Right lung middle lobe medial segment is observed as atelectatically. A mass surrounding the bronchus is observed around the middle lobe bronchus of the right lung. The mass and the atelectasis segment cannot be clearly differentiated because no contrast material is given. However, as far as can be observed, the longest diameter of the mass was approximately 53 mm at the level of the right middle lobe bronchus. When the previous examination of the patient is examined, it is understood that the patient has a primary mass in this localization. Numerous masses are observed in the superior and anterior mediastinum, prevascular, paratracheal and both hilar regions. When the previous examinations of the patient were examined, it was understood that the described masses were lymphadenopathies. In this examination, the borders of lymphadenopathies cannot be distinguished from each other and show conglomeration. The longest diameter of the conglomerating lymphadenopathies was approximately 116 mm at the widest part series 2 section 150. 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 effusion measured approximately 7 cm at its thickest point. There is also minimal pleural effusion on the left. No pleural thickening was detected. Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. There are calcific atheromatous plaques in the aorta and coronary arteries. Pericardial effusion measuring approximately 30 mm is observed in its thickest part. No pathological increase in wall thickness was detected in the esophagus within the sections. Ground-glass appearances are observed in the upper lobe of the left lung, especially in the central part, and interlobular septal and interstitial thickenings are observed in this localization. The described appearance is absent in the previous examination of the patient. If the patient received radiotherapy, the described appearance was considered to be compatible with the change due to radiotherapy. No mass was detected in the left lung. In the upper lobe of the right lung, there are several nodules, the largest of which is 13 mm in diameter, in the posterior segment, in the lateral part. There is a slight increase in the size of the nodule, which is described as the largest. No significant difference was found in the others. The liver is larger than normal. There are large masses in both lobes of the liver. The sizes of the masses cannot be distinguished from each other in places. The largest of the described masses is observed in the left lobe. Its longest diameter measured approximately 150 mm. No upper abdominal free fluid-collection was detected in the sections. There are lymphadenopathies at the level of the hiatus aorticus in the portal hilus and aortic anterior. However, the borders of lymphadenopathies cannot be distinguished from each other and from the liver. Therefore, the optimal size cannot be given. As far as can be observed, a minimal increase in the size of the described lymphadenopathies is also observed. There are sclerotic bone lesions in the bone structures within the sections. When the patient was evaluated together with the primary disease, it was understood that the described appearances were compatible with metastases. No soft tissue component was detected accompanying the described lesions.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_544/train_544_a/train_544_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_544/train_544_a/train_544_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_544_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. There are calcific atheroma plaques in the coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A few lymph nodes with a short axis of 7 mm are observed in the aorticopulmonary window. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Effusion is observed in the area extending from the superior to the inferior within the right major and minor fissures. Calcific fibrotic sequelae changes are observed at the apical level of the left lung upper lobe. There are pleural thickening and calcifications in the upper lobe of the right lung, and emphysematous changes in the upper lobes of both lungs. A 19 mm hyperdense finding was detected in the gallbladder. It was evaluated in favor of stone. In the lower left pole, there is a millimetric calcific focus within the pelvicalyceal structures. Other upper abdominal organs included in the sections are normal. There is diffuse density reduction in bone structures. Hypertrophic osteophytic taperings are observed in the end plates of the vertebral body.", "impression": " Calcific atheromatous plaques in coronary arteries.  A finding consistent with a phantom tumor in the right lung parenchyma.  Calcific fibrotic sequelae changes at the apical levels of both lungs, pleural thickening, reduction in right lung volume, emphysematous changes in both lungs.  Cholelithiasis.  Left nephrolithiasis.  Diffuse density reduction in bone structures, hypertrophic osteophytic tapering in the end plates of the vertebral body."}
{"volume_path": "dataset/train_fixed/train_557/train_557_a/train_557_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_557/train_557_a/train_557_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_557_a_1.nii.gz", "findings": "CTO is normal. Pulmonary vascular structures are natural. Calibration of mediastinal major vascular structures is natural. A slight prominence is observed in the anterior part of the aortic arch 34 mm. Calcific atheroma plaques are observed at the level of the aortic arch and descending aorta. There are calcific atheroma plaques in the coronary arteries. Thyroid gland dimensions are slightly prominent. The parenchyma is slightly heterogeneous. If necessary, sonographic examination is recommended. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. There are lobulations in the contours of the esophagus at the level of the thoracic inlet. Endoscopic control is recommended for mucosal surface irregularities. In the evaluation of the parenchymal window of both lungs; Calibration of trachea and main bronchi is natural. Lumens are clear. Density increases consistent with subsegmental band atelectasis are observed in the middle lobe and lower lobe segments of the right lung. In the left lung, a nodular density of approximately 8.5x5 mm with a lobulated contour and millimetric calcification is observed granuloma ?. Density increases are observed in the lingular segment and anteromediobasal segment of the left lung, which are also consistent with subsegmental atelectasis. There are sequelae changes at baseline. There is a pleural effusion with a thickness of 11 mm that continues from basal to moderate in the right lung. There is no finding compatible with pneumothorax in both lungs. In the sections passing through the upper abdomen, a nonspecific hypodense lesion with a diameter of approximately 6 mm is observed at the level of segment 4A in the lateral segment of the left lobe of the liver. There is a decrease in density consistent with mild hepatosteatosis in the liver. The gallbladder is prominent and there is an increase in density that may be compatible with bile sludge at the level of the neck of the bladder, and a density increase of 2 mm, which is suspicious for calculus, at the level of the cystic duct-gallbladder neck. Sonographic examination is recommended. The spleen is full, consistent with splenomegaly. There are parenchyma thinning and contour irregularities in the right kidney, which is in the examination area. There is a view compatible with the sequelae changes. There are degenerative changes in the bone structure.", "impression": "Density increases in the middle-lower zones of both lungs that are prominent on the right, which is evaluated as compatible with subsegmentary atelectasis. Lobulated contoured density with millimetric calcification, which may be compatible with 8.5x5 mm granuloma in the left lung.  Mild pleural effusion on the right. Mucosal contour irregularities in the esophagus that may be compatible with a proximal diverticula.  A nonspecific hypodense lesion with a diameter of about 6 mm is observed at the level of segment 4A in the lateral segment of the left lobe of the liver . Hepatosteatosis, splenomegaly."}
{"volume_path": "dataset/train_fixed/train_569/train_569_a/train_569_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_569/train_569_a/train_569_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_569_a_1.nii.gz", "findings": "In the supraclavicular fossa, no lymph node was observed in the axilla in pathological size and appearance. Thyroid gland dimensions are reduced. There are diffuse wall calcifications in the ascending aorta and thoracic aorta in both subclavian arteries. Diffuse calcified atheroma plaques are observed in the coronary arteries. There is coarse calcification in the aorta. Heart sizes are natural. Among the pericardial leaves, there is a pericardial effusion reaching 18 mm in diameter in the right atrium at its widest point. No lymph node was observed in pathological size and appearance in both axillae. No lymph node was observed in the mediastinum in pathological size and appearance. Esophageal calibration is natural. No pathological increase in diameter was observed. There are several nonspecific mediastinal lymph nodes with bilateral lower paratracheal left paraaortic and paraesophageal diameters less than 1 cm. Subsegmental atelectasis areas are observed in the right lung upper lobe posterior segment, lower lobe basal segment, left lung lower lobe basal segment, upper lobe lingulainferior segment and upper lobe anterior segment. Constriction in both lung lower lobe basal segment bronchi calibrations may be secondary to insufficient inspiration. It is accompanied by increases in bronchial wall thickness. There are secretions in the bronchial lumen in the basal segment of the lower lobe of the left lung. Mass lesion, infiltrative involvement, and consolidation area were not observed in the lung parenchyma. In the right lung upper lobe posterior segment, 1 nonspecific pulmonary nodule with a diameter of 4 mm located subpleural was observed. There is a mild pleural effusion with a diameter of 11 mm in the posterobasal segment of the lower lobe of the left lung. There is a decrease in the thickness of the parenchyma of both kidneys in the evaluation of the upper abdominal sections entering the image area. In both kidneys, there are lesions that may belong to the cyst with hyperdense appearance in places that cause contour lobulations. The parenchyma thickness is markedly decreased. No gross pathology of the abdominal organs was detected in the upper abdomen sections. Widespread calcified atheroma plaques are observed in the abdominal aorta and its branches. There is significant osteoporosis in bone structures. Significant degenerative changes are observed in the vertebrae. No lytic-destructive lesion was detected.", "impression": "Mild pericardial effusion, calcific atheroma plaques in the coronary arteries, Aortic valve calcification . Calcified atheroma plaques in the ascending aorta, aortic arch, thoracic aorta, abdominal aorta and its branches . Mild pleural effusion on the left . Subsegmental atelectasis areas in both lungs and bronchial wall thickness increases in basal segments concomitant intraluminal secretions .Subpleural nonspecific millimetrically sized pulmonary nodule in the posterior segment of the right lung upper lobe. There are many cortical localized, high-density lesions cyst? that cause a decrease in parenchymal thickness and contour lobulations in both kidney sizes.  Significant degenerative changes in bone structures and significant osteoporosis"}
{"volume_path": "dataset/train_fixed/train_569/train_569_b/train_569_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_569/train_569_b/train_569_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_569_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 is a pericardial effusion measuring 28 mm in its thickest part. Pericardial thickening was not detected. 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. There are lymph nodes in the mediastinum and hilar regions. No enlarged lymph nodes in pathological dimensions were detected. There is no pathological wall thickness increase in the esophagus within the sections. Bilateral pleural effusion was observed. The pleural effusion measured approximately 80 mm on the left at its thickest point. No pleural thickening was detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Atelectasis is observed adjacent to the effusion in both lungs. Significant atelectasis was observed especially in the lower lobe of the left lung. In addition, there are sometimes linear atelectasis in both lungs. Both lungs have a mosaic attenuation pattern small airway disease? small vessel disease?. There is minimal uniform interlobular septal thickening in both lungs. This appearance was thought to be secondary to cardiac pathology. No mass was detected in both lungs. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Cardiomegaly, pleural and pericardial effusion, atherosclerotic changes in the aorta and coronary arteries, increase in the diameters of the pulmonary arteries.  Minimal interlobular septal thickening in both lungs.  Atelectasis in both lungs.  Mosaic attenuation pattern in both lungs."}
{"volume_path": "dataset/train_fixed/train_575/train_575_a/train_575_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_575/train_575_a/train_575_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_575_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. 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 aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a small hiatal hernia. A small amount of pleural effusion is observed in the right hemithorax. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; subpleural centrilobular emphysematous changes located mostly peripherally in both lungs, recessions are observed in the pleura at the levels described. A few nodular nodules up to 7 mm in size are observed around the described emphysematous changes, which are more prominent in the right lung lower lobe basal segment posterobasal segment. At the levels described, there are also slightly patchy ground glass densities in the lung parenchyma. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures.", "impression": "Nodules measuring up to 7 mm in the right lung lower lobe and middle lobe inferior in serial 2 image 318. Mild patchy ground-glass densities in the lung parenchyma around the paraseptal centrilobular emphysematous changes observed in both lungs are considered to be the beginning of an infectious process due to the current pandemic. clinical laboratory correlation is recommended.  Bronchiectasis and pleural retractions at levels of emphysematous changes in both lungs. A small amount of pleural effusion in the right lung. Atherosclerosis. Small hiatal hernia.  Diffuse density reduction in bone structures, hypertrophic osteophytic tapering in end plates. Central fatty lymph nodes with a short axis of 9 mm in the mediastinum."}
{"volume_path": "dataset/train_fixed/train_582/train_582_a/train_582_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_582/train_582_a/train_582_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_582_a_1.nii.gz", "findings": "It was learned that the patient was followed up for lung cancer. There is a soft tissue lesion with calcifications in the central part of the lower lobe of the left lung, which is understood to be the primary mass of the patient. From the central part described, there is consolidation in the anteromediobasal segment in the lower lobe of the left lung and in the posterobasal segment in which an air bronchogram is observed. Because of the consolidation, the mass dimensions described in the central part of the lung cannot be evaluated clearly. However, as far as it can be seen, it measured approximately 30 mm at its widest point. When evaluated together with his clinical knowledge, the appearance was thought to be post-obstructive pneumonia. In addition, enlarged vascular structures in ground glass appearance and ground glass appearance are observed in the peribronchovascular areas and peripheral areas of both lungs. It is also understood that some of the ground glass appearances in the described localizations are in the form of nodules. Although the described appearances are not specific, it is recommended that the patient be evaluated for Covid-19 pneumonia during the pandemic process. No mass was detected in the right lung. There are lymph nodes in the mediastinum and hilar regions. When the previous examinations of the patient were examined, it was understood that some of these lymph nodes were metastatic. The largest of the lymph nodes is observed in the subcarinal area and its short diameter is 14 mm. There is minimal pericardial effusion and minimal pleural effusion on the left. No upper abdominal free fluid-collection was detected in the sections. There are metastatic masses with soft tissue component in some of the bone structures within the sections.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_582/train_582_b/train_582_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_582/train_582_b/train_582_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_582_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. Pre-paratracheal lymph nodes are observed in the mediastinum, and in the aorticopulmonary window, the meaning of which does not show any dimensional and structural differences. There is a pericardial effusion with a thickness of 12 mm in the current examination and 19 mm in the previous examination. A decrease in their size is observed. There is a significant decrease in the pleural effusion observed in the previous examination in both hemithorax. When examined in the lung parenchyma window; There is a lesion in the lower lobe of the left lung, which is known to be the primary mass of the patient in the posterior, around the lower lobe bronchus, and in the inferior part of the left lung, which tends to merge with the consolidation area observed at the lower lobe basal level in the previous examination, with no significant difference in size and structure. There was no significant difference in the consolidation area in the lower lobe of the left lung, which tended to merge with the primary mass evaluated above the lower lobe bronchus. The findings described may be metastases or may belong to infective processes, atypical viral pneumonias. Clinical and laboratory correlation-follow-up is recommended. 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. Multiple metastases that do not differ significantly in bone structures are observed.", "impression": " Lung Ca in follow-up.  There was no significant difference in soft tissue density, lesion and consolidation area, which may have a primary mass in the central part of the lower lobe of the left lung.  An increase is observed in millimetric nodules and bronchiectasis in both lungs with a Halo sign around it. Infective processes, metastases? Clinic and lab. Close monitoring of correlation is recommended.  No significant difference was found in mediastinal and hilar lymphadenopathies.  No significant difference was found in bone metastases.  The effusions described in the previous examination are not observed in the current examination. Bilateral pleural effusions are not observed, there is a decrease in pericardial effusion."}
{"volume_path": "dataset/train_fixed/train_587/train_587_a/train_587_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_587/train_587_a/train_587_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_587_a_1.nii.gz", "findings": "Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Anxial effusions with a depth of 45 mm are observed in the deepest part of the left pleural space. Free effusion up to 90 mm is observed in the deepest part of the right pleural space. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus, and the esophagus is followed as dilated and fluid is observed in its lumen. Evaluation for mobility disorders is recommended. A decrease in left breast sizes is observed. There is diffuse thickness increase in both breast skins. Lesions of soft tissue density were observed in the left supraclavicular fossa, axillary region and retropectoral region along the vascular structure traces. There is no lymph node in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; Active infiltration and mass lesion were not detected in both lung parenchyma that were ventilated. There are density increases compatible with linear atelectasis and parenchymal changes in places with sequelae. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. Sclerotic bone lesions are observed in T6-T7 vertebral corpuscles in the bone structures within the image. Cortical destruction and soft tissue component were not detected. Firstly, it was evaluated in favor of metastasis.", "impression": " Diffuse thickness increase of both breast skin.  Anxious effusions in the right hemithorax, right massive free pleural effusion, and areas of increased density in both lung parenchyma evaluated in favor of atelectasis.  Lesions of soft tissue density Lymphadenopathy?, metastatic mass? with indistinguishable borders from the left supraclavicular fossa, axillary region and retropectoral region, continuous along the vascular structure traces.  Sclerotic bone lesions evaluated in favor of metastasis in T6-T7 vertebral bodies; It is accompanied by cortical destruction and soft tissue component."}
{"volume_path": "dataset/train_fixed/train_598/train_598_a/train_598_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_598/train_598_a/train_598_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_598_a_1.nii.gz", "findings": "CTO increased in favor of the heart. All four chambers of the heart are larger than normal. Cardiac pacemaker is observed at the left pectoral level and its catheters terminate at the level of the right ventricle. No significant pericardial effusion or thickening was detected. In the evaluation of mediastinal vascular structures, the aortic arch calibration is wider than normal with 34 mm. Calibration of the ascending aorta is at the maximal physiological limit. The pulmonary trunk is wider than normal, with a calibration of 32 mm. Right pulmonary artery calibration is normal. The left pulmonary artery was calibrated to 30 mm and was wider than normal. The descending aorta calibration is natural. Millimetric sized calcific atheroma plaques are observed in the coronary arteries at the level of the aortic arch. Multiple lymph nodes at prevascular level are observed in the aorticopulmonary window in the upper-lower paratracheal area, and the largest ones are in the subcarinal area. A clear assessment cannot be made due to superposition. However, there are 28x18 mm lymph nodes at this level a single lymph node or smaller lymph nodes superposed on each other. Other mediastinal lymph nodes are within normal limits. Because of the consolidation at the left hilus level, clear lymph node evaluation cannot be performed. No lymph node with significant pathological size and configuration was detected in the right hilum. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; Pleural effusion is observed in the left lung, reaching approximately 25 mm in its thickest part, extending from the basal to the upper lobe. There are atelectatic lung segments adjacent to it. There are areas of consolidation and bud branch views in the right lung lower lobe superior, right lower lower lobe basel, and middle lobe. It is recommended to evaluate the case together with the clinic in terms of infective processes. There are findings consistent with significant emphysema in both lungs. Again, at the upper lobe levels, irregularity in the pleural contours and slight thickening of the peripheral interlobular septa are observed. It may be compatible with early interstitial lung disease. In the upper abdominal organs, including sections; A decrease in density consistent with steatosis is observed in the liver. The gallbladder, spleen, and both adrenal glands were normal, and no space-occupying lesion was detected. An exophytic cortical cyst is observed in the right kidney superior pole posterior. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. There are changes secondary to sternotomy.", "impression": "Cardiomegaly, increased calibration of mediastinal major vascular structures, cardiac pacemaker. Lymph nodes in the mediastinum, the largest in the subcarinal area a large single lymph node or lymph nodes superposed on each other.  Atelectasis lung segments adjacent to effusion in the left pleural space. Focal consolidative areas in the lower lobe and middle lobe of the right lung, bud branch views, and clinic lab in terms of infective processes. Atypical appearance for Covid pneumonia.  Diffuse emphysema in both lungs. Hepatosteatosis, right renal cortical cyst."}
{"volume_path": "dataset/train_fixed/train_609/train_609_a/train_609_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_609/train_609_a/train_609_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_609_a_1.nii.gz", "findings": "Minimal pleural effusion is observed on the right. The pleural effusion measured 20 mm at its thickest point. No pleural effusion was detected on the left. Pleural thickening was not observed. Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Since the patient is not breathing properly during the examination, both lung parenchyma cannot be evaluated optimally. There are sometimes linear atelectasis in both lungs. No mass or infiltrative lesion was detected in both lungs. There are nonspecific nodules in both lungs, the largest measuring approximately 5 mm in diameter. As far as can be observed in the non-enhanced CT margins: Heart is larger than normal. No pericardial effusion or thickening was detected. A cardiac pacemaker is observed under the skin in the left hemithorax. Pacemaker materials terminate in the left atrium and ventricle. Aorta calibration is normal. Pulmonary artery diameters are larger than normal. There are lymph nodes in the mediastinum and hilar regions. The largest of the described lymph nodes is observed in the paratracheal region and its short diameter is 13 mm. No pathological increase in wall thickness was detected in the esophagus within the sections. 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, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. There are no lytic-destructive lesions in the bone structures within the sections.", "impression": "Pleural effusion on the right. Locally linear atelectasis in both lungs.  Millimetric nodules in both lungs. Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries."}
{"volume_path": "dataset/train_fixed/train_612/train_612_a/train_612_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_612/train_612_a/train_612_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_612_a_1.nii.gz", "findings": "Bilateral pleural effusion is observed, more prominently on the right. The pleural effusion was measured at 55 mm anterior-posterior thickness on the right at its thickest point. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and centrally located ground-glass appearances and smooth interlobular septal thickenings are observed in both lungs, more prominently in the upper lobes. The distributions of the described manifestations are not in the manner often observed in Covid-19 pneumonia. However, at the time of the pandemic, these appearances may belong to Covid-19 pneumonia. However, when evaluated together with pleural effusion and cardiac findings, it was thought that the described findings were primarily due to cardiac pathology. It is recommended to evaluate the patient 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. There is no pericardial effusion. There are atheromatous plaques in the aorta and coronary arteries. Stents were observed in the coronary arteries. There are lymph nodes in the mediastinum and hilar regions. The shortest diameter of the largest of the described lymph nodes was 10 mm. 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. There are no fractures or lytic-destructive lesions in the bone structures within the sections.", "impression": " Bilateral pleural effusion, atherosclerotic changes in the aorta and coronary arteries.  Peripheral and centrally located ground-glass appearance and interlobular septal thickenings, more prominent in the upper lobes of both lungs."}
{"volume_path": "dataset/train_fixed/train_620/train_620_a/train_620_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_620/train_620_a/train_620_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_620_a_1.nii.gz", "findings": "Bilateral minimal pleural effusion is observed. The pleural effusion measured 32 mm at its thickest point on the right. No pleural thickening was detected. There is minimal pericardial effusion. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Smooth interlobular septal thickenings and ground glass areas are observed in both lungs, especially in the upper lobes. The views described are not specific. However, when evaluated together with the patients clinical information and other findings, it was thought that these appearances were compatible with pulmonary edema. 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. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions. The largest of the described lymph nodes are observed in the vascular region and their short diameter is 14 mm. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No enlarged lymph nodes in pathological dimensions were detected. There are millimetric stones in the upper poles of both kidneys. No lytic-destructive lesions were detected in the bone structures within the sections. Vertebral corpus heights, alignments and densities within the sections are normal. The neural foramina are open.", "impression": "Infective endocarditis, pericardial and pleural effusion, smooth interlobular septal thickenings and ground glass areas in both lungs on follow-up. Mediastinal and hilar lymph nodes."}
{"volume_path": "dataset/train_fixed/train_637/train_637_a/train_637_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_637/train_637_a/train_637_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_637_a_1.nii.gz", "findings": "The trachea was slightly deviated to the right and 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 thoracic aorta is elongated and tortoised. The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, showing dilatation. The diameters of the pulmonary trunk and right and left pulmonary arteries were measured as 34 mm, 27 mm and 25 mm, respectively. It is wider than normal. Heart size slightly increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the 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. A pleural effusion with a diameter of 17.5 mm on the right and 13 mm on the left was observed in both hemithorax. When examined in the lung parenchyma window; partially ventilated lung parenchyma in the lower lobe basal and upper lobe anterior parts, which cover almost all of both lungs; Wide consolidation areas accompanied by frosted glass areas with crazy paving pattern extending from the central to the periphery were observed. The outlook was evaluated in favor of Covid-19 pneumonia and superimposed ARDS. The presence of bilateral pleural effusion may be compatible with superimposed bacterial infection of Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Passive atelectatic changes were observed in the right lung middle lobe medial and left lung lower lobe basal segment. 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. At the thoracic level, left-facing rotoscoliosis was observed. Vertebral corpus heights are preserved.", "impression": " Fusiform ectasia in the thoracic aorta, increased pulmonary artery diameters pulmonary hypertension?, cardiomegaly, calcific atheroma plaques in the coronary arteries  Findings consistent with ARDS superimposed on Covid-19 pneumonia in both lungs, pleural effusion; The pleural effusion may be consistent with bacterial infection superposed on Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory.  Linear atelectatic changes in both lungs  Left-facing rotoscoliosis at the thoracic level"}
{"volume_path": "dataset/train_fixed/train_638/train_638_a/train_638_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_638/train_638_a/train_638_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_638_a_1.nii.gz", "findings": "A cystic nodule measuring 29x25 mm was observed in the left thyroid lobe. Verification with US is recommended. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches 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; In both hemithorax, between the pleural leaves, 23 mm in the deepest part on the right, pleural effusion in the form of a smear on the left was observed. Atelectatic changes were observed in the lung parenchyma adjacent to the effusion. Passive atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segments. Linear subsegmental atelectatic changes were observed in the basal segments of both lung lower lobes. A mosaic attenuation pattern was observed in both lungs small airway disease?, small vessel disease?. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. 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. Atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches. In the sections, osteoporosis in the thoracic vertebrae and degenerative osteophytic tapering in the end plateau corners were observed.", "impression": " Cystic nodule in the left thyroid lobe; Verification with US is recommended.  Cardiomegaly, atherosclerotic wall calcifications in the thoracic aorta-supraaortic branches and coronary arteries.  Bilateral pleural effusion.  Mosaic attenuation pattern in both lungs small airway disease?, small vessel disease?.  Sequelae of atelectatic changes in both lungs.  Osteoporosis in bone structures, osteophytes in end plateaus."}
{"volume_path": "dataset/train_fixed/train_644/train_644_a/train_644_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_644/train_644_a/train_644_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_644_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Multiple cavitary lesions are present in both lungs. The larger of the described cavitary lesions are observed in the central part of the upper lobes of both lungs. The longest diameters of the described lesions were measured 64 and 65 mm at their widest points series 2 section 134 and series 2 section 146, respectively. Most of the described cavitary lesions are thick-walled. Mild lobulation is observed in the inner contours of the lesions and some are irregularly circumscribed. The described cavitary lesions are observed in each segment and are randomly distributed. The views described are nonspecific. However, Wegeners granulomatosis, which is stated in the clinical preliminary diagnosis, may cause similar appearances. If there is an indication, biopsy from the cavitary lesion wall is recommended. No 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. There is bilateral minimal pleural effusion. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open.", "impression": "Multiple thick-walled cavitary lesions in both lungs"}
{"volume_path": "dataset/train_fixed/train_660/train_660_a/train_660_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_660/train_660_a/train_660_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_660_a_1.nii.gz", "findings": "Bilateral gynecomastia was observed. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. 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. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Paraesophageal diffuse varicose veins were observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Effusion reaching a diameter of 27 mm was observed in the thickest part of the right hemithorax. No effusion was detected in the left hemithorax. When examined in the lung parenchyma window; In the right lung lower lobe mediobasal segment, focal consolidation, centriacinar nodular infiltrates and budding tree view are observed in the subpleural area. The outlook was evaluated in favor of pneumonic infiltration. Minimal peribronchial thickening was observed in both lungs. A few nonspecific parenchymal nodules with a diameter of 3.2 mm were observed in both lungs, the largest of which was in the posterior segment of the right lung upper lobe. Linear subsegmental atelectatic changes were observed in the medial segment of the right lung middle lobe, the left lung upper lobe inferior lingular, and the right lung upper lobe posterior segment. No mass lesion with distinguishable borders was detected in both lungs. No fracture-lytic-destructive lesion was observed in the bone structures included in the study area.", "impression": " Paraesophageal diffuse varicose veins  Bilateral gynecomastia  Right pleural effusion  Focal pneumonic infiltration in the medial segment of the right lung middle lobe  Millimetric nonspecific parenchymal nodular-sequelae linear atelectasis in both lungs"}
{"volume_path": "dataset/train_fixed/train_660/train_660_b/train_660_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_660/train_660_b/train_660_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_660_b_1.nii.gz", "findings": "No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are normal. When the lung parenchyma window is examined; Effusion reaching 6 cm in diameter is observed between the right pleural leaves. Compression atelectasis is observed in the posterobasal and mediobasal segments of the lower lobe adjacent to the effusion. Centriacinar ground-glass nodules are present in the lower lobe superior segment, adjacent to the segmental bronchi, and they are evaluated in favor of the onset of bronchopneumonic infiltration. Bronchial collapse is observed in the atelectasis parenchyma. Pleural effusion is not observed on the left. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. A few nonspecific millimetric nodular densities are observed. Findings consistent with chronic liver parenchyma disease are observed in upper abdominal sections. Significant perigastric and perisplenic varicose venous collaterals are observed. The portal vein is atrophic and thrombosed. In the upper abdomen sections, free fluid was not observed within the section. No lytic-destructive space-occupying lesion was detected in bone structures.", "impression": " Findings consistent with chronic liver parenchymal disease.  Prominent paraesophageal varicose veins.  Right pleural effusion, compression atelectasis adjacent to the effusion in the lower lobe of the right lung.  Findings favoring the onset of bronchopneumonia in the right lung lower lobe superior segment."}
{"volume_path": "dataset/train_fixed/train_662/train_662_a/train_662_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_662/train_662_a/train_662_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_662_a_1.nii.gz", "findings": "Trachea and main bronchi are open. Calcifications are observed in the walls of the trachea and main bronchus. The AP diameter of the patterned aorta is 3.5 cm and wider than normal. Millimetric-sized calcific atherosclerotic plaques are observed in the aortic arch, coronary arteries and descending and abdominal aorta. The cardiothoracic index increased in favor of the heart. Pericardial effusion in the form of thin smears is observed. The diameter of the main pulmonary artery is 4.9 cm and the diameter of the right pulmonary artery is 3.3 cm, which is wider than normal. No pathological LAP was detected in the mediastinum. Placing pleural effusions are observed in both hemithorax. In the evaluation of both lung parenchyma; In the lower lobes of both lungs, density increases are observed in the basal segments, which may be compatible with more pronounced atelectasis-accompanying pneumonia. In addition, the major fissure on the left is thick. Mosaic perfusion is present in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Both kidney pelvicalyceal systems are large. Apart from this, no obvious pathology was detected in the abdominal sections. In the dorsal localization, left-facing scoliotic angulation is observed.", "impression": "More pronounced atelectasis in the basal segments of the lower lobes of both lungs - densities that may be compatible with concomitant pneumonia . Bilateral pleural effusion.  Ectasia in the descending aorta, main pulmonary artery, and right pulmonary artery. Mosaic perfusion in both lungs. small airway -small vein disease"}
{"volume_path": "dataset/train_fixed/train_662/train_662_c/train_662_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_662/train_662_c/train_662_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_662_c_1.nii.gz", "findings": "Calcification is observed in the trachea and both main bronchial walls. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. As far as can be observed, there are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. It shows aneurysmatic dilatation with the diameter of the descending aorta 30 mm, the diameter of the pulmonary trunk 37 mm, the diameter of the right pulmonary artery 34 mm, and the diameter of the left pulmonary artery 31 mm. An increase in heart size is observed. There is minimal pericardial and left pleural effusion. No pathological increase in wall thickness is observed in the thoracic esophagus. / and there is a sliding type hiatal hernia at the lower end. In the mediastinum, there are lymph nodes with a fusiform configuration, the largest of which reaches 11 mm in diameter at the prevascular level. Lymph nodes are not observed in both axillary regions and in pathological size and appearance. There is a hypodense filling defect of the mucus plug distal to the left main bronchus. The appearance of hypodense mucus plug is observed in the left main bronchus and upper lobe bronchus. In the evaluation made in the lung parenchyma window: There are areas of increased density in the lower lobe of the right lung, lower lobe of the left lung, upper lobe apicoposterior superior and inferior lingular segments, in which air bronchograms are observed, consistent with consolidation. In the current examination, the most developed consolidation area is present in the upper lobe of the left lung. In the current examination, hypodense appearance, which is thought to belong primarily to the mucus plug, is observed in the left main and left upper lobe bronchus, and it is thought that the consolidation area in the left upper lobe of the left lung primarily develops secondary to this. No free fluid-loculated collection was detected within the unenhanced CT margins in the upper abdominal sections within the image. No lymph node is detected in pathological size and appearance. No lytic or destructive lesions are detected in the bone structures within the image, and there are degenerative changes.", "impression": " Aneurysmatic dilatation of the descending aorta, pulmonary trunk and both pulmonary arteries, increased heart size, minimal pericardial and left pleural effusion.  The appearance of hypodense mucus plug in the left main bronchus and upper lobe bronchus, and areas of increased density in the lower lobes of both lungs, the apicoposteror segment of the left lung upper lobe and the lingular segments, which are compatible with consolidation, in which air bronchograms are also observed.  Degenerative changes in bone structures."}
{"volume_path": "dataset/train_fixed/train_667/train_667_a/train_667_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_667/train_667_a/train_667_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_667_a_1.nii.gz", "findings": " Trachea, both main bronchi are open. The diameter of the ascending aorta was measured as 40mm and it has a dilated appearance. Apart from this, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. LAP, which is the largest in the current examination, was measured as 14x10 mm in the previous examination. Pleural effusion reaching a depth of approximately 6 cm on the right and a depth of approximately 1. On the right, the pleural effusion tends to be loculated and extends to the major fissure. There is minimal free fluid in the perihepatic space. Consolidations with air bronchogram and density increases in ground glass density were observed, more prominently in the middle lobe and lower lobe of the right lung. There is an increase in thickness in the interlobular septa in the right lung. Subsegmentary atelectasis and sequela fibrotic changes were observed in the right lung, especially in the lower lobes. Atelectasis is present in the posterior segment of the lower lobe of the right lung. 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": "Decrease in the amount of pleural effusion observed in both lungs. Consolidations with air bronchograms in the lower lobe and middle lobe of the right lung, and thickening of the interlobular septa with increases in ground glass density.  Increase in mediastinal LAP sizes."}
{"volume_path": "dataset/train_fixed/train_673/train_673_a/train_673_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_673/train_673_a/train_673_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_673_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. There is no pleural effusion on the left. Since the patient is not breathing properly during the examination, both lung parenchyma cannot be evaluated clearly in terms of focal lesion. However, as far as can be observed, there is no mass or infiltrative lesion 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. The anterior-posterior diameter of the ascending aorta measures 50 mm and is wider than normal. The diameters of the aortic arch and descending aorta are normal. There are calcific atheromatous plaques in the aorta and coronary arteries. The diameters of the pulmonary arteries are normal. There is minimal pericardial effusion. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mixed type hiatal hernia is observed at the lower end of the esophagus. In this examination, which causes retraction in the contours of the anterior segment of the right lobe of the liver, there is a hypodense appearance with unclear borders. When the patient was evaluated together with the MRCP examination, it was understood that it belonged to the mass. Further investigation is recommended. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": "Liver mass . Minimal pleural effusion on the right . Cardiomegaly, minimal pericardial effusion, atherosclerotic changes in the aorta and coronary arteries, fusiform aneurysmatic dilation in the ascending aorta"}
{"volume_path": "dataset/train_fixed/train_674/train_674_a/train_674_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_674/train_674_a/train_674_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_674_a_1.nii.gz", "findings": "Mediastinal main vascular structures have not been evaluated optimally due to the absence of IV contrast in cardiac examination, and as far as can be observed; The heart contour size is natural. Minimal pericardial effusion is observed in the form of a smear. In the bilateral pleural space, minimal effusion measuring 20 mm is observed on the left at its deepest point. There are calcified atheromatous plaques on the walls of the aortic arch and coronary vascular structures. Calibration of the ascending aorta increased by 42 mm. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. In the upper lobe of the right lung, the medial segment of the middle lobe, the upper lobe of the left lung, the inferior lingular segment, and the lower lobe, areas of increase in density are observed in the form of linear bands, which are primarily evaluated in favor of atelectasis. Nodular lesions in the fissure superposed fusiform configuration are observed in the right lung lower lobe anterior segment and left lung upper lobe inferior lingular segment, and were primarily evaluated in favor of the subpleural lymph node. Both lungs have a mosaic attenuation pattern small airway disease? small vessel disease?. In the left lung lower lobe anteromedial, lateral and posterior segments, there is an area of increase in density consistent with consolidation in which air bronchograms are also observed. Although the appearance is primarily evaluated as secondary to atelectasis, the underlying pneumonic infiltration cannot be excluded. Evaluation with clinical and laboratory findings is recommended. Eventration is observed in the left diaphragm. In the upper abdominal sections within the image, an increase in liver dimensions, a decrease in contour sharpness and a heterogeneous appearance in parenchyma density are observed. Evaluation for liver parenchymal disease is recommended. There is free fluid in the perisplenic area. In the bony structures included in the study area, there is a loss of height and a sclerotic appearance, which is more evident in the central part of the T5 vertebral body. No cortical destruction or soft tissue component is observed, no increase in vertebral corpus anterior posterior diameter was detected, and it was evaluated primarily in favor of benign compression fracture. No lytic or destructive lesions were detected in other bone structures within the image.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_682/train_682_a/train_682_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_682/train_682_a/train_682_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_682_a_1.nii.gz", "findings": "The pulmonary conus, both pulmonary arteries and the descending aorta are wider than normal, and an increase in the cardiothoracic ratio in favor of the heart is observed. There are calcified atheromatous plaques on the walls of the aorta and coronary vascular structures. An effusion measuring 11 mm in the deepest part of the pericardial area, 20 mm in the deepest part in the right pleural space, and 30 mm in the left is observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In mediastinal lymph node stations, 16x12mm in size lymph node in the right hilar region, which has slightly lost its fusiform configuration, has a short diameter over 1 cm. In addition, there are lymph nodes in the mediastinum with a short diameter of less than 1 cm with a fusiform configuration. In the examination made in the lung parenchyma window; In the superior-posterior basal segments of the lower lobes of both lungs, areas of increased density consistent with consolidation are observed in ground-glass densities with indistinct borders, which are observed in air bronchograms, and infective pathologies are primarily considered in the etiology of the described findings. There are emphysematous changes in both lungs. In the upper abdominal sections within the image, no free fluid, loculated collection was detected within the borders of non-contrast CT. There are calcified atheromatous plaques on the wall of the abdominal aorta and the main vascular structures arising from the aorta. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.", "impression": "Wide view of the pulmonary conus and both pulmonary arteries, descending aorta, calcified atheroma plaques on the wall of the aorta and coronary vascular structures, increased cardiothoracic ratio in favor of the heart. Minimal pericardial and bilateral pleural effusion. Slightly lost lymph node in the right paratracheal area with a short diameter over 1cm in fusiform configuration. In the etiology of the described findings, primarily infective pathologies are considered. Post-treatment control is recommended."}
{"volume_path": "dataset/train_fixed/train_684/train_684_a/train_684_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_684/train_684_a/train_684_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_684_a_1.nii.gz", "findings": "The trachea is deviated to the right from the heart and mediastinum. Trachea and left main bronchus lumen are open. The right main bronchus is obliterated. 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 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 case, which was learned to be mesothelioma, pleural thickening in the right hemithorax and effusion in the thick-walled anxus measuring approximately 9 cm in its thickest part were observed. The middle and lower lobes of the right lung are consolidated. In the upper lobe of the partially ventilated right lung, irregularly circumscribed consolidation areas, more prominent in the paramediastinal areas, and air images consistent with necrosis within the consolidation areas were observed. Interlobular septal thickening and crazy paving pattern accompanied by ground glass areas and diffuse air bronchogram were observed adjacent to the consolidations. Centriacinar nodular infiltrates with ground glass densities were observed in the lingular and basal segments of the left lung. Small focal consolidations were observed in the left lung lingular segment and lower lobe laterobasal segment. Findings defined in the left lung were initially evaluated in favor of pneumonic infiltration. The appearance may be compatible with viral or fungal infections due to the surrounding ground-glass halos. It is recommended to be evaluated together with the clinic and laboratory. 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. Thickening of the left adrenal gland corpus was observed. Right adrenal glands were normal and no space-occupying lesion was detected. In the case that was learned to have vertebral metastases, a pathological fracture that caused height loss in the T6 vertebra was observed.", "impression": " Decreased right lung volume, right lung middle and lower lobe consolidation, consolidation areas accompanied by necrosis areas in the upper lobe, thick-walled anky effusion in the pleural space in the case learned to have mesothelioma.  Pneumonic infiltration in the left lung; the appearance was initially thought to be compatible with viral pneumonias or fungal infections; It is recommended to be evaluated together with the clinic and laboratory.  Thickening of the left adrenal gland corpus.  Pathological fracture in the T6 vertebral body that caused height loss."}
{"volume_path": "dataset/train_fixed/train_685/train_685_a/train_685_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_685/train_685_a/train_685_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_685_a_1.nii.gz", "findings": "The cardiothoracic ratio is within normal limits. The left atrium is dilated. Minimal pleural effusion is observed. Diffuse calcific atheroma plaques are observed in the coronary arteries. The diameter of the ascending aorta was 42 mm, and the diameter of the descending aorta was 32 mm and increased. Several lymph nodes with a diameter of 6 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several nonspecific nodules in both lungs with a short diameter of less than 3 mm. Linear atelectasis areas are observed in the left lung upper lobe lingular segment, right lung middle lobe medial segment and both lung lower lobe posterior segments. No mass or infiltrative lesion was detected in both lungs. Mixed type hiatal hernia is observed at the esophagogastric junction. There are several periesophageal lymph nodes, the largest of which is 8 mm in diameter. As far as it can be evaluated within the non-contrast CT limits; gall bladder is not observed operated. There is a low-density hypodense lesion with a diameter of 18 mm in the middle zone of the left kidney cyst?. There is no mass with discernible borders in other upper abdominal organs. Millimetric osteophytes in the corners of the thoracic vertebral corpus within the sections, indentation of Schmorls nodules in the end plateaus are observed, and no lytic-destructive lesions are observed in the bone structures.", "impression": " Several millimetric nonspecific nodules in both lungs.  Mediastinal millimetric lymph nodes.  Increased diameter of the ascending and descending aorta, calcific atheroma plaques in the aorta and coronary arteries, dilatation in the left atrium.  Mixed hiatal hernia.  Cholecystectomy.  Low-density hypodense lesion cyst? in the left kidney."}
{"volume_path": "dataset/train_fixed/train_686/train_686_a/train_686_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_686/train_686_a/train_686_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_686_a_1.nii.gz", "findings": "Trachea and both main bronchi were in the midline and density increases were observed, which may be compatible with the mucus plug extending from the trachea to the right main bronchus exit. The lumen of the left main bronchus is open. Although mediastinal cannot be evaluated optimally in non-contrast examination; Calibration of mediastinal major vascular structures is natural. Heart sizes are normal. A thick-walled pericardial effusion reaching 4.5 cm in its thickest part was not observed in the pericardial space. Calcific atheroma plaques were observed at the level of the thoracic aorta and LAD outlet. Prevascular, right upper-lower, aortopulmonary lymph nodes with pathological dimensions reaching 2x1 cm were observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; A mass lesion of 2.7x2.6 cm in the apical segment of the right lung with a spiculated contour, fibrotic extensions to the surrounding parenchyma and pleura, causing volume loss and structural distortion at this level was observed. The appearance is compatible with primary lung ca. There are frosted glass densities around the mass. Significant thickening of the peribronchovascular sheath, irregular interlobular septal thickening and ground glass densities were observed in both lungs. The findings were evaluated as compatible with lymphangitic carcinomatosis. There are diffuse fibroatelectatic sequelae changes in both lungs. A thick-walled effusion reaching 4.3 cm was observed in the right pleural space with lobulated contour extending to the major fissure. An effusion reaching 4.5 cm in its thickest part was observed in the left pleural space of the same nature as the right one malignant effusion?. A subcapsular, 3.3x2 cm, hypodense mass lesion was observed in segment 7 of the liver metastasis?. If any, it should be evaluated together with previous examinations and further examination with MR is recommended if clinically necessary. Thickening was observed in both adrenal glands. Both kidneys, spleen and pancreas are normal. Irregularly circumscribed hypodense lesion was observed in the inferior end plateau of T10 vertebra schmorl nodule? Metastasis?. It is recommended to be evaluated together with old films, if any.", "impression": "Lymph nodes reaching pathological dimensions in the mediastinum, density increases in the right lateral wall of the trachea that may be compatible with mucus plug . Primary lung mass with spiculated contours that causes structural distortion and slight volume loss in the apical segment of the right lung upper lobe, irregular interlobular septal thickening in both lungs, diffuse peribronchovascular thickening and ground glass densities considered consistent with lymphangitic carcinomatosis.  Slightly dense effusion malignant effusion? with thickening of the mesothelial surfaces in both pleural-pericardial spaces. If any, it should be evaluated together with previous examinations and further examination with MRI is recommended if clinically necessary.  Diffuse thickening of bilateral adrenal gland . Irregularly circumscribed hypodense lesion schmorl nodule? Metastasis? in T10 vertebra inferior end plateau. If there is, it is recommended to be evaluated together with previous examinations and advanced examination."}
{"volume_path": "dataset/train_fixed/train_689/train_689_a/train_689_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_689/train_689_a/train_689_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_689_a_1.nii.gz", "findings": "Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: A malignant infiltrative mass is observed around the right main bronchus, especially extending around the middle lobe and lower lobe bronchi. The mass narrows the bronchial structures. The described mass appears to invade the trachea and the left main bronchus. The mass borders are also indistinguishable from the esophagus. The middle lobe and lower lobe of the right lung are almost completely atelectic. The mass described in the central part of the right lung extends to the lung parenchyma, especially in the middle lobe and lower lobe. However, the extent of the mass cannot be evaluated clearly due to the presence of atelectasis. The mass described in the right lung measured approximately 101 mm at its widest point. Apart from the described mass, there are also multiple lymphadenopathies in the mediastinum and hilar region, some of which are indistinguishable from the described mass. There are also lymphadenopathies in the medial parts of the bilateral supraclavicular region, more prominent on the right. The largest lymphadenopathies with distinguishable borders are observed in the right supraclavicular region and paratracheal area, and their short diameters are approximately 30 mm. There is pleural effusion on the right. It is understood that pleural effusion has also appeared recently. No pleural effusion was detected on the left. Emphysematous changes and linear atelectesis are observed in the aerated right lung and left lung. There are also smooth interlobular septal thickenings in the right lung. The described finding is not specific. However, when evaluated together with the primary disease, it was thought to be due to lymphangitis carcinomatosa, albeit less likely. This finding was also not observed in the previous examination of the patient. There is a nodule measuring approximately 8 mm in diameter in the lateral part of the left lung upper lobe apicoposterior segment posterior subsegment. This nodule cannot be evaluated clearly due to artefacts of motion. In addition, there is another similar nodule about 10 mm in diameter in the left lung upper lobe lingular segment. A honeycomb appearance is observed in the peripheral areas of the lower lobe of the left lung. No upper abdominal free fluid-collection was detected in the sections. An irregularly circumscribed mass measuring approximately 31x27 mm was observed in the preaortic region at the level of origin of the turuncus celiac. The described mass was considered to be metastatic lymphadenopathy. Apart from the mass evaluated in favor of the described lymphadenopathy, other lymphadenopathies are also observed in and around the truncus celiac. An increase in the size of these lymphadenopathies was also detected. There is a nodular solid lesion measuring approximately 1 cm in diameter in the subcutaneous adipose tissue in the anterior at the lower part of the right hemithorax. There may be a metastasis in this lesion. Irregularity in liver contours was observed. It is recommended that the patient be evaluated for chronic liver parenchymal disease. In addition, there is a hypodense lesion measuring approximately 22 mm in diameter in the posterior segment segment 7 of the right lobe of the liver. The lesion could not be characterized in this examination as no contrast agent was given. However, this appearance was not observed in the PET CT examination of the patient. Therefore, it was thought that metastasis may occur. If there is an indication, it is recommended to be used further. In addition, there is another millimetric hypodense lesion in the medial and lateral segments of the left lobe of the liver. Metastases may be present in these lesions. No lytic-destructive lesions were detected in the bone structures within the sections. As far as can be observed: An increase in the size of the patients primary mass was observed. In addition, it is understood that the right lung aeration is worse in this examination. There is also an increase in the size of lymphadenopathies observed in the mediastinum, hilar regions and abdomen. Two nodules were observed in the left lung, and it is understood that one of these nodules has just appeared and the other one has increased in size. There are lesions in the liver that were not observed in the patients previous PET CT scan. It is recommended that the patient be evaluated together with contrast-enhanced examinations, if any. It appears that the pleural effusion on the right has just appeared.", "impression": " In the follow-up, lung Ca, centrally located mass in the right lung, lymphadenopathies in the supraclavicular regions, mediastinum and hilar region and abdomen, pleural effusion on the right, loss of aeration in the middle and lower lobes of the right lung, nodular appearances that may metastasize in the left lung  Hypodense lesions in the liver metastases ?   Uniform interlobular septal thickening in the right lung lymphangitis carcinomatosis?.  Nodular solid lesion metastasis? in the subcutaneous fat tissue anterior to the costae at the level of the lower part of the right hemithorax."}
{"volume_path": "dataset/train_fixed/train_692/train_692_a/train_692_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_692/train_692_a/train_692_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_692_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Both thyroid lobes have increased in size. A nodular lesion of 7 mm diameter fat dass was observed in the right thyroid lobe. Calibration of thoracic main vascular structures is natural. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. When examined in the lung parenchyma window; subpleural in the posterobasal segment in the lower lobe of the right lung, and a newly emerging consolidation area was observed in the current examination. Clinical laboratory correlation is recommended for the infectious process. Free pleural effusion measuring 29 mm in thickness and accompanying atelectatic changes were observed between the pleural leaves on the left. In the upper abdominal sections in the examination area, there is an external drainage catheter extending to the left renal pelvis, which is partially examined. The gallbladder was not observed operated. Air images were observed in the intrahepatic bile ducts. Stent material is available at the level of the pancreatic head. In the upper abdominal sections in the examination area, minimal smear-like effusion near the spleen and edema in the omental shaped planes were observed. Fine calcifications were observed at the level of the spleen capsule. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Spleen size increased. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.", "impression": "Calcific atherosclerotic changes in the wall of the thoracic aorta and coronary artery.  Nodular lesion in fatty daisy in the right thyroid gland adenolipoma? . Calcific atherosclerotic changes in the wall of the thoracic abdominal aorta and coronary artery . Consolidation area in the lower lobe of the right lung, clinical-laboratory correlation is recommended in terms of infectious process .  Pleural effusion and atelectatic changes on the left. Cholecystectomized."}
{"volume_path": "dataset/train_fixed/train_700/train_700_a/train_700_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_700/train_700_a/train_700_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_700_a_1.nii.gz", "findings": "CTO increased in favor of the heart. The arcus aorta was 33 mm, pulmonary trunk calibration was 27 mm, right pulmonary artery calibration was 26 mm, left pulmonary artery calibration was 25 mm. The aortic arch and right pulmonary artery are slightly above normal. Calcific atheroma plaques are observed in the descending aorta in the coronary arteries in the main branches of the aortic arch. Multiple millimetric lymph nodes that do not reach pathological size and configuration are observed in the mediastinum. No pathological size and configuration lymph nodes were detected at both hilar levels. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. There is pleural effusion in both lungs reaching up to the middle zones, reaching 48 mm on the right and 15 mm on the left in its thickest part. In the lower lobe of the right lung, possible atelectatic lung segments are observed adjacent to the basal pleural effusion. Again in the right lung, consolidative density is observed in the middle lobe, which erases the heart contour and includes air bronchograms. Diffuse centrnodular views, budded branch views, and ground glass-style density increments are present in both lungs. It was evaluated as compatible with pneumonic infiltration. There are pleuroparenchymal sequelae densities accompanied by calcifications at the apical level in both lungs. There are sequelae changes in the right lung in the lower lobe anterobasal segment. Sequelae changes are observed in the inferior lingular segment of the left lung. There was no finding compatible with pneumothorax in both lungs. Parenchymal calcifications are observed in the right lobe of the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area.", "impression": "Findings consistent with diffuse pneumonic infiltration in both lungs. Significant bilateral pleural effusion on the right, atelectatic lung segment adjacent to the effusion on the right. Consolidation area in the middle lobe of the right lung."}
{"volume_path": "dataset/train_fixed/train_703/train_703_b/train_703_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_703/train_703_b/train_703_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_703_b_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; mediastinal main vascular structures, heart contour, size are normal. An effusion measuring 8.1 mm was observed in the thickest part of 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. When examined in the lung parenchyma window; Effusion, which also forms a phantom tumor in the fissure in the right pleural space, measuring 33 mm in its widest part was observed. A drainage catheter extending from the intercostal space to the right pleural space was observed. Atelectatic changes were observed in the lower lobe and middle lobe of the right lung. Atelectasis is clearly observed in the lower lobe. A smear-like effusion was also observed in the left pleural space, and compressive atelectasis were observed in the subpleural areas of the lower lobe of the left lung. There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma. As far as can be seen within the sections; It was learned that the patient was a liver right lobe donor. Liver left lobe contours and parenchyma density are normal. . Postop changes were observed in the intra-abdominal fatty planes adjacent to the cross-sectional area. Other upper abdominal organs are normal. Bilateral adrenal glands are normal and no space-occupying lesion is detected. An incision line is observed on the anterior abdominal wall. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_708/train_708_a/train_708_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_708/train_708_a/train_708_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_708_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. The main pulmonary artery diameter was 34 mm and increased. Heart size has increased cardiomegaly. 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; Widespread pleuroparenchymal sequelae increase in density and atelectasis changes are observed in both lungs. Multiple parenchymal nodules with faint borders were observed in different localizations in the right lung. The largest of the nodules was 7.7 mm in the posterior segment of the right lung upper lobe and was thought to be compatible with metastasis. A few millimetric-sized nonspecific parenchymal nodules, some of them calcified, were observed in the left lung. Free pleural effusions measuring 18 mm in thickness on the right and 12 mm in the left were observed between the pleural leaves. In the upper abdominal sections in the study area; Several cortical cysts, the largest of which were 49 mm in diameter, were observed in the left kidney. Both adrenal glands are normal. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Diffuse lytic metastases were observed at multiple levels in all bone structures in the study area. A pathological fracture causing significant height loss was observed in the T9 vertebra. There is partial compression in the L1 vertebra upper end plate, which causes about 30-40% loss of height.", "impression": "Cardiomegaly. Dilatation of the pulmonary artery.  Calcified atherosclerotic changes in the wall of the thoracoabdominal aorta and coronary artery. Bilateral pleural effusion. atelectatic changes and sequelae changes . Multiple irregularly circumscribed parenchymal nodules metastases? in different localizations in the right lung. Left renal cysts.  Multiple lytic metastases in bone structure. Pathological fracture of T9 vertebra."}
{"volume_path": "dataset/train_fixed/train_733/train_733_a/train_733_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_733/train_733_a/train_733_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_733_a_1.nii.gz", "findings": " In PET CT, lymph nodes with FDG uptake defined in the supraclavicular area, lower paratracheal area and subcarinal level at the mediastinal intrusion decrease in size, and fusiform lymph nodes with a short diameter of 10 mm are observed in the larger subcarinal area. The AP diameter of the ascending aorta was measured as 40 mm and increased. The AP diameter of the descending aorta is 29 mm wider than normal. An increase in the cardiothoracic ratio in favor of the heart is observed. No pericardial effusion or increased thickness was detected. An effusion measuring 10 mm is observed in the deepest part of the left pleural area. Trachea, both main bronchi are open. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Sliding hiatal hernia is observed at the lower end. 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. In the middle lobe of the right lung, there is an area of increase in density consistent with the sequelae accompanied by structural distortion, volume loss and bronchiectatic changes in the paracardiac area. In addition, there are sequelae pleuroparenchymal bands in the right lung lower lobe laterobasal and posterobasal segments, and in the left lung inferior lingular segment. The upper abdominal organs included in the sections are natural. The full appearance of the liver and spleen in the section area is remarkable. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was observed in the bone structures in the study area, and the vertebral corpus heights were preserved. An increase is observed in thoracic kyphosis. There is scoliosis with right opening in the thoracic vertebral column. Osteodegenerative changes, which tend to coalesce from place to place, are observed in the vertebral corpus end plateaus.", "impression": "Sequelae changes and millimetric changes in both lung parenchyma a few nonspecific nodules in sizes . Left pleural effusion . Osteodegenerative changes in bone structures"}
{"volume_path": "dataset/train_fixed/train_733/train_733_b/train_733_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_733/train_733_b/train_733_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_733_b_1.nii.gz", "findings": "Trachea, both main bronchi are open and no occlusive pathology is detected. The AP diameter of the ascending aorta is 42 mm, and the AP diameter of the descending aorta is 32 mm, which is wider than normal. It is noteworthy that the pulmonary conus and both pulmonary arteries are wider than normal. It is present in the cardiothoracic ratio in favor of the heart. Minimal fluid is observed in the pericardial area. Bilateral pleural effusion was not detected. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, lymph nodes with a fusiform configuration, the largest of which is short at the subcarinal level and measuring 10 mm in size, are not in pathological appearance. No lymph nodes were detected in pathological size and appearance in both axillary region and supraclavicular area. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. In the middle lobe of the right lung, there is an area of increase in density consistent with sequela atelectasis accompanied by structural distortion, volume loss and bronchiectatic changes in the paracardiac area. In addition, there are sequelae pleuroparenchymal bands in the right lung lower lobe laterobasal and posterobasal segments and in the left lung inferior lingular segment. An effusion measuring 11 mm is observed in the deepest part of the left pleural area. No right pleural effusion was detected. An increase in liver and spleen sizes was noted in the abdominal sections within the image. There is a hypodense lesion of approximately 27x19 mm in the subcapsular area, which cannot be characterized in this examination, at the level of 8-7 junction of the liver segment. There is a significant increase in thoracic kyphosis in the bone structures within the image, there is a left-facing scoliosis in the thoracic vertebral column, and osteophytic degenerative changes are observed in the vertebral corpus end plateaus, which tend to coalesce from place to place.", "impression": "Lymph nodes in the mediastinum with a fusiform configuration, the largest of which is short at the subcarinal level, measuring 1 cm in diameter. Sequelae changes in both lung parenchyma and a few nonspecific nodules.  Left pleural effusion, minimal pericardial effusion. Osteodegenerative changes in bone structures and increase in thoracic kyphosis.  Significant increase in the size of the liver and spleen has been noted, and there is a hypodense lesion at the level of the 8-7 junction of the liver segment, which cannot be characterized in this examination."}
{"volume_path": "dataset/train_fixed/train_737/train_737_a/train_737_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_737/train_737_a/train_737_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_737_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Heart size increased. Calcific atheroma plaques are observed in the aorta. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Lymph nodes with a short axis measuring 13 mm are observed in the mediastinum, the largest of which is at the level of the carina. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Moderate amount of effusions with a thickness of 43 mm on the right and 30 mm on the left are observed in both lungs. Interlobular septa are thickened and mosaic attenuation patterns are present. There are findings compatible with pneumobilia. In the right lobe of the liver, fluid loculations measuring up to 25 mm are observed in which air densities are also observed abscess?. Clinical and laboratory correlation is recommended. There is loculated fluid with a long axis measuring up to 112x43 mm in the vicinity of the right lobe of the liver, which cannot be distinguished from extracapsular or intraparenchymal. There are lymph nodes measuring up to 8 mm in size in the subdiaphragmatic area, in the upper abdomen, in the paracardiac area. Millimetric lymph nodes are observed in the neighborhood of the stomach antrum. Liver contours are irregular. It is compatible with chronic parenchymal disease. Other upper abdominal organs included in the sections are normal. 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": " Bilateral moderate amount of effusions with cardiac stasis, more prominent on the right  Consolidation area in the right middle lobe of the liver, clinical laboratory correlation is recommended in terms of infectious process.  Fluid loculations with air density in the right lobe of the liver, millimetric lymph nodes near the stomach.  Lymph nodes with a short axis measuring up to 13 mm at the level of the mediastinum and carina.  Findings consistent with liver parenchymal disease. pneummobilia."}
{"volume_path": "dataset/train_fixed/train_760/train_760_b/train_760_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_760/train_760_b/train_760_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_760_b_1.nii.gz", "findings": " In his current examination, consolidation areas with air bronchogram sign covering the right lung almost completely, patchy ground glass densities are observed. Mass lesions cannot be distinguished from the described consolidation areas. In his current examination, there are multiple Halo signs in the left lung as well as ground glass densities with irregular contours. There is a new small amount of pleural effusion in both hemithorax. Trachea, both main bronchi are open. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. The upper abdominal organs are partially included in the study, and a peritoneal irregular hypodense area measuring up to 60 mm in size, which cannot be clearly differentiated within the limits of non-contrast examination, is observed in the peripancreatic paraaortic area mass lesion. Oval-shaped findings were evaluated in favor of cortical cysts in fluid attenuation measured up to 22 mm in the right kidney middle zone and left kidney upper pole. Multiple metastatic sclerotic lesions are observed in bone structures. New fractures showing slight divergence in the left 4th and 5th rib anterolateral, no metastatic findings leading to a significant destruction at the described fracture level were found. Clinical correlation for trauma is recommended. The described fractures are not observed in the previous examination.", "impression": "The area of consolidation observed in the previous examination, which also narrowed the main bronchial structures in the lower lobe of the right lung, is observed almost completely in the right lung in the current examination, and in addition to these findings in the current examination, patchy ground glass densities accompanied by Halo signs in the left lung have been added. The findings indicate viral pneumonia due to the current pandemic. It was evaluated in favor of other accompanying pneumonias. Close follow-up of clinical laboratory correlation is recommended.  New small amount of effusion in both hemithorax, atherosclerosis. Cortical cysts in both kidneys. Hepatostetaosis.  Mass lesion and lymph nodes extending to the pancreatic head and body in the paraaortic area, whose borders cannot be clearly measured, and which are considered to show dimensional increase, which are considered suboptimal within the limits of the non-contrast examination. .  Multiple metastatic lesions in bone structures that do not show significant difference. New fractures with slight separation in the left 4th and 5th rib anterolateral, no metastatic findings leading to a significant destruction at the described fracture level were found."}
{"volume_path": "dataset/train_fixed/train_764/train_764_a/train_764_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_764/train_764_a/train_764_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_764_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. The pulmonary arteries are enlarged. The diameter of the main pulmonary artery was 34 mm, the right pulmonary artery was 28, and the left pulmonary artery diameter was 30 mm. Heart size increased. Pericardial effusion-thickening was not observed. Calcific 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 3 cm on the right and 1 cm on the left in both lungs and compression atelectasis in the accompanying parenchyma are observed. In the parenchyma of both lungs, widespread ground-glass densities are observed in the centracinar style and centrally located. In addition, interseptal and interlobular thickness increases are observed especially in the lower lobes. These appearances suggest primarily pulmonary edema. In addition, atelectasis areas are observed in the lower lobes of both lungs. There are areas of linear consolidation that are evident in the lower lobes and subpleural areas of both lungs. In these areas, it creates suspicion in terms of Covid pneumonia. While not typical, Covid has not been completely ruled out. Upper abdominal organs included in the sections are normal. The skin and subcutaneous structures included in the examination have a natural appearance. Diffuse degenerative changes are observed in the bones in the examination area.", "impression": " Findings evaluated primarily in favor of pulmonary edema, Covid-19 pneumonia could not be completely ruled out. Clinic and lab in terms of Covid-19 pneumonia. correlation is recommended."}
{"volume_path": "dataset/train_fixed/train_766/train_766_a/train_766_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_766/train_766_a/train_766_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_766_a_1.nii.gz", "findings": "Trachea was in the midline of both main bronchi 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; 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; Reticular fibrotic sequelae changes were observed in both lung apexes. Dependent nonspecific density increases were observed in both lungs. A bilateral smear-like pleural effusion was detected. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Liver, gall bladder, spleen, pancreas, and both adrenal glands are normal as far as can be observed in the non-contrast examination. A calculi image with a diameter of 2 mm was observed in the middle part of the left kidney. No stone was observed in the right kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Reticular fibrotic sequelae changes in both lung apexes . Bilateral smearing pleural effusion . Left nephrolithiasis"}
{"volume_path": "dataset/train_fixed/train_778/train_778_a/train_778_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_778/train_778_a/train_778_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_778_a_1.nii.gz", "findings": "Left thyroid lobe dimensions and isthmus thickness increased. A central cystic-necrotic nodule measuring 33x29 mm was observed in the left thyroid lobe. Correlation with USG is recommended. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. Although the mediastinum cannot be evaluated optimally in the non-contrast examination, the heart dimensions have increased. Pericardial effusion was not observed. Aneurysmactic dialatation was observed in the thoracic aorta, and an intravascular graft placed in the aneurysm lumen was observed. The largest AP diameter of the aneurysm was 55 mm at the level of the descending aorta and 43 mm at the level of the ascending aorta. Pulmpner artery diameters are normal. Thoracic esophagus calibration was normal. No significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. Right upper, bilateral lower, subcarnial, aortopulmonary, pathological lymph nodes reaching 23x13 mm in size were not observed. When examined in the lung parenchyma window; An effusion measuring 5.3 mm in its thickest part in the right pleural space and 10 mm in its thickest part in the left pleural space was observed. Interlobular septal thickening was observed in both lungs. Right lung volume decreased. Widespread passive-fibroatelectasis sequelae were observed in the anterior upper lobe, middle lobe and lower lobe of the right lung. In addition, passive atelectatic changes were observed in the left lung lower lobe basal segment and inferior lingular segment. There are ground glass densities in both lungs. Findings may be compatible with pulmonary edema secondary to heart failure. Correlation with clinical and laboratory is recommended. Central tubular bronchiectasis and peribronchial thickening were observed in both lungs. As far as can be seen in non-contrast sections; No mass with distinguishable borders was observed in the liver. Millimetric calculus was observed in the gallbladder lumen. Nodular cortical lesions hemorrhagic-nonhemorrhagic cysts?, some with dense contents and hyperdense appearance, were observed in both kidneys, the largest of which was 3x2 cm in the lower pole of the right kidney. In case of clinical necessity, further examination with MRI is recommended. The spleen was not observed operated. In the spleen lodge, multiple nodular mass lesions of spleen density, the largest of which is 3 cm in diameter, are observed splenosis. The diameter of the abdominal aorta increased by 5 cm in the anterior-posterior diameter inferior to the renal artery outputs. Diffuse thickening was observed in both adrenal glands. The pancreas is atrophic. Vertebral corpus heights are normal within the sections.", "impression": "Left thyroid lobe and isthmus dimensions plus central cystic-necrotic nodule completely covering the left thyroid lobe, correlation with USG. Thoracic-abdominal aortic aneurysm, endovascular graft inserted into thoracic aneurysm . Cardiomegaly . Sliding hiatal hernia at the lower end of the esophagus . Mediastinum Lymph nodes reaching pathological dimensions .Massive bilateral pleural effusion on the right, passive-fibroatelectasis sequelae changes in both lungs, ground glass densities, findings may be compatible with pulmonary edema secondary to heart failure. Correlation with clinical and laboratory is recommended.  Central tubular bronchiectasis and peribronchial thickening in both lungs . Cholelithiasis . Nodular cortical lesions hemorrhagic-nonhemorrhagic cysts? in both kidneys, some with dense contents and some with hyperdense appearance. Further examination with MRI is recommended if clinically necessary.  Splenectomy-splenosis . Bilateral adrenal hyperplasia"}
{"volume_path": "dataset/train_fixed/train_785/train_785_a/train_785_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_785/train_785_a/train_785_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_785_a_1.nii.gz", "findings": "Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Patchy ground glass areas are observed in both lungs, most of which are in the peripheral subpleural areas. In addition, there are centriacinar nodules in a small area in the posterior segment of the right lung upper lobe. When evaluated together with the clinical preliminary diagnosis, the described manifestations are compatible with infective pathology. The appearances are not typical for bacterial pneumonia. However, viral pneumonias and atypical pneumonias can make similar appearances. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material cannot be given. Heart contour and size are normal. Pericardial effusion was not detected. There is minimal pleural effusion on the left. No pleural effusion was detected on the right. Atheroma plaques are observed in the coronary arteries in the 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. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. Liver parenchyma density decreased in line with advanced adiposity. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Extensive ground-glass areas in both lungs and budding tree appearances in the upper lobe of the right lung viral pneumonia? atypical pneumonia?"}
{"volume_path": "dataset/train_fixed/train_792/train_792_a/train_792_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_792/train_792_a/train_792_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_792_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Numerous lesions, which are understood to be metastases, are observed in both lungs. The largest of the described lesions is observed in the lower lobe of the left lung and the longest diameter was 32 mm. In addition, there are pleural-extrapleural masses in the right hemithorax, adjacent to the upper, middle and lower lobes of the right lung. It is understood that some of the described masses invade the chest wall and cause cortical irregularity and erosion in the ribs. Cortical irregularity and erosion due to the masses described in the 1st rib, 5th and 6th ribs, and 10th and 12th ribs are observed on the right. The largest of the aforementioned masses is observed laterally at the level of the posterior segment of the right lung upper lobe and is approximately 84x28 mm in size as far as can be observed. These masses were primarily thought to be metastases. There are emphysematous changes in both lungs. No 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. Atheroma plaques are observed in the aorta. There are lymph nodes in the mediastinum and hilar regions. The largest of the described lymph nodes is observed in the subcarinal area, and its short diameter is 15 mm. There is no pathological wall thickness increase in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. Minimal pleural effusion is observed on the right. No pleural effusion was detected on the left. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No metastatic lesions were detected in the bone structures within the sections.", "impression": "Operated RCC, metastatic lesions in both lungs, pleural-extrapleural masses evaluated in favor of metastases in the right hemithorax, mediastinal and hilar lymph nodes at follow-up"}
{"volume_path": "dataset/train_fixed/train_806/train_806_a/train_806_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_806/train_806_a/train_806_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_806_a_1.nii.gz", "findings": "Since IVCM was not given, mediastinal structures were evaluated as optimal. As far as can be observed: The heart is larger than normal. Pericardial effusion was not detected. Atheroma plaques are observed in the aorta and coronary arteries. Bilateral minimal pleural effusion was observed. There are lymph nodes in the mediastinum and hilar regions. The shortest diameter of the largest of these lymph nodes was 10 mm. There is no pathological wall thickness increase in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. There is no obstructive pathology in the trachea and both main bronchi. There are atelectasis in both lungs. In addition, there are linear atelectasis in the right lung middle lobe medial segment, left lung upper lobe lingular segment, and both lung lower lobes. Peripheral and central consolidation and ground glass areas are observed in both lungs, more prominently in the lower lobes. The views described are not specific. Many pathologies can cause this appearance. However, during the pandemic process, Covid-19 pneumonia came to mind first. It is recommended to evaluate the patient together with clinical and laboratory findings. No mass was detected in both lungs. 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, cardiomegaly.  Bilateral minimal pleural effusion.  Central and peripheral consolidation and ground glass views in both lungs.  Atelectasis in both lungs."}
{"volume_path": "dataset/train_fixed/train_818/train_818_a/train_818_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_818/train_818_a/train_818_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_818_a_1.nii.gz", "findings": "Abdominal solid structures and mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The left lobe of the liver is not observed. It was learned that the patient was a liver transplant donor. The contours of the right lobe of the liver are normal. Liver parenchyma density is decreased. In this examination, no mass with distinguishable borders was detected in the liver. No enlargement was detected in the bile ducts. There is free fluid in the perihepatic and perisplenic areas, in the paracolic ducts, and between the intestinal segments. This free fluid is observed as minimally hyperdense in places and it was thought to be hemorrhagic. It is recommended to evaluate the patient together with clinical and physical examination and laboratory findings. No intraabdominal collection was detected. No intraabdominal free air was observed. No pathological increase in wall thickness was detected in this examination in the intestinal segments. Bilateral pleural effusion and atelectasis in both lungs adjacent to pleural effusion were observed. No mass or infiltrative lesion was detected in both lungs. Heart contour and size are normal. Pericardial effusion is not detected. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta. There is a central venous catheter on the right.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_819/train_819_a/train_819_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_819/train_819_a/train_819_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_819_a_1.nii.gz", "findings": "Heart size increased. Biverticular diameter increase is observed. Pericardial effusion was not detected. The diameters of the pulmonary trunk and both pulmonary arteries are prominent. The diameter of the truncus was 37 mm, the diameter of the right main pulmonary artery was 30, and the diameter of the left main pulmonary artery was 27 mm. Evaluation of mediastinal structures is suboptimal due to lack of contrast agent. There are prevascular and paratracheal nonspecific milimetric lymph nodes located in the upper mediastinum. No lymph node was observed in the mediastinum in pathological size and appearance that can be distinguished from vascular structures. There are calcific plaques at the origins of the coronary arteries. Tracheostomy cannula is observed. The size of the thyroid gland is slightly increased and the parenchyma density is slightly heterogeneous. There are areas of atelectasis parenchyma in the basal segments of both lung lobes. On the right, pleural effusion is seen in the form of a light smear. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No loculated or free fluid was detected in the upper abdomen sections. Nasogastric tube catheter is observed. Contour lobulation of the old fracture is observed in the left 9th rib. No lytic-destructive space-occupying lesion was detected in bone structures.", "impression": " Areas of atelectasis parenchyma in the lower lobes of both lungs, increased size of the heart, prominent diameters of the pulmonary artery and venous vascular structures, calcific plaques in coronary artery origins.  Findings consistent with thyroidopathy."}
{"volume_path": "dataset/train_fixed/train_839/train_839_a/train_839_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_839/train_839_a/train_839_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_839_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal because the examination was suboptimal without contrast. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and right main bronchus lumen. Mucosal secretion areas causing partial obstruction were observed in the left main bronchus and lower lobe segmental bronchi. The diameter of the ascending aorta was 42 mm and showed fusiform dilatation. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. There is a density of pacemaker that extends from the anterior left chest wall to the floor of the ventricle. Calcified pleural plaques are observed on the right. 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; Emphysematous changes were observed in both lungs. Between the bilateral pleural leaves, there is a free pleural effusion measuring 41 mm in thickness on the right and 66 mm on the left, and marked atelectatic changes in the adjacent lung parenchyma on the left. Pericardial minimal effusion is present. Bilateral peribronchial thickenings were observed. No mass was detected in both lung parenchyma. No lesion occupying the liver parenchyma was detected in the non-contrast examination limits in the upper abdominal sections that entered the examination area. Cortical cysts were observed in both kidneys. Diffuse thickening was observed in the bilateral adrenal gland. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.", "impression": "Fusiform dilatation of the thoracic aorta, calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Bilateral diffuse pleural effusion and atelectatic changes. Mucosal secretions causing partial obstruction in the left main bronchus and lower lobe segmental bronchi. Bilateral peribronchial thickenings, emphysematous changes in both lungs.  Locally calcified pleural plaques in the right pleura.  Bilateral renal hypodense lesions cyst?.  Thoracic spondylosis."}
{"volume_path": "dataset/train_fixed/train_848/train_848_d/train_848_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_848/train_848_d/train_848_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_848_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 contour size is natural. Pericardial thickening was not detected. A catheter image extending to the superior vena cava was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. In both axillary regions, lymphadenomegaly with short axes measuring 9.5 mm on the right and 10.6 mm on the left was observed and was also observed in the previous examination. However, their size increases slightly. When examined in the lung parenchyma window; Bilateral peribronchial thickenings were observed. Focal consolidation areas and nodular ground glass density increases were observed in both peribronchial and peripheral subpleural areas. There is CT halosign finding around the described consolidation areas. In addition, a free pleural effusion with a thickness of 40 mm on the right and 39 mm on the left was present in the current examination. The described findings may be compatible with fungal infection. Clinical and laboratory correlation and post-treatment control are recommended. No significant pathology was detected in the examination borders in the upper abdominal sections that entered the examination area. There are contaminations and reticular density increases in the left perirenal fatty planes. Left pelvicalyceal structures are slightly dilated. No lytic-destructive lesion was detected in bone structures.", "impression": "Clinical-laboratory correlation is recommended.  Bilateral pleural effusion. It just appeared in the current review.  Minimal dilatation of left kidney pelvicalyceal structures."}
{"volume_path": "dataset/train_fixed/train_848/train_848_e/train_848_e_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_848/train_848_e/train_848_e_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_848_e_1.nii.gz", "findings": " The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. Pericardial effusion was not detected. Free pleural effusion is observed in both pleural spaces, reaching a depth of approximately 35 mm on the right at its deepest point. A central venous catheter is observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. No lymph node is observed in the mediastinum and supraclavicular fossa in pathological size and appearance. Lymphadenomegaly is observed in both axillary regions, with a diameter of 10.7 mm on the left and a short diameter of 9 mm on the right, some of which are in a round configuration. The number and dimensions are stable in the comparative evaluation with the previous CT examination. When examined in the lung parenchyma window; Peribronchial thickness increases are observed in both lungs. In the peribronchial area, there are areas of increased ground glass density and density consistent with consolidation in the peripheral subpleural areas. The described appearances were thought to be compatible with fungal infection. It is recommended to be evaluated together with clinical and laboratory findings. In the upper abdominal sections within the image; A slightly dilated appearance is observed in the pelvicalyceal system of both kidneys. No intraabdominal free fluid or loculated collection is observed. No lymph node is observed in intraabdominal pathological size and appearance. No lytic-destructive lesion was detected in the bone structures within the image.", "impression": " Lymphadenomegaly with stable number and size in both axillary regions.  Minimal dilatation of the pelvicalyceal system of both kidneys."}
{"volume_path": "dataset/train_fixed/train_848/train_848_f/train_848_f_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_848/train_848_f/train_848_f_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_848_f_1.nii.gz", "findings": "CTO is normal. Calibration of mediastinal major vascular structures is natural. A subclavian catheter is observed and terminates in the distal superior vena cava. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Millimetric sized lymph nodes are observed in the mediastinum. There were no pathologically sized and configured lymph nodes at both hilar levels. When examined in the lung parenchyma window; There are diffuse and irregular thickenings in the peribronchial sheath in almost all areas of both lungs, peripherally weighted, pleuroparenchymal localized, irregularly circumscribed consolidative areas, accompanying ground glass-like density increases, and irregularity in the pleural faces. The findings have increased over the previous review. It is recommended to evaluate GVHD in terms of lung involvement in the form of organized pneumonia together with clinical and laboratory findings. There is significant regression in the pleural effusion observed in the previous examination. There is a mild pleural effusion on the right, in the form of a smear, on the left, reaching 12 mm in thickness. The defined pleural effusion is observed in the middle zone. In the upper abdominal organs, including sections; Mild effusion is observed around the gallbladder and its wall has a thick appearance. Ultrasonographic evaluation is recommended. Mild ectasia is observed in the left kidney. USG examination is recommended. There is mild thickening of the peritoneal reflections on the left, mild contamination in the parocolic and mesenteric planes. Oily planes at both axillary levels are dirty. Lymph nodes with a size of 16x11 mm, of which hilar fat is selected, are observed. Also available in old review. Mild degenerative changes are observed in the bone structure.", "impression": "Clinical-laboratory correlation is recommended.  Gallbladder wall thickening, mild pericholecystic effusion, grade I pelvicalyceal ectasia in the left kidney; USG examination is recommended."}
{"volume_path": "dataset/train_fixed/train_848/train_848_g/train_848_g_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_848/train_848_g/train_848_g_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_848_g_1.nii.gz", "findings": " A catheter extending from the left 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. 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 pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal pathological dimensions. Lymphadenomegaly and intense inflammation observed in bilateral axillae in the previous examination are markedly regressed in the current examination. No lymph node was observed in pathological size and appearance in both axillae. When examined in the lung parenchyma window; A smear-like effusion was observed in both hemithorax. In previous examinations, diffuse peribronchial thickness increase, peribronchial consolidations and scattered centriacinar ground glass nodules were observed. In the current examination, all parenchymal findings in the previous examination are regressed. Widespread and irregular thickening of the peribronchial sheath, accompanying bronchiectatic changes, interlobular septal thickening in the peripheral subpleural areas, and widespread fibrotic retraction in the pleura were observed in almost all areas of both lungs. No concomitant consolidation was detected in the current review. The described findings were evaluated in favor of sequela fibrotic changes. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; Mild ectasia is observed in the left kidney. It is recommended to be examined with US. There is mild thickening of the peritoneal reflections on the left, mild contamination in the paracolic and mesenteric planes. Degenerative changes were observed in bone structures.", "impression": " In the current examination, there are sequela-fibrotic changes in the lung."}
{"volume_path": "dataset/train_fixed/train_849/train_849_a/train_849_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_849/train_849_a/train_849_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_849_a_1.nii.gz", "findings": " Trachea, both main bronchi are open. There are calcific atheromatous plaques in the thoracic aorta and coronary arteries. Other 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; There are lesions metastasis?, new primers? in both lungs that were not observed in the previous PET-CT, measuring up to 16 mm in size, especially at the apical levels. Clinical correlation and follow-up are recommended. There are few effusions in both hemithorax. Compression atelectasis is observed at basal levels of both lung lower lobes. 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. Diffuse metastatic sclerotic appearances in bone structures, especially in thoracic vertebrae, and height loss in TH10-TH11-TH12 levels are observed.", "impression": " Atelectatic changes in both lungs.  Atherosclerosis."}
{"volume_path": "dataset/train_fixed/train_854/train_854_a/train_854_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_854/train_854_a/train_854_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_854_a_1.nii.gz", "findings": "There is bilateral pleural effusion. The pleural effusion measured 50 mm on the right at its thickest point. When the patient is in the supine position, the effusion extends to the apex of the lungs. No pleural thickening was detected. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are atelectesis in both lungs, more prominent on the right. Minimal emphysematous changes were observed in both lungs. There is no mass or infiltrative lesion 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. Atheroma plaques are observed in the aorta and coronary arteries. It is understood that the patient underwent coronary bypass surgery. 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. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are stones in the gallbladder. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Atherosclerotic changes in the aorta and coronary arteries  Pleural effusion  Atelectesis in both lungs  Minimal emphysematous changes in both lungs"}
{"volume_path": "dataset/train_fixed/train_856/train_856_a/train_856_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_856/train_856_a/train_856_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_856_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis is observed in the central part of the right lung, and peribronchial thickening, particularly in the lower lobe, and interlobular septal and interstitial thickenings are observed in places. These localizations also have minimal structural distortion and volume loss. When the first examination of the patient is examined, a large mass is observed in the lower lobe of the right lung, which is understood to be the primary mass of the patient. The described mass was not observed in this examination. The findings described in the right lung, especially in the central part, were primarily evaluated in favor of sequelae changes. There is also minimal bronchiectasis and peribronchial thickening in the central part of the left lung. Emphysematous changes are observed in both lungs. There is a nodule with the longest diameter of approximately 14 mm in the lateral segment of the right lung middle lobe. This nodule can be followed from the first examination of the patient. No mass was detected in both lungs. Pleural effusion is observed on the right. No pleural effusion was detected on the left. It is observed that the pleural effusion also enters the fissure on the right. No pleural effusion was detected on the left. 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. 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 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": "Pulmonary Ca in the follow-up, findings evaluated primarily in favor of sequelae changes in the right lung. Right pleural effusion.  Emphysematous changes in both lungs. Stable nodule in the middle lobe of the right lung.  Atherosclerotic changes in the aorta and coronary arteries."}
{"volume_path": "dataset/train_fixed/train_867/train_867_a/train_867_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_867/train_867_a/train_867_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_867_a_1.nii.gz", "findings": "Bilateral minimal pleural effusion is observed. It is understood that the pleural effusion has just appeared. Trachea and both main bronchi are normal. There is no obstructive pathology in the trachea and both main bronchi. Diffuse ground glass areas are observed in both lungs. Ground glass areas are more prominently observed in the upper lobe of the lung. There are smooth interlobular septal thickenings in both lung lower lobes. Cystic areas are observed within the ground glass areas in both lungs. It is understood that all of these appearances are new. These appearances were primarily thought to be compatible with pneumonia due to opportunistic infection pneumocystis jiroveci?. No mass was detected in both lungs.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_873/train_873_b/train_873_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_873/train_873_b/train_873_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_873_b_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. An effusion of approximately 20 mm was observed in the deepest part of the pericardial space. There is an effusion measuring approximately 80 mm in depth at its deepest point in the left pleural space. No pleural effusion was observed on the right. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance. When examined in the lung parenchyma window; An area of increase in density consistent with consolidation, in which air bronchograms are also observed, was observed in the inferior lingular segment of the left lung upper lobe. Although the appearance may belong to atelectasis, the underlying pneumonic infiltration cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings. There are smooth interlobular septal thickness increases in the right lung middle lobe and lower lobe. Active infiltration in the right lung and mass in both lungs were not detected. 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 detected in the bone structures within the image.", "impression": "  An area of increase in density consistent with consolidation, in which air bronchograms are also observed in the inferior lingular segment of the left lung upper lobe; Pneumonic infiltration, which may be related to atelectasis, cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings.  Uniform interlobular septal thickness increases in the right lung middle lobe and lower lobe."}
{"volume_path": "dataset/train_fixed/train_873/train_873_c/train_873_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_873/train_873_c/train_873_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_873_c_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; In both lungs, patchy ground glass densities are observed mostly in the lower lobes, in the superior segment on the right, and at the posterobasal levels of the lower lobe on the left. In the first place, it was evaluated in favor of infectious processes. Clinical laboratory correlation and follow-up are recommended. There is a 12 mm thick effusion in the left hemithorax. 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": " Findings consistent with infectious processes atypical viral pneumonias? in the lung parenchyma; chronic laboratory correlation and follow-up is recommended.  Small amount of effusion in the left hemithorax."}
{"volume_path": "dataset/train_fixed/train_886/train_886_a/train_886_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_886/train_886_a/train_886_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_886_a_1.nii.gz", "findings": "Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Numerous nodular lesions are observed in both lungs and were primarily evaluated in favor of metastases. The largest of the described nodular lesions are observed in the upper lobe of the left lung, and their longest diameters series 2 section 106 and series 2 section 94 at their widest point were 34 mm and 21 mm, respectively. There is no infiltrative lesion in both lungs. Occasionally, linear atelectasis is observed in both lungs. There are emphysematous changes in both lungs. Bilateral minimal pleural effusion, more prominent on the right, was observed. Mediastinal structures and upper abdominal structures within the sections cannot be clearly evaluated since no contrast material is given. As far as can be observed: A port chamber is observed in the subcutaneous adipose tissue in the right hemithorax. The port catheter terminates at the superior-right atrium junction of the vena cava. Heart contour and size are normal. There is no pericardial effusion. The widths of the mediastinal main vascular structures are normal. Numerous lymphadenopathies are observed in the paratracheal, subcarinal and both hilar regions. The largest of the described lymphadenopathies is observed in the paratracheal region and is observed in the widest part series 2 section 111, measuring approximately 41x31 mm. The largest of the lymph nodes in the pulmonary hilum is seen on the right and measured approximately 23x22 mm at its widest point series 2 section 170. There is no pathological wall thickness increase in the esophagus within the sections. The right kidney was not observed. In the right kidney lodge, there is a collection whose borders cannot be distinguished from the posterior wall and occasionally from the intestinal segment. There is a mass in the right adrenal gland corpus with the longest diameter of approximately 27 mm. Although a clear evaluation could not be made because no contrast material was given, it was thought to be compatible with metastasis when evaluated together with other findings. Lytic bone lesions are observed in almost all bone structures within the sections. Some of the lytic bone lesions are accompanied by a soft tissue component. The largest of the soft tissue components described is observed in the T1 vertebral body and extends towards the right paravertebral area. The described mass measured approximately 59 mm in its longest diameter at its widest point series 2 section 418.", "impression": "Right nephrectomized, lung metastases, bone metastases, mediastinal and hilar lymphadenopathies"}
{"volume_path": "dataset/train_fixed/train_886/train_886_b/train_886_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_886/train_886_b/train_886_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_886_b_1.nii.gz", "findings": " There are many metastatic lymph nodes with a short axis measuring 26 mm in the right upper paratracheal, lower paratracheal right hilar and paraesophageal area, the largest of which is in the right upper paratracheal area. In the coronary arteries, there are calcified atheroma plaques of berligin in the LAD. There is a pleural effusion reaching 6 cm between the leaves of the right pleura and 2 cm between the leaves of the left pleura. There are diffuse metastatic lesions in all segments of both lungs. The largest is located in the upper lobe of the left lung, with a long axis of 27 mm and a diameter of 16 mm, located peripherally in the anterior segment of the upper lobe of the left lung. On previous imaging, these lesions measured 31 mm and 16 mm. Some of the other metastatic lung lesions have mild regression in their size, and some are stable. No new lesion was detected. Widespread metastatic lesions are observed in the vertebrae, ribs, both clavicles and sternum in all bone structures that enter the imaging field. There are components showing extraosseous extension in places. Also available in old rendering. A newly developed pathological fracture is observed in the right 2nd posterior rib. In the T9 vertebra, the extraosseous component of the tumoral lesion in the vertebral body extends into the spinal canal. It is evident in the current review. If necessary, MRI examination is recommended. In the metastatic lesion in the L1 vertebral body, it occupies a significant volume in the vertebral body. Therefore, it poses a risk for fracture. The metastatic lesion in the L1 vertebral body is also observed with its extraosseous component extending towards the right pararenal area. It is also available in the old review. It appears to be slightly regressed in current examination. In the sections passing through the upper abdomen, calculus is observed in the gallbladder. The right kidney is operated. Right adrenal gland lateral crus expansil is observed. The mass lesion, whose mediolateral diameter was 16 mm in the lateral crus in the previous examination, was 13 mm in the current examination. A central venous catheter is observed.", "impression": "Operated right kidney RCC. Extensive bone metastases, lung metastases, mediastinal metastatic lymph nodes, and right adrenal mass lesion.  When the two largest metastatic lesions in the lung and the lesion in the right adrenal are considered as target lesions, the total of the target lesions in the previous examination was 65 mm and in the current examination, the total of the target lesions was measured as 56 mm. A decrease of approximately 13% is observed in the total of the target lesions. It was accepted as stable disease.  2.posterior newly developed pathological fracture of the rib.  Metastatic bone lesion in the L1 vertebral body occupies a significant volume in the vertebral body, it carries a risk in terms of pathological fracture in this vertebra. The imaging is present in the previous examination and no difference was found.  The bone metastasis with extraosseous extension in the T9 vertebral body has become evident in the current examination, the soft tissue component extending towards the spinal cord. Here, it would be appropriate to follow it in terms of cord compression. Bilateral pleural effusions. Cholelithiasis."}
{"volume_path": "dataset/train_fixed/train_931/train_931_a/train_931_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_931/train_931_a/train_931_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_931_a_1.nii.gz", "findings": "Trachea and main bronchi are open. Mediastinal lymphadenomegaly and lymph nodes with a narrow diameter of 11 mm are observed in the right upper-lower paratracheal larger one. Calcific plaques are observed in the walls of the coronary artery in the aortic arch and descending aorta. The cardiothoracic index increased in favor of the heart. In the evaluation of both lung parenchyma; A smear-like pleural effusion is observed in the right lung. Ground-glass densities and consolidations are observed in the peripheral lung parenchyma of both lungs and diffuse in the basal segments of the lower lobes of both lungs. There are interlobular septal thickenings that create crazy paving appearance in frosted glass densities. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Free air images are observed in the abdomen, especially in the perihepatic localization of the abdominal sections. There are millimetric sized calculi in the gallbladder and hypodense cysts in the kidney. No obvious pathology was detected in bone structures.", "impression": " Predominant diffuse infiltrates in the peripheral lung parenchyma were primarily evaluated as compatible with covid-19 pneumonia."}
{"volume_path": "dataset/train_fixed/train_951/train_951_a/train_951_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_951/train_951_a/train_951_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_951_a_1.nii.gz", "findings": "A catheter image extending from the right internal jugular vein to the superior vena cava-right atrial junction was observed. Trachea, lumen of both main bronchi are open. Widespread calcifications are observed on the walls of the trachea and both main and segmental bronchi. The appearance is compatible with tracheobronchopathia osteochondroplastica. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; thoracic aorta calibration is natural. Pulmonary truncus right and left pulmonary artery diameters increased by 32mm, 27mm-26mm, respectively pulmonary hypertension?. Heart size increased. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications are observed in the thoracic aorta, its supraaortic branches and coronary arteries, abdominal aorta and visceral branches. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Sliding hiatal hernia is observed at the lower end of the esophagus. A large number of lymph nodes measuring 10 mm in the short axis of the right upper lower aortopulmonary subcarinal large were observed. No lymph node was observed in pathological size and appearance. When examined in the lung parenchyma window; In both lungs, more prominent icy densities and interlobular septal thickenings are observed in the peripheral subpleural areas. In addition, widespread consolidations are observed in the peribronchial area in both lung lower lobe basal segments. There is a smear-like effusion extending into the major fissure on the right in both pleural spaces. The appearance was evaluated in favor of pulmonary overload findings secondary to heart failure and pneumonic infiltration occurring on this background. It is recommended to be evaluated together with clinical and laboratory. As far as can be observed in the non-contrast examination, coarse calcifications with sequelae are observed in segment 7 at the level of the liver dome. The gallbladder was not observed operated. In the lower pole of the spleen, there is a linear calcification line in the parenchyma sequelae. The pancreas is natural. No stones were observed in both kidneys within the sections. The right adrenal gland is normal. Diffuse hyperplasia is observed in the left adrenal gland. No intraabdominal free-loculated fluid was detected. No lymph node was detected in intraabdominal and bilateral inguinal pathological size and appearance. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Increase in the diameters of the pulmonary trunk and both arteries; it is recommended to be evaluated together with clinical and laboratory in terms of pulmonary hypertension. Diffuse atherosclerotic wall calcifications in the thoracic-abdominal aorta coronary arteries, cardiomegaly.  Sliding hiatal hernia at the lower end of the esophagus. Bilateral scaly effusion extending into the major fissure on the right, more pronounced ground glass densities in the peripheral subpleural areas of both lungs, interlobular septal thickenings, and consolidations in the lower lobe basal segments of both lungs. The appearance was evaluated in favor of signs of cardiac load and superimposed pneumonic infiltration.  Sequelae calcifications in liver segment 7 and spleen lower pole. Cholecystectomized.  Diffuse hyperplasia of the left adrenal gland."}
{"volume_path": "dataset/train_fixed/train_955/train_955_a/train_955_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_955/train_955_a/train_955_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_955_a_1.nii.gz", "findings": "CTO is at the maximal physiological limit. When the calibration of the mediastinal main vascular structures is evaluated; The ascending aorta is calibrated 45 mm and wider than normal. The aortic arch caliber was 36 mm, wider than normal. The descending aorta calibration is slightly above normal. The pulmonary trunk calibration was 31 mm, slightly above normal. Right \u2013 left pulmonary artery calibrations are slightly above normal. At the level of the aortic arch, calcific atheroma plaques are observed in the descending aorta in the left coronary artery. Millimetric sized lymph nodes are observed in the mediastinum, and the largest ones are at the prevascular level and their short axis is 9 mm. No lymph node was detected in pathological size and configuration at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is pleural effusion in both lungs, reaching a thickness of 42 mm on the right and 12 mm on the left, at the base. It extends into the interlobar fissure on the right. There are sequelae pleural parenchymal density increases in the right lung upper lobe anterior segment. There are faint ground-glass-like density increases in the lower lobe of the left lung and focal consolidative changes at the posterobasal level of the lower lobe of the right lung. Sequelae changes are observed at the apical level in the left lung. There are sequelae changes in the anterior segment caudal and lingular segment. A mild mosaic attenuation pattern is observed in both lungs. When the upper abdominal organs included in the sections were evaluated; A decrease in density is observed in the liver, which is compatible with mild adiposity. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is effusion in the perihepatic area in the abdomen. Degenerative changes are observed in the bone structures in the study area. The case has findings compatible with DISH. Changes secondary to sternotomy are observed.", "impression": " Calibration increase, atherosclerotic changes in mediastinal main vascular structures  Significant effusion in both pleural distances on the right, sequelae changes  Mild mosaic attenuation pattern in both lungs and concomitant ground-glass-like density increases in the lower lobe on the right and focal consolidative changes at the posterobasal level  Mild hepatosteatosis , perihepatic level effusion  Degenerative changes in bone structure"}
{"volume_path": "dataset/train_fixed/train_964/train_964_b/train_964_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_964/train_964_b/train_964_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_964_b_1.nii.gz", "findings": "Heart size increased. Mitral and aortic valve calcification is present. Calcified atherosclerotic plaques are observed in the coronary arteries. Calibrations of mediastinal major vascular structures are normal. Pericardial effusion was not detected. In the mediastinum, nonspecific lymph nodes with stable numbers and sizes are observed, located in the right upper and lower paratracheal, paraaortic. In the supraclavicular fossa, in the axilla, the pathological size and appearance of the lymph node are not observed in the cross-section. There is an effusion measuring 1.5 cm on the right and 2 cm on the left between the leaves of both pleura. It is newly developed. Subsegmental atelectasis areas are observed in the lower lobes adjacent to the pleural effusion. It was understood that the atypical pneumonic infiltration areas observed in the previous examination were completely healed without sequelae. Radiologic findings are observed in the late recovery period in the form of mild parenchymal density increases. High-density free fluid hemorrhage? is observed in the left upper quadrant, adjacent to the newly developed gastric corpus in the upper abdominal sections. Contamination is present in the adjacent mesenteric oily planes. It will be appropriate to examine the patient with Contrast-Enhanced Abdominal CT.", "impression": " High-density free fluid hemorrhage? adjacent to the stomach corpus in the upper abdominal sections. It is recommended to be examined with contrast-enhanced abdominal CT.  Mitral and aortic valve calcification, calcified atherosclerotic plaques in coronary arteries.  Stable nonspecific mediastinal lymph nodes."}
{"volume_path": "dataset/train_fixed/train_975/train_975_a/train_975_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_975/train_975_a/train_975_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_975_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 extending to the port chamber and superior-right atrium junction of the vena cava and anterior chest wall was observed. 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 41 mm. The diameters of the pulmonary trunk right and left pulmonary arteries were measured as 38 mm, 28 mm and 21 mm, respectively. The heart size is increased, especially in the left ventricle and atrium. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Multiple lymph nodes measuring 11 mm in diameter are observed in the mediastinal, upper-lower paratracheal, prevascular, aortopulmonary, subcarinal, bilateral hilar localization, the largest of which is on the short axis. The largest of the lymph nodes was measured 17. Multiple lymph nodes were observed in the right axillary, bilateral retropectoral, both supraclavicular localizations and bilateral lower cervical chain entering the examination area. Postoperative changes, parenchymal distortion and post-op suture materials in the parenchyma were observed in the right breast. Pleural effusion measuring 8.8 cm in the widest part on the right and 5. When examined in the lung parenchyma window; Attectic changes were observed in the upper lobe of the right lung middle lobe and the lingular segment of the left lung upper lobe. Segmental-subsegmental peribronchial thickening was observed in both lungs. Focal nodular consolidation areas were observed in the right lung lower lobe anterobasal and left lung lower lobe anteromediobasal segment, and the appearance was evaluated in favor of infective processes. Viral-fungal infections, primarily Covid-19 pneumonia, were considered in the differential diagnosis. No mass lesion with distinguishable borders was detected in both lungs. As far as can be observed in the sections, the stomach was not observed secondary to the operation. The case has gastrojejunostomy anastomosis line. No suspicious increase in wall thickness was detected in the non-contrast examination at the level of the anastomosis line. There is free fluid in the abdomen. The gallbladder was not observed cholecystectomized?. No lytic-destructive lesion in favor of metastasis was observed in bone structures.", "impression": "Bilateral pleural effusion with increased size in the bilateral hemithorax . Newly appeared areas of nodular consolidation in both lungs in the current examination, especially Covid-19 pneumonia in the differential diagnosis such as viral-less likely fungal infections. It is recommended to be evaluated together with clinical and laboratory.  Free fluid in the abdomen"}
{"volume_path": "dataset/train_fixed/train_978/train_978_a/train_978_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_978/train_978_a/train_978_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_978_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. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the coronary arteries. There is pleural effusion on the right. The pleural effusion measured 60 mm at its thickest point. No pleural effusion was detected on the left. Pleural thickening was not observed. Lymph nodes are observed in the mediastinum and hilar regions. The largest of these lymph nodes is observed in the upper paratracheal region and measures approximately 20x20 mm. 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. There are emphysematous changes in both lungs. In addition, local atelectasis of both lungs were observed. Consolidation in a small area in the lateral segment of the middle lobe of the right lung and a ground-glass appearance in its vicinity are observed. The described appearance is non-specific. This appearance may be pneumonic infiltration. It is recommended to be evaluated together with laboratory findings. In the lower lobe of the right lung, a ground-glass appearance with clear borders is observed, especially in the posterior parts. These views are not specific. During the pandemic, there may be Covid-19 pneumonia. It is recommended to evaluate the patient together with laboratory findings. No mass was detected in both lungs. There is free fluid in the upper abdomen within the sections. There are no upper abdominal pathologically enlarged lymph nodes in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. There are degenerative hypertrophic changes in the facet joints.", "impression": " Cardiomegaly and atherosclerotic changes in the coronary arteries.  Pleural effusion on the right.  Emphysematous changes in both lungs.  Atelectasis in both lungs.  Appearance that may be compatible with pneumonic infiltration in the middle lobe of the right lung.  Ground glass appearance in the lower lobe of the right lung.  Intraabdominal free fluid.  Thoracic spondylosis."}
{"volume_path": "dataset/train_fixed/train_994/train_994_c/train_994_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_994/train_994_c/train_994_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_994_c_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. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The halo signs described in the previous study in both lung parenchyma were decreased in the current study. There are significant dimensional and numerical reductions in nodular densities described in the previous study. The organs described in the sections passing through the upper abdomen are partially included in the study and were evaluated as suboptimal. . A small amount of new effusion is observed bilaterally. No lytic-destructive lesions were detected in bone structures.", "impression": "Bilateral small amount of new effusion is observed."}
{"volume_path": "dataset/train_fixed/train_998/train_998_c/train_998_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_998/train_998_c/train_998_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_998_c_1.nii.gz", "findings": "CTO is within the normal range. Calibration of the main mediastinal vascular structures is normal. Catheter appearance is observed in the superior vena cava. 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. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchus is natural. Peribronchial sheath thickening is observed at the central and lingular levels. There are sequelae changes at both axillary levels. Density increases that do not give a clear contour are observed in the subpleural area at the posterobasal level in both lungs and at the mediobasal level in the right lung. Again, in the right lung, there is a smear-like effusion at the base, which was not observed in the previous examination. Density increases consistent with pleuroparenchymal sequelae are observed in the inferior lingular segment of the left lung. Apart from this, no significant consolidation area was detected in both lungs. In the right lung, the upper lobe posterior segment and basal level, the left lung upper lobe caudal in the perihilar area and the lingular segment, obscure bud branch views are observed in the previous examination. It is recommended to evaluate the case with clinical and laboratory findings in terms of infective processes. In the anterior of the spleen, a well-circumscribed nodular formation, approximately 16x13 mm in size, compatible with the accessory spleen is observed. Widespread heterogeneity, lytic lesions and trabecular coarsening are observed in the bone marrow consistent with multiple myeloma involvement.", "impression": "In the right lung, in the upper lobe posterior segment and basal level, in the left lung upper lobe caudal, in the perihilar area and in the lingular segment, branch views with faint buds are observed, which were not observed in the previous examination. It is recommended to evaluate the case together with clinical and laboratory findings in terms of infective processes.  Not observed in the previous examination in the right lung basal There is a plaster-style effusion.  Findings consistent with bone structure involvement in a case with multiple myeloma anamnesis."}
{"volume_path": "dataset/train_fixed/train_1001/train_1001_a/train_1001_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1001/train_1001_a/train_1001_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1001_a_1.nii.gz", "findings": "The examination of the patient was evaluated by comparing it with the previous pulmonary CT angiography examination. The cardiothoracic ratio increased in favor of the heart. Minimal pericardial and bilateral pleural effusion are observed. Millimetric calcific plaques follow in the aorta. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.3.2021. There is an area of atelectasis accompanied by volume loss in the lingular segment of the left lung upper lobe. There are significant increases in interlobular septal thickness in the lower lobes of both lungs on the left. No mass was detected in both lungs. No pathological wall thickness increase was observed in the esophagus within the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected 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": " Cardiomegaly, minimal pericardial-pleural effusion.  Consolidation areas in both lung lower lobes prominent on the left; is regressed.  Atelectasis in the lingular segment of the left lung"}
{"volume_path": "dataset/train_fixed/train_1016/train_1016_a/train_1016_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1016/train_1016_a/train_1016_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1016_a_1.nii.gz", "findings": "Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Submucosal millimetric nodular calcifications are observed in the walls of the trachea and both main bronchi, and the image is consistent with tracheobronkopatia osteochondroplastica. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed, the size of the heart has increased, being more prominent in the left heart. Pericardial effusion-thickening was not observed. The ascending aorta is 40mm in diameter and the descending aorta is 30mm in dilatation. Diffuse calcified atheroma plaques were observed in the thoracic aorta, its supraaortic branches, and coronary arteries, most prominently in LAD. In the mediastinum, lymph nodes with short axes less than 1 cm, some of which do not reach calcified pathological dimensions, are observed. Sliding type hiatal hernia was observed at the lower end of the esophagus. When examined in the lung parenchyma window; In both hemithorax, subcentimetric pleural effusion was observed on the right, reaching a depth of 3 cm on the left and extending to the major fissure. Passive atelectatic changes were observed in the lung areas adjacent to the effusion. A consolidation area with air bronchograms was observed in the posterobasal segment of the lower lobe of the left lung, and in the lower lobe of the left lung. There are patches of focal ground glass densities around the consolidation and in both lungs. In addition, there are centriacinar nodular infiltrates on the ground glass density in the area adjacent to the fissure in the posterior segment of the right lung upper lobe. Findings may be compatible with pneumonic infiltration. It is recommended to be evaluated together with the clinic and laboratory. Liver and spleen are normal as far as can be seen on non-contrast images. There is pancreatic fatty atrophy. Hypodense nodular lesions reaching approximately 5 cm in diameter are observed in both kidneys, the largest of which is in the upper pole of the left kidney cyst?. Bilateral adrenal glands were normal and no space-occupying lesion was detected. At the thoracic level, left-facing scoliosis was observed. Vertebral corpus heights are preserved.", "impression": "Fusiform aneurysmatic dilatation of the thoracic aorta, cardiomegaly . Sliding hiatal hernia at the lower end of the esophagus. Bilateral pleural effusion extending to the major fissure on the left. Consolidation with air bronchograms in the basal segments of the lower lobe of the left lung, patchy ground glass densities in both lungs and around the consolidation were evaluated as compatible with pneumonic infiltration. It is recommended to be evaluated together with clinical and laboratory.  Bilateral nodular hypodense lesions in the kidney, cyst? . Rotoscoliosis with left-facing thoracic opening."}
{"volume_path": "dataset/train_fixed/train_1023/train_1023_a/train_1023_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1023/train_1023_a/train_1023_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1023_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. As far as can be seen; Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The ascending aorta is observed to be wider than normal with an anterior-posterior diameter of 41 mm. Aorta diameter and pulmonary artery diameters from the pattern are normal. Heart contour, size 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. When examined in the lung parenchyma window; Free air images consistent with subcentimetric effusion and pneumothorax were observed in the left pleural space. The volume of the upper lobe of the left lung has decreased and it has a mild atelectasis appearance. In the upper lobe apical segments of both lungs, bulla-bleb formations up to 3.3 cm in size and diffuse cystic bronchiectasis were observed. Peribronchial thickenings are observed in the upper lobes and widespread centriacinar nodules are observed. In addition, diffuse interlobular septal thickenings in both lungs were noted. As far as can be seen in non-contrast sections; liver and spleen are normal. No stones were observed in both kidneys. 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": "Ascending aortic aneurysm. Left hydropnomothorax, marked reduction in left upper lobe volume of the left lung, and atelectasis.  Cylindrical bronchiectasis, bulla-blep formations in the apical segments of both lungs. Diffuse interlobular septal thickenings in both lungs, peribronchial thickenings in the upper lobes, and diffuse centriacinar nodules; It can be compatible with pneumonic infiltration. Clinical and lab. It is recommended to be evaluated together with."}
{"volume_path": "dataset/train_fixed/train_1035/train_1035_a/train_1035_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1035/train_1035_a/train_1035_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1035_a_1.nii.gz", "findings": "Evaluation of mediastinal structures was suboptimal due to lack of contrast agent. Heart size increased. Biatrial and left ventricular diameter increase is observed. A valve was placed in the ascending aorta history of TAVI operation. Cardiac pacemaker catheter is monitored. Pericardial effusion was not detected. There is an effusion reaching a diameter of 4 cm between the leaves of the right pleura and 2.5 cm between the leaves of the left pleura. Diffuse calcific atherosclerotic plaques are observed in the coronary arteries. The shooting was done during the expiration. Atelectasis parenchyma is observed in the lingula inferior segment of the left lung and in the basal segments of the lower lobes of both lungs, and more prominently on the right. There are aeration differences in both lung parenchyma. No pneumonic consolidation was observed. No mass space-occupying lesion was detected in the aerated lung parenchyma. No intra-abdominal fluid was detected in the upper abdominal sections included in the image. Old rib fractures are observed. There is advanced osteoporosis. There is a 20-30% loss of height in the T7 vertebra. Insufficiency fractures are observed in T11 and L1 vertebrae. There are advanced height losses in T11 and L1 vertebrae, and the vertebral corpuscles appear collapsed.", "impression": " TAVI operation, pacemaker, increased heart size, bilateral pleural effusion, subsegmental atelectasis in the lower lobes of both lungs.  Insufficiency fractures and previous costo fractures in vertebrae due to advanced osteoporosis."}
{"volume_path": "dataset/train_fixed/train_1058/train_1058_a/train_1058_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1058/train_1058_a/train_1058_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1058_a_1.nii.gz", "findings": "There is bilateral pleural effusion, more prominent on the right. The pleural effusion continues to the lung apex on the right, with the patient in the supine position, and measured 62 mm at its thickest point. The lower lobe of the right lung adjacent to the pleural effusion is completely atelectatic. Atelectasis was also observed adjacent to the effusion in the lower lobe of the left lung. Apart from these, linear atelectasis are also observed in the upper and middle lobes of the right lung and the lingular segment of the left lung upper lobe. There are nonspecific nodules in both lungs, the largest of which is approximately 5 mm in diameter. No mass was detected in both lungs. No infiltrative lesion was observed in both ventilated lungs. Mediastinal structures and abdominal 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. Atheroma plaques are observed in the aorta. The widths of the mediastinal main vascular structures are normal. A port chamber is observed under the skin in the right hemithorax. The port catheter terminates at the superior distal portion of the vena cava. 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. There is upper abdominal free fluid within the sections. No upper abdominal collection was detected in the sections. Nodular lesions are observed within the sections in the peritoneum and were evaluated in favor of implants. In addition, there are hypodense appearances in the liver and spleen, which are not characterized in this examination, but are found to be metastases when evaluated together with the patients previous examinations. Significant dilatation is observed in the intrahepatic bile ducts. Dilation continues up to the level of the main hepatic duct. The cause of this appearance could not be characterized, as no contrast agent was given. If there is an indication, further examination is recommended. Air is observed in the subhepatic region in the right upper quadrant. The described appearance may belong to the extraluminal free air or intestinal segment. This view could not be characterized because the entire abdomen was not included in the sections. If there is doubt about viscus performance, it is recommended to evaluate the patient with abdominal CT. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "In the follow-up, pancreatic ca, hypodense appearance in the pancreatic tail, which is understood to be the primary mass of the patient when evaluated together with the patients previous examinations, metastases in the liver and spleen, signs of peritoneal carcinomatosis, significant dilatation in the intrahepatic bile ducts. Bilateral pleural effusion. Nodules in both lungs. Emphysematous changes in both lungs. Air in the right upper quadrant, adjacent to the right lobe of the liver if there is doubt about viscus performance, further examination of the patient is recommended."}
{"volume_path": "dataset/train_fixed/train_1069/train_1069_a/train_1069_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1069/train_1069_a/train_1069_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1069_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are linear atelectasis in the upper lobe and lower lobe of the left lung. There are minimal emphysematous changes in both lungs. There are several millimetric nonspecific nodules 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 seen: Central venous catheter is seen on the right. The catheter terminates at the superior distal portion of the vena cava. It was observed that the caliber of the superior vena cava decreased. This appearance may be a chronic thrombophlebitic change. Heart contour and size are normal. No pleural or pericardial effusion was detected. Widespread atheroma plaques are present in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There is minimal pleural effusion on the left. 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 or pathologically enlarged lymph nodes were detected in the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Minimal pleural effusion on the left.  Atherosclerotic changes in the aorta and coronary arteries.  Atelectasis in the left lung.  Minimal emphysematous changes in both lungs.  Several millimetric nonspecific nodules in both lungs."}
{"volume_path": "dataset/train_fixed/train_1072/train_1072_a/train_1072_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1072/train_1072_a/train_1072_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1072_a_1.nii.gz", "findings": "Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Tracheostomy is observed in the patient. No occlusive pathology was detected in the trachea and both main bronchi. Bilateral minimal pleural effusion, more prominent on the right, was observed. Atelectasis is observed in the lower lobe of the right lung adjacent to the pleural effusion. Both lungs have a mosaic attenuation pattern small airway disease? small vessel disease?. There is a nodule measuring approximately 18x16 mm in the peripheral area in the anterior segment of the upper lobe of the right lung. The described appearance may be a primary or metastatic lung nodule. If present, it is recommended to be evaluated together with previous examinations and tissue diagnosis. Another nodule, approximately 10x12 mm in size, is observed in the middle lobe of the right lung. No mass or infiltrative lesion in both lungs was detected in this examination. The heart is larger than normal. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. A central venous catheter inserted from the right is observed. The catheter terminates in the superior distal part of the vena cava. Cardiac pacemaker is observed in the left hemithorax. The cardiac facemaker electrodes terminate at the apex of the right ventricle. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no upper abdominal free fluid-collection within the sections. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": "Nodular in the right lung if present, evaluation together with the patients previous examinations and tissue diagnosis is recommended . Bilateral pleural effusion, lung atelectasis adjacent to the pleural effusion on the right . Mosaic attenuation pattern in both lungs . Cardiomegaly and atherosclerotic changes in the aorta and coronary arteries"}
{"volume_path": "dataset/train_fixed/train_1081/train_1081_a/train_1081_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1081/train_1081_a/train_1081_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1081_a_1.nii.gz", "findings": "CTO is at the maximal physiological limit. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the coronary arteries in the descending and ascending aorta of the aortic arch. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed. In almost all stations in the mediastinum, lymph nodes of 21x16 mm are observed, the largest of which is in the right upper paratracheal area. No lymph node with pathological size and configuration was detected at each hilar level. There is a catheter appearance that continues from the right jugular vein to the superior vena cava and from there to the inferior vena at the level of the upper abdomen. When examined in the lung parenchyma window; In the right hemithorax, effacement and increase in density are observed in the facial borders compatible with edema-inflammation in the skin and polished soft tissue planes and partially in the muscle structures. The left hemithorax is symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. There is gynecomastia appearance on both sides. In the left lung, an atelectatic lung segment is observed adjacent to the pleural effusion, which extends from the basal to the upper lobe level and reaches approximately 17 mm in thickness where it is most prominent. There is a mosaic attenuation pattern in both lungs small airway disease?, small vessel disease?. However, it is thought that the appearance is accompanied by frosted glass-style density increments. It is recommended to be evaluated together with clinical and laboratory findings in terms of possible superposed infective processes. There is a 4 mm diameter nonspecific nodule in the right lung upper lobe anterior segment subpleural area. A subpleural 66x4 mm nodule is observed in the right lung lower lobe laterobasal segment. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The gallbladder wall is thickened and there is a possible bent appearance. The gallbladder wall is observed as mildly edematous. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Both kidneys are atrophic. The renal contours are irregular and there is contamination in the perirenal fatty planes. Thickening is observed in the peritoneal reflections on the right. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. There are findings compatible with DISH.", "impression": " Effusion in the left pleural space, adjacent ateletatic lung segment, mosaic attenuation pattern in both lungs small airway disease?, small vessel disease?, but it was thought that the appearance was accompanied by ground-glass-like density increments in places. It is recommended to be evaluated together with clinical and laboratory findings in terms of possible superposed infective processes.  Gynecomastia on both sides, edema-inflammation in the soft tissue planes in the right hemithorax.  Bilateral renal slightly atrophic appearance, irregularity in contours.  Edema and thickened appearance on the gallbladder wall.  Significant degenerative changes in bone structure; Findings consistent with DISH."}
{"volume_path": "dataset/train_fixed/train_1088/train_1088_a/train_1088_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1088/train_1088_a/train_1088_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1088_a_1.nii.gz", "findings": "There is free air extending along the mediastinum starting from both carotid sheaths prominent on the right. Heart contour and size are normal. Pericardial effusion was not detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the pulmonary trunk was 33 mm and increased. Bilateral minimal pleural effusion is observed. Several lymphadenopathies with a diameter of 15 mm are observed in the mediastinum and bilateral hilar regions, the largest in the right lower paratracheal area. Trachea diameter increased. Endotracheal tube is observed in the trachea. No occlusive pathology was detected in the trachea and both main bronchi. In both lungs, there are honeycomb appearance, interlobular septal thickness increases, which are more prominent in the lower lobes, and consolidative areas in which air bronchograms are observed in the lower lobe superior parts. Findings are consistent with interstitial pulmonary fibrosis and accompanying infective processes reported at the initial diagnosis of the patient. However, lymphangitic carcinomatosis could not be excluded in the patient with primary malignancy. The nasogastric tube ending in the stomach is observed. There is intraabdominal free air. As far as it can be evaluated within the limits of non-contrast CT; There is a 2.5 cm diameter hypodense lesion in the left kidney cyst?. A compression fracture is observed in the L1 vertebral corpus, which causes almost complete loss of height and shows retropulsion.", "impression": " Bladder Ca, interstitial pulmonary fibrosis in follow-up.  Free air starting from both carotid vascular sheaths prominent on the right and extending through the mediastinum-upper abdomen.  Honeycomb appearance in both lungs, increased interlobular septal thickness, consolidations in the lower lobes of both lungs with air bronchogram, bilateral minimal pleural effusion. It is recommended to be evaluated in terms of infectious pathologies. In the differential diagnosis of a patient with a primary malignancy, lymphangitic carcinomatosis is also less likely.  Mediastinal lymphadenopathies.  Hypodense lesion cyst? in the left kidney.  Compression fracture in L1 vertebral corpus that causes almost complete loss of height and shows retropulsion."}
{"volume_path": "dataset/train_fixed/train_1092/train_1092_a/train_1092_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1092/train_1092_a/train_1092_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1092_a_1.nii.gz", "findings": "Trachea and main bronchi are open. Right upper-lower paratracheal, aortopulmonary, prevascular millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index is natural. Pleural effusion measuring 22 mm in the thickest part of the right hemithorax is observed. In the evaluation of both lung parenchyma; Consolidation, which is primarily evaluated as a mass, is observed covering the superior and basal segments of the right lung lower lobe. In addition, there are focal consolidations in the upper lobe of the right lung, the mass adjacent to the middle lobe, the lower lobe, the apicoposterior and anterior segments of the left lung upper lobe, and the basal segments of the lower lobe. Apart from these, approximately 8x6 mm ima 52 nodular located in the fissure in the left lung upper lobe apicoposterior segment, 7 mm diameter nodule in the left lung lingular segment ima 126, low density nodule with 10 mm diameter ima 108 in the left lung lower lobe superior segment is monitored. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No additional pathology was distinguished in abdominal sections. In bone structures, metastasis is observed in the 4th rib on the left. Spinal canal causing total collapse and metastasis extending to the left peduncle are observed in the T12th vertebra. There is metastasis in the L2 vertebral body.", "impression": "The area of consolidation, which is primarily evaluated as a mass in the lower lobe of the right lung, is the most prominent in the upper lobe of the right lung, and focal consolidation areas in the lower lobe, also in the lingular segment of the left lung and in the lower lobes. The nodule appearances selected as the primary tumor are highly suspicious for metastasis.  Metastasis and exit to soft tissue in the left 4th rib."}
{"volume_path": "dataset/train_fixed/train_1104/train_1104_a/train_1104_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1104/train_1104_a/train_1104_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1104_a_1.nii.gz", "findings": "Suture materials secondary to previous surgery were observed in the sternum and anterior mediastinum. 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; thoracic aorta calibration is natural. Calibration of pulmonary arteries is increased. Heart size increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques and a stent placed in the LAD were observed in the LAD. 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; Effusion was observed in both hemithorax, measuring 57 mm in the deepest part on the right and 89 mm in the deepest part on the left. The left pleural effusion also extends to the fissure. Slightly more extensive compressive atelectasis was observed on the left in both lung lower lobe basal segments. Peribronchial cuffing was observed in both lungs. Interlobular-intralobar septal thickenings were observed in the upper lobes of both lungs, and the defined findings were initially evaluated in favor of cardiac stasis. A mosaic attenuation pattern was observed in both lungs small airway disease?, small vessel disease?. No mass lesion-active infiltration with distinguishable borders 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. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Suture materials secondary to surgery in the sternum and anterior mediastinum  Increase in pulmonary artery diameters, cardiomegaly, calcific atheroma plaques-stent in LAD  Bilateral pleural effusion, compressive atelectasis in the lung planes adjacent to the effusion, interlobular-septal thickening in the upper lobes of both lungs, peribronchial-intralobar cuffing; defined findings were evaluated in favor of cardiac stasis.  Mosaic attenuation pattern in both lungs small airway disease?, small vessel disease?"}
{"volume_path": "dataset/train_fixed/train_1107/train_1107_a/train_1107_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1107/train_1107_a/train_1107_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1107_a_1.nii.gz", "findings": "The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the aortic arch. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum and both hilum, calcified lymph nodes with short axes below 1 cm that did not reach pathological dimensions were observed. When examined in the lung parenchyma window; Pleural effusion measuring 25 mm in the deepest part on the right and 10 mm in the deepest part on the left was observed in both hemithorax. Mosaic attenuation was observed in the right lung middle lobe, left lung upper lobe inferior lingular and both lung lower lobe basal segments. There is segmental-subsegmental peribronchial thickening and luminal narrowing in both lungs. Mosaic attenuation has been found to be secondary to small airway stenosis. Linear subsegmental atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe, and in the basal segments of the lower lobes of both lungs. In the lower lobe basal segments of both lungs, more prominent ground glass densities were observed in the lung areas adjacent to the effusion on the right. Appearance is nonspecific. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. In the upper abdominal organs included in the sections, a 6.3 mm diameter nonspecific hypodense nodule was observed in the left lobe lateral segment of the liver cyst?. Osteodegenerative changes were observed in the bone structures in the study area.", "impression": " Cardiomegaly, calcific atheroma plaques in the aortic arch  Calcified lymph nodes in the mediastinum and in both hilum that do not reach pathological dimensions  Bilateral pleural effusion  Mosaic attenuation pattern secondary to small airway stenosis in both lungs  Nonspecific parenchymal nodules in both lungs  Changes in both lungs, nonspecific ground glass densities in lower lobe basal segments  Osteodegenerative changes in bone structure"}
{"volume_path": "dataset/train_fixed/train_1108/train_1108_a/train_1108_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1108/train_1108_a/train_1108_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1108_a_1.nii.gz", "findings": "Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart is in natural appearance. There are calcific atheromatous plaques in the main vascular structures. A hiatus hernia was observed at the lower end of the esophagus. Bilateral minimal cerebral and effusion were observed. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground-glass density, crazy paving appearances, subpleural bands and structural distortions were observed in both lungs on the ground with extensive emphysema CT involvement score was thought to be more than 75%. Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. There are centrilobular emphysema appearances in areas without involvement. 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 were observed in bone structures.", "impression": "Viral pneumonia? Outlooks include classic or probable findings for COVID. Emphysema Atherosclerosis Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."}
{"volume_path": "dataset/train_fixed/train_1116/train_1116_a/train_1116_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1116/train_1116_a/train_1116_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1116_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. No obvious pathology was detected. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. The patient has two central venous catheters. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No lymph nodes reaching pathological dimensions were detected in the biateral supraclavicular region and axillary region. No lymph node reaching mediastinal pathological dimension was detected. When examined in the lung parenchyma window; In both lungs, pleural effusion, which reaches 5. The lower lobe of the right lung has a total collapsed appearance. Posterobasal segment of the lower lobe of the left lung collapsed. Compression atelectasis and ground-glass appearances in the areas adjacent to the fluid in both lungs are remarkable stable. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. The liver contour entering the section area shows lobulation and its parenchyma is heterogeneous. Atrophic changes and surgical materials were observed in the center. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Free fluid was observed in all quadrants in the abdomen. There is thickening of the peritoneal surfaces in the abdomen. The appearance of mystic mesentery in the central mesenteric area is remarkable. The patients thoracic and lower thoracic region and abdomen have marked edema in the skin-subcutaneous tissue. Mild degenerative changes were observed in the bone structures in the study area. Vertebral corpus heights are preserved.", "impression": "Heterogeneity in the liver parenchyma and irregularity in its contour in a patient with chronic liver disease. Bilateral pleural fluid in local ankysis and atelectasis in the lower lobes of both lungs, ground glass appearances in both lungs . Free fluid in all quadrants of the abdomen."}
{"volume_path": "dataset/train_fixed/train_1118/train_1118_a/train_1118_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1118/train_1118_a/train_1118_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1118_a_1.nii.gz", "findings": "The left breast was not observed operated. Numerous nodular lesions were observed in the right breast and the neck within the sections, and in the subcutaneous adipose tissue in both hemithoraxes. There are also appearances similar to subcutaneous adipose tissue in the upper abdomen within the sections. The largest of the described nodular lesions is observed in the subcutaneous adipose tissue in the epigastric region and the longest diameter was 14 mm. The described lesions were evaluated in favor of metastases. There is bilateral pleural effusion, prominent on the right. The pleural effusion measured 55 mm at its thickest point on the right. No pleural thickening was detected. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: A mass is observed in the left pulmonary hilus, surrounding the left upper and lower lobe bronchi and completely obliterating the left upper lobe bronchus. The left upper lobe is atelectatic. Although the boundaries of the described lesion could not be determined clearly due to atelectasis and lack of contrast agent, its longest diameter was measured as 44 mm in its widest part series 2 section 112. The described appearance may be a primary or metastatic lung mass. Heart contour and size are normal. There is no pericardial effusion. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions in this examination. In the right pulmonary hilus, an appearance of soft tissue density is observed around the upper middle and lower lobe bronchi. The described appearance was primarily thought to be peribronchial consolidated lung segments. However, the presence of a mass cannot be excluded. It is recommended to evaluate the patient together with clinical and physical examination findings. Atelectasis is observed in the middle lobe of the right lung. Multiple nodules were observed in both ventilated lungs and were evaluated in favor of metastases. The largest of these metastatic nodules is observed in the left lung lower lobe superior segment and its longest diameter was 11 mm. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. There is a nodular lesion measuring 15 mm in diameter on the lateral leg of the left adrenal gland, which could not be characterized in this examination, but was thought to be metastasis when evaluated together with the primary disease. Multiple metastatic lesions are observed in the bone structures within the sections. The metastatic bone lesion observed in the sternum is accompanied by a soft tissue mass with an anterior-posterior diameter of approximately 30 mm at its thickest point. In addition, metastatic lesions observed in the vertebral bodies cause height loss in places. Height losses are generally around 50%.", "impression": "In the follow-up, breast Ca, multiple nodular lesions evaluated in favor of metastases in the subcutaneous fat tissue within the sections and in the right breast, soft tissue mass that may be metastasis-primary lung mass in the left pulmonary hilum, metastatic nodules in both lungs, left adrenal gland lateral leg that cannot be characterized in this examination, but Again, when evaluated together with the primary disease, it is thought to be metastasis nodular lesion, bone metastases, bilateral pleural effusion.  Soft tissue appearance around the upper middle and lower lobe bronchi in the right lung peribronchial consolidation? mass??."}
{"volume_path": "dataset/train_fixed/train_1118/train_1118_b/train_1118_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1118/train_1118_b/train_1118_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1118_b_1.nii.gz", "findings": "The examination was taken without contrast material and the evaluation of solid organs and vascular structures is suboptimal. The left breast was not observed operated. Numerous nodular lesions were observed in the right breast and the neck within the sections, and in the subcutaneous adipose tissue in both hemithoraxes. In addition, there are similar appearances in the subcutaneous fatty tissue of the upper abdomen within the sections. The largest of the nodular lesions described was observed in the subcutaneous adipose tissue in the epigastric region, and the longest diameter was approximately 15 mm. Lesions were interpreted in favor of metastasis. Moderate pleural effusion is observed on the right. No pleural effusion was observed on the left. A mass is observed in the left pulmonary hilus that surrounds the left upper and lower lobe bronchus and completely obliterates the left upper lobe bronchus. The left upper lobe is atelectasis. Although the boundaries of the lesions described could not be determined clearly due to atelectasis and lack of contrast agent, it was measured as 45 mm in the widest part as far as can be observed. The described appearance can be a primary and metastatic lung mass. Heart contour and size are normal. Minimal pericardial effusion is observed. The widths of the mediastinal main vascular structures are normal. Calcific atherpm plaques were detected in the aorta. Soft tissue densities are observed in the right pulmonary hilus, around the upper middle and lower lobe bronchi. The described appearance could not be clearly differentiated with peribronchial consolidated lung segments. The presence of the mass cannot be ruled out. When examined in the lung parenchyma window; Atelectasis is observed in the middle lobe of the right lung. Multiple nodules were observed in both lungs and were evaluated in favor of metastasis. The largest of these metastatic nodules is observed in the superior segment of the left lung lower lobe and the longest diameter was 11 mm. It is similar in size in the previous examination. No free fluid collection was detected in the upper abdomen within the sections. A nodular lesion measuring approximately 14 mm in diameter is observed in the lateral leg of the left adrenal gland, which cannot be characterized in this examination but is thought to be metastasis when evaluated together with the primary disease. The right adrenal gland did not enter the imaging area. Multiple metastatic lesions are observed in the bone structures within the sections. The metastatic bone lesion observed in the sterbum is accompanied by a soft tissue mass with an anterior-posterior diameter of approximately 30 mm at its thickest point, and no dimensional difference was detected with the previous examination. In addition, lytic lesions, which are compatible with metastasis and cause height loss, are also observed in the vertebral bodies. Height losses generally do not exceed 50%.", "impression": "  Unlike the previous examination, the amount of effusion in the right lung decreased and the effusion in the left lung disappeared."}
{"volume_path": "dataset/train_fixed/train_1118/train_1118_c/train_1118_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1118/train_1118_c/train_1118_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1118_c_1.nii.gz", "findings": "CTO is within the normal range. Pericardial effusion is present. Pulmonary trunk and both pulmonary artery calibrations are normal. Calibration of other major vascular structures in the mediastinum is also natural. At the right pectoral level, a venous port and a catheter in the superior vena cava are observed. There are calcific millimetric atheroma plaques at the level of the aortic arch. No lymph node was detected in the mediastinum in pathological size and configuration. Both hilar levels cannot be evaluated clearly. There is bilateral pleural effusion, reaching 40 mm on the right and 25 mm on the left, in its thickest part. It increased on the right and appeared on the left. When examined in the lung parenchyma window; The left lung upper lobe anterior segment bronchus is cut abruptly. Distal to this level, there is a soft tissue appearance in the mediastinum, which extends to the pleura, and cannot be distinguished from the left pulmonary artery, whose borders cannot be discerned. According to the previous examination, no significant difference was found in the dimensions of this lesion. How much of the appearance is mass lesion and how much is postobstructive atelectasis cannot be evaluated in this examination. Findings consistent with emphysema and a mosaic attenuation pattern are observed in both lungs. Also available in old review. In the upper lobe of the left lung, excess aeration secondary to possible air trapping is observed. Nodular lesions are observed in the left lung, the largest in the lower lobe superior segment and 17x12 mm in size. Although the number is constant according to the previous examination, there is a progression in the dimensions of the largest sized lesion. Linear density consistent with band atelectasis-sequelae changes is observed in the lower lobe. Sequelae changes at the apical level in the upper lobe of the right lung and the appearance of multiple nodules, which are smaller in size than the left, are also observed in the previous examination. Peribronchial sheath thickening and band atelectasis are observed. It was evaluated as compatible with metastasis. It was not observed in the left breast lodge. Mild thickening of the skin and subcutaneous soft tissue planes medially in the right breast and multiple millimetric nodularity in the breast are observed. There are multiple millimetric nodularities in the subcutaneous soft tissue planes of both hemithorax. There is metastatic widespread involvement in the bone structures in the examination area, mild in D1 and approximately 50% height loss in D7.", "impression": " Effusion was observed in both pleural distances prominently on the right, and according to the previous examination, the effusion became evident on the right and newly emerged on the left. How much of the lesion is a mass and how much is postobstructive atelectasis cannot be evaluated in this examination.  Multiple nodules are present in both lungs, the largest of which is in the superior segment of the lower lobe on the left. According to the previous examination, there is progression in the largest sized lesion.  Mosaic attenuation pattern in both lungs obvious air trapping in the left upper lobe of the lung. Nodular lesion suggestive of metastasis in the left adrenal lateral crus.  Pericardial effusion.  Not observed in the left breast site, millimetric multiple nodular lesion in the right breast.  Multiple stable nodules met? in subcutaneous fatty planes posterior to both hemithorax."}
{"volume_path": "dataset/train_fixed/train_1126/train_1126_b/train_1126_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1126/train_1126_b/train_1126_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1126_b_1.nii.gz", "findings": " A catheter is inserted from the right, extending from the right internal jugular vein to the left brachiocephalic vein. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be seen; The heart contour and size are natural. Calibration of mediastinal vascular structures is natural. Pericardial effusion was not observed. Stable pleural effusion is observed on the right. There is a subcentimetric minimal effusion on the left. No lymph node was observed in the mediastinum in pathological size and appearance. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. When examined in the lung parenchyma window; The lower lobe of the right lung is completely atelectasis. Atelectasis was also observed in the middle lobe of the right lung. No mass lesions were detected in both lungs. In the left upper lobe anterior of the left lung, there is a newly developed area of increase in density consistent with consolidation in which airbronchograms are also observed. Pneumonic infiltration is considered primarily in its etiology. It is recommended to be evaluated together with clinical and laboratory findings. In the upper abdominal sections within the image; the left lobe of the liver was observed as atrophic. There is lobulation in the liver contours. Cystic lesions-collections were observed in the right lobe of the liver. No lytic or destructive lesions were detected in the bone structures within the image.", "impression": " In the current examination, there is a newly developed area of density increase compatible with consolidation in millimetric dimensions, in which airbronchograms are also observed in the anterior upper lobe of the left lung. Pneumonic infiltration is considered primarily in its etiology. It is recommended to be evaluated together with clinical and laboratory findings.  Atrophy in the left lobe of the liver, lobulation in the liver contour, cystic lesion-collections in the right lobe of the liver."}
{"volume_path": "dataset/train_fixed/train_1126/train_1126_c/train_1126_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1126/train_1126_c/train_1126_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1126_c_1.nii.gz", "findings": "There is a 7 mm diameter nodule with peripheral rim calcification in the right lobe of the thyroid gland. Heart contour and size are normal. Pericardial effusion was not detected. A central venous catheter is observed. The widths of the mediastinal main vascular structures are normal. 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 right lower paratracheal area. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Endotracheal tube is observed. There is an approximately 6 cm thick effusion in both hemithorax and compression atelectasis in which air bronchograms are observed adjacent to the effusion. A percutaneous drainage catheter placed on the right is observed. No mass or infiltrative lesion was observed in both lungs. There is free air in the anterior mediastinum and intra-abdominal. The drainage catheter placed in the left paramedian area ends at the level of the cardia. Abdominal evaluation is not optimal due to extensive artifacts. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": " Liver transplant recipient.  Bilateral pleural effusion, compression atelectasis adjacent to the effusion.  Anterior mediastinal and intra-abdominal free air.  Calcific nodule in the right lobe of the thyroid gland.  Drainage catheters in the abdomen and in the right pleural space."}
{"volume_path": "dataset/train_fixed/train_1127/train_1127_a/train_1127_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1127/train_1127_a/train_1127_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1127_a_1.nii.gz", "findings": "The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. No pericardial effusion or thickening was detected. Effusion up to a depth of 20 mm was observed in the left pleural space. In the posterobasal segment of the lower lobe of the left lung adjacent to the effusion, an area of increase in density was observed, which was evaluated in favor of compressive atelectasis, in which air bronchogram areas were observed in the linear. There are sequela parenchymal changes in the posterobasal segment of both lung lower lobes. No active infiltrative or mass lesion was detected in both lung parenchyma. Peribronchial diffuse mild increase in thickness is present. There are a few non-specific nodules of millimeter size in both lungs. Ventilation of both lungs is natural. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. No lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance. No fracture or lytic-destructive lesion was observed in the bone structures within the image.", "impression": " Left pleural effusion and compressive atelectasis in the adjacent lung parenchyma, sequela parenchymal changes in the lower lobes of both lungs, diffuse peribronchial minimal thickness increase in both lungs, millimetric non-specific nodules in both lungs."}
{"volume_path": "dataset/train_fixed/train_1128/train_1128_b/train_1128_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1128/train_1128_b/train_1128_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1128_b_1.nii.gz", "findings": " CTO is at the maximal physiological limit. The aortic arch calibration is 31 mm, slightly wider than normal. Pulmonary conus calibration is 28 mm and it is in the maximal physiological limit. Both pulmonary artery calibrations are 26 mm and they are in the maximal physiological limit. There are calcific atheroma plaques in the aortic arch, coronary arteries, and ascending aorta. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed. No lymph node with pathological size and configuration was detected in the mediastinum. There are no prominent lymph nodes that can be distinguished in non-contrast examination at both hilar levels. Trachea, both main bronchi are open. When examined in the lung parenchyma window; In the left lung, thick-walled loculated fluid appearances are observed at the base and upper lobe level empyema?. It cannot be evaluated clearly in non-contrast examination. The left lung gives the appearance of total collapse. Lung ventilation cannot be selected. The parenchyma areas that were ventilated in the previous review could not be selected in the current review. A lesion of approximately 11x11 mm in size with lobulated contours in the paramediastinal area at the level of the upper lobe of the left lung is observed as stable according to the previous examination. Significant pleural effusion is observed in the right lung, extending from basal to apex, and the AP size was measured as 97 mm at the base at its thickest point. An atelectatic lung segment is observed adjacent to it. Right lung mosaic attenuation pattern is observed small vessel disease?, small airway disease? Sequelae changes are observed in the middle lobe in the lower lobe anterior segment of the right lung. Soft tissue appearances in the form of thickening-consolidative areas are observed in the perihilar area and peribronchial sheath extending along the segmental bronchi on the right, and they were not detected 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. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are cortical cysts in both kidneys. Diverticulum appearance is observed in the transverse colon. No sign of diverticulitis was detected. There are degenerative changes in the bone structure in the examination area. There is significant height loss in the T5 vertebra about 60% height loss.", "impression": "  Total collapse in the left lung, thick-walled collections empyema? at the upper lobe and basal level. It cannot be evaluated clearly in the non-contrast examination in the previous examination, there was partial aeration in the left lung.  Mild atelectatic lung segment adjacent to large pleural effusion in the right lung that was not observed in the previous examination . Peribronchial thickening-consolidative parenchyma areas in the right lung starting from the hilar level and continuing along the segmental bronchi. It was not detected in the previous review.  Mosaic attenuation pattern in the right lung . Bilateral renal cortical cysts . Loss of height in the T5 vertebra . Large erroneous hernia"}
{"volume_path": "dataset/train_fixed/train_1136/train_1136_a/train_1136_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1136/train_1136_a/train_1136_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1136_a_1.nii.gz", "findings": "Due to the lack of contrast in the examination, mediastinal main vascular structures and the heart could not be evaluated optimally, and the pulmonary trunk and both pulmonary arteries are observed to be wider than normal. There are calcific atheroma plaques in the wall of the aortic arch and descending aorta. Pericardial effusion was not detected. A free effusion measuring 10 mm in the deepest part of the right pleural area and 15 mm in the left is observed. Aorticopulmonary window is observed in the mediastinum, and lymph nodes with a short diameter of 13 mm are observed at the precarinal level. In addition, there are lymph nodes with a short diameter less than 1 cm that are not in pathological size and appearance. Trachea, both main bronchi are open and no occlusive pathology is detected. There is no pathological increase in wall thickness in the thoracic esophagus, and there is a sliding type hiatal hernia at the lower end of the esophagus. No lymph node was detected in the pathological size and appearance in the bilateral axillary region. In the examination made in the lung parenchyma window; evaluation secondary to breathing movements is suboptimal. Active infiltration or mass lesion was not detected in both lung parenchyma, and a few nonspecific nodules in millimetric dimensions, the largest of which was 3 mm in size in the anterior segment of the right lung upper lobe, are not observed. There is a mosaic attenuation pattern in both lung parenchyma small airway disease? small vessel disease?. An increase in liver dimensions was noted in the upper abdominal sections within the image. An 11mm long, 4mm thick hyperdense stone is observed in the middle zone of the left kidney. In the bone structures within the image, there is compression that causes approximately 70% loss of height in the central part of the L1 vertebrae corpus. There is a decrease in L1-L2 disc height, a vacuum phenomenon in disc space, and degenerative changes in the end plateaus adjacent to the disc space. At the L1-L2 level, narrowing is observed in the bilateral neural foramen foramen. There are osteophytic degenerative changes in the vertebral corpus end plateaus.", "impression": "Bilateral pleural effusion. Pulmonary conus and both pulmonary arteries are larger than normal, with calcified plaques of aoromas in the wall of the aortic arch and descending aorta. Short lymph nodes greater than 1 cm in diameter at the level of the precarinal and aorticopulmonary window. Hiatal hernia. Both lung parenchyma could not be evaluated optimally secondary to breath movement artifact, and a few millimeter-sized nonspecific nodules mosaic attenuation pattern small airway disease? small vessel disease?. Hepatomegaly, left nephrolithiasis in upper abdominal sections within the image.  Osteodegenerative changes in the bone structures within the image, compression that causes approximately 70% loss of height in the central part of the L1 vertebra corpus, decrease in disc height in the vacuum phenomenon at L1-2 disc distance, degenerative changes in the end plateaus adjacent to the disc distance, narrowing in the bilateral neural foramen at the L1-L2 level."}
{"volume_path": "dataset/train_fixed/train_1143/train_1143_a/train_1143_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1143/train_1143_a/train_1143_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1143_a_1.nii.gz", "findings": "As far as can be observed within the limits of unenhanced CT: The air column of the nasopharynx, oropharynx, hypopharynx, larynx and trachea is normal. Rosenm\u00fcller fossa, Eustachian tube angles and torus tubercles are normal. In this examination, no mass with distinguishable borders was detected in the parapharyngeal adipose tissue. Retropharyngeal lymph node was not observed. The epiglottis, periepiglottic space, aryepiglottic folds and pyriform sinuses are normal. A mass with distinguishable borders on the soft and hard palate, tongue and floor of the mouth was not detected in this examination. No mass with discernible borders was observed in the larynx and paralaryngeal region. Bilateral parotid and submandibular glands appear normal. The bilateral thyroid gland also appears normal. No pathologically enlarged lymph node was detected in the neck. There are lymphadenopathies in the infraclavicular region, adjacent to the subclavian vessels, with the shortest diameter of the largest one measuring 14 mm in the widest part series 3-section 261. Millimetric lymph node is observed adjacent to the proximal part of the left internal mammary artery. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. Heart contour and size are normal. There is pericardial effusion measuring approximately 10 mm in its thickest part. No pleural effusion was detected. The widths of the mediastinal main vascular structures are normal. There is a central venous catheter on the right. No pathological increase in wall thickness was detected in the esophagus within the sections. Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There are emphysematous changes in both lungs. There are linear atelectasis in the lower lobe of both lungs, the middle lobe of the right lung, and the lingular segment of the left lung upper lobe. No mass or infiltrative lesion was detected in both lungs. Intraabdominal diffuse free fluid is observed. In addition, plaque-like thickening and nodular density increases are observed in the omentum and are thought to be compatible with peritoneal carcinomatosis. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Findings evaluated in favor of peritoneal carcinomatosis. Lymphadenopathies in the left infraclavicular region.  Pericardial effusion."}
{"volume_path": "dataset/train_fixed/train_1146/train_1146_a/train_1146_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1146/train_1146_a/train_1146_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1146_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. There is an effusion of 11 mm in diameter at the widest part of the pericardium. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Conglomerate lymphadenopathies are observed in the mediastinum at the right hilar, pretracheal, and subcarinal level, and the largest ones are located in the right paratracheal region, and the larger ones reach a diameter of approximately 68 mm. When examined in the lung parenchyma window; Bilateral pleural effusion is 23 mm on the left and 58 mm on the right. Layer-like calcifications are observed in the pleura on the right. Although there are parenchymal atelectasis adjacent to the effusion in the right lung, a solid mass appearance was observed starting from the central and filling the lower lobe completely. In addition, consolidation and ground glass densities are observed in the upper lobe of the right lung, starting from the central and extending peribronchially. There is a nonspecific 7 mm paramediastinal nodule in the upper lobe of the left lung. In the upper abdominal organs included in the sections, there are millimetric stone densities in the gallbladder. A 34x32 mm mass lesion with slightly irregular borders is observed in the right adrenal gland. There are millimetric cortical cysts in both kidneys. Bone structures in the study area are natural. A 14 mm hypodense lesion is observed in the right half of the T12 corpus.", "impression": "Mass that is thought to be compatible with the primary extending from the central to the lower lobe of the right lung and metastatic LAPs to the mediastinal conglomerate on the right . Pericardial and bilateral pleural effusion . Parenchymal infiltrations and consolidations in the right lung upper lobe starting from the central and extending to the periphery . Paramediastinal nonspecific nodule in the left lung upper lobe .  Right adrenal metastatic lesion . Cholelithiasis . Bilateral renal cysts . Lesion compatible with hemangioma in the right half of the T12 corpus primarily"}
{"volume_path": "dataset/train_fixed/train_1146/train_1146_b/train_1146_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1146/train_1146_b/train_1146_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1146_b_1.nii.gz", "findings": "Mediastinal structures cannot be evaluated optimally because contrast material is not given. When the previous examinations of the patient are evaluated, a large centrally located mass in the mediastinum is observed. It is observed that the mass extends in infiltrative character along the bronchial structures in the lower lobe of the right lung, and the right lung is almost completely atelectatic. In addition, there are conglomerated lymphadenopathies in the mediastinum in the previous examination. In this examination, an infiltrative soft tissue lesion located centrally in the mediastinum at the level of the superior segment of the right lung lower lobe is observed. The described appearance was understood to be the primary mass of the patient. The mass extends along the lower lobe bronchus of the right lung. Since contrast material is not given, a clear assessment cannot be made, and the boundaries of the mass cannot be distinguished from the mediastinal main vascular structures, the right main bronchus and the right lower lobe bronchus. Lymphadenopathies are observed in the mediastinum. The largest of these lymphadenopathies is observed in the paratracheal region and is approximately 27x25 mm in size. Heart contour and size are normal. There is minimal pericardial effusion. Minimal pleural effusion is observed on the right. In addition, calcified pleural plaques were observed on the right. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Linear density increases and volume loss are observed in the lateral segment of the upper lobe of the right lung. The described appearance was thought to be compatible with the treatment-related change. There is volume loss and interlobular septal thickening in the lower lobe of the right lung. The described appearance is non-specific. This appearance may be compatible with lymphangitis carcinomatosis. There are emphysematous changes in both lungs. Linear density increases were also observed in both lungs. Nodules were observed in both lungs. The largest of these nodules is observed in the lateral segment of the right lung middle lobe and measured 8 mm in diameter. There was no appearance that could be evaluated in favor of pneumonic infiltration in both lungs. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. There is a stone in the gallbladder. Lytic bone lesions were observed in the bone structures within the sections and were thought to be metastases.", "impression": " In the follow-up, lung ca, malignant mass extending along the lower lobe of the right lung in the mediastinum, lymphadenopathies in the mediastinum, interlobular septal thickenings in the lower lobe of the right lung lymphangitis carcinomatosis?, bone metastases.  Minimal pericardial and pleural effusion.  Calcified pleural plaques on the right.  Nodular metastases? in both lungs.  Atelectasis in both lungs.  Treatment-related changes in the right lung.  Cholelithiasis."}
{"volume_path": "dataset/train_fixed/train_1146/train_1146_c/train_1146_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1146/train_1146_c/train_1146_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1146_c_1.nii.gz", "findings": " Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. Heart contour size is normal. There is minimal pericardial effusion. Minimal pleural effusion is observed on the right, and there are also calcified pleural plaques on the right. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mediastinal lymphadenopathies are observed. The largest of these lymphadenopathies is observed in the right paratracheal region and is approximately 27x25 mm in size. When examined in the lung parenchyma window; At the level of the superior segment of the right lung lower lobe, a centrally located soft tissue lesion in the mediastinum with an infiltrative character is observed. The described appearance was found to be the patients primary mass. The mass extends along the segmental bronchi of the lower lobe of the right lung. Since contrast material is not given, a clear assessment cannot be made, and the borders of the mass cannot be distinguished from the mediastinal main vascular structures and the right main bronchus. Linear density increases and volume loss are observed in the lateral right lung upper lobe. The described appearance was thought to be consistent with treatment-related change and was stable. There is volume loss and interlobular septal thickening in the lower lobe of the right lung. This appearance may be compatible with lymphangitis carcinomatosa, it was also present in the previous examination of the patient, and no significant difference was detected. There are emphysematous changes in both lungs. Linear density increases were observed in both lungs. Nodules were observed in both lungs. The largest of these nodules is observed in the lateral segment of the right lung middle lobe and measured 8 mm in diameter. There was no appearance to be evaluated in favor of pneumonic infiltration in both lungs. No upper abdominal free fluid-collection or lymph node in pathological size and appearance was observed in the sections. 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. Stones were observed in the gallbladder. The left adrenal glands were normal and no space-occupying lesion was detected. Lytic bone lesions were observed in the bone structures within the sections and were thought to be metastases. Vertebral corpus heights are preserved.", "impression": " Lung ca.  Stable malignant mass extending along the lower lobe of the right lung in the mediastinum, stable mediastinal lymphadenopathies, interlobular septal thickenings in the lower lobe of the right lung lymphangitis carcinomatosa?, are stable.  Stable parenchymal nodules, atelectasis in both lungs, changes in the upper lobe of the right lung secondary to treatment.  Minimal pericardial and pleural effusion; is stable.  Cholelithiasis.  Stable thickening of the right adrenal gland corpus.  Bone metastases are stable."}
{"volume_path": "dataset/train_fixed/train_1146/train_1146_d/train_1146_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1146/train_1146_d/train_1146_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1146_d_1.nii.gz", "findings": "Trachea and main bronchi are open. The cardiothoracic index is natural. Pericardial minimal smear-like effusion is observed. Mediastinal vascular structures have a natural appearance. In the evaluation of both lung parenchyma; In the right hilar localization, a malignant mass whose borders cannot be clearly distinguished from mediastinal lymphadenopathies and narrows the right lung lower lobe bronchi, surrounds and obstructs the lower lobe superior and basal segment bronchi and extends to the lower lobe posterobasal and mediobasal segments is observed. According to the previous examination, in the lower lobe of the right lung, multiple nodules with a similar character and a separate mass from the mass, the larger one 14 mm in size, are observed and are located in the major fissure. Nodularities are observed in interlobular septal thickenings in the basal segment of the lower lobe of the right lung. It may be compatible with lymphangitis carcinomatosa. Right pleural thickening and calcifications are observed. In the sections passing through the upper part of the abdomen, a 2x3 cm mass is observed in the right adrenal gland. The right adrenal lesion was 19 mm in the previous examination, and the mass increased in size and took a mass form in the current examination. No significant pathology was detected in other abdominal sections. No obvious pathology was detected in bone structures.", "impression": " Pericardial minimal smear-like effusion.  A malignant mass whose borders cannot be clearly distinguished from mediastinal lymphadenopathies in the right hilar localization, narrows the right lung lower lobe bronchi, surrounds and obstructs the lower lobe superior and basal segment bronchi, and extends to the lower lobe posterobasal and mediobasal segments, causing atelectasis with indistinguishable borders from the atelectasis mass according to the previous examination increase in size. According to the previous examination, in the lower lobe of the right lung, multiple nodules with a similar character and a separate mass from the mass, the larger one 14 mm in size, are observed and are located in the major fissure.  Nodularities in interlobular septal thickenings in the basal segment of the lower lobe of the right lung. It may be compatible with lymphangitis carcinomatosa.  Right pleural thickening and calcifications.  Metastasis that increases in size and becomes a mass in the right adrenal gland"}
{"volume_path": "dataset/train_fixed/train_1146/train_1146_e/train_1146_e_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1146/train_1146_e/train_1146_e_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1146_e_1.nii.gz", "findings": "There is a metastatic lymph node showing an increase in size in the right supraclavicular fossa. Its short diameter measured 21 mm 9 mm in the previous examination. Heart dimensions and compartments appear natural. There is a smear-like pericardial effusion. Its diameter was measured 13 mm adjacent to the left ventricle. New metastatic lymph nodes are observed in the paracardiac fat pad. The shortest diameter of the largest measured 16 mm. Plaque-like mass lesion based on mediastinal pleura in the paracardiac fat pad is not observed in the previous examination. It is newly developed. It measures 54 mm in diameter. There is a 3 cm diameter pleural effusion between the left pleural leaves. When the lung parenchyma window is examined; There is a centrally located mass lesion in the right lung hilum obstructing the lower lobe bronchus. Mediastinal infiltration of the lesion is observed. It surrounds the trachea. It extends to the supcarinal area. The size of the component infiltrating the mediastinum has increased in the vicinity of the left atrium of the tumoral lesion. Mediastinal prevascular paratracheal and subcarinal lymph nodes showing conglomeration are observed. In the upper mediastinum, the size of the conglomerated lymph nodes increased at 1-month intervals. In the current examination of the right lung, air is not ventilated except in the apical and anterior segment of the upper lobe. The appearance of solid density filling the right hemithorax was thought to belong to the mass. The presence of concomitant postobstructive pneumonia cannot be excluded. Peribronchial patchy consolidation areas are observed in the upper lobe of the left lung. It was not observed in his previous examination. It is nonspecific, may belong to the infective process. Clinical correlation is recommended. In upper abdominal sections; the size of the patients right adrenal metastasis increased. Measured 39mm. It was 25 mm in the previous examination. No lytic-destructive lesions were detected in bone structures. However, there are occasional sclerotic bone lesions in the ribs, vertebral corpuscles and sternum, and it was considered suspicious in favor of bone metastasis. It is also present in the previous examination. No significant difference was detected.", "impression": " An increase in the size of a mass lesion infiltrating the mediastinum in the right lung hilum, an increase in the size of metastatic lymph to the mediastinal conglame.  New metastatic lymph nodes in the paracardiac fat pad.  Increased size of right adrenal metastases.  The right lung is almost not ventilated, concomitant pneumonia cannot be excluded in the localization of the solid mass filling the right hemithorax.  Patchy areas of consolidation in the upper lobe of the left lung may belong to the infective process  Left pleural effusion.  Right supraclavicular metastatic lymph node showing increased size.  Radiological findings are consistent with progressive disease.  Suspected bone metastases."}
{"volume_path": "dataset/train_fixed/train_1147/train_1147_a/train_1147_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1147/train_1147_a/train_1147_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1147_a_1.nii.gz", "findings": "Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. Calibration of vascular structures as far as can be observed is natural. An increase in heart size is observed. A pacemaker is observed on the anterior left chest wall and there is a catheter extending to the right ventricular wall. Pericardial effusion was observed. Measured approximately 30mm deep. Bilateral pleural effusion was observed. It measures approximately 75 mm at its deepest point on the right and approximately 55 mm at its deepest point on the left. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, there are lymph nodes with fusiform configuration, the largest of which is approximately 18x9 mm in size at the prevascular level. When examined in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lungs, and there are smooth interlobular-interstitial septal thickness increases. It was primarily evaluated as secondary to cardiac pathology. In the upper abdomen sections within the image, no intraabdominal free fluid or loculated collection 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 in the study area.", "impression": " Increase in heart size  Pericardial and bilateral pleural effusion  Smooth interlobular-interstitial septal thickness increases in both lungs; evaluated as secondary to cardiac pathology."}
{"volume_path": "dataset/train_fixed/train_1148/train_1148_a/train_1148_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1148/train_1148_a/train_1148_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1148_a_1.nii.gz", "findings": "Median sternotomy is observed. No collection with distinguishable borders was detected in the presternal and retrosternal regions. A nonspecific increase in density is observed in the mediastinal adipose tissue in the retrosternal region and it was evaluated in favor of postoperative change. 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. There is no obvious pericardial thickening. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. Surgical materials are observed in the aortic and mitral valve. 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. Pleural effusion is observed on the left. There is no pleural effusion on the right. Trachea and both main bronchi are normal. There is no obstructive pathology in the trachea and both main bronchi. There is atelectasis adjacent to the effusion in the lower lobe of the left lung. There is also linear atelectasis in the left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs. There are minimal emphysematous changes in both lungs. A few millimetric nonspecific nodules were observed in both lungs. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. There are stones in the gallbladder about 1 cm in diameter. There is no enlargement of the bile ducts. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are narrowed. The neural foramina are narrowed.", "impression": "Surgical materials in the aorta and mitral valve, minimal pericardial effusion, atherosclerotic changes in the aorta and coronary arteries . Pleural effusion in the left . Atelectasis in the left lung . Minimal emphysematous changes in both lungs . Cholelithiasis"}
{"volume_path": "dataset/train_fixed/train_1149/train_1149_a/train_1149_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1149/train_1149_a/train_1149_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1149_a_1.nii.gz", "findings": "When the previous examinations of the patient are examined, the primary mass of the patient is observed in the anteromediobasal segment of the lower lobe of the left lung. In this localization, consolidation with air bronchograms and the patients primary mass can be observed in this examination. However, due to the presence of consolidation, the dimensions of the primary mass cannot be evaluated clearly. There are multiple nodules in both lungs, many with irregular borders. The largest of these nodules is observed in the superior segment of the lower lobe of the right lung and is approximately 28x31 mm in size. The described nodules were primarily evaluated in favor of metastases. There is an increase in the size of the previously existing lesions. Consolidations and ground glass areas are observed in the peribronchial areas in the upper lobe and lower lobe central parts of the left lung. In addition, interlobular septal thickenings are observed in the superior segment of the lower lobe of the left lung. Although the described appearances are nonspecific, these appearances were evaluated in favor of infective pathology. Infections with consolidation and ground glass areas can be observed in many pathologies. In the differential diagnosis, it is recommended to evaluate the patient together with clinical and laboratory findings. There is no infiltrative lesion in the right lung. There is pleural effusion on the left. There is no pleural effusion on the right. 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. There are atheromatous plaques in the aorta and coronary arteries. Lymphadenopathies are observed in the mediastinum, in the lower cervical chain within the sections, and in the hilar regions. These lymphadenopathies can also be observed in the previous examination of the patient, and no significant difference was found in their number and size. The larger of these lymphadenopathies are observed in the subcarinal area. However, since contrast material is not given, its borders cannot be evaluated clearly. There is no pathological wall thickness increase in the esophagus within the sections. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Lung Ca on follow-up, mass found to be the primary mass of the patient in the lower lobe of the left lung, metastases in both lungs. Lymphadenopathies in the mediastinal and hilar regions and in the lower cervical chain within the sections.  Pleural effusion on the left. Findings evaluated in favor of infective pathology in the left lung."}
{"volume_path": "dataset/train_fixed/train_1149/train_1149_b/train_1149_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1149/train_1149_b/train_1149_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1149_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 mediastinal and vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There are density increases around the lesion evaluated in favor of a sequelae change. There is a stable pleural effusion according to the previous examination measuring 24 mm between the left pleural leaves. According to the previous examination, there are lymph nodes in both axillary regions, whose stable fatty hilus can be observed. Stable parenchymal nodules were observed in the right lung, the largest of which was 11 mm in diameter in the lower lobe superior segment, according to the previous examination. No lytic-destructive lesion was detected in bone structures.", "impression": " Lung ca. There was no significant change in the size and appearance of the mass observed in the left lung basal segment. Stable locally calcified pleural thickening and stable pleural effusion in the basal segments on the left.  Stable lymph nodes in the mediastinum and both axillary regions.  Stable increase in thickness in the left adrenal gland.  Stable parenchymal nodules in the right lung."}
{"volume_path": "dataset/train_fixed/train_1149/train_1149_c/train_1149_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1149/train_1149_c/train_1149_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1149_c_1.nii.gz", "findings": " The central venous catheter placed from the right ends at the level of the superior vena cava. Heart contour and size are normal. Minimal pericardial effusion is observed. The widths of the mediastinal main vascular structures are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. There are several nodular lesions, the largest of which is 1 cm in diameter, in the pericardial fat pad. A few lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions, the largest in the left hilar region, and no significant difference was detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In the left lung lower lobe superior segment, in the paramediastinal area, there is a mass obliterating the bronchus, the borders of which cannot be characterized in this examination without contrast, and it extends to the transdiaphragmatic area and invades the spleen and descending colon. There are areas of atelectasis and areas of frosted glass in the neighborhood of the mass. A 2 cm thick pleural effusion is observed in the left hemithorax, and there are occasional calcifications on the pleural surface. No significant difference was found between the results. In the posterior segment of the left lung upper lobe, subpleural consolidation area, and occasionally nodule-nodular consolidation areas, and atelectasis in the paramediastinal area are observed. No significant difference was found between the results. A few millimetric nodules are observed in the right lung and are stable. No mass or infiltrative lesion was detected in the right lung. As far as can be evaluated within the limits of non-contrast CT; The lesion detected in the previous examination at the level of liver segment 6-7 can be difficult to detect in this examination. It was measured in 12 mm diameter and no significant difference was detected. The thickness increase of 1 cm in the left adrenal gland is stable. A few lymphadenopathies, the largest of which is 9 mm in diameter, are observed in the peripancreatic-pericolonic area and are stable. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": " Small cell lung Ca in follow-up; mass obliterating the bronchus in the lower lobe of the left lung, invading the spleen and descending colon with transdiaphragmatic extension, and an adjacent area of atelectasis, effusion accompanied by calcification on the pleural face in the left hemithorax; no significant difference was found between the findings.  Nodule-nodular consolidation and atelectasis areas in the left lung and; is stable.  Mediastinal, bilateral hilar and intra-abdominal lymph nodes; is stable.  Stable hypodense lesion in the right lobe of the liver  Stable nodular thickness increase in the left adrenal gland"}
{"volume_path": "dataset/train_fixed/train_1149/train_1149_d/train_1149_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1149/train_1149_d/train_1149_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1149_d_1.nii.gz", "findings": " In the left lung, the infiltrative mass is stable, starting from the lower lobe basal and crossing the diaphragm, invading the spleen and splenic flexure. Chronic effusion with calcification on the wall of the left hemithorax is stable. A newly developed effusion with a diameter of 13 mm is observed in the pericardial area. There is a hypodense lesion in the liver at the level of segment 6 of the right lobe, the borders of which cannot be clearly distinguished within the examination. Millimetric nonspecific nodules are stable in both lung parenchyma. Diffuse thickening of the left adrenal gland is stable. Lymph nodes with a short axis reaching 12 mm in the right prehepatic subdiaphragmatic adipose tissue are stable.", "impression": " There was no significant difference in the findings of chronic effusion on the left, a mass at the base of the left lung that crossed the diaphragm and invaded the spleen and splenic flexure.  Stable mass in the posterior right lobe of the liver.  Newly developed pericardial effusion; Apart from this, no significant difference was found between the examinations."}
{"volume_path": "dataset/train_fixed/train_1157/train_1157_d/train_1157_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1157/train_1157_d/train_1157_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1157_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 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. In both hemithorax, there are effusions with a thickness of 48 mm on the left and 13 mm on the right, more prominently on the left. When examined in the lung parenchyma window; A cavitary mass lesion that causes bronchial destruction around the bronchus in the lower lobe superior, which was observed in both lungs in the previous examination, was also observed in the right lung upper lobe posterior segment in the previous examination and measured up to 9 mm 8 mm in the previous examination, which was observed in the previous examination and showed a slight increase in size in the current examination.  suspicious solid nodular lesion in favor of malignancy is observed. A suspicious nodule in favor of malignancy, which was measured up to 6 mm in the previous examination and 8.5 mm in the current examination, is observed adjacent to the fissure in the superior lower lobe of the left lung. In the upper sections included in the study area, findings measuring up to 21 mm in the left parenchyma of the liver and up to 42 mm in the right lobe were evaluated in favor of metastases. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Nasogastric tube is available. Atrophic left kidney was observed. No lytic-destructive lesion was detected in bone structures.", "impression": "Solid nodular lesions with cavitary causing destruction around the bronchus in the left lung lower lobe superior, with an increase in the surrounding destruction in the current examination, with high suspicion of mild dimensional increases in favor of malignancy in the right lung upper lobe posterior segment and left lung lower lobe superior and left lung over the fissure. New pleural effusions in both lungs measuring 48 mm in the left hemithorax and 14 mm in the right hemithorax. Metastatic lesions that increase in size in the liver, the pelvicalyceal structures in the right kidney are partially observed and show ectasia. The left kidney is atrophic."}
{"volume_path": "dataset/train_fixed/train_1163/train_1163_e/train_1163_e_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1163/train_1163_e/train_1163_e_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1163_e_1.nii.gz", "findings": "CTO is within the normal range. The aortic arch was calibrated to 33 mm and was wider than normal. Calibration of the ascending aorta is normal. Pulmonary trunk calibration is 30 mm. It is wider than normal. Calibration of the right and left pulmonary arteries is normal. The descending aorta calibration is natural. In the case, a venous port-catheter extending towards the right atrium in the nasogastric tube and superior vena cava is observed. Lymph nodes are observed in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum, the largest of which is approximately 15x10 mm in size as can be evaluated in non-contrast examination. Although it could not be evaluated clearly in the non-contrast examination at both hilar levels, no significant lymph node with pathological size and configuration was detected. At the level of the thoracic inlet, the esophageal wall thickness line becomes prominent and causes indentation in the posterior wall of the trachea. There is a hypodense lesion in the left kidney upper zone posterior. It does not differ significantly from the previous review. On the right, a nodular density of approximately 6 mm in diameter located under the skin is observed between the fat planes at the level of the chest wall. It was not detected in his previous review  met ?. In the evaluation of both lungs in the parenchyma window; Nodular thickness increases are observed in the interstitial scars, more prominently in the lower zones. However, the consolidative areas and surrounding frosted glass-like density increments observed in the previous examination regressed in the current examination. Again, in the current examination, there is significant regression in the pleural effusion observed in the previous examination, and it is observed as approximately 12 mm in the thickest part of the left lung. There is a nodule with a diameter of approximately 5 mm in the lateral segment of the middle lobe of the right lung, which could not be clearly distinguished in the previous examination. Another nodule with a diameter of 5 mm is observed in the superior segment of the left lung lower lobe. In the current examination, a relatively well-defined lesion of approximately 60x28 mm in the axial plane is observed in the anteromediobasal segment of the lower lobe of the right lung, closely related to the descending aorta and dorsomedial pleura. The lesion also shows a close relationship with the lower lobe bronchi. It was not detected in the previous review.", "impression": "However, there are regressions in the consolidation areas in the current review.  Again, the prominent pleural effusion observed in the previous examination decreased significantly in the current examination. However, there are a few nodular lesions, especially in the left lung lower lobe anteromediobasal location, which were not observed in the previous examination."}
{"volume_path": "dataset/train_fixed/train_1166/train_1166_a/train_1166_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1166/train_1166_a/train_1166_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1166_a_1.nii.gz", "findings": "There is an endotracheal tube in the trachea. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes and occasional linear atelectasis in both lungs. In addition, minimal pleuroparenchymal sequelae changes are observed in both lung apex. There is consolidation in the peripheral area in the posterior segment of the right lung upper lobe. This appearance may belong to an atelectasis or pneumonic infiltration. In this examination, this distinction could not be made. There are centriacinar nodules in the peripheral area in the lateral part of the left lung upper lobe apicoposterior segment. The views described are nonspecific. These appearances may be compatible with distal airway disease. It is recommended to evaluate the patient together with the physical examination findings. No mass was detected in both lungs. There is minimal pleural effusion on the right. No pleural effusion was detected on the left. 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 no pericardial effusion. Atheroma plaques are observed 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. 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": "Minimal emphysematous changes in both lungs . Consolidation-atelectasis cannot be differentiated in the posterior segment of the right lung upper lobe . Linear atelectasis in both lungs . Pleuroparenchymal sequelae changes in both lung apexes . Minimal pleural effusion on the right . Atherosclerotic changes in the aorta and coronary arteries"}
{"volume_path": "dataset/train_fixed/train_1169/train_1169_a/train_1169_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1169/train_1169_a/train_1169_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1169_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Heart size increased. Thoracic aorta diameter is normal. There is an effusion with a pericardial size of up to 6 mm. 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; Thickening of the interlobular septa in both lungs, mosaic attenuation patterns, volume losses and atelectatic changes, especially in the lower lobes, are observed. There is a small amount of pleural effusion, more prominent on the right bilateral side. An infiltrative lesion is observed in the left breast. The examination of the upper abdominal organs was partial and was evaluated as suboptimal. Minimal smear-like effusion and millimetric air density are observed in the perihepatic area. There is a diffuse density decrease in bone structures. Hypertrophic osteophytic taperings are observed in the vertebral corpus end plates.", "impression": " Infectious processes accompanied by cardiac stasis; clinical laboratory correlation, follow-up is recommended.  Cardiomegaly  Pericardial effusion in the form of a smear.  Perihepatic effusion with millimetric air density.  A small amount of pleural effusion, more prominent on the right bilateral side.  Diffuse degenerative changes in bone structures, decrease in density.  Infiltrative lesion is observed in the left breast."}
{"volume_path": "dataset/train_fixed/train_1185/train_1185_a/train_1185_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1185/train_1185_a/train_1185_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1185_a_1.nii.gz", "findings": "Port chamber and catheter image extending superiorly to the vena cava were observed on the right anterior chest wall. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. In the mediastinal region, no lymph node was detected in the pathological size and appearance in the non-contrast examination margins. Bilateral hilar region examination could not be evaluated clearly because of lack of contrast. Heart size increased. There is an effusion measuring 11 mm in its thickest part in the pericardial area. Pericardial thickening 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 consolidation areas in the left lung lingular segment and lower lobes with a common consolidation tendency. In addition, widespread subsegmental atelectasis areas in the upper lobe and lower lobe of the left lung are noteworthy. No significant mass, nodule-infiltration was detected in the right lung. Bilateral peribronchial thickenings were observed. There was no bilateral pleural thickening and no effusion on the right. There is a free pleural effusion measuring 11 mm in thickness between the pleural leaves on the left. Mild emphysematous changes are observed in both lungs. The liver contours are irregular in the upper abdominal sections in the examination area. Diffuse pathological wall thickening compatible with gastric Ca and infiltration in the perigastric fatty planes were observed at the level of the stomach lesser curvature-antrum partially entering the examination area. There is free fluid in the abdomen. The stomach and esophagus appear dilated due to the mass. No lytic destructive lesion was detected in bone structures.", "impression": "Areas of consolidation that tend to merge in a patchy manner in the upper and lower lobes of the left lung, areas of widespread subsegmental atelectasis in the upper lobe of the left lung . Left pleural effusion . Mild emphysematous changes in both lungs . Pathological wall thickness increase compatible with gastric Ca at the level of the lesser curvature-antrum of the stomach and diffuse dilation of the proximal stomach and esophagus."}
{"volume_path": "dataset/train_fixed/train_1190/train_1190_a/train_1190_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1190/train_1190_a/train_1190_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1190_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. Especially the right atrium is observed to be extremely large. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. The main pulmonary artery diameter was 44 mm and wider than normal. The diameters of the aortic arch and descending aorta are normal. The main pulmonary artery was 40 mm in diameter and wider than normal. It is understood that the patient underwent aortic and mitral valve replacement. There is minimal pleural effusion on the right. Atelectasis was observed in the middle lobe and lower lobe of the right lung. These atelectasis were thought to be due to pleural effusion and cardiomegaly. In addition, linear atelectasis were observed in the middle lobe and lower lobes of the right lung. There are linear atelectasis in the upper lobe lingular segment and lower lobe of the left lung. Emphysematous changes were observed in both lungs. There are millimetric nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. There is minimal intra-abdominal free fluid. No intra-abdominal collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were observed. There is minimal lobulation in the liver contours. It is recommended that the patient be evaluated for liver parenchymal disease. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open.", "impression": " Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries.  Minimal fusiform aneurysmatic dilation of the ascending aorta.  Enlargement of pulmonary artery diameters.  Atelectasis in both lungs, more prominent on the right.  Pleural effusion on the right.  Emphysematous changes in both lungs.  Millimetric nodules in both lungs.  Intraabdominal minimal free fluid.  Lobulation in liver contours."}
{"volume_path": "dataset/train_fixed/train_1196/train_1196_a/train_1196_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1196/train_1196_a/train_1196_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1196_a_1.nii.gz", "findings": "Evaluation of solid organs, vascular structures and mediastinal areas is suboptimal due to the lack of contrast of the examination. Trachea, both main bronchi are open. There are calcific atheroma plaques in the aorta and coronary arteries. Aortopulmonary paratracheal lymph nodes are observed at the level of the hilum of both lungs, the largest of which is approximately 9 mm in diameter at the level of the aortopulmonary window. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Pleural effusion reaching 5 cm at its thickest point on the left and 2.5 cm on the right and compression atelectasis in the accompanying lung parenchyma are observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Atelectasis areas are observed in the left lung upper lobe medial and lateral lingular segment, right lung middle lobe lateral segment, right lung lower lobe posterobasal and mediobasal area, and left lung upper lobe superior segment level. Consolidation areas, which are evaluated primarily in favor of atelectasis, are observed in the left lung upper lobe lateral lingular segment and left lung lower lobe superior segment. There is also pneumonic infiltration with a low probability in the differential diagnosis. 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. Numerous lytic metastases are observed in the bone structures within the study area.", "impression": " Pleural effusions in both lungs.  Linear atelectasis areas located in different lobes of both lungs, consolidation area in left lung upper lobe lateral lingular segment and left lung lower lobe superior segment; firstly, it was evaluated in favor of atelectasis. It is in the differential diagnosis of pneumonic infiltration with a low probability.  There are lytic lesions consistent with multiple metastases in the bones.  Calcific plaques are observed in the aorta and coronary arteries."}
{"volume_path": "dataset/train_fixed/train_1197/train_1197_a/train_1197_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1197/train_1197_a/train_1197_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1197_a_1.nii.gz", "findings": "Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Mild effusion was observed in the pericardial space. 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 pathological dimensions were detected. No lymph nodes in pathological size and appearance were observed in the bilateral supraclavicular and axillary regions. Pleural effusion reaching 18 mm in thickness in the right pleural space and 31 mm in the left pleural space was observed. Peribronchial thickening was observed in the bilateral lower lobes of the lung, and ground glass densities and atelectatic changes were observed in the lower lobe basal segments in the areas adjacent to the effusion. Nonspecific pulmonary nodules less than 5 mm in diameter were observed in both lungs, the largest in the right lung lower lobe laterobasal segment. Liver, spleen, both adrenal glands and pancreas are normal as far as can be seen on non-contrast images. Mild degenerative changes are observed in bone structures.", "impression": "Pericardial-pleural effusion. Peribronchial thickening in the bilateral lung lower lobes, ground-glass densities and atelectatic changes in the areas adjacent to the effusion in the lower lobe basal segments . Nonspecific pulmonary nodules less than 5 mm in diameter in both lungs"}
{"volume_path": "dataset/train_fixed/train_1206/train_1206_a/train_1206_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1206/train_1206_a/train_1206_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1206_a_1.nii.gz", "findings": "CTO increased in favor of the heart. The aortic arch calibration is 31 mm. It is wider than normal. Calibration of other mediastinal major vascular structures is normal. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. Although lymph nodes are observed in the aorticopulmonary window at the prevascular level in the upper-lower paratracheal area in the mediastinum, their short axes do not exceed 1 cm. In the non-contrast examination, no pathologically sized and configured lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Nodular soft tissue appearances, which may be compatible with mucus impaction, are observed in the trachea at the level of the aortic arch. There is mild thickening of the peribronchial sheath in the lower zones at the central level. There is a mosaic attenuation pattern in both lungs small vessel disease?, small airway disease?. A smear-like pleural effusion is observed in the right lung. At the basal level in the right lung and in the middle lobe, pleuroparenchymal density increases, which are evaluated primarily in favor of sequelae, are observed. In the right lung lower lobe superior segment, there is a millimetric sized calcific nodule adjacent to the fissure, and a 3 m diameter nonspecific nodule in the dorsal subpleural area of the lower lobe superior segment. In the sections passing through the upper abdomen, the gallbladder is observed slightly prominently. The wall thickness is at the level of the funus and is prominent. Pericholecystic mild edema is present. Sonographic evaluation is recommended. A nodular formation with a diameter of approximately 8 mm, compatible with the accessory spleen, is observed in the anterior neighborhood of the spleen. There are degenerative changes in the bone structures in the study area. A slight loss of height is observed in the anterior of the L12 vertebra corpus.", "impression": "Cardiomegaly. Mosaic attenuation pattern small vessel disease?, small airway disease?.  Mild pleural effusion in the right lung and sequelae changes in the right middle and inferior lobe. The thickness of the gallbladder wall is at the level of the funus and is evident. Pericholecystic mild edema. Sonographic evaluation is recommended.  Degenerative changes in bone structure, slight loss of height in the anterior L12 vertebral corpus."}
{"volume_path": "dataset/train_fixed/train_1207/train_1207_a/train_1207_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1207/train_1207_a/train_1207_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1207_a_1.nii.gz", "findings": "CVP catheter is observed on the right. 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; Calibration of mediastinal major vascular structures is natural. Heart contour, size 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. When examined in the lung parenchyma window; A pleural effusion measuring 2.6 cm in the thickest part on the right and 1 cm in the widest part on the left was observed in both hemithorax. In both lungs; Multifocal nodular ground glass densities and consolidation were observed in the lower lobe basal of the left lung, showing confluence with each other. Although the described findings suggest Covid-19 pneumonia, other viral pneumonias are also included in the differential diagnosis. Linear atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Nonspecific millimetric parenchymal nodules 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. Diffuse calcified atheroma plaques were observed in the splenic artery and abdominal aorta. Intra-abdominal free-loculated fluid was not 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": "Multifocal nodular ground-glass densities and consolidations confluent with each other in both lungs in the left lung lower lobe basal; suggesting Covid-19 pneumonia, other viral pneumonias are also included in the differential diagnosis. It is recommended to be evaluated together with clinic and laboratory.  In the left lung inferior lingular segment and linear fibroatelectasis sequelae changes in the middle lobe of the right lung . A few nonspecific pulmonary nodules in both lungs . Bilateral pleural effusion . Diffuse calcified atheromatous plaques in the thoracic aorta and splenic artery"}
{"volume_path": "dataset/train_fixed/train_1209/train_1209_a/train_1209_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1209/train_1209_a/train_1209_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1209_a_1.nii.gz", "findings": "A drainage catheter was placed in the loculated pleural fluid in the anterior segment of the upper lobe of the right lung, and most of it was found to be drained. There is an increase in the size of loculated pleural fluid in the upper lobe of the right lung. More prominent linear atelectasis areas are observed in the basal segments of both lungs. A linear increase in density is observed in the upper lobe of the left lung, which matches the trace and shows nodularity in the central part, and is stable. No pneumonic infiltration was detected in the lung parenchyma. Pericardial effusion was not observed. No lymph node was detected in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. No loculated or free fluid was detected in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures.", "impression": "Bilateral hemothorax, drainage catheter was placed. There is an increase in loculated pleural fluid sizes in the right lung upper lobe."}
{"volume_path": "dataset/train_fixed/train_1213/train_1213_a/train_1213_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1213/train_1213_a/train_1213_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1213_a_1.nii.gz", "findings": "Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: When the first examination of the patient is examined, the primary mass of the patient is observed in the lower lobe of the right lung. In this examination, consolidation with air bronchogram is observed in the central and peripheral parts of the right lung, especially in the middle lobe. The primary mass of the patient could not be followed up due to consolidation. Apart from the described consolidation, soft tissue lesions that may be compatible with nodule-nodular consolidations are observed in the upper lobe of the right lung. In the described appearances, they may be due to metastases or to an infective pathology. This distinction was not made in this study. There are peribronchial thickenings in the left lung and aerated right lung, and centriacinar nodules in the left lung, especially in the lower lobe, in places. The described manifestations were primarily evaluated in favor of infective pathology distal airway disease?. No mass was detected in the left lung. There is minimal pleural effusion on the right. No pleural effusion was detected on the left.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1215/train_1215_a/train_1215_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1215/train_1215_a/train_1215_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1215_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. An increase in heart size is observed. Calcific atheroma plaques are observed in the coronary arteries, aortic arch and descending aorta. The ascending aorta measured 40 mm. Mediastinal main vascular structures are 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. When examined in the lung parenchyma window; There is a small amount of smearing effusion in both hemithorax bilaterally. There are bronchiectasis in the right lung middle lobe and left lung lower lobe basal segment, more prominently on the right. A few millimetric nonspecific subpleural nodules are observed in both lungs. No infiltrative lesion was detected in both lung parenchyma. In the upper abdominal organs included in the sections, in the liver fluid attenuation, oval-shaped hypodense findings, the largest of which was 18 mm at the level of the left lobe segment 2, were evaluated in favor of cysts. Oval-shaped findings were evaluated in favor of cysts in bilateral attenuation of fluid whose multiple dimensions could not be clearly measured in both kidneys. A 9 mm hyperdense finding in the gallbladder was evaluated in favor of a stone. There is a diffuse density decrease in the bone structures in the examination area. It has an osteopenic appearance. Mild left-facing scoliosis is observed in the dorsal vertebrae.", "impression": "Bronchectatic changes in both lungs, more prominent in the middle lobe of the right lung . A few millimetric nonspecific subpleural nodules in both lungs . Mild emphysematous changes in both lungs . Small amount of effusion in both hemithorax in the form of smearing . Atherosclerosis . Cardiomegaly . Multiple cysts in the liver . Folicistic kidney . Cholelithiasis . Osteopenic appearance in bone structures."}
{"volume_path": "dataset/train_fixed/train_1218/train_1218_a/train_1218_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1218/train_1218_a/train_1218_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1218_a_1.nii.gz", "findings": "It was learned that the patient was operated on the left breast. Radiopaque appearances are observed in the upper outer quadrant of the left breast and were evaluated in favor of surgical materials. A slightly irregular circumscribed mass with a longest diameter of 20 mm is observed just to the left of the medial midline in the upper inner quadrant of the left breast. In the right breast, there is 1 cm of thickening of the skin at its thickest part. There is another mass in the upper half of the right breast, in the middle part, whose borders can hardly be distinguished from the breast tissue. The longest diameter of the described mass was approximately 30 mm. In the upper outer quadrant of the right breast, 3 adjacent nodular lesions are observed in the axillary tail localization. The largest of the described lesions measured approximately 20x17 mm. It is thought that the described appearances may be intramammary lymph nodes. There is lymphadenopathy in the right axilla measuring 20x30 mm. Apart from this, no pathologically enlarged lymph nodes were detected in both axillae. There is lymphadenopathy with a short diameter of 12 mm in the right infraclavicular region series 3 section 37. A mass is observed around the sternum that causes erosion and destruction in the sternum. The mass surrounds the sternum and the sternocostal joint. There is also extension of the mass to the retrosternal region. Although the exact size could not be given due to the infiltrative character of the described mass, the anteroposterior and transverse diameters series 3 section 107 were measured approximately 50x110 mm at its widest point. Bilateral pleural effusion is observed, more prominently on the left. The pleural effusion measured approximately 95 mm at its thickest point on the left. The pleural effusion on the right is loculated. No occlusive pathology was detected in the trachea and both main bronchi. Occasionally, linear atelectasis is 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: Heart contour and size are normal. Minimal pericardial effusion is observed. In the superior mediastinum, there are round-shaped lymph nodes in the anterior part of the mediastinal main vascular structures. The size of the described lymph nodes was 9 mm. There are millimetric lymph nodes in the mediastinum and hilar regions as far as can be observed in this examination. However, no pathologically enlarged lymph nodes were detected. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There are lymphadenopathies in the preaortic area adjacent to the proximal abdominal aorta, and also in the paraaortic and interaortocaval regions. The shortest diameter of the largest of the described lymphadenopathies measured 11 mm. There are millimetric nodular lesions in the subcutaneous adipose tissue in the epigastric region. These lesions were thought to be metastases. Except for the findings described in the sternum, no lytic-destructive lesions were detected in the bone structures within the sections. There is no significant difference in the dimensions of the mass observed in the sternum. No significant difference was found in the findings described in both breasts. Minimal regression was observed in the number and size of lymph nodes observed in the right axilla and infraclavicular region. An increase in the amount of pleural effusion is observed on the left. A reduction in the size of the lymph nodes in the abdomen was observed.", "impression": "In the follow-up, ca of the operated breast, mass in the upper inner half of the left breast, mass in the upper half of the right breast, nodular lesions in the axillary tail localization in the upper outer quadrant of the right breast intramammary lymph nodes, lymphadenopathies in the right axilla and right infraclavicular region and abdomen, in the superior mediastinum milimetric lesions evaluated in favor of lymph nodes, bilateral pleural effusion."}
{"volume_path": "dataset/train_fixed/train_1218/train_1218_b/train_1218_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1218/train_1218_b/train_1218_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1218_b_1.nii.gz", "findings": " It was learned that the patient was operated on the left breast. Secondary surgical materials are observed at the retroarelar level of the left breast. A slightly irregular circumscribed mass with a longest diameter of 20 mm is observed just to the left of the medial midline in the upper inner quadrant of the left breast. A thickening of 1 cm is observed in the thickest part of the skin in the right breast. Another deep-seated mass, which can be distinguished from the breast tissue, was observed in the upper half of the right breast. In the upper outer quadrant of the right breast, 3 adjacent nodular solid mass lesions are observed in the axillary tail localization. The largest of the described lesions measured 15x7.5 mm. It was measured as 21x17 mm in the previous examination. It is thought that the described views may be compatible with the lymph nodes. Lymph nodes with oval configuration were observed in the left axilla, the largest of which was 14.7 mm in the long axis 14.5 mm in the previous examination. Around the sternum, an infiltrative mass causing destruction and erosion in the sternum is observed. The mass surrounds the sternum and the sternocostal joint. There is also a retrosternal extension of the mass. Although the exact size could not be given due to the infiltrative character of the described mass, the anterior-posterior and transverse diameters were approximately 41x93 mm 45x95 mm in the previous examination at its widest point. Bilateral pleural effusion is observed, more prominently on the left, and the effusion forms a phantom tumor in both major fissures. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The catheter extending from the right internal jugular vein to the right atrium and the port chamber on the right anterior chest wall were observed. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. In the superior mediastinum, in the anterior part of the mediastinal main vascular structures, there are round-shaped lymph nodes in the right upper paratracheal, subcranial and bilateral hilar area. The largest lymph nodes described were measured 20x16.8 mm. No pathological wall thickness increase was observed in the esophagus within the sections. When the lung parenchyma window is examined; Patchy irregularly circumscribed consolidation areas extending along the peribronchial area were observed in the upper lobe anterior segments of both lungs, in the middle and lower lobes of the right lung, and in the lingular segment of the left lung. Findings were evaluated in favor of pneumonic infiltration. Clinic and lab. It is recommended to be evaluated together with the findings. There are millimetric nodular lesions in the subcutaneous adipose tissue in the epigastric region. The appearances are also present in the previous examination of the patient. Lymphadenopathies are also present in the preaortic, paraaortic and interaorthocaval regions adjacent to the proximal abdominal aorta. It measured 14 mm in the short axis of the largest of the described lymphadenopathies. Except for the findings described in the sternum, no lytic-destructive lesions were detected in the bone structures within the sections. Minimal regression was observed in the dimensions of the mass observed in the sternum. A regression was observed in the size of the nodular lesions described in the outer quadrant of the right breast and thought to be compatible with the lymph node. Bilateral pleural effusion decreased. Focal patchy consolidation areas observed in the peribronchial area of both lungs have only recently emerged in the current study. Initially, it was thought to be compatible with infection. Clinic and lab. correlation is recommended. There was no significant difference in the sizes of subcutaneous nodules in the abdominal paraaortic lymph nodes and epigastric region.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1226/train_1226_b/train_1226_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1226/train_1226_b/train_1226_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1226_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. Although the mediastinal examination is suboptimal due to the lack of contrast, lymph nodes with a size of 21x16 mm are observed in the right upper paratracheal and prevascular distance in the mediastinum. On the right, there is a catheter inserted through the jugular. A few round lymph nodes, the largest of which are 21x16 mm in size, were observed in the left axilla. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; In the bilateral hemithorax, there is an effusion of 30 mm on the right and 32 mm on the left in its widest part, and passive atelectasis in the vicinity of the effusion are observed. . The left kidney was not observed in the upper abdominal sections included in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Mild thickening is observed in the right adrenal gland. The left adrenal glands were normal and no space-occupying lesion was detected. The gallbladder is operated. Within the sections, there is a lytic-expansil mass lesion extending from the proximal left humerus to the neck. Lytic lesions reaching 17 mm in size are observed in the sternum. Multiple lytic lesions in the upper thoracic vertebrae, especially in the vertebral corpuscles, and a collapse fracture that causes more than 70% loss of height in the T4 vertebral corpus are observed. A soft tissue mass extending from the left facet joint to the paravertebral area is observed at the level of the T6 vertebra. An expansile lesion reaching approximately 23x18 mm in size is observed in the posterior of the 9th rib on the left.", "impression": "Cholestectomy.  Bone metastases, pathological collapse fracture in T4 vertebral body. stable . Stable metastatic mass in left paravertebral area at T6 vertebral level and compression in spinal canal. stable .Slight reduction in size in mediastinal and left axillary laps, slight reduction in size of metastatic mass present in left 9th rib. Newly developed pleural effusion and passive atelectasis in lower lobes.  Millimetric nodules described in the lungs in the previous examination of the patient cannot be clearly distinguished in the new examination superposition?."}
{"volume_path": "dataset/train_fixed/train_1230/train_1230_a/train_1230_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1230/train_1230_a/train_1230_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1230_a_1.nii.gz", "findings": "The pulmonary trunk caliber was measured at approximately 30 mm and was wider than normal. Calibration of other mediastinal vascular structures is natural. An increase in heart size was observed. There are calcified atheroma plaques on the wall of the thoracic aorta and coronary vascular structures, and pericardial effusion is observed. It measures approximately 20 mm in size at its deepest point. Bilateral minimal pleural effusion was observed. It measures approximately 10 mm in size at the left 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; No active infiltration or mass lesion was detected in both lungs. Thin-walled air cysts measuring 14x10 mm in size were observed in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. A few millimetric nodules measuring 3 mm in diameter were observed in both lungs, the largest of which was in the middle lobe of the right lung. There are minimal emphysematous changes in both lungs. In the upper abdominal sections within the image, low-density, increased thickness of approximately 24x11 mm on the left and approximately 20x10 mm on the right is observed in both adrenal gland corpuscles. First of all, it was evaluated in favor of adenoma. No intraabdominal free fluid, loculated collection was detected. No lymph node was observed in intraabdominal pathological size and appearance. No lytic or destructive lesions are observed in the bone structures within the image, and there are degenerative changes.", "impression": " Increased heart size, increased pulmonary trunk calibration, thoracic aorta, calcified atheroma plaques on the wall of coronary vascular structures.  Pericardial, bilateral minimal pleural effusion.  Emphysematous changes in both lungs, sequela parenchymal changes in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment, thin-walled air cysts with smooth borders in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment.  Minimal emphysematous changes in both lungs.  Low-density nodular thickness increases in both adrenal gland corpuscles in the upper abdominal sections within the image; firstly, it was evaluated in favor of adenoma.  Degenerative changes in bone structures."}
{"volume_path": "dataset/train_fixed/train_1239/train_1239_a/train_1239_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1239/train_1239_a/train_1239_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1239_a_1.nii.gz", "findings": "Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. In the examination performed without contrast, the vascular structures in the mediastinum and the heart could not be evaluated optimally. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. 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; Pericardial effusion-thickening was not observed. Effusion reaching a thickness of 16.5 mm was observed in the left pleural space. Passive atelectatic changes were observed in the posterobasal segment of the left lung lower lobe adjacent to the effusion. Mild emphysematous changes were observed in the upper lobes of both lungs. Centriacinar nodular infiltrates of ground glass density were observed in the superior segment of the lower lobe of the right lung. It was evaluated in favor of pneumonia. It is recommended to be evaluated together with the clinic and laboratory. A 6.2 mm nonspecific subpleural nodule was observed on the major fissure in the superior segment of the right lung lower lobe. It is recommended to evaluate and follow-up together with previous examinations, if any. In the case with a history of pancreatitis, the pancreas appears to be expanded. In the peripancreatic fatty planes, there is soiling and smearing effusion. A 3 mm diameter calculus was observed in the middle part of the left kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Left pleural effusion, passive atelectatic changes in the posterobasal segment of the left lung lower lobe adjacent to the effusion. It is recommended to be evaluated together with clinical and laboratory evaluations in favor of pneumonia.  Well-circumscribed nodule sitting on the major fissure in the superior segment of the right lung. It is recommended to be evaluated and followed up together with previous examinations, if any.  Expanded appearance in the pancreas in the case with a history of acute pancreatitis, increased density in the peripancreatic fatty planes, and a smear-like effusion.  Left nephrolithiasis."}
{"volume_path": "dataset/train_fixed/train_1242/train_1242_b/train_1242_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1242/train_1242_b/train_1242_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1242_b_1.nii.gz", "findings": "Central venous catheter is seen on the right. The venous catheter terminates in the right atrium. 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. There are millimetric atheroma plaques in the left coronary arteries. There are millimetric lymph nodes in the mediastinum and hilar regions. No enlarged lymph nodes in pathological dimensions were detected. There is pleural effusion on the left. No pleural effusion was detected on the right. There is no obstructive pathology in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. There is minimal upper abdominal free fluid within the sections. No upper abdominal collection was detected. Hernia is observed in the epigastric region. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open.", "impression": "Mediastinal and hilar lymph nodes . Millimetric atheroma plaques in the coronary arteries on the left . Minimal pleural effusion on the left . Intra-abdominal minimal free fluid"}
{"volume_path": "dataset/train_fixed/train_1246/train_1246_a/train_1246_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1246/train_1246_a/train_1246_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1246_a_1.nii.gz", "findings": "There is a pleural effusion reaching 13 cm in diameter in the left hemithorax. The anterior segment of the left lung upper lobe is partially ventilated. Apart from this, the left lung is not ventilated. Lower lobe and upper lobe posterior segment parenchyma are compressed. A slight deviation to the right is observed in the mediastinum. There is a pleural effusion reaching 2 cm in diameter between the right pleural leaves. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. The diameters of the main mediastinal vascular structures are normal. Pericardial effusion was not detected. No pneumonic infiltration or consolidation area is observed in the right lung parenchyma. Subsegmental atelectasis areas are observed in the basal and superior segments of the lower lobe of the right lung. There are areas of non-specific millimetric nodular consolidation around the right lung middle lobe medial segment bronchi. It may belong to the atelectatic parenchyma, but early bronchopneumonic infiltration could not be excluded. Clinical correlation is recommended. Tumoral tissue cannot be distinguished from the stomach wall because the stomach is colocated.", "impression": " Metastatic stomach ca.  Diffuse omental infiltration, diffuse intra-abdominal acid, increased  Massive effusion between the left pleural leaves  Right mild pleural effusion  Focal non-specific millimetric nodular consolidation areas around segment bronchi in the middle lobe of the right lung, may belong to atelectatic parenchyma, and early bronchopneumonic infiltration is excluded. could not be done. Clinical correlation is recommended."}
{"volume_path": "dataset/train_fixed/train_1246/train_1246_b/train_1246_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1246/train_1246_b/train_1246_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1246_b_1.nii.gz", "findings": "CTO is normal. Calibration of mediastinal major vascular structures is natural. A venous port is observed at the right pectoral level and its catheter is observed at the level of the right atrium appendix. The left lung has a hypovolamic appearance and is displaced from the mediastinum to the left. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No pathological size and configuration lymph nodes are observed in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. There is a lymph node that continues caudally from the subcarinal area to the paraesophageal area, and its largest dimension is 21x15 mm in the axial plane. It was not detected in the previous review. When examined in the lung parenchyma window; Density reduction compatible with emphysema is observed in both lungs. In the right lung, there is a bud branch view in the lower lobe superior segment. Fibroatelectatic density increases are observed in the anterior segment of the left lung upper lobe, posterior lateral level in the apicoposterior segment, and lingular segment. In the lower lobe of the left lung, there are ground-glass-like densities in and around the consolidative parenchyma area containing air bronchograms. There is a collection with postoperative changes and air-fluid leveling at the level of the left costophrenic sinus. Empyema at this level cannot be ruled out in the current view. In both pleural distances, there is a pleural effusion reaching 25 mm in the thickest part on the right and 17 mm in the left. While no significant difference is observed on the right in the previous examination, there is significant regression 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. Left adrenal is full. A faint hypodense nodular formation with a diameter of approximately 13 mm is observed in the medial part of the left kidney cortical cyst?. It is also observed in the old review. Since the stomach is empty, it cannot be evaluated optimally. However, there is suspicious thickening of the wall at all levels. It is also observed in the old review. Degenerative changes are observed in the bone structure entering the examination area.", "impression": "  In the case with metastatic gastric Ca anamnesis, diffuse wall thickening is observed in the upper abdomen in the examination area, and it was also detected in the previous examination.  There is lymphadenomegaly at the subcarinal level, which was not observed in the previous examination.  The appearance accompanied by post-op changes that give air-fluid leveling at the costophrenic sinus level of the left lung may be compatible with empyema. However, it cannot be evaluated clearly in the current non-contrast examination. Significant pleural effusion observed in the left lung in the previous examination has regressed in the current examination. Effusion in the right pleural space persists.  A branch with bud view is observed in the superior segment of the lower lobe of the right lung, and it is recommended to be evaluated in terms of infective processes. It was not detected in the previous review."}
{"volume_path": "dataset/train_fixed/train_1246/train_1246_c/train_1246_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1246/train_1246_c/train_1246_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1246_c_1.nii.gz", "findings": " According to the previous examination, there is an increase in the amount of pleural effusion in the right lung and a decrease in the amount of pleural effusion in the left lung. Other findings are stable when evaluated together with the patients previous examination.", "impression": "There is an increase in pleural effusion in the right lung and a decrease in pleural effusion in the left lung."}
{"volume_path": "dataset/train_fixed/train_1251/train_1251_a/train_1251_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1251/train_1251_a/train_1251_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1251_a_1.nii.gz", "findings": "Bilateral pleural effusion is observed, more prominently on the right. Pericardial effusion was not detected. The pleural effusion measured 75 mm on the right at its thickest point. Atelectasis is observed in both lungs adjacent to pleural effusion. Especially the lower lobe of the right lung is almost completely atelectatic. Trachea and both main bronchi are open. Emphysematous changes are present in both lungs. There are consolidations in the aerated lower lobe of the left lung and the middle lobe of the right lung. In addition, budding tree appearances are observed in the upper lobes of both lungs, more prominently on the right. The described manifestations were evaluated primarily in favor of infective pathology. The described findings are not the findings observed in Covid 19 pneumonia. 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. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Findings evaluated primarily in favor of infective pathology in both lungs. Bilateral pleural effusion."}
{"volume_path": "dataset/train_fixed/train_1259/train_1259_a/train_1259_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1259/train_1259_a/train_1259_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1259_a_1.nii.gz", "findings": "Both thyroid parenchyma are heterogeneous. US control is recommended. 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. Diffuse calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Multiple millimetric lymph nodes measuring 7 mm in the short axis of the largest were observed in the mediastinal upper-lower paratracheal, subcarinal, and prevascular areas. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. Sliding type hiatal hernia was observed. When both lung parenchyma windows are evaluated; Emphysematous changes were observed in both lungs. In both lungs, there are ground-glass density increases with diffuse interlobular septal thickenings, which tend to coalesce from place to place in the upper and lower lobes. My image can be seen in Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. There is a free pleural effusion measuring 12 mm in thickness between the pleural leaves on the right and 7.5 mm on the left. Bilateral pleural thickening was not detected. In the upper abdominal sections within the examination area, hypodense lesions measuring 15 mm in diameter in the left adrenal gland corpus and 5 mm in diameter in the right adrenal gland corpus were observed in both adrenal glands. Widespread sclerotic lesions were observed in the bone structures within the study area. It was evaluated in favor of metastasis in the first plan. .", "impression": "Prostate Ca in follow-up. Multiple sclerotic metastases in bone structures, emphysematous changes in both lungs.  Atherosclerotic changes in the aorta and iliac arteries. Stable lesions in the adrenal gland, hiatal hernia.  Diffuse ground glass density increases with interlobular septal thickenings in both lung parenchyma may be compatible with Covid-19 pneumonia. Clinical and laboratory correlation is recommended."}
{"volume_path": "dataset/train_fixed/train_1260/train_1260_a/train_1260_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1260/train_1260_a/train_1260_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1260_a_1.nii.gz", "findings": " Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Minimal calcified atherosclerotic plaques were observed in the wall of the thoracic aorta. Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Lymph nodes measuring 18x12 mm in size were observed in the mediastinal upper-lower paratracheal precarinal, in both hilar localizations in the subcarinal area, and the largest in the right upper paratracheal localization. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. Hiatal hernia was observed. When examined in the lung parenchyma window; In the upper lobes of both lungs, widespread patchy ground-glass density increases and accompanying peripheral basal focal consolidation areas in the lower lobes of both lungs are noteworthy. The appearance suggests an infectious process in the first place. Clinic and lab. correlation is recommended. A free pleural effusion measuring 12 mm was observed between the pleural leaves on the right. Millimetric sized nonspecific pulmonary nodules were observed in both lung parenchyma. Bilateral pleural thickening was not detected. Post-op suture materials and slight deviation in mediastinal structures due to volume loss were observed in the lower lobe of the right lung. 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": "Operated lung Ca.  Significant diffuse patchy ground-glass density increases and focal consolidations in the upper lobes of both lungs the appearance was initially evaluated in favor of an infectious process. Clinical and laboratory correlation is recommended.  Right pleural effusion, mixed type hiatal hernia.  Each stable nonspecific pulmonary nodules in both lungs."}
{"volume_path": "dataset/train_fixed/train_1261/train_1261_a/train_1261_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1261/train_1261_a/train_1261_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1261_a_1.nii.gz", "findings": "Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Fusiform aneurysmatic dilatation is observed in a segment of approximately 170 mm in the descending thoracic aorta. Anteroposterior and transverse diameters of the dilatation were measured as 130x160mm at its widest point. An endovascular stent is observed in the descending thoracic aorta, starting from the level of the origin of the subclavian artery and continuing up to the proximal part of the abdominal aorta. The ascending aorta diameter is normal. The diameters of the pulmonary arteries are normal. Atheroma plaques are observed in the aorta and coronary arteries. The abdominal aorta diameter within the sections is also observed as normal. Heart contour and size are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Pleural effusion is observed on the right. No pleural effusion was detected on the left. There is no obstructive pathology in the trachea and both main bronchi. There are emphysematous changes in both lungs. Atelectasis is observed in the lower lobe of the right lung, which is understood to be due to the compression of the aneurysmatic dilatation. There is no mass or infiltrative lesion in both ventilated lungs. The mass, which can be distinguished in the upper abdominal organs within the sections, could not be observed within the limits of CT without contrast. 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": "Large fusiform aneurysmatic dilatation of the descending thoracic aorta.  Pleural effusion on the right."}
{"volume_path": "dataset/train_fixed/train_1261/train_1261_b/train_1261_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1261/train_1261_b/train_1261_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1261_b_1.nii.gz", "findings": "Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Ground glass areas are observed in the posterior subsegment of the left lung upper lobe apicoposterior segment and the superior segment and posterobasal segment in the left lung lower lobe. The described appearances are not present in the previous examination of the patient. These appearances may be compatible with infective pathology viral pneumonia?. Bilateral minimal pleural effusion is observed. An endovascular stent extending proximal to the abdominal aorta in the descending thoracic aorta and a large aneurysm in the descending thoracic aorta are observed. This appearance was also present in the previous examination of the patient and no difference was found in the appearance.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1261/train_1261_c/train_1261_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1261/train_1261_c/train_1261_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1261_c_1.nii.gz", "findings": "Tracheostomy tube is available. Tracheal secretions are observed at the tip of the tracheostomy tube. There is a pleural effusion extending from the apex to the costophrenic sinus between the right pleural leaves and reaching a diameter of 11 cm in the costophrenic sinus at its widest part. Starting from the distal part of the aortic arch, stent material was placed in the thoracic aorta. Fusiform aneurysmatic dilatation is observed in the thoracic aorta. The diameter of the thoracic aorta at its widest point in the middle part was measured as 15 cm. There is mural thrombus reaching 10 mm in this localization. Its dimensions are stable. There is a pleural effusion reaching 2 cm in diameter between the leaves of the left pleura. Significant increase in emphysematous aeration and parenchymal fibrosis findings are observed in the parenchyma of both lungs. Parenchymal fibrosis findings are more prominent in the right lung. Aneurysmatic diameter increase in the middle part of the thoracic aorta decreases the volume of the right lung basal segment and causes atelectasis. Right lung lower lobe superior segment aeration decreased due to pleural effusion. Aneurysmatic diameter increase in the thoracic aorta causes anterior protrusion in middle and lower lobe bronchi and marked narrowing in lumen calibrations. There is an area of subsegmental atelectasis in the superior segment of the left lung lower lobe. Mild fissure edema is observed in the left major fissure. Heart sizes are natural. In the upper abdomen sections entering the image area; There is a 4.5 cm diameter cortical cyst in the right kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Fusiform aneurysmatic dilatation in the thoracic aorta and mural thrombus in the middle section that causes significant increase in diameter are observed. Stent material was placed in the thoracic aorta.  Significant parenchymal fibrosis and emphysematous changes on the right in both lungs . Right lung aeration is decreased due to mural thrombus in the thoracic aorta and pleural effusion. Mural thrombus in the thoracic aorta constricts the right lung middle and lower lobe bronchus calibrations and pushes them anteriorly."}
{"volume_path": "dataset/train_fixed/train_1261/train_1261_d/train_1261_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1261/train_1261_d/train_1261_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1261_d_1.nii.gz", "findings": "Bilateral minimal pleural effusion, more prominent on the right, was observed. The pleural effusion measured approximately 80 mm at the contour level of the lower lobe of the right lung at its thickest point. On the right, there is a thickening of the pleura adjacent to the effusion and septum-like appearances within the effusion. The described appearances could not be characterized because no contrast agent was given. When the patient is evaluated together with the clinical preliminary diagnosis, it is recommended to investigate these appearances in terms of empyema. No occlusive pathology was detected in the trachea and both main bronchi. The patient has a tracheostomy. There are diffuse emphysematous changes in both lungs. There are consolidations in the right lung lower lobe superior segment and the posterobasal segment in the left lung lower lobe. The described consolidations have just emerged. When evaluated together with the clinical diagnosis, these manifestations were primarily evaluated in favor of pneumonic infiltration. There are atelectasis adjacent to the effusion in both lung lower lobes. Linear atelectasis and pleuroparenchymal sequelae changes are observed in other parts of 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 minimal pericardial effusion. Atheroma plaques are observed in the aorta and coronary arteries. Thrombosed fusiform aneurysmatic dilatation is observed in the descending thoracic aorta. The aneurysm measured 130x150 mm at its widest point. There is a thrombus in the aneurysm, reaching a thickness of about 100 mm. There is an endovascular stent inside the aneurysm. Ascending aorta arch aortic diameters are normal. Pulmonary artery diameters are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No upper abdominal free fluid-collection was detected in the sections. There is an appearance of gastrostomy in the stomach. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Atherosclerotic changes in the aorta, thrombosed fusiform aneurysmatic dilation in the descending aorta, and stent within the aneurysm. Bilateral minimal pleural effusion, more prominent on the right, thickening of the pleura adjacent to the effusion on the right, and septum-like appearances within the effusion.  Consolidations evaluated primarily in favor of pneumonic infiltration in the lower lobes of both lungs. Emphysematous changes in both lungs. Atelectasis in both lungs."}
{"volume_path": "dataset/train_fixed/train_1261/train_1261_e/train_1261_e_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1261/train_1261_e/train_1261_e_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1261_e_1.nii.gz", "findings": "CTO is within normal limits. Although the calibration of the mediastinal main vascular structures is generally normal, the aortic arch calibration is 35 mm, larger than normal. There are calcific atheroma plaques in the aortic arch, descending aorta, ascending aorta and coronary artery. There is a wide stent material that ends at the suprarenal level from the distal arch of the aorta and the beginning of the descending aorta to the abdominal aorta. Abdominal aorta calibration shows aneurysmatic dilatation and there is a wide thrombus appearance starting from the level of the right pulmonary artery and continuing to the subdiaphragmatic area. The thrombus has a heterogeneous hypodense appearance from place to place. It cannot be evaluated optimally in the non-contrast examination., no significant difference was found. The patient has a tracheostomy cannula. There is a cannula in the mediastinum and leveling is observed in the trachea. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Esophagus cannot be evaluated clearly in non-contrast examinations. In the evaluation of the parenchyma of both lungs, there are emphysematous changes in both lungs and sequelae changes, especially at the apical levels. Branches with buds are seen in the anterior segment of the upper lobe. There are also mildly similar appearances in the posterior segment. In terms of infective processes, evaluation together with the clinic is recommended. There is pleural effusion in both lungs. Where it is thickest, it is 27 mm on the right and 16 mm on the left. According to the previous examination, it is slightly prominent especially on the right. No significant difference was found on the left. In both lungs, interstitial scars become prominent and bronchovascular sheath thickens. Occasionally, paraseptal emphysema appearances are observed. In sections passing through the upper abdomen, hypertrophy of the spleen is observed. Both adrenals are natural. There is a cortical cyst in the right kidney. Surrounding soft tissues are normal. Degenerative changes are observed in the bone structure.", "impression": "The examination was evaluated together with his old CT. Effusion in both pleural spaces, emphysematous findings, appearances compatible with interstitial fibrosis.  Splenomegaly. Degenerative changes in bone structure."}
{"volume_path": "dataset/train_fixed/train_1263/train_1263_a/train_1263_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1263/train_1263_a/train_1263_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1263_a_1.nii.gz", "findings": " Right aortic arch variation is observed. Calcific plaques are present in the aortic arch. The cardiothoracic index is natural. Right upper, bilateral lower paratracheal aortopulmonary lymph nodes with millimetric size are observed. No pathological LAP was detected in the mediastinum. Massive pleural effusion measuring approximately 13 cm in the thickest part of the right hemithorax is observed. Approximately 9 cm long and 4 cm wide hyperdensity is observed in the effusion in the lower hemithorax and may be due to dense content or less likely bleeding. The lower lobe of the right lung is mostly atelectasis. Linear subsegmental atelectasis is observed in the lower lobe of the lung that is not atelectasis. There are appearances of minimal subsegmental atelectasis in the upper lobe. Motion artifacts are observed in the lower lobe of the left lung, and no obvious lesion is detected in the parenchyma. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Millimetric calculi are observed in the gallbladder. No lytic-destructive lesion was detected in bone structures.", "impression": "#NAME?"}
{"volume_path": "dataset/train_fixed/train_1263/train_1263_b/train_1263_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1263/train_1263_b/train_1263_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1263_b_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are findings evaluated in favor of pleuroparenchymal sequelae changes in both lung apex. In addition, linear and subsegmental atelectasis were observed in the lower middle lobe and lower lobe of the right lung. No mass or infiltrative lesion was detected in both lungs. No pleural or pericardial effusion was detected. There is minimal pleural effusion on the right.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1265/train_1265_a/train_1265_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1265/train_1265_a/train_1265_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1265_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. 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; There are subsegmental areas of atelectasis and fibroatelectatic changes in the left lung inferior lingular segment and lower lobe. There is minimal pleural effusion and irregularity in the pleural contour on the left. No mass-infiltration was detected in both lung parenchyma. There is a metallic density of a shrapnel piece with a diameter of 7.5 mm adjacent to the head of the pancreas. In addition, there are metallic densities of multiple shrapnel fragments, the largest of which is 6.5 mm in diameter, between the subcutaneous fatty planes and muscle structures at the level of the left hemithorax. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There is a metallic density of 1 cm in diameter foreign body just under the skin at the level of the right upper quadrant. A nonunion fracture was observed in the anterolateral aspect of the left 4th rib. In addition, deformed appearance, cortical irregularity in the bone structure was observed in the left 8th rib lateral. It has been evaluated depending on posttraumatic changes. In addition, a similar appearance is observed in the posterior of the left 8th rib.", "impression": "Metallic densities in the left hemithorax and intra-abdominal shrapnel fragments, subsegmental atelectasis and band-like fibrotic changes in the left lung. Minimal pleural effusion on the left and posttraumatic contour irregularities in the pleura."}
{"volume_path": "dataset/train_fixed/train_1273/train_1273_a/train_1273_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1273/train_1273_a/train_1273_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1273_a_1.nii.gz", "findings": " Both breasts have an appearance compatible with gynecomastia. Trachea, both main bronchi are open. Calibrations of the main vascular structures were followed naturally. Bilateral pleural effusion was not observed. Thoracic esophageal 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 left upper paratracheal, subcarinal and preaortic short axes measuring less than 1 cm and not reaching pathological dimensions were observed. There was no difference in size and appearance. There is an internal fixator on the right humeral head. Its superior end exceeds the humeral head and extends into the soft tissue. Old fracture lines are observed in the posterior parts of the right 6-7-8.costa. There is osseous fusion. It is understood from the sections passing through the upper abdomen that liver right lobe transplantation was performed. Contamination in the mesenteric fatty planes is consistent with early postoperative change. A loculated collection area of 49x48 mm 34x21 mm in the previous examination is observed in the vicinity of the section surface. Free effusion is observed in the perihepatic area and at the perisplenic level. Spleen size increased. Thin-walled cystic lesion is observed in the mid-section posterio of the spleen. The described lesion is benign. It is also observed in previous examinations.", "impression": "Fissure-based stable nodule in the superior segment of the left lung lower lobe. Perihepatic-perisplenic mild fluid."}
{"volume_path": "dataset/train_fixed/train_1276/train_1276_a/train_1276_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1276/train_1276_a/train_1276_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1276_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal because 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. Calibration of thoracic main vascular structures is natural. Heart contour and size are natural. Pericardial thickening-effusion was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. No lymph node was detected in mediastinal pathological size and appearance. When both lung parenchyma windows are evaluated; Between the bilateral pleural leaves, free pleural effusion with an increased thickness of 4 mm on the right and 63 mm on the left and atelectatic changes in the adjacent lung parenchyma were observed. A large area of pneumothorax measuring 16 mm in thickness is observed on the right. Nonspecific parenchymal nodules measuring 4 mm in diameter were observed in both lung parenchyma, the largest of which was in the left lung lingular segment. Upper abdominal organs included in the examination area 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. On the right, a 12x7.5 mm lymph node is observed between the supradiaphragmatic fatty planes. No lytic-destructive lesions were detected in bone structures.", "impression": "Bilateral diffuse pleural effusion and atelectatic changes. Parenchymal nodules in both lungs.  Large area of pneumothorax on the right."}
{"volume_path": "dataset/train_fixed/train_1278/train_1278_a/train_1278_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1278/train_1278_a/train_1278_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1278_a_1.nii.gz", "findings": "Tracheal tube and nasogastric tube are observed. 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. 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; There are patchy ground glass densities in both lungs, which can hardly be distinguished from the parenchyma, millimetric nodular densities around which a halo sign is observed, in small sizes, especially in the middle lobe of the right lung, there are millimetric nodular densities. A small amount of effusion is observed in the right hemithorax. Atelectasis changes are observed in the lower lobe of the right lung. There are postoperative changes in the TX Liver hilum. A small amount of free fluid is observed in the perihepatic area in the abdomen. No lytic-destructive lesion was detected in bone structures.", "impression": "The findings observed in the current examination were evaluated secondary to the resolution of pulmonary edema?, and clinical laboratory correlation is recommended in terms of suspected infectious process onset."}
{"volume_path": "dataset/train_fixed/train_1279/train_1279_a/train_1279_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1279/train_1279_a/train_1279_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1279_a_1.nii.gz", "findings": "There is a metastatic lymph node with a short diameter of 16 mm in the left supraclavicular fossa. No lymph node was observed in the mediastinum in pathological size and appearance. There is an increase in the diameter of the pulmonary trunk and both main pulmonary arteries. There is a pleural effusion reaching 4.5 cm in diameter between the leaves of the left pleura. Pleural effusion reaching 2.5 cm in diameter between the right pleural leaves has just developed. Pericardial effusion was not observed. Compression atelectasis in the lung parenchyma adjacent to the left pleural effusion, subsegmental atelectasis in the lower lobe anterobasal segment and upper lobe inferior lingula segment are observed. There are septal thickenings and parenchymal ground glass densities in the upper lobe of the right lung. However, it has become more evident in the current review. There may be involvement in this pattern due to drug toxicity. Although the presence of infection cannot be excluded, parenchymal changes due to toxicity are primarily considered, clinical correlation is recommended. A suspicious mass or nodular lesion in the lung parenchyma was not observed in this examination. In the upper abdominal sections, there is a mass lesion with an increase in thickness secondary to diffuse malignant infiltration in the stomach wall and infiltrating the spleen and stomach in the tail section of the pancreas. Widespread liver metastases are observed. There are findings consistent with peritonitis carcinomatosa.", "impression": "Metastatic pancreatic Ca, increased size of left pleural effusion, right pleural effusion has just developed. Drug toxicity ? The presence of infection could not be ruled out. Clinical correlation is recommended.  Infiltrates into the spleen and stomach in the pancreas mass lesion, diffuse liver metastases, intra-abdominal free fluid, peritonitis carcinomatosa."}
{"volume_path": "dataset/train_fixed/train_1280/train_1280_a/train_1280_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1280/train_1280_a/train_1280_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1280_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast. The pulmonary conus is wider than normal at 30 mm. Widespread calcified atheroma plaques are observed on the walls of the aorta and coronary vascular structures. A significant increase is observed in the cardiothoracic ratio. Pericardial effusion was not detected. A free effusion of 25 mm in the deepest part on the right and 27 mm in the left is observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There is a sliding type hiatal hernia at the lower end. In mediastinal lymph node stations, there are lymph nodes with fatty hiluses that preserve their fusiform configuration, the larger ones measuring 11 mm in diameter at the prevascular level, 12 mm in the right pratracheal area, and 12 mm in the subcarinal level. When examined in the lung parenchyma window; There is a mosaic attenuation pattern in both lungs small airway disease? small vessel disease?. There are linear atelectasis-pleuroparenchymal sequelae bands in the apices of both lungs, right lung middle lobe, lower lobe, left lung inferior lingular segment and lower lobe. In the upper lobe anterior segment of the right lung, there is an indistinctly circumscribed ground glass density in the peripheral area, and in the posterobasal segment of both lungs, there are areas of increase in density consistent with the consolidation in air bronchograms, and ground glass densities with indistinct margins are observed, and infective pathologies are considered in the etiology of the described findings. In the parenchyma of both lungs, a few nonspecific nodules of millimetric dimensions, 5 mm in size, located subpleural in the apex of the upper lobe of the right lung, are observed. There are atrophic changes in the right kidney. Currently, there is a Double J catheter applied to the left kidney. Widespread calcified atheroma plaques are observed in the abdominal aortic wall. There are extensive osteodegenerative changes in bone structures within the image.", "impression": "Large-than-normal appearance in the pulmonary conus, widespread calcified atheroma plaques on the walls of the aorta and coronary vascular structures, increased cardiothoracic ratio in favor of the heart . Lymph nodes in the mediastinum, with large prevascular, right paratracheal and subcarinal levels, short diameter exceeding 1 cm, but with a fatty hilus that preserves its fusiform configuration . Mosaic attenuation pattern in both lungs small airway disease? small vessel disease? Fibrotic structures with localized sequelae, atelectatic changes in both lungs Areas of increase in density consistent with consolidation in which air bronchograms are observed in; infective pathologies are primarily considered in the etiology of the described findings. Post-treatment control is recommended.  Bilateral pleural effusion . Atrophic changes in the right kidney, bilateral nephrolithiasis . Bone structures within the image diffuse osteodegenerative changes"}
{"volume_path": "dataset/train_fixed/train_1298/train_1298_a/train_1298_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1298/train_1298_a/train_1298_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1298_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is bilateral minimal pleural effusion. Consolidation and ground-glass appearances are observed in the lower lobes of both lungs. The described appearances were evaluated in favor of pneumonic infiltration. 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. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are 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 or pathologically enlarged lymph nodes were detected in the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open.", "impression": " Findings evaluated primarily in favor of pneumonic infiltration in the lower lobes of both lungs."}
{"volume_path": "dataset/train_fixed/train_1301/train_1301_a/train_1301_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1301/train_1301_a/train_1301_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1301_a_1.nii.gz", "findings": " A catheter image extending from the port chamber and right internal jugular vein to the superior vena cava-right atrium junction was observed on the anterior chest wall on the right. Trachea was in the midline of both main bronchi 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 main vascular structures of the mediastinum are the heart, the contour size is normal. Pericardial effusion-thickening was not observed. A calcific atheroma plaque was observed in the aortic arch. A pleural effusion measuring 10 mm 16 mm in the previous examination was observed in the thickest part of the left hemithorax. Sequelae thickening was observed in the posterior costal pleura in the right hemithorax. 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; Segmentary-subsegmental tubular bronchiectasis and peribonchial thickening were observed in both lungs. In the left lung inferior lingular, lower lobe basal, right lung middle lobe, central-peripheral crazy paving pattern formed, small patchy, faintly limited ground glass opacities are observed, and the appearance is suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Pleuroparenchymal fibroatelectasis-sequelae changes were observed in the right lung middle lobe medial, left lung upper lobe inferior lingular, and both lung lower lobe basal segments. There are several millimetric nonspecific pulmonary nodules in the lung parenchyma and it is stable. 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": "Slightly regressed left pleural effusion, sequela thickening of right posterocostal pleura. Pleuroparenchymal fibrotic-sequelae changes and stable nonspecific parenchymal nodules in both lungs.  Suspicious findings for Covid-19 pneumonia in both lung parenchyma. It is recommended to be evaluated together with clinical and laboratory. Segmental-subsegmentary tubular bronchiectasis, peribronchial thickening in both lungs."}
{"volume_path": "dataset/train_fixed/train_1302/train_1302_a/train_1302_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1302/train_1302_a/train_1302_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1302_a_1.nii.gz", "findings": " From 3.5 cm proximal to the carina level in the trachea, there is soft tissue thickening, measuring 6.5 mm in the thickest part extending to the right main bronchus, in which air images are observed. It was observed that this appearance was newly developed in the current examination and it was evaluated primarily in favor of secretion. Due to the lack of contrast in the examination, mediastinal main vascular structures and the heart could not be evaluated optimally, and the AP diameter of the ascending aorta was measured as 45, and the diameter of the descending aorta was measured as 33 mm and increased. There is a slight increase in the cardiothoracic ratio in favor of the heart. Calcified atheroma plaques are observed on the walls of the main vascular structures and the wall of the coronary artery. No effusion was detected in the pericardial area. No effusion is detected in the left pleural area, and an effusion measuring 25 mm in the deepest part is observed in the right pleural area. In the mediastinal area, lymph nodes that are not in pathological size and appearance are observed, the largest of which is 9.2 mm in size at the level of the aortopulmonary window, with a fusiform configuration and fatty hilus. No pathological increase in wall thickness is observed in the esophagus. When examined in the lung parenchyma window; There was no change in the number, size and appearance of the nodules described in both lungs in the old CT, and there are light ground glass densities in all segments, tree appearance with buds in all segments, adjacent to the peribronchovascular tree in the right lung. Mild ectasia and mild thickening in the peribronchial area are observed in the bronchial structures. Apart from this, the findings described in the old CT in both lungs are stable. In the abdominal sections within the image, a 22 mm diameter hypodense focal lesion is stable in liver segment 4B. Currently, the right adrenal gland is 76x58 mm in size measured as 45x28 mm in a previous CT scan. A metastatic mass lesion is observed, and there is a 27x21 mm metastatic mass lesion that has newly developed in the left adrenal gland. It causes cortical destruction in the bone structures within the image, at the level of the 2 costal vertebral junction on the right, at the level of the 6 costal vertebral junction, at the level of 5 and 6 ribs, in the lateral area at the level of 5 and 6 ribs, showing lytic character extending in the lateral area in a fusiform manner, and lytic character in the T1, T2, T4, T5 and T8 vertebral bodies. There are metastatic lesions that cause lytic cortical destruction in places and are observed in soft tissue components from time to time.", "impression": "Lesion secretion in the newly developed soft tissue density, measuring 6.5 mm in the thickest part, extending towards the right main bronchus in the 35 mm segment just above the carina in the trachea, ground glass densities in the right lung parenchyma, in all segments near the bronnovascular structure, and tree appearances with buds in places. Metastatic mass lesions in the bilateral adrenal gland; It is observed that the size of the lesion observed in the right adrenal gland has increased and the lesion observed in the left adrenal gland has newly developed.  Increase in the size of lytic metastatic lesions observed in T4, T5 and T8 vertebral bodies, newly developed metastatic lesions in T1 and T2 vertebral bodies and 6 rib vertebral junction level"}
{"volume_path": "dataset/train_fixed/train_1303/train_1303_a/train_1303_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1303/train_1303_a/train_1303_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1303_a_1.nii.gz", "findings": "Tracheostomy cannula is observed in the patient and it ends approximately 3 cm proximal from the carina. PEG is observed in the patient. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Heart contour, size is normal. Thoracic aorta diameter is normal. minimal pericardial effusion is observed. Although the evaluation of mediastinal main vascular structures was suboptimal since the examination was unenhanced, the anterior-posterior diameter of the ascending aorta increased by 4 cm. Calcific plaque formations are observed in the aortic arch, descending aortic wall and coronary artery walls. Thoracic esophagus calibration was normal and no significant increase in wall thickness was detected. No enlarged lymph nodes were detected in pre-paratracheal, mediastinal, bilateral hilar-axillary pathological dimensions. Pleural effusion reaching 1.5 cm on the left and 6-7 mm on the right is observed in both hemithorax. There are minimal atelectasis in the vicinity of the effusion. When examined in the lung parenchyma window; Some calcific millimetric nodules are observed in both lungs. There are atelectatic changes in the paramediastinal area in the middle lobe of the right lung. It is accompanied by mild bronchiectasis in places. Diffuse centriacinar emphysema is observed in both lungs. In the major fissure on the right, minimal thickness increase is observed superiorly, and the described thickness increase becomes more pronounced towards the hilar region. In the upper abdominal organs included in the study area; bilateral renal multiple cysts, some of which are hemorrhagic, the largest measuring 3 cm are observed. There are millimetric stones in the gallbladder lumen. Liver, spleen, pancreas, both adrenal glands are normal. In bone structures within the study area; An increase in thoracic kyphosis is observed, and syndesmophytes combined with each other are observed in the thoracic vertebral column with right weight. No lytic-destructive lesions were detected in the thoracic vertebral column and other bones forming the thorax.", "impression": "Some calcific millimetric nodules in both lungs, bilateral minimal pleural effusion, minimal pericardial effusion. Sequelae changes in both lungs, especially in the right lung middle lobe, . Centriacinar pulmonary emphysema . Bilateral, some hemorrhagic renal cysts . Cholelithiasis . Aortic sclerosis . Prominent thoracic signs of spondylosis"}
{"volume_path": "dataset/train_fixed/train_1308/train_1308_a/train_1308_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1308/train_1308_a/train_1308_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1308_a_1.nii.gz", "findings": "Trachea and mediastinum are deviated to the left. Trachea and lumen of both main bronchi are open. The left main bronchus terminates in a stump and it was learned that the patient underwent a left pneumonectomy. In the left hemithorax, an anky effusion with a thick wall in which air images were observed in the nondepandana and reaching a thickness of 38 mm in the thickest part was observed. It is recommended to be evaluated together with clinical and laboratory in terms of empyema. Compensatory hypertrophy was observed in the right lung. No mass lesion-active infiltration-contusion area with discernible borders was detected in the right lung. Right pleural effusion-thickening was not observed. Observe the old fracture lines in the posterior part of the left 1,2,3,6,7th rib and the posterior-anterior parts of the 4th and 5th ribs. 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. 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. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "In a left lobectomized case, it is recommended to be evaluated together with clinical and laboratory in terms of anky pleural effusion, empyema containing the image of free air in the left hemithorax.  Old fracture lines in the ribs in the left hemithorax.  There was no finding in favor of infection in the right lung."}
{"volume_path": "dataset/train_fixed/train_1310/train_1310_a/train_1310_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1310/train_1310_a/train_1310_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1310_a_1.nii.gz", "findings": " A central mass lesion extending towards the upper lobe bronchus, with a central location surrounding the left lower lobe bronchus 360 degrees, is observed. Since the borders cannot be clearly distinguished from the atelectatic areas formed in the periphery of the lesion, its dimensions cannot be evaluated. However, it was thought that there was a significant increase in size. In the left lower lobe, especially in the posterobasal laterobasal segments, interlobular septal thickenings and millimetric centriacinar nodules are observed in the aerated parts, and the findings were evaluated as compatible with lymphajitic involvement. Patchy areas of consolidation are observed in both lungs, especially in the upper lobes, more prominent on the left. In the left upper lobe anterior segment of the left lung, a spiculated contoured irregularly circumscribed lesion measuring 32 mm in diameter on the right and 15 mm in anterior posterior diameter is observed. In addition, there are multiple nodules, the largest of which is 1 cm, in the lower lobe of the right lung. The amount of pericardial effusion observed in the previous examination was considered stable and measured 7 mm at its thickest point. 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. Multiple hypodense lesions, the largest of which is 2 cm, are observed in the right lobe of the liver met?. A hypodense lesion is observed in the lower pole of the left kidney. Both adrenal glands are normal. The spleen is normal. When the bone is examined in the window, an increase in thoracic kyphosis is observed, and an S-shaped thoracic scoliosis is observed, the opening of which is directed to the right in the superior and to the left in the inferior.", "impression": "Significant increase in pleural effusion observed in the previous examination in the right hemithorax. Pericardial effusion is stable. Patchy areas of consolidation in both lungs."}
{"volume_path": "dataset/train_fixed/train_1310/train_1310_b/train_1310_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1310/train_1310_b/train_1310_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1310_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; The mediastinal main vascular structures, heart contour and size are normal. Effusion reaching 14 mm in 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. Massive pleural effusion with free air images is observed in the right hemithorax. Pneumothorax has just emerged in the current review. The heart and mediastinal structures are observed to be displaced to the left. No pleural effusion was detected on the left. When examined in the lung parenchyma window; The right lung has a total atelectasis appearance. An irregularly circumscribed nodule causing minimal structural distortion and volume loss was observed in the anterior segment of the left lung upper lobe. The described nodular lesion measured approximately 10x22 mm at its widest point. In the presence of primary disease, this appearance was thought to be primarily metastasis. Apart from this, a few millimetric nonspecific nodules were observed in the left lung. Thickening of the peribronchial sheath and linear atelectasis were observed on the left. There was no finding in favor of infection in the left lung. No upper abdominal free fluid-collection was detected in the sections. No lymph nodes in pathological dimensions were 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": "Lung Ca in the follow-up, irregularly circumscribed nodule in the left upper lobe of the lung, which is evaluated primarily in favor of metastasis; it is stable. Millimetric nonspecific nodules in the left lung.  Thickening of the peribronchial sheath, atelectatic changes in the left lung. Hydropnomothorax in the right, total atelectasis in the right lung."}
{"volume_path": "dataset/train_fixed/train_1315/train_1315_a/train_1315_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1315/train_1315_a/train_1315_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1315_a_1.nii.gz", "findings": "CTO is within normal limits. There is mild pleural thickening and calcification. Calibration of the aortic arch is natural. Calcific atheroma plaques are observed in the aortic arch and descending aorta. There is a catheter in the superior vena cava. No lymph node with pathological size and configuration was detected in the mediastinum. There is a millimeter sized lymph node. The lymph node cannot be clearly evaluated in both hilar-level contrast-enhanced examinations. There is a hiatal hernia. In the evaluation of both lungs in the parenchyma window; There is a basal to moderate pleural effusion in the right lung. Mild pleural thickening is also observed in the left lung. It reaches 15 mm at its thickest point on the right. There is a centriacinar nodular appearance in both lungs, more prominent in the upper-middle zones and more on the left, tending to merge. It is recommended to evaluate the case with clinical and laboratory findings in terms of specific-nonspecific infections. Sequelae changes are observed at both apical levels on the right. There is a consolidative lung parenchyma area with air bronchograms in the lower lobe of the right lung. In the lower lobes, peripherally located subpleural band-like densities are observed in the basals. There are slight thickenings at the base of the interlobular septa. There are also parenchymal band appearances in the lingular segment and the left lung basal. Fluid appearance is observed in the interlobar fissure in both lungs. There is widespread effusion in the abdomen. Liver sizes are small. Microlobulation is available. It is clinically compatible in the cirrhotic patient. Liver parenchyma cannot be evaluated in non-contrast examination. Densities compatible with multiple calculus are observed in the gallbladder. Spleen sizes are normal. Parenchyma cannot be evaluated clearly. Both kidney sizes are smaller than normal. The collecting system is natural. Traceable sections of the pancreas are normal in both adrenals. Oily planes in the abdomen are dirty. Degenerative changes are observed in the bone structure.", "impression": "Display of prominent centrilobular nodule in both lungs with diffuse confluence on the left. Pleural effusion on the right and consolidative lung parenchyma in the basal.  Sequelae changes at the apex level and at the baseline, it is recommended to evaluate the case together with clinical and laboratory findings in terms of specific-nonspecific infection. It was thought that the appearance may be accompanied by rheumatoid lung in the case with rheumatoid arthritis anamnesis. consistent with the anamnesis."}
{"volume_path": "dataset/train_fixed/train_1329/train_1329_a/train_1329_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1329/train_1329_a/train_1329_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1329_a_1.nii.gz", "findings": "Bilateral nodular gynecomastia was observed. Trachea and main bronchi are open. Paratracheal, prevascular, aorticopulmonary multiple lymph nodes with a short diameter of 1 cm were observed in the mediastinum. There are metallic clips in the mediastinum operated bypass. There is global enlargement of the cardiac cavities. Calcific atheroma plaques were observed in the main vascular structures. Esophagus is within normal limits. Minimal pleural effusion was detected on the left. In the evaluation of both lung parenchyma; In the apical segment of the upper lobe of the right lung, a peripherally located mass of 45 x 31 x 33 mm, with spiculated edges, and causing pleural retraction was observed. Several millimetric satellite lesions were observed in the same lobe. Nodular consolidations in the peribronchovascular distribution in the superior segment of the left lung lower lobe and diffuse ground-glass appearance were observed around it. pneumonia? Laboratory evaluation for the specific agent is recommended. There are paraseptal emphysema appearances and millimetric air cysts in both lungs. There are millimetric non-specific nodules in the bilateral 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. There are degenerative changes in bone structures.", "impression": "Mass in the right lung? Satellite lesions Mediastinal lymph nodes Pneumonia on the left? Parapneumonic effusion? Cardiomegaly, Atherosclerosis"}
{"volume_path": "dataset/train_fixed/train_1335/train_1335_a/train_1335_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1335/train_1335_a/train_1335_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1335_a_1.nii.gz", "findings": "The size of the thyroid gland has increased. Evaluation with USG would be appropriate. In the section, no lymph node in pathological size and appearance was observed in both supraclavicular fossae. No lymph node was observed in pathological size and appearance in both axillae. There are several millimetric nonspecific lymph nodes located in the paraaortic, right lower paratracheal region in the mediastinum. Valve calcification is observed in the aortic valve. There are calcified atheroma plaques in the circumflex. Heart size increased. Left ventricle is dilated. Between the leaves of the pleura, there is a thin smear-like 2-3 mm diameter mild pleural effusion. Calibrations of mediastinal main vascular structures were followed naturally. In the middle part of the thoracic aorta, the diameter of the aorta is 32 mm and it has a slightly dilated appearance. There are pleuroparenchymal linear density increases accompanied by prominent parenchymal calcified nodules on the right in both upper lobe apical segments of both lungs. Pleuroparenchymal fibrotic linear density increases and parenchymal calcified nodules in the right lung upper lobe, middle lobe, left lung upper lobe anterior segment and lower lobe basal segment are consistent with the sequelae of previous granulomatous infection. Aeration differences and air trapping areas are observed in both lung lower lobe basal segments. In the current imaging of both lungs, no nodular or mass space-occupying lesion was detected except for infectious infiltrative involvement and calcified nodules. Esophageal calibration is natural. No space-occupying lesions were detected in both adrenal gland sites in the evaluation of the upper abdomen sections that entered the image area. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Increased left ventricular diameter in heart size, valve calcification in the aortic valve, calcific atheroma plaques in the circumflex, mild pericardial effusion between pericardial leaves. Increased thyroid gland size.  Slight increase in diameter of the thoracic aorta. Pleuroparenchymal sequela fibrotic linear density increases with prominent parenchymal coarse calcified nodules on the right in both lungs"}
{"volume_path": "dataset/train_fixed/train_1336/train_1336_a/train_1336_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1336/train_1336_a/train_1336_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1336_a_1.nii.gz", "findings": "There is intra-abdominal diffuse free fluid within the sections. In addition, thickening of the omentum is observed. There is also thickening of the peritoneum in the right subdiaphragmatic area. The described appearances are consistent with peritoneal carcinomatosis. Lymphadenopathies are observed in the paraaortic, interaortacaval and paracaval regions. Minimal pleural effusion is observed on the left. There is no pleural effusion on the right. Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There is subsegmental atelectasis in the medial segment of the right lung middle lobe. Linear atelectasis is also observed in the left lung upper lobe lingular segment. There are nodules in both lungs with a ground glass area around some of them. The largest nodules described are observed in the right lung middle lobe adjacent to the horizontal fissure and in the right lung upper lobe posterior segment, adjacent to the oblique fissure, and are 9 mm in diameter at their widest point. The appearance of the described nodules is not specific. However, in the presence of primary disease, it was primarily thought that the appearances described might belong to metastases. 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. There is no pericardial effusion. The widths of the mediastinal main vascular structures are normal. There are millimetric lymph nodes in the mediastinum and hilar regions. Sliding type hiatal hernia is observed at the lower end of the esophagus. No pathological increase in wall thickness was detected in the esophagus within the sections. There are no lytic-destructive lesions in the bone structures within the sections.", "impression": "In follow-up, endometrial ca, signs of peritoneal carcinomatosis, pleural effusion on the left, nodules in both lungs with ground glass areas around some of them and thought to be compatible with metastases."}
{"volume_path": "dataset/train_fixed/train_1346/train_1346_a/train_1346_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1346/train_1346_a/train_1346_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1346_a_1.nii.gz", "findings": "Trachea and mediastinum are deviated to the left superiorly. No occlusive pathology was observed in the lumen. Anteroposterior diameter of the trachea increased secondary to loss of elasticity in the parenchyma. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Minimal pericardial effusion was observed. 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. In the mediastinum, lymph nodes with short axes below 1 cm that did not reach pathological dimensions were observed. Pleural effusion reaching 3.5 cm in the right pleural space and 2 cm in the left pleural space was observed, and diffuse thickness increase and plaque-like calcifications were observed in the left parietal pleura sequelae of pleurisy. There are tubular bronchiectasis with increased bronchial wall thickness in both lung segment bronchi. Diffuse centriacinar emphysematous changes in both lungs and thickening of the interlobular septa in both lungs, volume loss in both lungs, more prominent in the left, micro-retractions in the pleura, and parenchymal fibrosis findings were observed in both lungs. In the right lung upper lobe posterior segment, middle lobe lateral and lower lobe superior segment, right lung lower lobe basal segment, there is a budding tree view compatible with bronchopneumonic infiltration. In addition, a continuous area of consolidation was observed around the lower lobe bronchus of the left lung. A paramediastinal nodule with a calcification focus was observed in the medial segment of the middle lobe of the right lung, approximately 15x10 mm in size. There is diffuse intimal thickening of the thoracic aorta. Cortical cysts were observed in both kidneys as far as can be seen on non-contrast sections. Old fracture lines were observed on the left 8, 9, 10 and 11 ribs. There is significant osteoporosis in bone structures.", "impression": "Significant emphysema, parenchymal fibrosis in the lung parenchyma, and marked fibrotic interlobular septal thickening in the lower lobes, tubular bronchiectasis in segmental bronchi, and tracheomegaly due to decreased lung elasticity. stable nodule in the medial segment of the middle lobe.  Osteoporosis in bone structures. 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. 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. CONCLUSION: . Thoracic CT examination within normal limits"}
{"volume_path": "dataset/train_fixed/train_1360/train_1360_a/train_1360_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1360/train_1360_a/train_1360_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1360_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Pleural effusion is observed on the right. It is observed that the pleural effusion also enters the fissures. In addition, minimal pleural thickening is observed on the right. There is also minimal pleural effusion on the left. There are some linear atelectasis in the right lung. Minimal emphysematous changes were observed in both lungs. There are nonspecific nodules in the right lung, the largest measuring 5 mm in diameter. Minimal peribronchial thickening is observed, with both lungs more prominent on the right. 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 seen: A central venous catheter is seen on the right. The catheter terminates at the superior vena cava-right atrium junction. Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aortic arch and 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 13 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. Edema is observed in the periportal region. In addition, there is a hypodense appearance in the gallbladder wall, which is evaluated in favor of edema. It is recommended that the patient be evaluated for liver parenchymal disease. A millimetric lytic bone lesion is observed in the posterior part of the 9th rib on the right. Because the lesion was so small, it could not be characterized. It is recommended that the patient be evaluated together with their medical history.", "impression": " Bilateral minimal pleural effusion, more prominent on the right, minimal pleural thickening on the right.  Millimetric nodules in the right lung.  Linear atelectasis in the right lung.  Minimal emphysematous changes in both lungs.  Periportal edema, edema of the gallbladder wall recommended to be evaluated for acute liver parenchymal disease.  Millimetric lytic bone lesion in the right 9th rib."}
{"volume_path": "dataset/train_fixed/train_1369/train_1369_b/train_1369_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1369/train_1369_b/train_1369_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1369_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; In the current examination, unlike the previous examination, diffuse ground-glass densities that transform into lobar consolidation in the anterior part of the left upper lobe of the lung are observed. In addition, there are reticulonodular densities in both lungs. It was evaluated in favor of pneumonia. In addition, there are pulmonary nodules in both lungs that may be compatible with metastasis observed in previous examinations. Unlike the previous examination, in the current examination, there is an area of lobar consolidation in the lower lobe of the right lung and an appearance that may be compatible with pneumonia with air bronchograms in this area. There is a pleural effusion reaching approximately 3 cm in the right lung. Between the vertebra anterior and trachea posterior, the appearance interpreted in favor of the patients conglomerated LAPs continues. In the right lung, there is an appearance compatible with the primary mass obliterating the bronchi. 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": ""}
{"volume_path": "dataset/train_fixed/train_1373/train_1373_a/train_1373_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1373/train_1373_a/train_1373_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1373_a_1.nii.gz", "findings": "The right breast was not observed secondary to the operation. In the current CT examination localized to the right subscapularis muscle, a 60x44 mm soft tissue density lesion extending into the glenohumeral joint space is observed. In the previous CT examination, an area of approximately 30x20 mm, which is compatible with the cyst-collection, is remarkable. Evaluation with MRI is recommended. No mass was detected in the left breast within the CT margins. Trachea and both main bronchi are open and no obstructive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. There is a slight sliding type hiatal hernia at the lower end. There are calcified atheroma plaques on the walls of the aorta and coronary vascular structures. An increase in the cardiothoracic ratio in favor of the heart is observed. Pericardial effusion was not detected. There is minimal effusion measuring 11 mm at its deepest point in the right pleural area and 10 mm at its deepest point in the left pleural area. A stable nodular lesion with a diameter of 10 mm is observed in the anterior segment of the right lung upper lobe. In the right adrenal gland, a mass measuring 39x20 mm in the current examination and 31x17 mm in the previous CT examination is observed metastasis?. There is a stable nodular increase in thickness in the left adrenal gland body section. Stable sclerotic bone metastases are observed in the bone structures within the image. No newly developed lesion was detected.", "impression": "Operated breast ca.  In follow-up, soft tissue density lesion with extension into the glenohumeral joint space at the level of the right subscapularis muscle; In the previous CT examination, the area compatible with the cyst-collection in this localization draws attention. Evaluation with MRI is recommended.  Lymph nodes with a fatty hilus over 1 cm, the largest with a short diameter of more than 1 cm, showing a marked decrease in their size in the left axillary region. stable nodule in the segment.  Mass with increasing size metastasis? in the right adrenal gland and stable nodular thickening in the left adrenal gland trunk section.  Multiple sclerotic metastatic lesions in bone structures."}
{"volume_path": "dataset/train_fixed/train_1380/train_1380_a/train_1380_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1380/train_1380_a/train_1380_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1380_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. 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 and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Uniform interlobular septal thickenings were observed in both lungs secondary to cardiac pathology?. Patchy ground glass density increases were observed in both lungs. Peribronchial thickening and areas of consolidation-atelectasis are observed in the lower lobes of both lungs. Between the bilateral pleural leaves, there is a free pleural effusion measuring 53 mm on the right and 35 mm on the left. In the upper abdominal sections that entered the examination area, millimetric calculus was observed in the left kidney. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.", "impression": " Mild cardiomegaly.  Patchy ground-glass density increases in both lungs, interlobular septal thickening secondary to cardiac pathology?.  Peribronchovascular thickening, areas of consolidation-atelectasis and bilateral pleural effusion in the lower lobes of both lungs.  Left nephrolithiasis."}
{"volume_path": "dataset/train_fixed/train_1381/train_1381_d/train_1381_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1381/train_1381_d/train_1381_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1381_d_1.nii.gz", "findings": "No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibration of mediastinal major vascular structures is normal. There are extensive calcific atherosclerotic plaques in the coronary arteries. There are extensive calcific atherosclerotic plaques in the ascending aorta, aortic arch, and thoracic aorta. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. Trachea, both main bronchi, lobar and segmental bronchi, air passages are open. There is an effusion reaching a diameter of 3.5 cm between the leaves of the right pleura and 1.5 cm between the leaves of the left pleura. There are areas of subsegmental atelectasis in both lungs. In addition, there are bilaterally scattered subpleural and intraparenchymal consolidation areas accompanied by atelectasis, which do not give mass contour, in both lungs. It was thought that atypical pneumonic infiltration with previous radiological findings Covid pneumonia was considered first may belong to the late radiological findings. Clinical correlation would be appropriate. In the upper abdomen sections, both kidneys are atrophic. There is a cyst of 3 cm in diameter in the right kidney. There is a 17 mm diameter calculus in the gallbladder lumen. No lytic-destructive space-occupying lesion was detected in bone structures.", "impression": " Diffuse calcific atherosclerotic plaques in coronary arteries and aorta.  Bilateral mild pleural effusion.  Scattered areas of consolidation accompanied by atelectasis in both lungs, radiological findings were thought to belong to late radiological findings of pneumonic infection probably Covid pneumonia.  Bilateral atrophic kidney. Cortical cyst in the right kidney in the background of CRF.  Cholelithiasis."}
{"volume_path": "dataset/train_fixed/train_1382/train_1382_a/train_1382_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1382/train_1382_a/train_1382_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1382_a_1.nii.gz", "findings": "The trachea is minimally deviated to the left and the right main bronchus is compressed. Secondary effusion narrowing is also observed in the left main bronchus. Mediastinal main vascular structures, heart contour, size are normal. No filling defect in favor of embolism was observed in the pulmonary arteries. Calcific atheroma plaques are observed 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; A massive pleural effusion reaching approximately 11.5 cm is observed in its thickest part, which almost completely obliterates the right lung aeration. The effusion area extends to the paracardiac area at the level of the middle mediastinum and adjacent to the mediastinal vascular structures. Diffuse compression atelectasis is observed in the lung parenchyma. Lung ventilation is lost. Mediastinal structures and heart secondary to effusion are minimally deviated to the left. When the lung parenchyma window was evaluated, the aeration of the right lung was almost completely lost. There is a mosaic attenuation pattern in the minimal lung parenchyma that can be observed. Left lung aeration is decreased. There are reticulonodular densities in the anterior segment of the left lung upper lobe that may be compatible with infection. 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": " Heart and mediastinal structures are minimally deviated to the left.  No filling defect compatible with embolism was observed in the pulmonary arteries.  Massive pleural effusion in the right lung, aeration of the right lung is almost completely obliterated. The right lung parenchyma has the appearance of atelectasis secondary to compression. In the left lung, reticulonodular densities are observed at the level of the upper lobe lingular segment secondary to the infective process?."}
{"volume_path": "dataset/train_fixed/train_1383/train_1383_a/train_1383_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1383/train_1383_a/train_1383_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1383_a_1.nii.gz", "findings": "Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. Bilateral minimal pleural effusion and passive atelectasis in adjacent lung areas were observed. No mass nodule infiltration was detected in both lungs. The heart and mediastinal vascular structures have a natural appearance. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Pneumoperitoneum was observed in the anterior neighborhood of the liver. Grade 1-2 ureteropelvic dilatation was observed in the right collecting system entering the section area. There are calcific atheromatous plaques in the anavascular structures. No obvious pathology was detected in bone structures. Median incision line and metallic sutures were observed on the anterior abdominal wall. Paraaortic, paracaval soft tissue densities, free air densities and metallic sutures were considered as secondary changes in a limited number of sections.", "impression": "Bilateral minimal pleural effusion and passive atelectasis in adjacent lung areas Pneumoperitoneum in the anterior neighborhood of the liver Grade 1-2 ureteropelvic dilatation in the right collecting system Atherosclerosis Median incision line and metallic sutures in the anterior abdominal wall, paraaortic, paracaval operation secondary changes"}
{"volume_path": "dataset/train_fixed/train_1384/train_1384_a/train_1384_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1384/train_1384_a/train_1384_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1384_a_1.nii.gz", "findings": " The right breast was not observed secondary to the operation in the patient who had a history of operation due to breast ca. No mass lesion with demarcated borders was detected in the mastectomy site. In the first plan, it was evaluated in favor of postoperative changes. Soft tissue density dimensions extending towards the intercostal region in the apex of the right axilla decreased in the current examination and were evaluated primarily in favor of postoperative change. No mass lesion with demarcated borders was detected in the left breast parenchyma. The left axillary region is natural. No lymph nodes were detected in pathological size and appearance in both axillary regions. Heart contour and dimensions are natural. Mild pericardial effusion was observed new in current review. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Bronchiectatic changes in the upper lobe of the right lung, density increases in the peripheral subpleural area, structural distortion and volume loss are observed. The described appearances were primarily evaluated in favor of post RT sequelae changes. The appearance described by the previous review extends towards the middle lobe and is increased. In this appearance, pleuroparenchymal sequelae were thought to be due to fibrotic changes. No mass was detected in both lungs. Consolidation area is observed in the left lung lower lobe anterobasal segment. The outlook may be compatible with the infectious process. Clinical and laboratory correlation is recommended. In addition, in the current examination, there is a newly revealed free pleural effusion with a thickness of 22 mm on the right and 21 mm on the left. There was no evidence of infiltration in the right lung. A few stable nonspecific pulmonary nodules, some of which are calcific, are observed in both lungs according to previous examinations. Intra-abdominal free-loculated fluid was not detected in the upper abdominal structures within the sections. No lymph node was detected in pathological size and appearance. A simple cortical cyst is observed in the left kidney. Gallbladder was not observed cholecystectomized?. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Operated breast ca.  Areas evaluated in favor of postoperative changes at the level of the right pectoral muscle.  Areas in the right lung that are primarily evaluated in favor of post-RT sequelae change. Stable nonspecific pulmonary nodules, some of which are calcified, in both lungs.  Mediastinal, slightly enlarged lymph nodes. Area of consolidation in the lower lobe of the left lung, bilateral pleural effusion newly revealed in current examination clinical laboratory correlation recommended for infectious process."}
{"volume_path": "dataset/train_fixed/train_1384/train_1384_b/train_1384_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1384/train_1384_b/train_1384_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1384_b_1.nii.gz", "findings": "No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was observed in both lungs. In the previous examination of the patient, it was understood that the consolidation observed in the lower lobe of the left lung disappeared. There is uniform interlobular septal thickening in both lungs secondary to cardiac pathology?. Bilateral pleural effusion is observed, more prominently on the right. There is atelectasis in the equine lobe of the left lung adjacent to the pleural effusion. Heart contour and size are normal. There is minimal pericardial effusion. Pericardial thickening was not detected. There is no upper abdominal free fluid-collection within the sections.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1384/train_1384_f/train_1384_f_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1384/train_1384_f/train_1384_f_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1384_f_1.nii.gz", "findings": " The trachea is in the midline of both main bronchi and there is no occlusive pathology in the lumen. Central venous catheter is observed on the right. The venous catheter terminates in the right atrium. Heart contour and size are normal. The width of the mediastinal main vascular structures is natural. There is minimal pericardial effusion. Pleural effusion was observed in both hemithorax, extending from the apex to the basal, reaching a thickness of 5 cm in the deepest part on the right and 2 cm in the deepest part on the left. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In addition, no pathologically enlarged lymph nodes were observed in bilateral internal mammarian artery traces. When examined in the lung parenchyma window; Volume loss and structural distortion are observed in the apical and anterior segment of the right lung upper lobe. In addition, fibrotic recessions, density increases, structural distortion and volume loss are observed in the peripheral subpleural area in the anterior parts of the right lung upper lobe and middle lobe. There are accompanying traction bronchiectasis at these levels. The appearance was evaluated as secondary to post RT treatment. A focal consolidation area with ground glass areas around it was observed more commonly in the left lung inferior lingular segment, both lung lower lobe basal segments, left lung lower lobe basal segment, and the appearance was evaluated in favor of pneumonic infiltration. It is recommended to be evaluated together with clinical and laboratory. There are emphysematous changes in both lungs. As far as can be observed in the sections, metallic sutures secondary to surgery were observed in the gallbladder lodge. Upper abdominal organs within 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. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Multiple lytic bone lesions are observed in the bone structures in the examination area. The described appearances are consistent with metastasis. Thoracic vertebral corpus heights and alignments are normal. Intervertebral disc distances are preserved. The neural foramina are open.", "impression": "Breast Ca and AML at follow-up. Stable lytic bone lesions within sections.  Secondary post-RT sequelae changes in the upper lobe apical anterior segment and middle lobe anterior segments of the right lung. Millimetric nonspecific nodules in both lungs.  Emphysematous changes in both lungs. Focal consolidation areas in the left lung inferior lingular segment and lower lobe basal segments of both lungs, most prominent in the left lower basal, around which ground glass densities are observed; evaluated in favor of pneumonic infiltration. It is recommended to be evaluated together with clinical and laboratory.  Bilateral pleural effusion, stable pericardial effusion"}
{"volume_path": "dataset/train_fixed/train_1384/train_1384_g/train_1384_g_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1384/train_1384_g/train_1384_g_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1384_g_1.nii.gz", "findings": " Mediastinal structures were considered suboptimal when the examination was unenhanced. As far as can be seen; Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. The diameter of the main pulmonary artery was 33 mm and it shows dilatation. Heart contour and size are natural. Pericardial thickening-effusion was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits.5 mm in diameter on the short axis of the larger one. The right breast was not observed secondary to the operation. No mass lesion with discernible borders was detected in the operation site. When both lung parenchyma windows are evaluated; Volume loss and structural distortion were observed in the apical and anterior segments of the upper lobe of the right lung. At this level, fibrotic recessions and traction bronchiectasis suffer. In the current examination, which extends to the lung apex at this level, newly emerged focal consolidation areas are observed and the described appearance is considered in the area of post-RT consolidation. However, no significant regression was detected. The described appearances were initially thought to belong to metastatic nodules. Post-treatment control is recommended. Apart from this, irregular interlobular septal thickenings were observed in the upper lobes and lower lobes of the left lung. It is recommended to be evaluated for lymphangitic spread. Gall bladder was not observed in the upper abdominal sections that entered the examination area. cholecystectomy. Minimal free fluid was observed in the abdomen. Lytic bone lesions consistent with metastases were observed at multiple levels in the bone structures included in the study area.", "impression": "Breast Ca and AML in follow-up. Multiple metastases in bone structures. Postoperative control is recommended.  Bilateral pleural effusion, increased pulmonary artery diameter. Minimal intra-abdominal free fluid."}
{"volume_path": "dataset/train_fixed/train_1385/train_1385_a/train_1385_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1385/train_1385_a/train_1385_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1385_a_1.nii.gz", "findings": " In the current examination, massive effusion was observed in the right pleural space and no aeration was detected in the right lung. Mediastinal vascular structures and heart are deviated to the left. In the lower lobe posterolateral segment of the left lung, there is an increase in density in the peripheral subpleural area of the newly developed ground glass density with indistinct borders. Pneumonic infiltration is considered in its ethology. The appearance may belong to early viral pneumonia. It is recommended to be evaluated together with clinical and laboratory findings. No mass was detected in the left lung. Sequelae are parenchymal changes. Apart from this, no significant changes were detected in other lesions described in the previous PET-CT examination as far as can be observed. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1386/train_1386_a/train_1386_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1386/train_1386_a/train_1386_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1386_a_1.nii.gz", "findings": "In the right lobe of the thyroid gland, a faintly circumscribed hypodense nodule, which was also observed in the previous examination, and an increase in secondary gland size are observed. Sonography is recommended. Prevascular, right upper-lower paratracheal, right hilar, aortopulmonary, the larger one with a narrow diameter of 13 mm, mediastinal lymphadenomegaly and lymph nodes, which were also selected in the previous PET-CT examination, are observed. Calcific atherosclerotic plaques are observed in the aortic arch and coronary arteries. The cardiothoracic index increased in favor of the heart. According to the previous PET-CT examination, a newly appeared pleural effusion with a diameter of 2.5 cm is observed in the left hemithorax. Right lung volume decreased. There is a mass in the lower lobe mediobasal segment of the right lung that cannot be clearly distinguished from the atelectasis lung parenchyma caused by it, as far as can be distinguished from the non-contrast examination. In the previous PET-CT examination, pleural-based mass appearances were observed, and in the current examination, the presence/ borders of these masses cannot be clearly distinguished due to increased atelectasis. Apart from the focal intact lung tissues in the upper lobe and middle lobe of the right lung, a large proportion of atelectasis, which was observed in the previous PET-CT, is observed in the right lung. Pleural effusion measuring 7.5 cm in its thickest part is observed in the right hemithorax, and air images are observed within the effusion. It is also available in PET-CT examination. Mosaic perfusion appearance is observed in the left lung. In the sections passing through the upper part of the abdomen, there is calculus in the gallbladder. Bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures.", "impression": "Pleural effusion with air images in it no difference in meaning in empyema.  Cardiothoracic index significantly increased.  Cholelithiasis."}
{"volume_path": "dataset/train_fixed/train_1389/train_1389_a/train_1389_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1389/train_1389_a/train_1389_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1389_a_1.nii.gz", "findings": "Trachea was in the midline of both main bronchi 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 observed, surgical suture materials secondary to bypass surgery on the pericardium are observed in the sternum and anterior mediastinum. Soft tissue densities in the anterior mediastinum and on the pericardium in the retrosternal area, focal bleeding areas, free-air images, contamination on oily planes and a smear-like effusion on the pericardium were observed post-op changes. Heart size increased. Pericardial effusion-thickening was not observed. There is a midline incision scar on the anterior thoracic wall. Calibration of mediastinal major vascular structures is natural. Atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries. Sliding type hiatal hernia was observed at the lower end of the esophagus. There are lymph nodes with short axes measuring less than 1 cm at the prevascular, right upper-bilateral lower paratracheal and subcarinal levels. No pathological lymph node was observed. Anteroposterior diameter of the thorax and trachea has increased COPD?. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs small airway disease? small vessel disease?. Significant interlobular septal thickenings were observed in the anterior parts of the left upper lobe of the lung secondary to the operation?. Minimal loculated effusion was observed in the bilateral major fissure. Linear fibroatelectasis sequelae were observed in the anterior and apicoposterior segments of the left lung upper lobe and in the left lung upper lobe lingular segment. Apart from this, no mass lesion, active infiltration and bronchiectasis, with distinguishable borders, were detected in both lungs. Liver, gallbladder, spleen and pancreas are normal as far as can be seen on non-contrast images. In both kidneys, hypodense nodular lesion areas with a diameter of 45 mm were observed on the right cyst?. The left adrenal gland is normal. A 33x32 mm adenoma was observed in the right adrenal gland. No intraabdominal free-loculated fluid was detected. No lymph node was detected in intraabdominal and bilateral inguinal pathological size and appearance. Mild rotoscoliosis is observed at the thoracic level with its left opening. Osteophyte formations bridging each other were observed in the right half of the vertebral corpus at the mid-thoracic level.", "impression": "Surgical sutures on the pericardium in the anterior thoracic wall, sternum and anterior mediastinum, post-op air images, smear-like effusion and contamination on fatty planes post-op changes . Cardiomegaly. Hiatal hernia. Increased anterior posterior diameter of both lungs and mosaic attenuation pattern COPD-small airway disease? Small vessel disease?.  Interlobular septal thickenings in the upper lobe of the left lung secondary to the operation?.  Right adrenal adenoma.  Mild scoliosis with left-facing opening at the thoracic level and mid-thoracic level"}
{"volume_path": "dataset/train_fixed/train_1391/train_1391_a/train_1391_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1391/train_1391_a/train_1391_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1391_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are present in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. There are several small lymph nodes measuring 8 mm in size in the mediastinum. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There is an effusion measuring 26 mm on the right and 13 mm on the left in both hemithorax. When examined in the lung parenchyma window; There is a pleural space-occupying finding of 22 mm in size with calcification in the left lung upper lobe at the level of the superior inferior lingula junction. There is a calcific focus measuring 8 mm in the middle lobe of the right lung. 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. 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. The spleen is larger than normal, measuring 160 mm in the craniocaudal axis. Free fluid is observed in the perihepatic and perisplenic areas. Bone structures in the study area are natural. There are osteophytic taperings in the vertebral bodies and narrowing of the interverteral disc space distances. .", "impression": " Subpleural lesion with calcification in the upper lobe of the left lung at the level of the junction of the inferior and superior lingula  Small calcific focus in the middle lobe of the right lung  A small amount of effusion, more prominent on the right in both hemithorax  Atherosclerotic changes  Lymph nodes with a small short axis of 8 mm in the mediastinum  Free fluid in the perihepatic and perisplenic areas  Degenerative changes are observed in the vertebral corpuscles, endplates, and more prominently in the humeral head."}
{"volume_path": "dataset/train_fixed/train_1393/train_1393_a/train_1393_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1393/train_1393_a/train_1393_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1393_a_1.nii.gz", "findings": "A port catheter placed on the anterior chest wall is seen on the right. At this level, there is emphysema around the port. 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; Effusion reaching 40 mm in diameter in the left hemithorax and near-total atelectasis in the lower lobe are observed. Millimetric nonspecific nodules are observed in both lungs. In the upper abdominal sections, nodules with a size of 15x11 mm are observed in the prehepatic area. 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. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are calcific atheroma plaques in the coronary arteries. There are calcific atheroma plaques in the aorta. Degenerative changes are observed in the vertebrae.", "impression": " Decreased pleural effusion on the right.  Aortic and coronary artery atherosclerosis. ."}
{"volume_path": "dataset/train_fixed/train_1396/train_1396_a/train_1396_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1396/train_1396_a/train_1396_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1396_a_1.nii.gz", "findings": "Trachea and both main bronchi were open and no obstructive pathology was detected in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial minimal effusion is present. It measures 12 mm at its deepest point. No left pleural effusion was detected. Effusion up to 32 mm is observed in the deepest part on the right. No pathological increase in wall thickness is observed in the thoracic esophagus. In mediastinal lymph node stations, no lymph node is observed in pathological size and appearance. When examined in the lung parenchyma window; In the right lung upper lobe posterior and lower lobe superior segment, an area of increase in density consistent with the consolidation observed in air bronchograms is observed. In addition, vaguely circumscribed ground glass densities are observed in the left lung pneumonic left lung upper lobe anterior segment apicoposterior segment and right lung middle lobe medial segment and lower lobe superior segment. Nodules were evaluated in favor of consolidation areas. In the etiology of the described findings, primarily infectious pathologies are considered, and post-treatment control is recommended. There are emphysematous changes in both lung parenchyma. In the upper abdomen sections within the image, free fluid, loculated collection, and solid mass are not observed within the borders of non-contrast CT. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.", "impression": "Minimal pericardial effusion, right pleural effusion, areas of consolidation defined in both lung parenchyma and areas of increased density in the right lung parenchyma consistent with nodular consolidation; infectious pathologies are considered in the etiology of the described findings and post-treatment control is recommended."}
{"volume_path": "dataset/train_fixed/train_1396/train_1396_b/train_1396_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1396/train_1396_b/train_1396_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1396_b_1.nii.gz", "findings": " Trachea and both main bronchi were open and no obstructive pathology was observed in the lumen. On the right, the port chamber on the anterior chest wall and the anterior surface of the pectoral muscle and the image of the catheter extending to the superior vena cava-right atrium junction are observed. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Effusion reaching 14 mm was observed in the pericardial space 5.1 mm in the previous examination. A bilateral smear-like pleural effusion was observed. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. In mediastinal lymph node stations, no lymph node is observed in pathological size and appearance. Free air images were observed between the fascia and muscle planes in the right pleural space and right lateral chest wall. Right 8-9. A drainage tube extending from the intercostal space to the pleural space was observed. When examined in the lung parenchyma window; right lung volume was markedly decreased. Density increases were observed in the right lung upper lobe posterior, lower lobe superior and basal segments, and in the left lung upper lobe apicoposterior segment, consistent with consolidation in which air bronchograms were observed. Focal nodular consolidation areas were also observed in the left lung lingular segment. Diffuse patchy ground glass densities were observed in both lungs. In the etiology of the described findings, primarily infectious pathologies were considered. Areas of nodular consolidation in the left upper lobe upper lobe apicoposterior segment and lingular segment, and patchy ground-glass densities in both lungs have only recently emerged in the current review. Findings may be consistent with viral pneumonias superimposed on previous infection. Correlation with clinical and laboratory is recommended. No free fluid, loculated collection, or solid mass were observed in the sections passing through the upper abdomen within the image. No lytic-destructive lesion is observed in the bone structures within the image, and the vertebral corpus heights are normal.", "impression": "Newly developed pneumothorax on the right, significant decrease in right lung volume, stable consolidation areas in the right lung and newly appeared progressive nodular condolidations in the left lung . In the current examination in both lungs newly emerged focal patchy ground-glass densities may be consistent with viral infections superimposed on previous infection. Correlation with clinical and laboratory is recommended."}
{"volume_path": "dataset/train_fixed/train_1396/train_1396_c/train_1396_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1396/train_1396_c/train_1396_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1396_c_1.nii.gz", "findings": " Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Calcified atheroma plaques are observed in the mediastinal main vascular structures. The diameter of the ascending aorta was 36 mm. A central venous catheter extending from the right subclavian vein to the superior vena cava is observed. There is cardiomegaly and a pericardial effusion of approximately 12 mm thickness is observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mediastinal prevascular paratracheal short lymph nodes with oval configuration reaching 6 mm in diameter are observed. There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region. Bilateral pleural effusion is present and revealed in the current review. It reaches 24 mm on the left at its thickest point. The pneumothorax observed in the right hemithorax in the previous examination was completely resorbed. In both lungs, there are consolidations that include air brocograms, which increase in the current examination. Consolidations involved both the peripheral and axial interstitium. The appearance is primarily thought to be infective, and post-treatment control is recommended. frosted glass appearances accompany the consolidations. No significant pathology was detected in the evaluation of the upper abdominal organs that entered the imaging field. Degenerative changes and osteophyte formations in the vertebral corpus corners are observed in the bone structures in the study area.", "impression": "Consolidations and parapneumonic effusion in both lungs with air bronchograms accompanied by diffuse ground-glass appearances suggesting primarily atypical infection. Total resorption in the left pneumothorax.  Lymph nodes that do not reach mediastinal pathological size."}
{"volume_path": "dataset/train_fixed/train_1399/train_1399_a/train_1399_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1399/train_1399_a/train_1399_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1399_a_1.nii.gz", "findings": "The trachea was elongated and tortuous, and no obstructive pathology was observed in the trachea and both main bronchus lumens. 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 was 46.5 mm, and the anterior-posterior diameter of the descending aorta was 26.5 mm. Calibration of pulmonary arteries is natural. Heart sizes are at the upper limit. Pericardial effusion-thickening was not observed. There is extensive atherosclerosis in the thoracic aorta, its supraaortic branches 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. Calcified pleural plaques were observed in the costal, mediastinal and diaphragmatic pleura, most commonly in the right diaphragmatic pleura in both hemithoraxes. A smear-like effusion was observed in the right hemithorax. Interlobular-intralobar septal thickenings, accompanying ground glass densities and subpleural striations were observed in both lungs. The described findings may be compatible with asbestosis. It is recommended to be evaluated together with clinical and laboratory. Subsegmental atelectatic changes were observed in the right lung middle lobe, left lung upper lobe inferior lingular and both lung lower lobe basal segments. A mosaic attenuation pattern was observed in both lungs small airway disease?, small vessel disease?. The volume of the left lung upper lobe decreased secondary to sequelae atelectasis. No mass lesion with distinguishable borders-active infiltration was detected in both lungs. As far as can be seen in non-contrast sections; liver, spleen, both kidneys, both adrenal glands are normal. Moderate acidity was observed in the abdomen. Diffuse atherosclerotic wall calcifications were observed at the level of the abdominal aorta, celiac trunk, SMA and both renal artery outlets. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Fusiform aneurysmatic dilatation in the ascending aorta, diffuse atherosclerotic wall calcifications in the thoracic aorta, its supraaortic branches and coronary arteries.  Heart dimensions at the upper limit.  Diffuse calcified pleural plaques in the mediastinal, costal and diaphragmatic pleura, scabbing pleural effusion on the right, subsegmental-linear atelectatic changes in both lungs, subpleural striations; It is recommended to be evaluated together with clinical and laboratory in terms of asbestosis.  Mosaic attenuation pattern in both lungs small airway disease?, small vessel disease?.  Moderate acidity in the abdomen.  Diffuse atherosclerosis in the abdominal aorta and at the level of its visceral branches."}
{"volume_path": "dataset/train_fixed/train_1404/train_1404_a/train_1404_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1404/train_1404_a/train_1404_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1404_a_1.nii.gz", "findings": "There is an increase in size in both lobes of the thyroid gland. There is a large nodule with a central necrotic appearance in the left lobe. If necessary, sonographic examination is recommended. CTO is normal. Pericardial thickening is observed. The aortic arch is at the maximal physiological physiological limit. Calcific atheroma plaques are observed in the aortic arch, ascending aorta and coronary arteries. Multiple lymph nodes are observed in the mediastinum at the prevascular level in the upper-alr paratracheal area, in the aorticopulmonary window and in the subcarinal area. Although it is a non-contrast examination, the largest was measured in the subcarinal area and measuring approximately 22x14 mm. No lymph node with pathological size and configuration was detected at the left hilar level. The right hilus cannot be evaluated. When examined in the lung parenchyma window; In the right lung, there are consolidative areas with common air bronchograms, which have merged in almost all segments, and there are ground glass-like density increases around it. There are also diffuse consolidative areas in the left lung, although it is milder than the right. It is recommended to evaluate the case in terms of infectious processes. However, parenchymal involvement of lymphoma within defined consolidation areas cannot be excluded. Bilateral pleural effusion is present in both lungs, more commonly on the left. Mild effusion is present in the perihepatic and perisplenic area. Ectasia is observed in the left renal pelvicalyceal system. There is diffuse nodularity in the mesenteric planes. Subcutaneous emphysema is observed at the right pectoral level and in the area extending towards the chest wall. There are degenerative changes in the bone structure in the examination area.", "impression": "Consolidative areas with diffuse and confluent air bronchograms in both lungs prominent on the right and ground-glass-like density increases around it, evaluation together with clinical and laboratory findings of the case in terms of infectious processes is recommended. Parenchymal involvement of lymphoma in the defined areas cannot be excluded.  Bilateral pleural effusion . Mediastinal lymph nodes . Perihepatic, perisplenic mild effusion, grade II ectasia in the left kidney"}
{"volume_path": "dataset/train_fixed/train_1405/train_1405_a/train_1405_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1405/train_1405_a/train_1405_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1405_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. 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. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. Pericardial, right pleural effusion was not detected. Effusion up to 13 mm is observed in the deepest part of the left pleural space. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in the right lung parenchyma. Structural distortion, loss of volume and atelectatic changes are observed in the left lung lingular segment and lower lobe. Its widest dimension was measured as 30x16 mm in axial sections series 2 / 276. Tissue diagnosis is recommended. No solid or cystic mass was detected in the upper abdominal organs included in the sections, within the limits of CT without contrast. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Intra-abdominal free fluid, intra-abdominal pathological size and appearance of lymph nodes are not observed. No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.", "impression": "Left pleural effusion, left lung lingular segment and lower lobe have structural distortion, volume loss, atelectatic changes, and a suspicious mass lesion is observed in the posterior left lower lobe whose borders cannot be clearly distinguished from atelectasis lung parenchyma. Tissue diagnosis is recommended."}
{"volume_path": "dataset/train_fixed/train_1409/train_1409_a/train_1409_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1409/train_1409_a/train_1409_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1409_a_1.nii.gz", "findings": "No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Calibration of mediastinal major vascular structures is natural. Pericardial effusion was not observed. Normal calibration of the esophagus is observed. The long axis of the lesion was 45 mm in the current examination. It was 64 mm in the previous examination. A decrease of 29% is observed in its dimensions. Along with the reduction in size of the mass lesion in the lower lobe of the left lung, pleuroparenchymal fibrotic density increases and subsegmental atelectasis areas developed around the lesion. Among the left pleural leaves, pleural free fluid reaching 21 mm in diameter at its widest point was not present in the previous imaging and has just developed. A very millimetric nodule 1 mm observed in the previous examination in the superior segment of the right lung lower lobe shows a slight increase in size and density 2 mm in the current examination. A nodule with a diameter of 4 mm in the posterior part of the left lung upper lobe lingula superior segment is 3 mm in the previous examination. There is a slight increase in size. In the posterior segment of the left lung upper lobe, there is a nodule measuring 1 mm in diameter in the previous examination and 3 mm in diameter in the current examination, which again shows a slight increase in size. No space-occupying lesions were detected in the adrenal glands in the upper abdominal sections. In the upper abdomen sections, there was no finding in favor of progression within the section. No lytic-destructive lesion was detected in the bone structures included in the study area.", "impression": "Metastatic lung Ca . 29% reduction in the size of the primary mass lesion in the lower lobe of the left lung . Newly developed left pleural effusion . There are several millimetric nodules in both lungs. An increase of mm in size was observed in the process of these nodules. It will be convenient to follow."}
{"volume_path": "dataset/train_fixed/train_1415/train_1415_a/train_1415_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1415/train_1415_a/train_1415_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1415_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. The right pulmonary artery is 29 mm and is ectatic. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A calcific lymph node with a short axis of 14 mm is observed at the infrahilar level on the right. When examined in the lung parenchyma window; Bronchial walls are thick in both lung parenchyma. Effusions with diameters of 23 mm on the right and 25 mm on the left in the widest part of the bilateral hemithorax and atelectasis in the lower lobes adjacent to the effusion are observed. The upper half of the stomach herniates from the hiatus towards the mediastinum. There are cysts in the liver and left kidney. Bone structures have a degenerative appearance.", "impression": " Aortic and coronary artery atherosclerosis, right pulmonary artery ectasia.  Bilateral pleural effusion and atelectasis in the lower lobes.  Hiatal hernia.  Apart from this, no significant difference was found between the examinations."}
{"volume_path": "dataset/train_fixed/train_1418/train_1418_a/train_1418_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1418/train_1418_a/train_1418_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1418_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. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Multiple short lymph nodes measuring up to 1 cm in diameter are observed in the mediastinum and hilar regions. Pericardial effusion with a thickness of 8 mm is observed. The lymph nodes described in the mediastinum show a slight increase in size. The port chamber is observed in the subcutaneous adipose tissue of the right hemithorax and extends to the superior vena cava. There is an effusion measuring 32 mm in thickness in the right hemithorax and it is increasing. When examined in the lung parenchyma window; There are multiple nodules in both lungs and lesions evaluated in favor of metastases. Among these nodules, the longest diameters of these nodules are measured as 21 and 27 mm, respectively, in the laterobasal segment of the lower lobe on the right and the largest in the anteromediobasal segment in the lower lobe on the left. The consolidation area observed at the posterobasal level of the lower lobe of the left lung, in which the air bronchogram sign is observed, does not differ significantly, and the differential diagnosis of a space-occupying lesion cannot be made at this level. The described finding may be a space-occupying lesion as well. Infectious process is also in its differential diagnosis, and follow-up is recommended. Upper abdominal organs included in the sections are normal. Multiple postoperative changes and cystic metastatic findings are observed in the liver that is in the examination area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Fluid was observed in the perihepatic and splenic areas. No lytic-destructive lesion was detected in the bone structures in the study area.", "impression": " In the follow-up, colon ca  Size increases from a few millimeters to 10% in the size of lung metastases  Slight increases in size are observed in mediastinal and hilar lymph nodes.  There is an increase in pleural and pericardial, pericardial effusion, especially on the right.  Although the differential diagnosis of space-occupying lesion in the consolidation area described in the lower lobe of the left lung cannot be made, infectious process is also included in the differential diagnosis.  Postoperative changes in the liver parenchyma, metastatic findings, cystic lesion  A small amount of effusion in the partial area of the upper abdomen  Fluid in the perihepatic and splenic area"}
{"volume_path": "dataset/train_fixed/train_1419/train_1419_a/train_1419_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1419/train_1419_a/train_1419_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1419_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Heart size increased. There are calcific atheromatous plaques in the coronary arteries and aortic arch. Other mediastinal main vascular structures are wider than 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 small amounts of pleural effusions measuring up to 14 mm in thickness, more prominent on the left in both lungs. Thickening of the interlobular septa is observed in both lungs, more prominently in the left lung. In the lower lobe and middle lobe of the right lung, there are a few ground-glass densities of nodular, faint nature. 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. An oval-shaped finding in fluid attenuation of 17 mm in the left kidney was evaluated in favor of a cyst. There is diffuse density reduction in bone structures. Mild scoliosis with left opening is observed in the dorsal vertebrae.", "impression": " Suspected infectious findings accompanied by cardiac stasis; Due to the current pandemic, clinical laboratory correlation is recommended.  Cortical cyst in left kidney.  Cardiomegaly. Dilatation of major mediastinal vascular structures.  Atherosclerosis.  A smear-like effusion measuring up to 15 mm in thickness on both hemithorax.  Mild scoliosis with left opening, degenerative changes in bones, decrease in density."}
{"volume_path": "dataset/train_fixed/train_1423/train_1423_a/train_1423_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1423/train_1423_a/train_1423_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1423_a_1.nii.gz", "findings": "The cardiothoracic ratio increased in favor of the heart. No pericardial effusion or thickening was detected. The diameter of the ascending aorta was 39 mm, and the diameter of the pulmonary trunk was 30 mm and increased. Calcific atheroma plaques-stent formations are observed in the coronary arteries. There are calcific atheroma plaques in the aorta. Multiple lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right paratracheal area. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. A more pronounced increase in peribronchial thickness is observed in the lower lobes. There is pleural effusion with a thickness of 25 mm in the right hemithorax and 20 mm in the left hemithorax, and there is compression atelectasis in the posterior segment of both lungs in the lower lobe, in the right side, and a consolidation area in the left lung lower lobe posterior segment, in which air bronchograms are observed. In the upper lobe of the left lung, there are centriacinar nodular density increases characterized by a budding tree view accompanied by ground glass areas in the lingular segment infectious?. Loculated effusion with a thickness of 2.5 cm is observed at the level of the right minor fissure. There is pleural thickening reaching 4 mm in thickness, in which coarse calcification is observed, at the level of the apicoposterior segment of the left lung upper lobe. There are areas of linear atelectasis in the posterior segment of the lower lobes of both lungs. Sliding type hiatal hernia is observed at the esophagogastric junction. No pathological increase in wall thickness was detected in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is a 3 cm diameter low-density nodular lesion partially included in the sections adjacent to the left pararenal fascia exophytic renal cyst?. An accessory spleen with a diameter of 1.5 cm is observed adjacent to the spleen. Bridging osteophytes in the corners of the thoracic vertebrae corpus and focal Schmorl nodules in the vertebral end plates are observed. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": " Consolidation area with bilateral pleural effusion, compression atelectasis adjacent to the effusion, and air bronchograms in the posterior segment of the left lung lower lobe.  Centriacinar nodular density increases characterized by a budding tree view in the upper lobe of the left lung and areas of ground glass in places. It is recommended to be evaluated for infectious pathologies.  Loculated effusion in the minor fissure in the right hemithorax, focal pleural thickening and coarse calcification in the left upper lobe of the lung.  Mediastinal multiple lymph nodes.  Cardiomegaly, stent formations in coronary arteries, calcific atheroma plaques.  Dilatation of the ascending aorta and pulmonary trunk.  Hiatal hernia.  Low-density hypodense lesion at the level of the left pararenal fascia partially included in sections, exophytic renal cyst?.  Thoracic spondylosis."}
{"volume_path": "dataset/train_fixed/train_1432/train_1432_a/train_1432_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1432/train_1432_a/train_1432_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1432_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Millimetric calcific atheroma plaques are observed in the ascending arch and descending aorta. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Small lymph nodes are present in the mediastinum and in the aorticopulmonary window. Millimetric lymph nodes are also observed in the mediastinum. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Ground glass densities are observed in the right lung upper lobe in the mid-level and in the right lung upper lobe posterobasal part. In the lower lobe of the right lung, extending from the superior to the inferior, bronchiectatic changes in the lower lobe of the left lung, especially in the basal parts, and filling defects compatible with the infected material are observed in the bronchial structures of the lower lobe of the right lung. There is a small amount of pleural effusion and irregularities in the pleura on the right side. Clinical laboratory findings in terms of infectious process. correlation and close follow-up is recommended. 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 atherosclerotic plaques in the abdominal aorta and its branches that can be observed. Diffuse density reduction is observed in bone structures entering the study area. Hypertrophic osteophytic taperings were detected in the end plates of the vertebral corpuscles.", "impression": "Atherosclerosis . Bilateral paraseptal and centrilobular emphysema, more prominent in the upper lobes of both lungs . Findings compatible with the infectious process in the upper lobe and lower lobe of the right lung . Filling defects compatible with infected material in the basal bronchial structures of the right lung . Slight blunting and minimal blunting in the right costophrenic sinus effusion . Spondylosis"}
{"volume_path": "dataset/train_fixed/train_1436/train_1436_a/train_1436_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1436/train_1436_a/train_1436_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1436_a_1.nii.gz", "findings": " Mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast in the examination. Calibration of vascular structures, heart contour and size are normal. An effusion measuring 23 mm in size is observed in the pericardial area, in the deepest part, adjacent to the right ventricle. It is stable. There are calcified atheromatous plaques on the wall of the coronary arteries. Trachea, both main bronchi are open. No obstructive pathology was detected. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In mediastinal lymph node stations, no lymph node in pathological size and appearance was detected at the bilateral hilus level. When examined in the lung parenchyma window; There is volume loss in the left lung and the mediastinal structures are deviated to the left. There is an effusion measuring 45 mm in the deepest part of the left pleura, where air densities are observed in the pleural area secondary to the interference. In the ventilated left lung parenchyma, areas of increase in density consistent with linear -subsegmental atelectasis are observed with thickening of the peribronchovascular sheath. No active infiltration or mass lesion was detected in the right lung parenchyma. In the abdominal sections within the image, no solid mass is observed within the borders of non-contrast CT. No solid or cystic mass was detected in the bilateral adrenal gland. No lesion suggesting lytic-destructive metastasis was observed in the bone structures included in the study area.", "impression": "Left lung lower lobe and lingular - pleural leaf thickening in the lower zone and effusion in which air densities are observed between the pleural leaves secondary to interference. Density increases consistent with linear-subsegmental atelectasis in aerated left lung parenchyma consistent with atelectasis . Increased thickness in peribronchovascular structure . Pericardial effusion ."}
{"volume_path": "dataset/train_fixed/train_1436/train_1436_b/train_1436_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1436/train_1436_b/train_1436_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1436_b_1.nii.gz", "findings": "It was learned that the patient was being followed up for pulmonary Ca, and in the first examination of the patient, a primary mass in the form of consolidation was observed in the lower lobe of the left lung. In this examination, pleural effusion and thickening of the pleural leaves and minimal contrast material uptake are observed in the left hemithorax. Air is also present in the pleural space. A pleural drainage catheter is observed adjacent to the lower lobe of the left lung. Left lung aeration is decreased. There are consolidations in the anterior segment of the left lung upper lobe, anterior segment of the lingular segment, and in the lower lobe. Because of the consolidations, the patients mass cannot be evaluated clearly in this examination. No mass or infiltrative lesion was detected in the right lung. There are smooth interlobular septal thickenings in the left lung. In addition, density increases and volume loss, which are evaluated in favor of sequela changes in the lower lobe of the left lung, are also observed. There are several millimetric nonspecific nodules in both lungs. Emphysematous changes are observed in the aerated lung. 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 calcific atheromatous plaques in the coronary arteries. There is minimal pericardial effusion. Pericardial thickening was not detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Sliding type hiatal hernia is observed at the lower end of the esophagus. There is no pleural effusion on the right. No occlusive pathology was detected in the trachea and both main bronchi. Intraabdominal diffuse free fluid is observed. It was not observed in the previous examination. As far as it can be observed within the limits of unenhanced CT, there is no mass with distinguishable borders in the upper abdominal organs within the sections. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "In the follow-up, lung Ca, pleural effusion in the left hemithorax, air in the effusion, thickening of the effusion wall, drainage catheter in the effusion, loss of volume in the left lung and consolidations in the upper and lower lobes the mass of the patient in the lower lobe of the left lung observed in previous examinations cannot be clearly distinguished due to consolidations. Emphysematous changes in both lungs . A few millimetric nonspecific nodules in both lungs . Minimal pericardial effusion . Atherosclerotic changes in the coronary arteries . Hiatal hernia . Intraabdominal free fluid"}
{"volume_path": "dataset/train_fixed/train_1436/train_1436_c/train_1436_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1436/train_1436_c/train_1436_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1436_c_1.nii.gz", "findings": " Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No lymph node was detected in the mediastinum in pathological size and appearance. There is no lymph node in the pathological size and appearance in the bilateral axillary region. The mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size were normal. Calcified atheroma plaques are observed on the wall of the coronary vascular structures. Pericardial effusion was not detected. Pleural effusion is observed in the left hemithorax, and there is minimal thickening and contrast material uptake in the pleural leaves. Air is observed in the pleural space. Left lung aeration was markedly decreased. There is a primary mass in the form of consolidation in the lower lobe of the left lung. There are smooth interlobular septal thickness increases, sequelae changes and significant volume loss in the ventilated left lung parenchyma. Due to the consolidations, the size of the patients primary mass cannot be given clearly. No active infiltration or mass lesion was detected in the right lung parenchyma. Sequelae changes and significant volume loss are observed in the left lung. Emphysematous changes are observed in both aerated lung parenchyma. In the upper abdomen sections within the image, there are irregularities in the liver contour and prominent intra-abdominal free fluid. According to the previous examination, a significant increase is observed in the level of intraabdominal free fluid. There is no solid mass in the upper abdominal organs in the slices as far as can be observed within the limits of unenhanced CT. A lytic bone lesion is observed in the anterolateral of the left 6th rib and it was evaluated in favor of metastasis.", "impression": "Lung Ca, pleural effusion in the left hemithorax, air in the effusion, thickening of the effusion wall and uptake of contrast material in the follow-up. Significant volume loss in the left lung, primary mass whose size cannot be clearly evaluated due to consolidation in the left lung lower lobe, uniform interlobular septal thickness in the aerated left lung parenchyma increases, sequelae changes and significant volume loss.  Emphysematous changes in both lungs.  Atherosclerotic changes in the coronary arteries. Lytic bone lesion in the anterolateral part of the left 6th rib; evaluated in favor of metastasis."}
{"volume_path": "dataset/train_fixed/train_1437/train_1437_a/train_1437_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1437/train_1437_a/train_1437_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1437_a_1.nii.gz", "findings": "No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Heart size increased. Left ventricular diameter increased. Pericardial effusion was not detected. Calibrations of the mediastinal main vascular structures were observed as normal. No pathological increase in diameter and wall thickness was observed in the esophagus. There is less than 1 cm of light pleural fluid in the lower lobe basal segments between both pleural leaves. In the evaluation of lung parenchyma structures, prominent smooth interlobular septal thickenings, especially in the lower lobes of both lungs, and ground-glass density areas in the surrounding parenchyma proximal to segment bronchi are observed. Fissural thickness increases are also present, and findings are consistent with pulmonary edema at the interstitial level. Infiltrative involvement, consolidation area was not detected in the lung parenchyma. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. The area of linear focal density increase adjacent to the fissure in the upper lobe of the right lung is nonspecific. Diffuse bone marrow involvement due to primary disease is observed in bone structures. There are old rib fractures. It is present in the T2 vertebrae. Pathology was not noticed in the upper abdomen sections entering the image area. There is a cortical cyst in the right kidney.", "impression": "Increased heart size and left ventricular diameter. Signs of pulmonary congestion.  Bone marrow involvement of myeloma."}
{"volume_path": "dataset/train_fixed/train_1438/train_1438_d/train_1438_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1438/train_1438_d/train_1438_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1438_d_1.nii.gz", "findings": " Since no contrast agent was given, it was learned that the mediastinal main vascular structures, abdominal solid organs within the image and the heart could not be evaluated optimally, but as far as can be observed, the right breast of the patient was operated for Ca. The right breast is not observed. No bordering mass was detected in the mastectomy site and left breast. Loculated collection is not observed. Multiple lymphadenopathies are observed in the bilateral axilla, bilateral retropectoral regions, and in the cervical chain within the sections, and in the supraclavicular area. The larger lymphadenopathies described are observed at both axilla and supraclavicular levels. 11.08. However, according to 03.2020 PET-CT examination, there is an increase in the size of lymphadenopathies. In addition, lymph nodes with a short diameter of less than 1 cm are observed in the mediastinum and bilateral hilar regions. Heart contour size is natural. Minimal pericardial effusion was observed. However, in the current examination, there is a newly developed effusion up to 13 mm in the deepest part of the right pleural space. Atheroma plaques are observed in the aorta and coronary arteries. No pathological wall thickness increase was observed in the esophagus within the image. There are sequelae changes in both lungs. Sequelae changes and occasional atelectasis are observed. No active infiltration or mass lesion was detected in both lung parenchyma. No lesion suggesting lytic or destructive metastasis was detected in the bone structures within the image.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1443/train_1443_a/train_1443_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1443/train_1443_a/train_1443_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1443_a_1.nii.gz", "findings": "CTO is within normal limits. Calibration of the aortic arch and other mediastinal main vascular structures is natural. Pericardial mild effusion is present. Also available in old review. There is thickening and calcification of the visceral pleura on the left along the mediastinal border and is also present in the previous examination. Millimetric sized lymph nodes are observed in the mediastinum. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Trachea, both main bronchi are open. There are lymph nodes with round-oval configuration at the right axillary level. The largest is 13x9 mm. It measures 9x8 mm in the old review. Slightly increased in number and size. When examined in the lung parenchyma window; A thick-walled collection is observed in the left lung upper lobe apicaoposterior segment and lower lobe segments, and it is also present in the previous examination. Compressive atelectasis is observed in its neighborhood, especially in the lower lobe. In the left lung, there is a consolidative parenchyma area in the upper lobe anterior segment caudal and partly in the lingular segment, which is observed in the air bronchogram. It is also observed in the old review. There are irregular nodular thickening in the interstitial scars in the left lung, increased thickness in the peribronchial sheath, and thickening in the subpleural interstitial tissue. According to his previous examination, there is a progression in the findings lymphangitic spread?. A mosaic attenuation pattern is observed in the left lung parenchyma small vessel disease?, small airway disease?. In almost all areas of the right lung, there are multiple metastatic nodules, the largest of which is at the subpleural level in the lower lobe superior segment and approximately 7x5 mm in size, which has progressed in number and size according to the previous examination. Bilateral pleural effusion on the right, bilateral pneumothorax was not detected. In the upper abdominal organs included in the sections, the liver parenchyma is heterogeneous. A faint hypodense multiple lesion is observed in the right lobe, and its contours cannot be clearly evaluated. The largest is approximately 14 mm in size and is located in the posterior segment of the right lobe. The spleen is slightly enlarged. Intense nodular density increases in the mesenteric planes of the upper abdominal sections, thickening of the pleura are observed and are also present in the previous examination. It may be compatible with peritonitis carcinomatosa. However, since the image is thorax CT, it could not be evaluated optimally. A mass lesion of approximately 25x15 mm is observed at the left adrenal level. It measured approximately 22x13 mm in its previous examination. 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.", "impression": " Multiple lymph nodes with round-oval configuration, increase in size and number are observed at the right axillary level.  There are hypodense lesions in the right lobe of the liver that may be compatible with faintly circumscribed metastases.  Stable mass lesion in left adrenal.  Large, thick-walled fluid collection in left lung. Clinical evaluation is recommended for possible empyema.  The left lung is in a consolidated view adjacent to the fluid collection described on the left. There is PET-CT FDG uptake within the consolidation area.  There are interstitial findings suggestive of lymphangitis carcinomatosis in the left lung. It has become evident according to his previous review.  Metastatic nodules that have progressed according to the previous examination are observed in the right lung."}
{"volume_path": "dataset/train_fixed/train_1447/train_1447_a/train_1447_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1447/train_1447_a/train_1447_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1447_a_1.nii.gz", "findings": "Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. 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. 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. A smear-like effusion was observed in the bilateral pleural space. When examined in the lung parenchyma window; Subpleural linear atelectasis changes were observed in the right lung lower lobe superior and bilateral lower lobe basal segments. Nodules with slightly irregular borders with a diameter of 8.4 mm were observed in the left lung superior lingular segment, in the inferior left major fissure, in the left lung lower lobe laterobasal and posterobasal segment, in the left lung middle lobe medial segment, and in the left lung lower lobe posterobasal segment. Metastasis could not be excluded in the patient with primary. It is recommended to evaluate and follow-up together with previous examinations, if any. Occasional paraseptal emphysema areas were observed in both lungs. No lytic-destructive lesion in favor of metastasis was observed in bone structures.", "impression": "Emphysematous -linear atelectatic changes in both lungs. Metastasis could not be excluded in the patient who had parenchymal nodules and primary in both lungs, the largest of which was in the posterobasal segment of the right lung lower lobe. It is recommended to evaluate and follow-up together with previous examinations, if any."}
{"volume_path": "dataset/train_fixed/train_1448/train_1448_a/train_1448_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1448/train_1448_a/train_1448_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1448_a_1.nii.gz", "findings": "Tracheostomy endotracheal tube was observed in the tracheal lumen. Mediastinal vascular structures could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Effusion reaching 11 mm in thickness was observed in the pericardial space. Calcified atherosclerotic changes were observed in the coronary arteries and thoracic aorta. In the mediastinum, lymph nodes reaching 1 cm in the short axis of the right upper-bilateral lower right hilar, aortopulmonary, subcarinal larger were observed. No pathological lymph node was detected. Sliding type 1 hiatal hernia was observed at the lower end of the esophagus. Effusion reaching 17 mm thickness was observed in the right pleural space. There is sequelae thickening in the left pleura. In the right lung, a cavitary lesion area of approximately 8x7 cm, with a thick irregular wall extending from the apical segment to the posterior segment, with a necrotic center was observed, and widespread ground-glass densities microcysts were observed in the periphery. In addition, centriacinar nodular infiltrates of ground glass density, right pleural effusion and budding tree view were observed in the middle and lower lobes of the right lung, the posterobasal segment of the left lung lower lobe, and the middle lobe. The appearance may be compatible with angioinvasive aspergillosis and/or staff pneumonia. Clinical and laboratory evaluation and post-treatment control are recommended. Sequelae atelectatic changes were observed in the posterobasal segment of the lower lobe of the left lung. There are also areas of emphysema in both lungs. There are areas of paraseptal-centriacinar emphysema. Liver, spleen, pancreas, both adrenal glands and both kidneys are normal as far as can be seen on non-contrast images. No enlarged lymph nodes in pathological dimensions were observed. No lytic-destructive lesion in favor of metastasis was observed in bone structures.", "impression": "Hiatal hernia.  Ground glass densities around a thick-walled, centrally necrotic cavitary mass in the upper lobe of the right lung; Invasive fungal infection or staff pneumonia were considered in the differential diagnosis. Post-treatment control is recommended."}
{"volume_path": "dataset/train_fixed/train_1448/train_1448_b/train_1448_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1448/train_1448_b/train_1448_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1448_b_1.nii.gz", "findings": " The density of the tracheostomy cannula was observed in the tracheal lumen. 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: Calibration of mediastinal major vascular structures is natural. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. An effusion measuring 1 cm at its widest point was observed in the pericardial area. Right upper, bilateral lower right hilar lymph nodes were observed in the mediastinum, and the short axis and 1 cm of the largest lymph nodes were observed in the subcarinal area. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. Sliding type hiatal hernia was observed. When examined in the lung parenchyma window; a thick-walled, irregular-walled central necrotic cavitary lesion of approximately 81x73 mm in size, extending to the posterior segment, was observed in the apical segment of the right lung upper lobe. Widespread ground-glass-like density increases in its periphery and consolidation area in its distal are noteworthy. Between the bilateral pleural leaves, there is a stable free pleural effusion with a thickness of 13 mm on the right and 6 mm on the left, according to the previous examination. Emphysematous changes are present in both lungs. Subsegmental atelectasis areas were observed in the lower lobe of the left lung. In the upper abdominal sections in the study area; superposition of colon loops between liver and diaphragm is observed chilaiditi syndrome. No lytic-destructive lesion was detected in bone structures.", "impression": "Thick-walled central necrotic mass in the right lung and areas of ground glass density-consolidation around it. Mediastinal stable lymph nodes . Centriacinar opacities and bud branch appearances in both lungs . Bilateral stable pleural effusion . Hiatal hernia "}
{"volume_path": "dataset/train_fixed/train_1448/train_1448_c/train_1448_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1448/train_1448_c/train_1448_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1448_c_1.nii.gz", "findings": " Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be followed: It was learned that the patient was operated for laryngeal ca. Tracheostomy is available. No obstructive pathology was detected in the trachea and in both main bronchi in this examination. There are lymph nodes in the mediastinum and hilar regions, the largest of which is short 1 cm in diameter. When the patient was examined previously, the presence of lymphadenopathy extending along the trachea to the right of the midline in the paratracheal region was noted. It is understood that the lymphadenopathy described in this examination has almost completely disappeared and an unbounded increase in density remains in this localization. No pathological increase in wall thickness was detected in the esophagus within the sections. Bilateral pleural effusion is observed, more prominently on the right. The pleural effusion continues to the upper lobe of the lung when the patient is in the supine position. The effusion measured 5 cm on the right at its thickest point. No significant pleural thickening was detected. Heart contour and size are normal. There is minimal pericardial effusion. Atheroma plaques are observed in the aorta and coronary arteries. Diffuse emphysematous changes are observed in both lungs. There is atelectasis adjacent to the effusion in both lung lower lobes. In the upper lobe of the right lung, there is an appearance compatible with a large consolidation-mass with a cavity in the central part. The longest diameter of the described lesion was measured 85 mm at its widest point series 2 slice 100. This look is thick-walled. This appearance may belong to a consolidation with cavitation in the central part, or it may be due to a soft tissue mass. It was learned that the patient was biopsied from the cavitary lesion wall and it was compatible with benign pathology. Apart from this, there are budding tree appearances in the right lung middle lobe and lower lobe adjacent to the described area. In the lower lobe of the left lung, budding tree appearances are observed in a small area. When evaluated together with the cavitary lesion in the upper lobe of the right lung, the findings were thought to be due to a specific infection. 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": "Operated larynx ca, tracheostomy cannula in the trachea during follow-up . Mediastinal and hilar stable lymph nodes . Bilateral pleural effusion . Cavity in the right upper lobe of the lung, in the central part, and when evaluated together with the patients previous examinations, the appearance, which is thought to be primarily a consolidation, is more prominent on the right budding tree appearances in both lungs patient is recommended to be evaluated for a specific infection."}
{"volume_path": "dataset/train_fixed/train_1448/train_1448_d/train_1448_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1448/train_1448_d/train_1448_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1448_d_1.nii.gz", "findings": " Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. As far as can be observed: The patient with a history of operation due to pharyngeal Ca has a tracheostomy cannula. No significant obstructive pathology was detected in the trachea and both main lumens in this examination. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial effusion was observed. No significant change was detected in the previous examination. Bilateral pleural thickening was not detected. No significant pathological wall thickening was detected in the thoracic esophagus within the examination limits within the sections. Lymph nodes measuring 1 cm in the short axis of the largest were observed in the mediastinal and hilar region. The thickness of the effusion was 20 mm on the right and 23 mm on the left in the current examination at its widest point 5 cm at its widest point on the right, 27 mm on the left in the previous examination. The transverse diameter at the current examination was 62 mm 55 mm on the previous examination. Mild emphysematous changes were observed in both lungs. No free fluid-collection was detected in the upper abdominal sections entering the examination area. No lymph nodes in pathological dimensions were observed. No lytic-destructive lesion was detected in bone structures.", "impression": "Acinar infiltrates around the abscess cavity and consolidation areas are stable.  Emphysematous changes in both lungs"}
{"volume_path": "dataset/train_fixed/train_1448/train_1448_e/train_1448_e_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1448/train_1448_e/train_1448_e_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1448_e_1.nii.gz", "findings": " Bilateral pleural effusion, prominent on the right, was observed.5 cm in the previous examination. Atelectatic changes were observed in the adjacent lung parenchyma. No significant changes were detected in the current examination in the areas of loculated pleural effusion on the right. The image of a catheter extending into the abscess cavity was observed in the patient with a history of percutaneous abscess drainage. However, in the current examination, focal patchy condolidation areas were observed in the anterior segment of the left lung upper lobe and in the lingular segment. In the lower lobe of the right lung, patchy consolidation areas and acinar opacities were observed with a similar appearance. The appearance was primarily evaluated as compatible with the infection process. The findings described have only recently emerged in the current review. In the other described findings, no significant change was detected in the current examination.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1452/train_1452_a/train_1452_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1452/train_1452_a/train_1452_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1452_a_1.nii.gz", "findings": "A postcontrast hypodense nodule with a diameter of 10 mm is observed in the left lobe of the thyroid gland. There is bilateral nodular gynecomastia. In the right axilla, there is a 12x10 mm sized, round, thick cortex, hilus lymph node that does not change in size during follow-up. Trachea and main bronchi are open. The heart is in natural appearance. There are calcific atheromatous plaques in the main vascular structures. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is bilateral minimal pleural effusion, increased in follow-up. Bilateral pleural thickening is observed, originating from the posterior mediastinum, extending to the right lung upper lobe posterior and lower lobe superior segment, in close neighborhood with T4-T7 vertebrae, destroying the rib at the level of the 5th costovertebral joint and the right costal process of the T5 vertebra, extending posteriorly to the paraspinal muscles, and a heterogeneous mass lesion with macrocalcification. The mass appears to invade the adjacent mediastinum, from the 4-5 and 5-6 intercostal spaces to the posterior wall of the thorax. The right lung is compressed posteriorly, there is acute angulation between them. The mass lesion is 9.6x8.1x9.5 cm at the carina level TxAPxKK.4x6x8.8x9x9.8 cm. Inferior paratracheal, subcarinal and right hilar multiple lymphadenopathies are observed in the mediastinum. There is bilateral cylindrical bronchiectasis. There are diffuse paraseptal and panlobular emphysema appearances in both lungs. In the lower lobe basal segment of the right lung, interlobular septal thickenings in the peripheral subpleural area, fibrotic recessions, mild volume loss and structural distortion and honeycomb appearance are observed. Fibrosis? Bilateral peribronchovascular axial interstitial and interlobular septal thickenings are observed. Air cysts are observed in the anterior neighborhood of the superior mediastinum. A stable 3 mm nodule in the apex of the right lung, punctate nodules in the anterior segment of the upper lobe of the left lung, and nodules of 3 mm in the laterobasal segment of the lower lobe of the left lung, which do not change, are observed. Unchanged millimetric nodules were observed in the follow-ups in bilateral axillae. In the sections passing through the upper part of the west; In the left adrenal gland localization, a 51x36mm lesion with an average density of 64 HU, which can be considered as metastasis, is observed. There is a bilateral cervical rib.", "impression": "Posterior mediastinal mass Mediastinal lymph nodes Left adrenal metastasis? Lymph node defined in the right axilla Bilateral minimal pleural effusion and thickening Bronchiectasis, emphysema Fibrosis in the basal segments of the lower lobe of the right lung? Bilateral peribronchovascular axial interstitial and interlobular septal thickenings Millimetric nodules in bilateral axial nodules in thyroid Bilateral nodular gynecomastia Atherosclerosis"}
{"volume_path": "dataset/train_fixed/train_1455/train_1455_a/train_1455_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1455/train_1455_a/train_1455_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1455_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; heart size increased. There is an effusion measuring 15 mm in the widest part of the pericardium. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Pericardial thickening 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; Free pleural effusion measuring 44 mm in its thickest part and atelectasis-consolidation areas in the lower lobe are observed between the pleural leaves on the right. Areas of atelectasis were observed in the inferior ligular segment of the left lung. Upper abdominal sections entering the examination area are natural. The gallbladder was not observed operated. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.", "impression": "Cardiomegaly, pericardial effusion. Right pleural effusion, areas of atelectasis-consolidation in right lung lower lobe Imaging features atypical or rarely reported for Covid-19 pneumonia. Clinical laboratory correlation recommended"}
{"volume_path": "dataset/train_fixed/train_1459/train_1459_b/train_1459_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1459/train_1459_b/train_1459_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1459_b_1.nii.gz", "findings": "Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Thyroid dimensions are reduced and have a heterogeneous appearance. It is recommended to be evaluated together with USG for thyroiditis. 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. 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; A smear-like effusion in the right hemithorax and minimal passive-linear atelectatic changes were observed in the areas adjacent to the effusion in the lower lobe of the right lung. Linear atelectasis was observed in the lower lobe of the left lung. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Liver and spleen sizes have increased as far as can be observed within the cuts. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Lytic bone lesions consistent with multiple myeloma involvement were observed in the bone structures within the sections. There is height loss in D4, D9, D10 vertebral corpuscles and no retropulsion was detected.", "impression": "Smearing effusion in the right hemithorax . Linear atelectatic changes in the lower lobes of both lungs . Diffuse lytic bone lesions in bone structures compatible with multiple myeloma . Height loss in D4, D9, D10 vertebra compatible with multiple myeloma involvement, no retropulsion was observed."}
{"volume_path": "dataset/train_fixed/train_1462/train_1462_a/train_1462_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1462/train_1462_a/train_1462_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1462_a_1.nii.gz", "findings": "CTO is within the normal range. The pulmonary trunk caliber was 36 mm, wider than normal. Right and left pulmonary artery calibrations are normal. The aortic arch calibration is 34 mm. It is wider than normal. Calibration of other major vascular structures is natural. There are lymph nodes in the upper and lower paratracheal areas of the coronary arteries that cannot reach the pathological size and configuration at the prevascular level. Lymph nodes are observed at both hilar levels. In both lungs, pleural effusion with dimensions of 27 mm on the right and 20 mm on the left in the thickest part of the area extending from the basal to the upper zone, and a mild atelectatic lung segment adjacent to it are observed. Trachea calibration is natural in the evaluation of both lungs in the parenchyma window. There is a large tracheal diverticulum on the right posterolateral side. An increase in sequela pleuroparenchymal density is observed in the apicoposterior segment of the upper lobe of the right lung. There is a ground-glass-like density increase in the lower lobe posterobasal level in the left lung. Although subtle density increases are observed in the perihilar area on both sides, it gains a consolidative character in places. Density compatible with the pace maker is observed at the left pectoral level. Its catheter is observed in the jugular vein. On the right, there is coarse calcification within the subcutaneous fat planes at the same level. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. There is a hypodense appearance that may be compatible with hypodense cortical cysts in the superior pole of the right kidney. In the left kidney, hypodensity is observed in the middle part, which may be compatible with the cortical cyst. There is a hypodense appearance adjacent to the fundus of the gallbladder bent gallbladder?. It is recommended to be evaluated together with sonographic findings. Degenerative changes are observed in the bone structure.", "impression": "Mild cardiomegaly. Mild calibration increase in mediastinal main vascular structures, pleural effusion, and density increases with consolidation at the perihilar level. Cardiac stasis? . There is a hypodense appearance adjacent to the fundus of the gallbladder bent gallbladder?. It is recommended to be evaluated together with sonographic findings."}
{"volume_path": "dataset/train_fixed/train_1474/train_1474_a/train_1474_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1474/train_1474_a/train_1474_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1474_a_1.nii.gz", "findings": "Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis is observed in the central parts of both lungs. There are emphysematous changes in both lungs. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. There is minimal pleural effusion on the right. No pleural effusion was detected on the left. 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. Calcific atheroma plaques are observed in the aorta and coronary arteries. The main pulmonary artery diameter is larger than normal. The diameters of the right and left pulmonary arteries are larger than normal. There are lymphadenopathies in prevascular, paratracheal, subcarinal and both hilar regions. The largest of the described lymphadenopathies is observed in the subcarinal area and its short diameter is 24 mm. There is no pathological wall thickness increase in the esophagus within the sections. 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": "Minimal pleural effusion on the right . Minimal pericardial effusion, atherosclerotic changes in the aorta and coronary arteries, increased pulmonary artery diameter . Mediastinal and hilar lymphadenopathies"}
{"volume_path": "dataset/train_fixed/train_1476/train_1476_a/train_1476_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1476/train_1476_a/train_1476_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1476_a_1.nii.gz", "findings": " No LAP was detected in mediastinal pathological dimension. A pleural effusion of 30 mm in size is observed on the left in the bilateral deepest sweat. When the lung parenchyma is examined; There are no findings in favor of nodules or infiltration in both lung parenchyma. Sequelae densities and atelactastic changes are observed. In the abdominal sections, there is an appearance consistent with chronic liver parenchyma disease and ascites in the liver. In addition, paraesophageal collateral vascular structures are observed. There are extensive multiple metastases in the bones.", "impression": "Paraesophageal collateral vascular structures . Diffuse sclerotic metastases"}
{"volume_path": "dataset/train_fixed/train_1483/train_1483_a/train_1483_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1483/train_1483_a/train_1483_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1483_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. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Widespread patchy ground glass-consolidation areas are observed in both lungs. The outlook is in favor of viral pneumonia. Similar findings are observed in typical Covid-19 pneumonia. Apart from this, there are calcific atheroma plaques in the coronary arteries. Minimal effusion is observed between the leaves of both pleura. 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": " Typical-probable Covid-19 pneumonia."}
{"volume_path": "dataset/train_fixed/train_1486/train_1486_b/train_1486_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1486/train_1486_b/train_1486_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1486_b_1.nii.gz", "findings": "Trachea and both main bronchi are open and no obstructive pathology is detected. Mediastinal 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. No pathological increase in wall thickness was detected in the thoracic esophagus. No lymph node was observed in the mediastinum in pathological size and appearance. In the evaluation made in the lung parenchyma window: In both lungs, areas of multilobar indistinct consolidation and density increase in ground glass density were observed in the peripheral subpleural areas and peribronchial areas. Findings suggest viral pneumonias. No mass lesions were detected in both lungs. Bilateral minimal pleural effusion and pericardial effusion were observed, more prominently on the right. No lytic or destructive lesions were observed in the bone structures within the image.", "impression": " Findings consistent with viral pneumonia in both lungs, bilateral minimal pleural and pericardial effusion."}
{"volume_path": "dataset/train_fixed/train_1486/train_1486_c/train_1486_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1486/train_1486_c/train_1486_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1486_c_1.nii.gz", "findings": " In the case followed up with Covid-19 pneumonia, effusion reaching 6.7 mm thickness was observed in the pleural space. In the previous examination, the effusion measured 12.6 mm in its thickest part and regressed. The prevalence of pulmonary parenchymal findings has decreased markedly. Especially in the lower lobe dependent parts of both lungs, ground glass infiltrates persist. No mass lesion with distinguishable borders was observed in the lung parenchyma. Bilateral pleural effusion-thickening was not observed. Other findings are stable.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1492/train_1492_a/train_1492_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1492/train_1492_a/train_1492_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1492_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. Focal pleural effusion was observed at the level of the base of the heart anteriorly. It measures 7 mm at its thickest point. Calcific atheroma plaques were also observed in the thoracic aorta and LAD. 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; predominantly centriacinar and paraseptal emphysema areas were observed in both lungs. Subpleural subsegmental atelectasis was observed in the posterobasal segment of the lower lobe of the right lung. Reticulonodular sequela fibrotic density increases were observed in both lung apexes. A few millimetric nonspecific parenchymal nodules were observed in both lungs. Bleb formation was observed in the apical segment of the left lung. No mass lesion, pneumonic infiltration was detected in the lung parenchyma. In the upper abdominal organs included in the sections, linear density increases and smear-like effusion were observed in the perinephric fatty planes of both kidneys. It is recommended to be evaluated together with clinical and laboratory in terms of infection. Atherosclerotic wall calcifications were observed in the abdominal aorta wall. Trabecular appearance secondary to osteoporosis is observed in the vertebral corpuscles, and vertebral corpus heights are normal.", "impression": " Calcified atherosclerotic changes in the wall of the thoracoabdominal aorta and LAD  Focal pericardial effusion anteriorly at the base of the heart  Paraseptal-centrosinary emphysematous changes in both lungs  Millimetric nonspecific nodules in both lungs  Osteoporosis in the lower lobe basal segment of the right lung Vertebrae subsegmentary cortex changes"}
{"volume_path": "dataset/train_fixed/train_1509/train_1509_a/train_1509_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1509/train_1509_a/train_1509_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1509_a_1.nii.gz", "findings": "Calcific atheroma plaques are observed in the aorta and coronary arteries. An appearance is observed in the right main bronchus and associated with the posterior wall extending from the right main bronchus to the lower lobe bronchus junction, containing air bubbles and evaluated primarily in favor of mucus. Focal bronchiectasis are observed in the lower lobes of both lungs. There are peribronchial thickness increases in the lower lobes of both lungs. Centriacinar micronodular opacities are observed around these bronchioles in both lungs. However, there are peribronchial thickness increases that are more prominent in the lower lobes of the lung. In the upper lobe of the left lung, focal consolidation with irregular borders is observed, with bronchial extensions into the pleural base anteriorly. Pleural-based nodular consolidation is also observed in the upper lobe posterior segment of the left lung. These appearances may primarily be compatible with atelectasis or sequelae change. A similar appearance is also found in the right lung lower lobe superior segment. A pulmonary nodule with a diameter of 7 mm located posteriorly is observed in the apical upper lobe of the right lung. There are linear atelectasis in both lungs. A small amount of pleural effusion is observed in both lungs, more prominently in the left lung. Gallstones with a diameter of 27 mm are observed in the gallbladder.", "impression": " Peribronchial thickness increases and micronodular opacities are observed in the lower lobes of both lungs. These appearances were primarily evaluated in favor of the infective process and were thought to be compatible with viral infections.  Pleural-based areas of nodular consolidation sequelae change?, atelectasis? in both lungs.  Apical segment posterior pulmonary nodule in the upper lobe of the right lung.  Bronchiectasis and emphysema in both lungs.  Stone in the gallbladder."}
{"volume_path": "dataset/train_fixed/train_1511/train_1511_a/train_1511_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1511/train_1511_a/train_1511_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1511_a_1.nii.gz", "findings": " Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Linear and nodular density increases, minimal structural distortion and minimal volume loss are observed in the laterobasal segment in the lower lobe of the left lung. The described appearance was evaluated in favor of pleuroparenchymal sequelae change. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. There is bilateral minimal pleural effusion. It is understood that pleural effusion emerged in this examination. No pleural thickening was detected. Mediastinal structures without contrast material cannot be evaluated optimally. As far as can be observed: Heart contour and size are normal. No pericardial effusion or thickening was detected. There are calcific atheromatous plaques in the aorta and coronary arteries. The anterior-posterior diameter of the ascending aorta is 42 mm at its widest point and is wider than normal. The diameters of the aortic arch and descending aorta are normal. Pulmonary artery diameters 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. 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 can be observed within the limits of non-contrast CT. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Rectal Ca on follow-up. Bilateral minimal pleural effusion.  Appearance evaluated in favor of pleuroparenchymal sequelae change in the lower lobe of the left lung. Atherosclerotic changes in the aorta and coronary arteries."}
{"volume_path": "dataset/train_fixed/train_1523/train_1523_a/train_1523_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1523/train_1523_a/train_1523_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1523_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Post-op changes are observed in the sternum. Mediastinal main vascular structures are normal. There is an increase in heart size. Pericardial effusion-thickening was not observed. In coronary arteries, calcific atheroma plaques are observed in the aortic arch. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, multiple lymph nodes measuring up to 15 mm are observed in the paratracheal area. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Thickening of interlobular septa at basal levels of both lung lower lobes, and ground-glass densities in a patchy manner are observed at basal levels of both lower lobes of both lungs. In both hemithorax, there are effusions measuring 41 mm in thickness on the right and 36 mm in thickness on the left. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. Liver contours are multilobulated and there are findings evaluated in favor of parenchymal disease. Millimetric lymph nodes are observed in the paraaortic area in the upper abdomen. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Bilateral small-moderate amount of pleural effusion  Changes secondary to cardiac stasis Infectious processes are observed with thickening of interlobular septa in both lungs. clinical lab. blind. follow-up is recommended.  Increased heart size  Atherosclerotic changes  Findings consistent with liver parenchymal disease, thickening of the left adrenal gland.  Lymph nodes with more than one short axis measuring up to 15 mm are observed in the paraaortic area in the upper abdomen and in the pretracheal area in the mediastinum."}
{"volume_path": "dataset/train_fixed/train_1524/train_1524_a/train_1524_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1524/train_1524_a/train_1524_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1524_a_1.nii.gz", "findings": "Trachea and main bronchi are open. Right upper, bilateral lower paratracheal aortapulmonary lymph node with millimetric size is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. The effusion in the right hemithorax, which was observed in the previous study, was not detected in the current examination. In the evaluation of both lung parenchyma; A 3.5 mm diameter nodule is observed in the left lung lower lobe laterobasal segment. Mild atelectatic changes are observed in the right lung upper lobe posterior segment and lower lobe superior segment. The size of the laceration in the anterior segment of the liver right lobe is stable. The collection extending to the perihepatic localization observed in it has a stable appearance. The point foreign body in the collection is stable. The aerial images seen in the previous review within the collection have regressed. No significant difference was found in the amount of fluid. In the perihepatic localization, fluid loculations extending to the pararenal fascia and psoas neighborhoods on the right are stable. 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": "Mild atelectasis changes in the right lung upper lobe posterior segment and lower lobe superior segment.  3.5 mm diameter nodule in nonspecific appearance in the left lung . There was no significant difference in changes secondary to trauma around the liver."}
{"volume_path": "dataset/train_fixed/train_1540/train_1540_a/train_1540_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1540/train_1540_a/train_1540_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1540_a_1.nii.gz", "findings": " In the right pectoral region, a chemotherapy port in the subcutaneous tissue and a catheter extending from this port to the superior vena cava were observed. 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. Stable lymph nodes were observed in paracardiac fatty tissue. When examined in the lung parenchyma window; There are emphysematous bronchiectatic changes in both lungs. In the posterior segment of the right lung, the soft tissue density, measuring 25 mm in its widest part, containing calcifications in the subpleural area, persists sequelae?. A 7 mm diameter nodule persists in the vicinity of this area. A 15 mm diameter nodule persists in the anterior segment of the upper lobe of the right lung. An area of atelectasis was observed in the middle lobe of the right lung. Peribronchial thickness increases are present in both lungs. There are sequelae fibrotic changes and millimetric calcified nodules in the apical segment of the right lung and the apicoposterior segment of the left lung. There is minimal pleural effusion in the right lung and passive atelectasis adjacent to it. In the upper lobes of both lungs, there are areas of increased density in the ground glass density, prominent on the left. Bilateral pleural effusion was not detected. The organs passing through the upper abdomen are indicated in the MRI examination. Bone structures entering the cross-sectional area are natural. Vertebral corpus heights are natural.", "impression": "No significant difference was found in other findings."}
{"volume_path": "dataset/train_fixed/train_1540/train_1540_c/train_1540_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1540/train_1540_c/train_1540_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1540_c_1.nii.gz", "findings": " The port chamber is observed in the right hemithorax. The port catheter terminates in the superior central part of the vena cava. Trachea, both main bronchi are open and no occlusive pathology was detected. Optimum evaluation could not be made because mediastinal vascular structures and heart examination were uncontrasted. Calibration of vascular structures, heart contour and size are normal as far as can be observed. Minimal effusion is observed in the pericardial area and measured approximately 12 mm at its deepest point. An effusion measuring 27 mm is observed in the deepest part of the right pleural area. No pathological increase in wall thickness is observed in the thoracic esophagus. When examined in the lung parenchyma window; Centracinar nodules are observed in peripheral subpleural areas in both lungs. The described appearance is also available in the previous examination. It is thought to be primarily due to sequelae changes. In the right lung upper lobe posterior segment, there is a nodule with calcification measuring 23 mm in its thickest part, accompanied by structural distortion and volume loss in the adjacent lung parenchyma. The described appearance was first evaluated in favor of sequela fibrotic nodular formation. In the axial sections of the anterior segment of the upper lobe of the right lung, there is a nodule measuring 17 mm in its widest part. In addition, a nodule measuring 9 mm in diameter is observed in the widest part of the left lung lower lobe postrobasal segment. In the presence of primary disease, the appearances were primarily evaluated in favor of metastatic nodular lesions. Active infiltration was not detected in both lung parenchyma. In the upper abdominal sections included in the sections, a millimeter-sized nonspecific nodule is observed in the lateral leg of the right adrenal gland. Its size and appearance are stable. Irregularity is observed in the liver contour. There is widespread free fluid in the perihepatic and perisplenic area. Lymphadenopathies with a short diameter of approximately 21 mm are observed in the perigastric area at the level of the portal hilus, in the celiac trunk, and in the peripancreatic area, the largest in the vicinity of the posterior part of the pancreatic head. In some of the lymph nodes, especially in the perigastric area, an increase in the size of the lymph nodes was noted. The short diameter of the lymph node, which was 8 mm in the previous CT examination, was measured as 13 mm in the current examination. No lytic-destructive lesion was observed in the bone structures in the study area, and the vertebral corpus heights were preserved.", "impression": "Colon Ca in the follow-up . Nodular lesions in the right upper lobe of the right lung and lower lobe of the left lung in favor of stable metastasis . In both lungs diffuse emphysematous changes, atelectasis, pleuroparenchymal sequelae changes, millimetric stable centracinar nodules in both lungs, stable nodules in both upper lobes evaluated in favor of sequelae change and mostly calcific nodules in both lungs . Stable nodular thickness increase in the lateral dryness of the right adrenal gland . Perihepatic, perisplenic free fluid . Peripancreatic level, lymphadenopathies adjacent to the stomach near the lesser and greater curvature, adjacent to the celiac trunk and at the portal hilus level; according to previous CT scan There is an increase in size in some of the enf nodes."}
{"volume_path": "dataset/train_fixed/train_1541/train_1541_a/train_1541_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1541/train_1541_a/train_1541_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1541_a_1.nii.gz", "findings": " Trachea, both main bronchi are open. There is a catheter with a chamber placed on the left hemithorax, whose catheters end in the left ventricle. 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. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; right lung lower lobe mediobasal segment with metallic materials in heterogeneous conch, extending along the T11, T12, L1 and L2 vertebra to the paravertebral area at this level, in the T11 vertebral corpus and T2 vertebra right peduncle, where the borders between the aorta infiltrating the paravertebral muscles on the right and the T2 vertebrae are not distinguished, In the vertebral corpus and right transverse process, a large mass lesion in infiltrative nature with cystic degenerate areas infiltrating T8, T9 and T10 ribs was observed. The pleural effusion at a depth of approximately 6 mm on the right is stable. In the current examination of the left hemithorax, there is a newly developed pleural effusion with a depth of 22 mm. The consolidation area, starting from the left lung lower lobe superior, in which air bronchograms are observed, was newly developed in the current examination and was evaluated as secondary to the infective process. The increase in consolidative density in the right lung lower lobe superior was also increased in the current examination. There are more prominent emphysematous bulla-bleb formations in the upper lobes of both lungs. Linear atelectatic changes and pleuroparenchymal fibrotic sequelae in the upper lobe of the right lung are stable. 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 a compression fracture in the T12 vertebra that causes a height loss of more than 50% and there are transpeduncular fixation materials in this area.", "impression": "Operated lung ca in follow-up . Stable mass lesion with extension to the paravertebral area in the right lung lower lobe mediobasal segment . Left pleural effusion; newly developed.  Consolidation area with air bronchograms in the lower lobe of the left lung; newly developed.  Emphysematous appearance in both lungs . Sequela changes in both lungs"}
{"volume_path": "dataset/train_fixed/train_1541/train_1541_b/train_1541_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1541/train_1541_b/train_1541_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1541_b_1.nii.gz", "findings": " The mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures is natural. There is an increase in the cardiothoracic ratio in favor of the heart. No pericardial effusion or thickening was detected. There is an effusion measuring 14 mm in the deepest part in the right pleural area and 27 mm in the deepest part in the left pleural area, extending to the apex in the left lying position. A catheter applied to the left pleural area is observed. Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There is a pacemaker on the left chest wall extending to the right ventricle. There is a port chamber extending to the superior distal vena cava on the right anterior chest wall. When examined in the lung parenchyma window; In the right lung lower lobe superior mediobasal, anterobasal and laterobasal segments, there are density increases in the left lung lower lobe laterobasal and mediobasal segments, which are consistent with the consolidation observed in air bronchograms. Widespread interlobular septal thickness increases and alveolar diffuse ground glass densities are observed in both ventilated lung parenchyma except the right lung upper lobe apical segment in both lung parenchyma. . A thick-walled fluid collection compatible with an abscess infiltrating the right paravertebral muscles is observed at the level of T11-T12 L1 and L2 vertebrae. Lytic-destructive metastases are observed in the peduncle and right transverse process of the T11 vertebral body, and in the right 12th rib in the T12 vertebra, and in the 8th, 9th and 10th ribs on the right. interstitial acute pneumonia?", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1542/train_1542_a/train_1542_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1542/train_1542_a/train_1542_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1542_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. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Pleural effusion is observed on the left. The pleural effusion measured 34 mm at its thickest point. It is observed that the pleural effusion extends towards the fissure and is locally loculated. Minimal air is observed in the left pleural space. The chest tube ending in the lateral of the upper lobe apicoposterior segment of the lung is observed on the left. A thin-walled cavitary lesion measuring approximately 55x65 mm was observed at the level of the basal segments of the lower lobe of the left lung. It was learned that the patient was followed up for pneumothorax. There is also minimal pleural effusion on the right. The pleural effusion measured 18 mm at its thickest point. There is no obstructive pathology in the trachea and both main bronchi. Consolidated lung segments are observed in the left lung, especially in the lower lobes. These appearances may be pneumonic infiltrates as well as atelectasis. This distinction was not made in this study. In the lower lobe of the right lung, there are consolidations and ground-glass appearances in the posterobasal and laterobasal segments. These appearances were thought to be primarily pneumonic infiltration. No mass was detected in both lungs. No upper abdominal free fluid-collection was observed in the sections. No fractures or lytic-destructive lesions were observed in the bone structures within the sections.", "impression": " Pleural effusion with a localized appearance on the left, thin-walled cavitary lesion in the lower lobe of the left lung adjacent to the basal segments, pleural effusion on the right.  Appearances evaluated primarily in favor of atelectasis in the left lung.  Consolidation and ground glass appearances evaluated in favor of pneumonic infiltration in the lower lobe of the right lung."}
{"volume_path": "dataset/train_fixed/train_1575/train_1575_a/train_1575_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1575/train_1575_a/train_1575_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1575_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Calcific atheroma plaques are observed in the coronary arteries. Other 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. Pre-paratracheal, subcarinal, multiple 8 mm lymph nodes are observed. No enlarged lymph nodes were detected in prevascular and bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Ground-glass densities are observed more peripherally in both lungs and centrally located in the lower lobe on the right. The findings were initially evaluated in favor of Covid-19 viral pneumonia, and clinical and laboratory correlation and follow-up are recommended in terms of differential diagnosis of other infectious processes. The left hemidiaphragm shows elevation. Left lung volume decreased. There is a small amount of effusion with a thickness of 8 mm in the right lung and 10 mm in 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.", "impression": " Findings described in the lung parenchyma can be seen in Covid-19 viral pneumonia. Clinical, laboratory correlation and follow-up are recommended for differential diagnosis of other infectious processes.  Pre-paratracheal, subcarinal lymph nodes of more than 8 mm in size are observed.  Atherosclerotic changes.  Elevation in left hemidiaphragm, decrease in left lung volume.  A small amount of bilateral effusion."}
{"volume_path": "dataset/train_fixed/train_1585/train_1585_a/train_1585_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1585/train_1585_a/train_1585_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1585_a_1.nii.gz", "findings": "Ipodense nodules and gross calcification areas were observed in both thyroid lobes. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Diffuse calcifications were observed in the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. As far as can be observed: Lymph nodes with a short axis smaller than 5 mm were observed in the upper-lower paratracheal, prevascular, subcarinal and aorticopulmonary window. Diffuse calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. The diameter of the main pulmonary artery was 36 mm and it shows dilatation. The heart size is increased, especially in the left atrum. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. When examined in the lung parenchyma window; Mosaic attenuation areas were observed in both lungs small airway disease? Small vessel disease?. Widely patchy areas of consolidation and acinar infiltration areas were observed in the anterior and posterior parts of the right lung upper lobe, left lung apical, left lung upper lobe apicoposterior, right lung middle lobe and right lung lower lobe. The appearance suggested primarily an infectious process. Clinic and lab. correlation is recommended. Plaque-like calcifications were observed in the bilateral pleura. There is a pleural effusion measuring 21 mm at its thickest point on the right and 9 mm on the left. Bilateral peribronchial thickenings were observed. A 16 mm diameter pulmonary nodule was observed in the inferior lingular segment of the left lung. In addition, millimetric-sized nonspecific pulmonary nodules were observed in both lung parenchyma. Upper abdominal sections in the study area; Millimetric-sized calcification was observed in the left lobe of the liver. Sliding type hiatal hernia was observed. Diffuse calcific atherosclerotic changes were observed in the wall of the abdominal aorta. A hypodense lesion with a diameter of 12 mm with exophytic location was observed in the upper pole of the left kidney cortical cyst?. Degenerative changes were observed in the bone structures in the study area. No lytic-destructive lesion was detected.", "impression": "Cardiomegaly, dilatation in the pulmonary artery.  Parenchymal nodular lesion in the inferior lingular segment of the left lung . Patchy areas of consolidation and acinar infiltrates in both lungs, the appearance was primarily evaluated in favor of the infectious process. Clinical and laboratory correlation is recommended. Bilateral pleural effusion, bilateral pleural effusion plaque-like calcifications . Hypodense nodules in both thyroid lobes.  Diffuse calcified atherosclerotic changes in the thoracoabdominal aorta and coronary arteries."}
{"volume_path": "dataset/train_fixed/train_1585/train_1585_b/train_1585_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1585/train_1585_b/train_1585_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1585_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. Hypodense nodules and gross calcification areas were observed in both thyroid lobes. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. The diameter of the main pulmonary artery was 36 mm and it shows dilatation. The heart size is increased, especially in the left atrium. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. Sliding type hiatal hernia was observed. Lymph nodes with a short axis smaller than 5 mm were observed in the upper-lower paratracheal, prevascular, subcarinal, and aorticopulmonary window. When examined in the lung parenchyma window; Diffuse interlobular septal thickening was observed in both lungs. Between the bilateral pleural leaves, free pleural effusion measuring 22 mm on the right and 12 mm on the left was observed. In addition, in the current examination, there are widespread patchy ground glass density increases and accompanying consolidations in both lung parenchyma. The described manifestations may be compatible with viral pneumonias in the background of CHF. Other infectious processes can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended for Covid-19 pneumonia. Calcified thickness increases were observed in the bilateral pleura. A parenchymal nodule with a diameter of 16 mm was observed in the inferior lingular segment of the left lung. Nonspecific parenchymal nodules were observed in both lungs. In the upper abdominal sections that entered the examination area, millimetric calcification was observed in the left lobe of the liver. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. There are degenerative changes in bone structures. No lytic-destructive lesion was detected.", "impression": "Cardiomegaly, dilatation of pulmonary arteries . Diffuse interlobular septal thickenings in both lungs considered compatible with CHF . Peripheral patchy ground-glass density increases and accompanying consolidations in bilateral lung parenchyma; the described appearance may initially be compatible with viral pneumonias in the background of CHF. Clinical and laboratory correlation is recommended for Covid-19 and other viral pneumonias Bilateral pleural effusion . Bilateral pleural plaque-like calcifications . Diffuse calcified atherosclerotic changes in the thoracoabdominal aorta and coronary artery"}
{"volume_path": "dataset/train_fixed/train_1586/train_1586_a/train_1586_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1586/train_1586_a/train_1586_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1586_a_1.nii.gz", "findings": "Trachea and main bronchi are open. Right upper, bilateral lower paratracheal lymphadenomegaly reaching 1 cm in narrow diameter is observed. The presence/absence of hilar lymphadenomegaly cannot be clearly evaluated due to the lack of contrast in the examination. The cardiothoracic index increased in favor of the heart. Placing pleural effusion is observed in the right hemithorax. In the evaluation of both lung parenchyma; Interlobular septal thickenings are observed in both lungs. There is also mosaic attenuation small airway disease? Small vessel disease?. A 4.5 mm diameter nodule extending to the pleura is observed in the anterior segment of the left lung upper lobe. 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. No lytic-destructive lesion was detected in bone structures.", "impression": " Cardiomegaly.  Interlobular septal thickenings in both lungs, mosaic attenuation small airway disease? Small vessel disease?.  A 4.5 mm diameter nodule extending to the pleura in the anterior segment of the left lung upper lobe."}
{"volume_path": "dataset/train_fixed/train_1590/train_1590_a/train_1590_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1590/train_1590_a/train_1590_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1590_a_1.nii.gz", "findings": "No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. There are several paratracheal lymph nodes in the mediastinum with nonspecific millimetric dimensions. Heart size increased. Left ventricular diameter is observed quite clearly. Pericardial effusion was not detected. Calibration of mediastinal major vascular structures is natural. Calcific atheroma plaques are observed in LAD. Normal calibration of the esophagus is observed. When examined in the lung parenchyma window; There is a pleural effusion with a diameter of 5 cm between the right pleural leaves and 2.5 cm between the left pleural leaves. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. A millimetric nonspecific solitary nodule 3 mm was observed in the upper lobe of the right lung. Contour, size, parenchymal density of the liver are normal. There are several cysts measuring 25 mm in diameter, the largest of which is in segment 4A localization of the liver. No space-occupying solid 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. A dense-density and high-pressure cystic lesion with a superoinferior diameter of 80 mm and a mediolateral diameter of 61 mm is observed in the spleen parenchyma hydatid cyst?. No space-occupying solid 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. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Both kidneys are atrophic. Within the non-contrast CT limits, there is a 7 mm diameter cortical cyst in the right kidney in the kidney parenchyma. A calculus with a diameter of 7 mm is observed in the lower pole calyx of the left kidney. A 17 mm diameter isodense expansile parenchyma area was observed in the left kidney. It may belong to the parenchyma, but the presence of a possible space-occupying lesion could not be excluded. Urine volume in the bladder lumen is insufficient. No significant asymmetrical wall thickness increase was detected. Perivesical fat plans are clear. Prostate gland sizes slightly increased to 36x54 mm. Parenchyma is homogeneous. Periprostatic fatty tissues are clear. Seminal vesicles are natural. No free-loculated fluid was detected in the abdomen. No lymph node in pathological size and appearance was observed in the portal hilus, retroperitoneum, paraaortic, paracaval localization, iliac chain and obturator chain. No space-occupying lesion was detected in peritoneal or omental location. No pathological increase in diameter and wall thickness, which can be distinguished by this examination, was observed in the intestinal and cholanic loops. No lytic-destructive lesion was detected in the bone structures entering the section area.", "impression": "Increase in heart size, increase in left ventricular diameter . Calcific atheroma plaques in LAD . Bilateral pleural effusion . Bilateral atrophic kidney, slightly expanded appearance causing contour lobulation in left kidney, presence of space-occupying lesion with non-contrast examination could not be excluded . Cysts in liver . High density in spleen and high-pressure cyst hydatid cyst exclusion is recommended.  Increase in prostate gland size . Nonspecific millimetric solitary nodule in the right lung"}
{"volume_path": "dataset/train_fixed/train_1591/train_1591_a/train_1591_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1591/train_1591_a/train_1591_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1591_a_1.nii.gz", "findings": "Trachea and main bronchi are open. Millimetric lymph nodes with short axis dimensions of 6 mm were observed in the mediastinum, the largest in the anterior carina and in the right lower paratracheal area. The heart is of normal size. Pericardial effusion reaching 12 mm thickness was observed. Calibrations of mediastinal major vascular structures are normal. Esophageal calibration was normal and no significant increase in wall thickness was detected. When the sections are evaluated together with the lung parenchyma window; The bronchial distribution of both lungs is normal. Consolidation areas were observed in the posterobasal segments of the lower lobe of the bilateral lung. Nodular densities are observed in both lungs, accompanied by a peripheral halo sign, which is significant in terms of fungal infection. In addition, densities in the form of ground glass with widespread patches in both lungs were noted. Pleural effusion reaching a thickness of 5 mm on the right and 7 mm on the left was observed at the level of both posterior costophrenic sinuses. In sections passing through the upper west; hepatosplenomegaly was noted. Solid organon density is normal in sections passing through the upper abdomen. No obvious focal lesion was detected. LAP was not observed. No free fluid or air was detected. Bone structures and soft tissue planes forming the thoracic wall appear normal. Subcutaneous fatty tissue edema was observed.", "impression": "Consolidation areas in the posterobasal segments of the lower lobe of the lung bilaterally, nodules accompanied by diffuse peripheral halo sign in both lungs findings were evaluated as significant for fungal infection . Pericardial effusion, bilateral minimal pleural effusion . Hepatosplenomegaly . Edema in the subcutaneous fatty tissue in the thoracic wall"}
{"volume_path": "dataset/train_fixed/train_1591/train_1591_d/train_1591_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1591/train_1591_d/train_1591_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1591_d_1.nii.gz", "findings": "CTO is normal. 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. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; There is pleural effusion in the lower lobe segments in the right pleural distance, which was not observed in the previous examination and reached approximately 11 mm in thickness. Consolidative areas where air bronchograms are observed in the upper lobe and superior segment of the lower lobe in the right lung, and in the lingular segment of the left lung, and bud branch landscapes and accompanying ground-glass-like density increases are observed around it. In the current examination, there is regression in the consolidation areas and ice-like density increases observed in the lower lobe of the right lung, the apicoposterior segment of the left lung upper lobe, and the lower lobe of the left lung. However, no significant regression was detected in the right upper lobe. Sequelae changes are observed at the posterobasal-laterobasal level in the lower lobe of the right lung and at the anterobasal level in the left lung. No bilateral pleural effusion or pneumothorax 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. Nodular formation compatible with accessory spleen is observed in the spleen hilum. The spleen is observed to be larger than normal. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "The examination was evaluated together with the old CT dated 30.7.2020. Consolidation areas, bud branch views and ground glass density increments defined in both lung reports are observed and it is recommended to evaluate for infection first. However, no significant regression was detected in the right upper lobe.  Thin pleural effusion was observed in the lower lobe on the right and was not detected in the previous examination."}
{"volume_path": "dataset/train_fixed/train_1591/train_1591_e/train_1591_e_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1591/train_1591_e/train_1591_e_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1591_e_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 the thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. There is minimal effusion measuring 8 mm in thickness in the pericardial anterior. 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. There was no significant change in the size and number of millimetric lymph nodes observed in the previous examination. When examined in the lung parenchyma window; Ground glass density increases were observed in and around the consolidation areas where the air bronchogram was observed in the right lung upper and lower lobe superior segment, and the middle lobe lateral segment. There is regression in the consolidation areas observed in the previous examination in the left lung upper lobe apicoposterior segment and lower lobe. Regression was observed in the consolidation areas on the right. However, no total regression was detected. In addition, there are subsegmental atelectatic changes in the left lung lower lobe laterobasal segment. No pleural effusion was detected. The pleural effusion area observed on the right in the upper abdominal sections entering the examination area is not detected in the current examination. There is an appearance compatible with the accessory spleen in the spleen hilum. Spleen size increased. Bilateral adrenal gland calibration is normal. No lytic-destructive lesion was detected in bone structures.", "impression": "However, total remission is not detected.  Pleural effusion on the right is not detected in the current examination.  No newly emerged infiltration area was detected in the current examination."}
{"volume_path": "dataset/train_fixed/train_1593/train_1593_a/train_1593_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1593/train_1593_a/train_1593_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1593_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and there was an increase in both pulmonary artery and pulmonary trunk calibrations. An increase in heart size is observed. There are calcified atheroma plaques in the wall of the aortic arch and ascending aorta. There are suture materials belonging to surgery in the sternum and metallic densities of aortic valve replacement are 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. No lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance. When examined in the lung parenchyma window; Interlobar smooth septal thickness increases are observed in both lung parenchyma, and there are also ground glass densities observed more clearly in the center of both lungs. The appearances are nonspecific, but primarily evaluated secondary to heart failure. Underlying pneumonic infiltration cannot be excluded. Evaluation with clinical and laboratory findings is recommended. There is minimal pleural effusion up to 15 mm on the left at its deepest point in the bilateral pleural space. In the upper abdominal sections included in the sections, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No free fluid-loculated collection is observed. There is a diffuse adentic appearance secondary to hepatosteatosis in the liver parenchyma density entering the section area. A lesion of 20x15 mm fat density was observed in the corpus of the right adrenal gland. It has been evaluated as compatible with myelolipoma. No lytic or destructive lesion was observed in the bone structures in the study area. Vertebral corpus heights are preserved. Bilateral neural foramina are normal.", "impression": "Increase in pulmonary trunk and both pulmonary arteries calibration, increase in heart size. Bilateral minimal pleural effusion, smooth interlobular septal thickness increases in both lungs and ground glass densities in both lungs in the central; firstly, cardiac edema was evaluated as secondary.  Hepatosteatosis. Myelolipoma in the right adrenal gland corpus."}
{"volume_path": "dataset/train_fixed/train_1593/train_1593_b/train_1593_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1593/train_1593_b/train_1593_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1593_b_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; there is an increase in both pulmonary artery and pulmonary trunk calibration. Heart size increased. Calcified atheroma plaques were observed in the aortic arch and its supraaortic branches. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Metallic densities are observed secondary to aortic valve replacement. Thoracic esophagus calibration was normal and no significant pathological 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; Multilobar multisegmental, central-peripheral localized, crazy paving pattern and patchy large ground glass consolidations showing signs of vascular enlargement were observed in both lungs, and the appearance is compatible with Covid-19 pneumonia. Bilateral pleural effusion persists and no significant difference was detected. Other findings are stable.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1600/train_1600_c/train_1600_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1600/train_1600_c/train_1600_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1600_c_1.nii.gz", "findings": " Evaluation of the parenchyma is not optimal because of inadequate inspiration and respiratory artifacts. Heart contour and size are normal. Minimal pericardial effusion is observed. There are calcific atheroma plaques in the coronary arteries. The widths of the mediastinal main vascular structures are normal. The central venous catheter placed through the right internal jugular vein terminates at the superior vena cava-right atrium junction. A 2 cm thick pleural effusion is observed in the right hemithorax. There are several lymph nodes in the mediastinum, the largest of which is 4 mm in diameter in the lower right paratracheal area. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a mosaic attenuation pattern in both lungs. Linear atelectasis areas are observed in the left lung upper lobe apicoposterior segment, right lung middle lobe medial segment and both lung lower lobe posterior segments. There are several nodules in both lungs, the largest of which is 4 mm in diameter 52nd section in the posterior segment of the right lung upper lobe. No significant increase in size was observed in other existing nodules. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, within the borders of non-contrast CT; There are hypodense lesions of metastases at the level of segment 6, the largest of which is in both lobes of the liver. The stomach appears distended. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Metastatic gastric Ca in follow-up; newly appeared pleural effusion in the right hemithorax.  Mosaic attenuation pattern in both lungs, atelectatic changes in sequelae  Millimetric nodules in both lungs; The nodule defined in the posterior segment of the right lung upper lobe has just emerged. No significant size difference was detected in other nodules.  Metastatic hypodense lesions in the liver."}
{"volume_path": "dataset/train_fixed/train_1608/train_1608_a/train_1608_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1608/train_1608_a/train_1608_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1608_a_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 mediastinal could not be evaluated optimally. As far as can be seen; The diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 27 mm. Calibration of pulmonary arteries is increased. Heart dimensions increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed. A smear-like effusion was observed in both hemithorax. Interlobular-intralobar septal thickenings and accompanying ground glass densities were observed in both lungs. Compatible with cardiac stasis. Mosaic attenuation pattern was observed in both lungs. In both lungs, there is peribronchial thickening and luminal narrowing in the segmental-subsegmentary bronchi, which are more common in the lower lobes. Mosaic attenuation was thought to be secondary to small airway stenosis. Linear atelectasis was observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen in non-contrast sections; liver contours are irregular. It is recommended to be evaluated together with clinical and laboratory in terms of chronic parenchymal disease. The gallbladder was not observed secondary to the operation. Linear sequelae calcification was observed in the spleen capsule. The pancreas is atrophic. The right kidney is normal. The left kidney is atrophic. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. There is osteoporosis in the bone structures included in the study area. In the L2 vertebra superior end plate, an old collapse fracture characterized by a more prominent 50% loss of height in the central was observed. Dextroscoliosis is present at the thoracic level with left-facing opening.", "impression": " Fusiform aneurysmatic dilatation in the ascending aorta, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries, increased pulmonary artery calibration, cardiomegaly.  Bilateral pleural effusion, findings consistent with cardiac stasis in the lung parenchyma.  Mosaic attenuation pattern secondary to small airway stenosis in both lungs, linear atelectasis.  Irregularity in liver contours; It is recommended to be evaluated together with clinical and laboratory in terms of possible parenchymal disease.  Sequelae linear calcification in the spleen capsule.  Atrophy of the left kidney.  Osteoporosis in bone structures, right-facing dextroscoliosis, old collapse fracture in L2 vertebra."}
{"volume_path": "dataset/train_fixed/train_1629/train_1629_a/train_1629_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1629/train_1629_a/train_1629_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1629_a_1.nii.gz", "findings": "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; The anterior-posterior diameter of the ascending aorta is 44 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, larger than normal. The transverse diameter of the pulmonary trunk was enlarged by 34 mm. Heart size increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta and coronary artery walls, and stent materials placed in the coronary arteries were observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Pathologically sized lymph nodes of 28x11 mm were observed in the right lower paratracheal and bilateral hilar region, the largest in the right lower paratracheal region. When examined in the lung parenchyma window; Pleural effusion measuring 25 mm in the deepest part on the right and 41 mm in the deepest part on the left was observed in both hemithorax. No pleural thickening was detected. In the upper lobes of both lungs, patchy-nodular consolidation areas with a more common central-peripheral location but a crazy paving pattern with peribronchovascular weight and vascular enlargement were observed. The findings are suspicious for Covid-19 pneumonia. Organizing pneumonia is also considered in the differential diagnosis. Clinical and laboratory evaluation and post-treatment control are recommended. In both lungs; more extensive paraseptal emphysematous changes were observed in the apex of the upper lobes. Interlobular-intralobar septal thickening and fissure thickening were observed in both lungs. The findings were evaluated in favor of cardiac stasis. 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. No lytic-destructive lesion in favor of metastasis was observed in the bone structures included in the study area.", "impression": " Bilateral gynecomastia  Fusiform aneurysmatic dilatation in the thoracic aorta, increase in the diameter of the pulmonary trunk, cardiomegaly, diffuse atherosclerotic wall calcifications in the thoracic aorta and coronary arteries, stents placed in the coronary arteries  Right lower paratracheal and bilateral hilar pathological lymph nodules in the lung  Bilateral pleural pleural chyme. - Suspicious findings for -19 pneumonia; Atypical pneumonias and organizing pneumonia were also considered in the differential diagnosis. Clinical and laboratory evaluation and post-treatment control are recommended.  Cardiogenic stasis in lung parenchyma  In both lungs; paraseptal emphysematous changes"}
{"volume_path": "dataset/train_fixed/train_1630/train_1630_a/train_1630_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1630/train_1630_a/train_1630_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1630_a_1.nii.gz", "findings": "Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: There are surgical materials in the sternum. There are surgical drains placed in the subxiphoid region, one of which ends in the retrosternal region and one in the lateral of the left lung upper lobe. No collection with distinguishable borders was detected in the presternal and retrosternal regions. There is air in the left hemithorax, which is evaluated in favor of postoperative change between muscle groups. Heart contour and size are normal. There is minimal pericardial effusion. It is understood that the patient underwent coronary bypass surgery. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are present in the aorta and coronary arteries. There is bilateral minimal pleural effusion. 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. There are minimal emphysematous changes in both lungs. There are atelectasis in the lower lobes adjacent to the pleural effusion in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open.", "impression": " Minimal pericardial effusion and pleural effusion.  Atherosclerotic changes in the aorta and coronary arteries.  Minimal emphysematous changes in both lungs.  Atelectasis in both lungs."}
{"volume_path": "dataset/train_fixed/train_1633/train_1633_a/train_1633_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1633/train_1633_a/train_1633_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1633_a_1.nii.gz", "findings": "The dimensions of the thyroid gland have increased, and multiple hypodense nodules with a diameter of 10 mm are observed in the parenchyma, the largest of which is in the left lobe. The left lobe extends towards the mediastinum plonic goiter. A pacemaker appearance is observed on the anterior left chest wall, and the catheter tips end in the right ventricle. Massive cardiomegaly is observed. The diameter of the ascending aorta was 38 mm, and the diameter of the pulmonary trunk was 32 mm and increased. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and bilateral hilar regions. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In the right hemithorax, there is a pleural effusion reaching 3.5 cm in thickness and showing loculation in places. There is minimal fissural effusion in the left hemithorax. Centriacinar density increases accompanied by ground-glass areas in the upper lobes of both lungs; There are patchy areas of consolidation with air bronchograms in the lower lobes and upper lobe of the left lung, accompanying pleural retraction, increases in interlobular septal thickness, and subsegmental atelectasis. It is recommended to be evaluated together with clinical and laboratory findings in terms of infectious pathologies. 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 13 mm diameter, low density mean 4 HU nodular hypodense lesion with fat density in the medial crus of the left adrenal gland adenoma?. The inferior vena cava and hepatic veins appear dilated congestive heart failure?. Thoracic kyphosis is increased. Millimetric osteophytes are observed in the corners of the thoracic vertebra corpus. A compression fracture is observed in the T4 vertebral corpus, which causes approximately 50% loss of height. Corduroy appearance compatible with hemangioma is observed in T8 vertebral corpus. Cerclage suture materials are observed in the sternum. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": " Locally locating effusion in the right hemithorax.  Centriacinar nodular density increases with occasional ground glass areas in the upper lobes of both lungs, patchy areas of consolidation in the lower lobes, accompanying increases in interlobular septal thickness, and areas of subsegmental atelectasis. It is recommended to evaluate the patient for infectious pathologies together with clinical and laboratory findings.  Massive cardiomegaly, pacemaker, dilatation in the ascending aorta and pulmonary trunk, millimetric calcific atheroma plaques in the aorta.  Appearance compatible with adenoma in the medial crus of the left adrenal gland.  Multinodular goiter.  Thoracic spondylosis, a compression fracture in the T4 vertebral body that causes approximately 50% loss of height."}
{"volume_path": "dataset/train_fixed/train_1647/train_1647_a/train_1647_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1647/train_1647_a/train_1647_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1647_a_1.nii.gz", "findings": "Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be seen; The main pulmonary artery diameter is 37 mm, wider than normal. Calibration of other mediastinal vascular structures, heart contour and size are normal. Pericardial effusion was not detected. There are calcific atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. 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, there are lymph nodes with fusiform configuration, the largest of which are at the subcarinal level and in the right hilar region, with short diameters measuring 11 and 13 mm, respectively. When examined in the lung parenchyma window; there is a hypodense lesion of approximately 20x12 mm filling the right lung lower lobe bronchus mucus plug?. In the bilateral pleural space, a free effusion of 16 mm in the deepest part on the right and up to 60 mm in the left is observed. Right lung upper lobe posterior and lower lobe superior, posterobasal segments and left lung upper lobe apicoposterior, lower lobe have areas of increase in density consistent with consolidation, which is observed in air bronchograms. Pneumonic infiltrates are considered primarily in the ethology of the findings. It is recommended to be evaluated together with clinical and laboratory findings and control after treatment. There are diffuse emphysematous changes in both lungs. There are chronic destructive changes in both lungs, most prominently in the left upper lobe, accompanied by structural distortion and volume loss. In the upper abdominal sections within the image, hyperdense stone into the gallbladder lumen is observed as far as can be observed within the borders of non-contrast CT. There are chronic atrophic changes in the right kidney. Lesions of hypodense fluid density, which cannot be clearly characterized, are observed in both kidneys within the limits of non-contrast CT cyst?. There is a hyperdense stone measuring 11x7 mm in both kidneys, the largest of which is located in the left kidney renal pelvis. In the left adrenal gland corpus, there is an increase in nodular thickness of approximately 17x10 mm, in which millimetric fat densities are observed adenoma?. No lytic or destructive lesions were detected in the bone structures within the image. There are degenerative changes.", "impression": " Calcified atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures, increase in the diameter of the main pulmonary artery.  Bilateral pleural effusion.  Hypodense lesion filling the lower lobe bronchus of the left lung; mucus plug?  Density increase areas in both lungs in the localizations described above, consistent with the consolidation observed in air bronchograms; In its ethology, primarily infective pathologies are considered. It is recommended to evaluate together with clinical and laboratory findings and control after treatment.  Diffuse emphysematous changes and chronic destructive and sequela parenchymal changes in both lungs.  Lymph nodes in the mediastinum with a fusiform configuration, the largest of which is at the right hilar and subcarinal level, with a short diameter measuring over 1 cm.  Cholelithiasis.  Chronic atrophic changes in the left kidney.  Bilateral nephrolithiasis and lesions of hypodense fluid density in both kidneys cyst?.  Increased nodular thickness adenoma? in the left adrenal gland corpus.  Degenerative changes in bone structures."}
{"volume_path": "dataset/train_fixed/train_1686/train_1686_b/train_1686_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1686/train_1686_b/train_1686_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1686_b_1.nii.gz", "findings": "A large mass was observed in the upper and middle lobe central part of the right lung and in the lower lobe superior segment. The described mass was considered to be the patients primary mass. The longest diameter of this mass was approximately 70 mm at its widest point. There is another mass with irregular borders in the superior segment of the lower lobe of the right lung. The longest diameter of this mass was 40 mm. The described lesion was absent in the previous examination of the patient. In this appearance, it was primarily thought to be a metastatic mass. Apart from these, there are nodules in both lungs. It is understood that some of these nodules have just appeared. There is an increase in the size of some nodules. The nodules described were also primarily thought to be metastases. There are emphysematous changes and occasional atelectasis in both lungs. Sequelae changes were also observed in both lungs. 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. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There is minimal pericardial effusion. Minimal pleural effusion is observed on the right. Pathologically enlarged lymph nodes in the mediastinum and hilar regions were not detected in this examination. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There is a mass measuring 60 mm in the longest diameter in segment 5 and segment 6 of the right lobe of the liver. This appearance was primarily thought to be metastasis. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Lung ca, malignant masses in the right lung, appearances evaluated in favor of metastases in both lungs, mass evaluated primarily in favor of metastasis in the right lobe of the liver  Minimal pericardial effusion and minimal pleural effusion in the right"}
{"volume_path": "dataset/train_fixed/train_1691/train_1691_a/train_1691_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1691/train_1691_a/train_1691_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1691_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the 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. There is an effusion measuring 19 mm in thickness in the right hemithorax. When examined in the lung parenchyma window; Atelectasis changes and air bronchogram signs are observed in the basal segment of the lower lobe of the right lung. Clinical laboratory correlation is recommended for the differential diagnosis of consolidation. Transplanted liver is observed in the upper abdominal organs included in the sections. The fluid localization observed in the right lobe posterior segment was measured up to 48 mm. Extrahepatic drainage catheters extending into the common bile duct compatible with PTC are observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Effusion with a thickness of 19 mm in the right hemithorax . It is recommended in terms of atelectasis consolidation area in the basal segment of the lower lobe of the right lung, clinical laboratory correlation, and differential diagnosis of the infectious process. Two drainage catheters extending into the extrahepatic common bile duct in the right lobe of the liver. shows regression of 48 mm in size of fluid loculation in the posterior right lobe of the liver."}
{"volume_path": "dataset/train_fixed/train_1699/train_1699_a/train_1699_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1699/train_1699_a/train_1699_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1699_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. No percardial thickening was detected. The widths of the mediastinal main vascular structures are normal. There is minimal pleural effusion on the left. No pleural effusion was detected on the right. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There are appearances evaluated in favor of secretion in the trachea and the right main bronchus. No occlusive pathology was detected in the trachea and both main bronchi. Atelectasis was observed adjacent to the effusion in the lower lobe of the left lung. There are minimal emphysematous changes in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are hypointense and minimally hyperintense lesions in both kidneys. The described lesions could not be characterized as no contrast agent was given. Evaluation of the patient with previous examinations, if any, and USG are recommended if there is an indication. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. A decrease in density consistent with osteopenia was observed in the vertebral corpuscles within the sections. Vertrebra corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open.", "impression": " Minimal pericardial effusion, minimal pleural effusion on the left.  Atelectasis in the lower lobe of the left lung.  Minimal emphysematous changes in both lungs."}
{"volume_path": "dataset/train_fixed/train_1700/train_1700_a/train_1700_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1700/train_1700_a/train_1700_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1700_a_1.nii.gz", "findings": "Trachea, both main bronchi are open and no obstructive pathology is observed. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of vascular structures as far as can be observed is natural. An increase in heart size is observed. There is pericardial, right pleural effusion. Right pleural effusion measured 55 mm at its deepest point. No pathological increase in wall thickness was detected in the thoracic esophagus. Multiple lymph nodes with fusiform configuration are observed in all lymph node stations in the mediastinum, the largest of which is less than 1 cm in diameter. When examined in the lung parenchyma window; Smooth interlobular-interstitial septal thickness increases were observed in both lungs and were primarily evaluated as secondary to cardiac stasis. There are paraseptal emphysematous changes in the upper lobes of both lungs, more prominent in the apical segments. No mass lesion was observed in both lungs. There are diffuse peribronchial thickness increases in both lungs. In the anterior segment of the left lung upper lobe, an area of increase in density in ground glass density with indistinct borders was observed adjacent to the bronchovascular structure. The appearance may belong to bronchopneumonic infiltration. It is recommended to be evaluated together with clinical and laboratory findings. 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": " Increase in heart size.  Pericardial, right pleural effusion.  Pathological size and multiple invisible lymph nodes in the mediastinum.  Uniform interlobular-interstitial septal thickness increases in both lungs; evaluated as secondary to cardiac stasis.  Paraseptal emphysematous changes in the upper lobes of both lungs.  Bilateral peribronchial diffuse mild thickness increases and an increase in density in the peribronchovascular area of the left upper lobe anterior segment of the left lung with indistinctly circumscribed ground glass density; evaluated in favor of bronchopneumonic infiltration."}
{"volume_path": "dataset/train_fixed/train_1703/train_1703_b/train_1703_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1703/train_1703_b/train_1703_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1703_b_1.nii.gz", "findings": "Compression and height loss are observed in the T12 vertebral body. The vertebral body is observed to be displaced posteriorly into the spinal canal, and the spinal canal is narrowed. In this localization, there are surgical-related defects in the posterior elements of the vertebrae. Bone fragments are observed adjacent to the vertebral corpus. Transpedicularly placed fixation material is observed in the T11 vertebral corpus. When the previous examinations of the patient were examined, it was understood that there was also fixation material in the L1 vertebral body. It is understood that the fixation material placed in the T12 vertebral corpus from the left is displaced by displacing it posteriorly. The fixation material described in the previous examination is in normal localization. Heart contour and size are normal. Pericardial effusion and thickening were not detected. Mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Bilateral pleural effusion and atelectasis are observed in the lower lobe of the lung adjacent to the pleural effusion, more prominently on the left. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both ventilated lungs. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.", "impression": "Compression, loss of height and posterior displacement in the T12 vertebral body, fixation material in the T11 vertebral body displacement of the fixation material placed on the left is observed, surgical-related defects in the posterior elements of the T12 vertebrae . Bilateral pleural effusion and atelectasis in the lung adjacent to the pleural effusion"}
{"volume_path": "dataset/train_fixed/train_1708/train_1708_a/train_1708_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1708/train_1708_a/train_1708_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1708_a_1.nii.gz", "findings": "No obstructive pathology was detected in the lumen of the trachea and both main bronchi. 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. 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. Examination of the lung parenchyma secondary to motion artifacts could not be performed optimally. As far as can be seen; In the right lung apical segment posterior, a homogeneous mass lesion with peripheral subpleural location, 34x31 mm in size, with lobulated contours, irregular borders, and spiculated extensions to the surrounding parenchyma and pleura was observed. It is compatible with pulmonary Ca in the clinical preliminary diagnosis. Numerous nodules with a diameter of 7.7 mm were observed in the upper, middle and lower lobes of the right lung, the largest in the lower lobe laterobasal segment metastasis?. Upper lobes of both lungs have a more prominent emphysematous appearance on the right. Peribronchial thickening in both lungs, focal consolidation and centriacinar nodular infiltrates in the lower lobe of the right lung were observed. Findings may be compatible with pneumonic infiltration. Clinic and lab. It is recommended to be evaluated together with Dependent nonspecific ground glass densities were observed in both lungs. Effusion reaching 2 cm in its thickest part was observed in both pleural spaces. No infiltrative-nodular mass with distinguishable borders was detected in the left lung. As far as can be observed in the non-contrast examination; liver, spleen, both adrenal glands are normal. Millimetric calculus was observed in the gallbladder lumen. Cortical cysts were observed in both kidneys. Lytic expansile mass lesions were observed in the first 5 thoracic sections, in the C6 and C7 vertebrae and in the left first rib, which were evaluated in favor of metastasis.", "impression": "Peripheral subpleural localized mass lesion in the apical segment of the upper lobe of the right lung, consistent with lung Ca in the clinical preliminary diagnosis, metastatic nodules in the upper-middle and lower lobes of the right lung. Ground-glass densities around the focal consolidation of the left lung lower lobe basal segment, centriacinar nodular infiltrates, interlobular septal thickenings; findings may be compatible with pneumonic infiltration. Clinic and lab. It is recommended to be evaluated together with the findings.  Peribronchial thickening in both lungs and dependent nonspecific ground-glass densities . Renal cortical cysts . Cholelithiasis . Lytic expanded metastatic mass lesions in C6, C7 and first 5 thoracic vertebrae, left 1st rib"}
{"volume_path": "dataset/train_fixed/train_1709/train_1709_b/train_1709_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1709/train_1709_b/train_1709_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1709_b_1.nii.gz", "findings": "Trachea was in the midline of both main bronchi 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; aberrant right subclavian artery variation is observed and it shows a retroesophageal course. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta, subraaortic branches 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; Diffuse centriacinar - paraseptal emphysema was observed in both lungs. Bulle-bleb formations were observed in the paramediastinal areas of both lungs. Pleural effusion reaching 10 mm in diameter and accompanying compression atelectasis are observed in the left hemithorax. In the previous examination, the amount of effusion was measured at 18 mm diameter and was regressed. A well-circumscribed, oval-shaped mass lesion with dimensions of 24x7.5 mm 19x6.7 mm in the previous examination, which is thought to be in the parietal pleura adjacent to the anterior 9th rib on the left, was observed. Metastatic solid nodules measuring 30x24 mm 18.5x24 mm in the previous examination were observed in the right lung lower lobe posterobasal segment and the largest in the right lung lower lobe posterobasal segment in the anterior segment of the right lung upper lobe. It is also present in the patients previous examination and has increased in size. In the previous examination, it was learned that there was an adeno Ca mass in the left lung upper lobe apicoposterior segment laterally, sitting on the pleura, and in the current examination, an irregularly bordered soft tissue - consolidation area of 28x17 mm was observed in this localization. Pleural-based mass lesions are observed adjacent to the fissure in the left lung lower lobe laterobasal segment and right lung middle lobe lateral segment. The mass lesions measured 60 mm and 28 mm in their long axes, respectively. In his previous examination, his long axes measured 57 mm and 17 mm, respectively, showing increased size. There was no finding in favor of pneumonia in both lungs. As far as can be seen in the sections, hypodense nodular lesion areas with a diameter of 45 mm were observed in the upper pole of the right kidney in both kidneys cyst?. In the case known to have metastases in both adrenal glands, the longest diameter of the metastasis in the right adrenal gland was 70 mm in the axial plane 60 mm in the previous examination, and the diameter in the long axis of the metastasis in the left adrenal gland was 55 mm 44 mm in the previous examination. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Aberrant right subclavian artery variation with retro esophageal course, calcific atheroma plaques in the thoracic aorta and coronary arteries.  Metastatic nodules showing increased size in the right lung lower lobe posterobasal and upper lobe anterior segment. Pleural-based mass lesions with increased size in the left lung lower lobe laterobasal and right lung middle lobe lateral segment.  Mass lesion showing increased size in the parietal pleura adjacent to the anterior 9th rib on the left. Emphysematous - fibroatelectasis sequelae changes in both lungs. Metastases with increased size in both adrenal glands."}
{"volume_path": "dataset/train_fixed/train_1712/train_1712_a/train_1712_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1712/train_1712_a/train_1712_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1712_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; A pacemaker appearance and electrodes extending to the floor of the ventricle were observed on the anterior left chest wall. Density increases consistent with postoperative edema-inflammation were observed in the left interncostal region and subcutaneous fat planes. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. There are densities of stent material in coronary arteries. Heart size increased. 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; effusion measuring 20 mm at its thickest point on the left, partially extending to the fissure, and extensive atelectatic changes in the lower lobe were observed. There are also atelectatic changes in the linguistic segment. Left hemithorax volume decreased due to atelectatic changes. The left hemidiaphragm shows significant elevation. Millimetric sized nonspecific parenchymal nodules were observed in both lung parenchyma. Mild bronchiectatic changes were observed in the center of both lungs. There are fibroatelectatic changes in the lower lobe of the right lung. A hypodense lesion with a diameter of 15 mm was observed in the middle zone of the left kidney in the upper abdominal sections in the examination area cyst?. Accessory spleen with a diameter of 12 mm was observed adjacent to the lower pole of the spleen. Ossified calcific bone fragments were observed at the right glenohumeral joint space in the examination area Loose body?. No lytic-destructive lesion was detected in bone structures.", "impression": "Cardiomegaly. Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.  Pleural effusion and atelectatic changes on the left. Elevation in the left hemidiaphragm.  Millimetrically sized nonspecific parenchymal nodules in both lungs. Left renal hypodense lesion cyst?.  Bone fragments loose body? at the right glenohumeral joint. Mild bronchiectatic changes in both lungs."}
{"volume_path": "dataset/train_fixed/train_1712/train_1712_b/train_1712_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1712/train_1712_b/train_1712_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1712_b_1.nii.gz", "findings": "On the left, the pacemaker and electrodes extending to the apex of the right ventricle were observed on the anterior chest wall. Postoperative density increases were observed in the left intercostal region and subcutaneous fat planes. Trachea, both main bronchi are open. Heart size increased. The left hemidiaphragm is elevated and the heart is slightly displaced to the left. Pericardial effusion-thickening was not observed. Calcific atherosclerotic changes are observed in the walls of the thoracic aorta and coronary arteries. There are densities of stent material in coronary arteries. Calibration of the thoracic aorta and pulmonary arteries is natural. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A few pathologically sized lymph nodes of 17x11 mm were observed at the prevascular, right upper paratracheal, right hilar, subcarinal and right lower paratracheal level. Existing lymph nodes were also present in the patients previous examination but showed increased size. When examined in the lung parenchyma window; On the left, an effusion measuring 10 mm in its thickest part partially extending to the fissure was observed. The left hemidiaphragm shows marked elevation. Compressive atelectatic changes were observed in the lower lobe basal and upper lobe inferior lingular segments of the left lung. Left lung volume decreased secondary to atelectatic changes. Patchy ground glass consolidations with crazy paving pattern accompanied by interlobular septal-intralobar septal thickenings were observed in both lungs, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. It is stable. Mild bronchiectatic changes were observed in the center 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. A 1.5 cm diameter hypodense lesion was observed in the middle zone of the left kidney cyst?. Accessory spleen with a diameter of 12 mm was observed adjacent to the lower pole of the spleen. Ossified calcific bone fragments were observed in the right glenohumeral joint area in the examination area loose body?. No lytic-destructive lesion was observed in the bone structures within the examination area.", "impression": "High suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma; it is recommended to be evaluated together with clinical and laboratory. Lymph nodes showing an increase in size in the mediastinum. Other findings are stable."}
{"volume_path": "dataset/train_fixed/train_1713/train_1713_b/train_1713_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1713/train_1713_b/train_1713_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1713_b_1.nii.gz", "findings": "The walls of the trachea and visible bronchi are markedly thick. Calcifications were observed on the walls of the main bronchi and lobar bronchi. Left upper lobe bronchus and right middle lobe bronchus are obliterated; Atelectasis was observed in the middle lobe. It should be evaluated in terms of endobronchial lesion tb?. Cylindrical bronchiectasis were processed in the bilateral lungs. Cylindrical bronchiectasis and minimal bud branch appearances were observed in the upper lobe of the right lung. Left lung upper lobe volume is decreased. In the upper lobe there are dense areas of cylindrical and cystic bronchiectasis. Consolidations are observed with secretion-filled bronchiectasis in the left upper lobe basal, infected bronchiectasis? Consolidations in this area and bronchial contents increased at follow-up. It should also be evaluated in terms of fungal infections. Fibrotic bands and fibroatelectasis were observed in bilateral lung basals. Appearances of paratracheal, prevascular, subcarinal, right hilar multiple lymph nodes with short axis of the largest 0.8 cm are observed in the mediastinum. Heart and mediastinal vascular structures have a natural appearance. No significant pericardial effusion was observed. Minimal pleural effusion is observed on the left during follow-up. 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. No obvious pathology was detected in bone structures.", "impression": "Thickening of the walls of the trachea and visible bronchi, obliteration of the left upper lobe bronchus and right middle lobe bronchus, and endobronchial lesion tb? should be evaluated. Calcifications in the walls of the main bronchi and lobar bronchi Atelectasis in the right middle lobe Cylindrical-cystic bronchiectasis in the bilateral lungs Cylindrical bronchiectasis in the upper lobe of the right lung, minimal bud branch appearance Sequelae changes in the left lung upper lobe, infected bronchiectasis? Consolidations in this area and bronchial contents increased at follow-up. It should also be evaluated in terms of fungal infections. Multiple lymph nodes identified in the mediastinum Minimal pleural effusion on the left"}
{"volume_path": "dataset/train_fixed/train_1713/train_1713_c/train_1713_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1713/train_1713_c/train_1713_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1713_c_1.nii.gz", "findings": " Pericardial effusion observed in the previous examination is regressed in the current examination. There is a pericardial effusion with a diameter of 5 mm at the level of the cardiac apex and 1.5 cm in the vicinity of the right ventricle. Broncholithiasis is observed in the walls of the trachea, both main bronchi and lobar bronchi. Left lung upper lobe bronchus calibration is very thin. The air passage can be selected linearly and in places it is almost undetectable. Cystic bronchiectasis areas are observed in the upper lobe of the left lung. There are mucous plugs that fill the lumen of the ecstatic bronchus. In the inferior segment of the lingula, a consolidation area is observed, which is observed in all current imaging and progressively increases in size. On initial imaging, mucus plugs are localized in the lumen of the ectatic bronchus. However, in the current examination, it is observed as a consolidation area where bronchial lumens cannot be distinguished. It increases in size progressively. The lumen of the right lung middle lobe bronchus cannot be discerned. It has an obstructed appearance and the middle lobe of the right lung is total atelectasis in all imaging of the patient and is not ventilated. Tubular bronchiectasis foci are observed in segment bronchi in other lobes in both lungs. In the right upper lobe anterior segment bronchus, bronchial aeration is markedly narrowed. This view is also present in his old study. Mucus plugs filling ectatic bronchial lumens are also observed in other lung segments. Air trapping areas due to obstructions in the airways are observed in the parenchyma. Bilateral pleural effusion and pulmonary edema observed in the previous examination are regressed. There is also regression in endobronchiolar involvement and presenting bronchopnomonic infiltrates observed in the previous examination. Endobronchiolar prominence in the posterior segment of the right lung upper lobe and budding tree view due to intraluminal mucoid impactions are present in all imaging of the patient and are stable. It was evaluated in favor of noncellular bronchiolitis. In the localization of sequela pleuroparenchymal thickening in the apical segment of the left lung upper lobe, there is an area of consolidation that became evident in the current examination. The finding may be secondary to regressed pulmonary edema in the process. However, in the presence of infection clinic in a case with AML, viral and atypical pneumonic agents with interstitial involvement should be considered differentially.", "impression": "Right lung middle lobe bronchus is obstructed, not ventilated.  Significant narrowing in the left lung upper lobe bronchus calibration, cystic bronchiectasis areas distally sequelae change, mucus plugs filling the ectatic bronchial lumens are progressively increasing. Progressive increase in the size of the consolidation area in the lingula inferior segment. Consolidation area showing increased consolidation .Regression in pulmonary edema findings, slightly prominent diffuse ground-glass opacity and mild septal thickening persist in the current examination in both lung parenchyma. Findings may belong to pulmonary edema. It should be considered in the differential diagnosis of atypical and interstitial pneumonias in the presence of an infectious clinic. the observed bronchopnomonic infiltration was resorbed in the current examination."}
{"volume_path": "dataset/train_fixed/train_1713/train_1713_d/train_1713_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1713/train_1713_d/train_1713_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1713_d_1.nii.gz", "findings": "Mediastinal structures and vascular structures cannot be clearly evaluated since no contrast material is 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. There are lymphadenopathies in the mediastinum and hilar regions, some of which are indistinguishable from each other. The largest of the described lymphadenopathies is observed in the subcarinal area and its short diameter was measured as 21 mm as far as can be observed in this examination. Bilateral minimal pleural effusion, more prominent on the right, is observed. No occlusive pathology was detected in the trachea and both main bronchi. The middle lobe of the right lung and the upper lobe of the left lung are consolidated in the apicoposterior segment. Right lung middle lobe and left lung upper lobe apicoposterior segment bronchi cannot be observed from the proximal part. Because of the consolidation, the views in the middle lobe of the right lung and the upper lobe of the left lung cannot be clearly evaluated. This view is not specific. However, when evaluated together with the clinical information AML of the patient, this appearance was also thought to be the involvement of the primary disease. Bronchiectasis and peribronchial thickening are observed in the upper lobe of the left lung. There are also consolidated areas in the anterior segment of the upper lobe of the left lung and in the apical subsegment of the apicoposterior segment. In the previous examination of the patient, it was understood that the secretions in the bronchiectatic ducts disappeared. There is minimal peribronchial thickening in both lungs. In addition, smooth interlobular septal thickenings, more prominent in the lower lobes of both lungs, and ground-glass appearances are observed in both lungs from time to time. It is not specific in the views described. However, interlobular septal thickening may also be due to neoplastic infiltration. It is recommended to evaluate the patient together with clinical and physical examination findings. As far as the non-contrast CT margins can be observed in the upper abdominal organs within the sections, no mass with distinguishable borders was detected. No fractures or lytic-destructive lesions were observed in the bone structures within the sections.", "impression": "On follow-up, AML, mediastinal and hilar lymphadenopathies, consolidation in the right lung middle lobe and left lung upper lobe, interlobular septal thickenings in both lungs described findings are not specific. However, these manifestations may be due to primary disease involvement."}
{"volume_path": "dataset/train_fixed/train_1715/train_1715_a/train_1715_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1715/train_1715_a/train_1715_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1715_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 measuring up to 12 mm are observed in the aorticopulmonary window and carina. 27 mm thick effusion is observed in the right hemithorax. In the non-contrast examination measuring 27x24 mm in the right hilar region, there is a space-occupying finding evaluated in favor of a lymph node in the first plan, which was evaluated as suboptimal. Apart from this, no pathologically enlarged lymph nodes were detected. When examined in the lung parenchyma window; A ground glass density is observed in the lower lobe of the right lung, measured up to 39 mm in the posterior, and air bronchogram signs are observed. Differential diagnosis of space-occupying lesion cannot be made at the ground glass density level described at this level. Bronchiectasis and volume loss are observed at the basal level of the lower lobe of the right lung. In the upper abdominal organs; there is evidence of hypodense fluid attenuation of 8 mm in the left lobe of the liver cyst?. There are findings evaluated in favor of lymph nodes in the peripancreatic area, paraaortic area, and splenic hilum with multiple dimensions measuring up to 8 mm. A finding of the same density as the spleen in the spleen hilum, 14 mm in size, was evaluated in favor of accessory spleen. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " The finding described at the posterobasal level of the lower lobe of the right lung was initially evaluated in favor of the infectious process, and after the resolution of the infective processes, it is recommended to follow-up the patient with known clinical and laboratory correlation and primary.  Clinical correlation and follow-up of mediastinal and hilar lymph nodes, the largest of which is measured up to 27x24 mm in the right hilar region, is recommended.  A hypodense finding in the left lobe of the liver, which is evaluated in favor of a cyst at first within the small test limits.  Multiple small lymph nodes in the abdomen.  Finding compatible with accessory spleen in spleen hilum."}
{"volume_path": "dataset/train_fixed/train_1715/train_1715_b/train_1715_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1715/train_1715_b/train_1715_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1715_b_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 effusion and thickness increase were not detected. A catheter extending from the right internal jugular vein to the superior right atrium junction of the vena cava 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. Lymph nodes were observed in the mediastinum, bilateral axillary region, and the largest in the right hilar region, with a short diameter of 18 mm in the current examination and 21 mm in size in the previous CT examination. There is minimal reduction in the size of mediastinal and bilateral hilar lymph nodes on current examination. The left pleural effusion was measured approximately 8 mm deep at its deepest point and was newly developed. The right lung lower lobe is laterobasal, the posterobasal segment is total atelectasis, and there is an area of increase in density in the lower lobe mediobasal-anterobasal segment, which is consistent with the consolidation observed in air bronchograms. In the upper abdominal sections within the image; In the left lobe of the liver, the patient cannot be characterized in millimetric dimensions within the limits of non-contrast CT. There is a hypodense lesion with stable size and appearance, which was also observed in the previous CT examination. No intraabdominal free fluid, loculated collection was detected. No lytic or destructive lesions were observed in the bone structures within the image.", "impression": " Newly developed minimal left pleural effusion and increasing right pleural effusion.  Hypodense lesion in the left lobe of the liver, which could not be characterized in millimetric dimensions within the limits of non-contrast CT, and which was observed in the previous CT examination and did not change in size and appearance."}
{"volume_path": "dataset/train_fixed/train_1715/train_1715_d/train_1715_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1715/train_1715_d/train_1715_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1715_d_1.nii.gz", "findings": "The patients examination was evaluated together with recent CT examinations. Apart from this, the rate of pleural effusion increased in both lungs, more prominently in the right lung. In the right lung, the pleural effusion reaches 4 cm in its thickest part, and reaches approximately 1.5 cm in the thickest part of the left lung. Other findings are stable when evaluated in conjunction with the patients previous examinations.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1717/train_1717_a/train_1717_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1717/train_1717_a/train_1717_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1717_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. There is an appearance compatible with the battery on the anterior chest wall on the left. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. There are bilateral pleural effusions of 13 mm on the right and 10 mm on the left, minimal atelectasis. 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; 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. 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": " Pace on the left anterior chest wall  Bilateral pleural effusion"}
{"volume_path": "dataset/train_fixed/train_1723/train_1723_a/train_1723_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1723/train_1723_a/train_1723_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1723_a_1.nii.gz", "findings": "Heart size is normal. Significant bilateral atrial dilatation is observed on the left. The widths of the mediastinal main vascular structures are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Several lymph nodes with a diameter of 9 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the lower right paratracheal area. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Pleural effusion with a thickness of 5 cm in the right hemithorax and 3.5 cm in the left hemithorax is observed. There is compression atelectasis in the posterior segments of the lower lobes of both lungs adjacent to the effusion. In both lungs, patches of consolidation following peribronchovascular structures, more prominent in the upper lobes, and accompanying interlobular septal thickness increases and subsegmental atelectasis are present. It is recommended that the patient be evaluated for infectious pathologies. Sliding type hiatal hernia is observed at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Thoracic kyphosis is increased. Cerclage suture materials are observed in the sternum. No segregation or displacement was detected. Vacuum phenomenon secondary to degeneration is observed in the T7-T8 disc, and there are sclerotic changes on the bone surfaces adjacent to the disc. No lytic-destructive lesion was observed in bone structures.", "impression": " Biatrial dilatation, calcific atheroma plaques in the aorta and coronary arteries.  Bilateral pleural effusion, compression atelectasis in both lungs adjacent to the effusion.  Patchy areas of consolidation, concomitant interlobular septal thickness increase and subsegmental atelectasis areas, more prominent in the upper lobes of both lungs; It is recommended that the patient be evaluated for infectious pathologies.  Hiatal hernia.  Thoracic spondylosis."}
{"volume_path": "dataset/train_fixed/train_1724/train_1724_a/train_1724_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1724/train_1724_a/train_1724_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1724_a_1.nii.gz", "findings": "CTO slightly increased in favor of the heart. Pulmonary trunk calibration was measured as 31 mm, slightly above normal. The aortic arch calibration is 34 mm. It is slightly above normal. Calcific atheroma plaques are observed in the aortic arch, descending aorta, coronary arteries and at the level of the mitral valve. In the mediastinum, lymph nodes with a short axis of approximately 11 mm in diameter are observed, the largest of which is in the lower right paratracheal area, in the form of hilar fat. Apart from this, no pathological size and configuration lymph nodes were detected in the mediastinum and hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; In this case, azygos fissure variation is observed. There is a mild pleural effusion in both lungs, the thickness of which reaches 18 mm on the right and 15 mm on the left. In the upper lobe of the right lung, especially in the posterior segment and in the superior segment of the lower lobe, more pronounced density increases are observed in the basals of both lungs, and in the apicoposterior and lingular segments of the left lung. Appearance is nonspecific. It is recommended to be evaluated together with clinical and laboratory findings. No significant pneumothorax was detected in both lungs. There is a subpleural nodule of approximately 5 mm in size at the laterobasal level of the lower lobe of the right lung. There is 2 mm diameter millimetric calcification in the upper lobe anterior segment of the left lung. Nodular formation, which is considered compatible with two accessory spleens, is observed in the vicinity of the spleen. There is a mild hiatal hernia. Densities compatible with millimetric-sized urolithiasis are observed in the right kidney. There is a hypodense exophytic appearance consistent with a cortical cyst in the posterior pole of the right kidney. Perirenal fatty planes are dirty on both sides. Degenerative changes are observed in the bone structure. Degenerative changes are evident at the level of the left glenohumeral joint. The right acromioclavicular joint was not included in the field of view. It is recommended to be evaluated together with direct radiography.", "impression": "Widespread ground-glass-like density increases in both lungs in a patient with trauma history, it is recommended to be evaluated together with clinical - laboratory data. Degenerative changes in bone structure obvious in the left glenohumeral joint.  The right acromioclavicular joint did not enter the field of view. It is recommended to be evaluated by direct radiography.  Right nephrolithiasis.  Atherosclerotic changes."}
{"volume_path": "dataset/train_fixed/train_1724/train_1724_b/train_1724_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1724/train_1724_b/train_1724_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1724_b_1.nii.gz", "findings": " CTO slightly increased in favor of the heart. Pulmonary trunk calibration was measured as 31 mm, slightly above normal. The aortic arch calibration is 34 mm. It is slightly above normal. Calcific atheroma plaques are observed in the aortic arch, descending aorta, coronary arteries and at the level of the mitral valve. In the mediastinum, lymph nodes with a short axis of approximately 11 mm in diameter are observed, the largest of which is in the lower right paratracheal area, in the form of hilar fat. Apart from this, no pathological size and configuration lymph nodes were detected in the mediastinum and hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; In this case, azygos fissure variation is observed. There is a mild pleural effusion in both lungs, the thickness of which reaches 18 mm on the right and 15 mm on the left. In the previous examination, the patchy, pale ground glass densities observed in the basals of both lungs, and in the apicoposterior and lingular segments of the left lung, especially in the posterior segment and lower lobe superior segment, show regression in the current examination. It is recommended to be evaluated together with clinical and laboratory findings. No significant pneumothorax was detected in both lungs. There is a subpleural nodule of approximately 5 mm in size at the laterobasal level of the lower lobe of the right lung. There is 2 mm diameter millimetric calcification in the upper lobe anterior segment of the left lung. No significant difference was found in nodular findings. Nodular formation, which is considered compatible with two accessory spleens, is observed in the vicinity of the spleen. There is a mild hiatal hernia. Densities compatible with millimetric-sized urolithiasis are observed in the right kidney. There is a hypodense exophytic appearance consistent with a cortical cyst in the posterior pole of the right kidney. Perirenal fatty planes are dirty on both sides. Degenerative changes are observed in the bone structure. Degenerative changes are evident at the level of the left glenohumeral joint. The right acromioclavicular joint was not included in the field of view. It is recommended to be evaluated together with direct radiography.", "impression": "Widespread ground-glass densities and atelectasis observed in both lungs in the previous examination in the case with trauma history show regression in the current examination. It is recommended to be evaluated together with laboratory data.  Degenerative changes in bone structure obvious in the left glenohumeral joint.  Right nephrolithiasis. Atherosclerotic changes. Cardiomegaly."}
{"volume_path": "dataset/train_fixed/train_1728/train_1728_a/train_1728_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1728/train_1728_a/train_1728_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1728_a_1.nii.gz", "findings": "Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, large aortopulmonary lymph nodes with narrow diameter less than 1 cm selected with hilar fat content are observed. No pathological LAP was detected in the mediastinum. Calcific atherosclerotic plaques are observed in the aortic arch and coronary arteries. Pericardial smear-like effusion is observed. The cardiothoracic index is natural. There are pleural thickenings with effusion in the form of thin smears in both lungs. In the evaluation of both lung parenchyma; Interlobular septal thickening with ground glass density is observed in the anterior segment of the left lung upper lobe, which is more prominent and the largest area in the left lung. There are focal ground-glass appearances and accompanying bronchiectasis in the lower lobes of both lungs, which are more prominent in the anterior segment of the upper lobe of the right lung. Particularly in the basal segments of the left lung lower lobe, consolidations in the alveolar pattern draw attention. The appearance is primarily compatible with the infective process. It is recommended to evaluate the crazy paving appearance on the pleural face, especially in the left lung upper lobe anterior segment, in terms of infection, including pneumoncystis carini, and to control it after treatment. In sections passing through the upper abdomen, a 2.5x2.5 cm hypodense nodular lesion is observed in the lateral crus of the left adrenal gland adenoma?. A hypodense nodular lesion of 2 cm in diameter and a calculi of 7 mm in diameter, which may be compatible with a renal cortical cyst, are observed in the right kidney, which is in the examination area. Multiple hypodense lytic lesions secondary to multiple myeloma are observed in the vertebrae included in the study area. In addition, the appearance of vertebroplasty in L1 and L2 vertebrae and a height loss of more than 75% especially in L1 vertebrae are observed. There is a 50% loss of height in the L2 vertebra. T12. There is end plateau height loss in the vertebra. There is an old fracture in the 7th rib on the right.", "impression": "It is recommended to evaluate for infection including ground glass densities and interlobular septal thickening crazy paving appearance pneumocystis carinia in both lungs, more prominent in the anterior segment of the left lung upper lobe, and to control it after treatment. In addition, more prominent bronchial ectasia in the lower lobes of both lungs, Peribronchial wall thickenings and areas of consolidation in the alveolar pattern primarily suggest an infective process.  Multiple myeloma lesions in the bone structures within the study area, L1. more than 75% in vertebra, L2. 50% height loss in the vertebra, T12. end plateau height losses in the vertebrae"}
{"volume_path": "dataset/train_fixed/train_1730/train_1730_a/train_1730_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1730/train_1730_a/train_1730_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1730_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. In the case, prominent rotoscoliosis with left opening and fixation materials at multiple transpedicular levels were observed. Both hemithorax due to fixation screws and scoliosis were examined suboptimally. As far as can be seen; On the right, there is a pneumothorax measuring 15 mm in thickness. On the left, an image of air, which may be compatible with a pneumothorax with a diameter of 7 mm, is observed at the apex. There is a free pleural effusion reaching 6 cm in its thickest part between the pleural leaves on the right and atelectatic changes in the adjacent lung parenchyma. There are also phycroatelectatic changes in the lower lobe of the left lung. 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 contour size is natural. Pericardial thickening-effusion was not detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Post-op changes in the subcutaneous soft tissue planes and posterior paraspinal muscles posteriorly in the thoracic region and post-op free air images between soft tissues were observed. On the right, defective appearances evaluated in favor of post-op changes in the posterior ribs at multiple levels are observed.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1742/train_1742_a/train_1742_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1742/train_1742_a/train_1742_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1742_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 left. No pleural thickening was detected. In the previous examination of the patient, consolidation is observed in the left lung lower lobe and upper lobe lingular segment. In this examination, linear density increases evaluated in favor of atelectasis in the left lung upper lobe lingular segment inferior subsegment and diffuse ground glass areas in the lower lobe are observed. It appears that the consolidations have completely disappeared. Ground glass areas observed in the lower lobe of the left lung are consistent with infective pathology. It is recommended to evaluate the patient together with clinical and laboratory findings. Both lungs have a mosaic attenuation pattern small airway disease? small vessel disease?. 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. There is a pericardial effusion measuring 13mm in its thickest part. Pericardial thickening was not detected. The widths of the mediastinal main vascular structures are normal. Central venous catheter is seen on the right. The catheter terminates at the superior vena cava-right atrium junction. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. 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": "CML in follow-up. Ground-glass areas in the lower lobe of the left lung it is understood that the consolidation observed in this localization was completely lost in the previous examination of the patient.  Atelectasis in the lingular segment of the upper lobe of the left lung. Pleural effusion on the left, minimal pericardial effusion.  Mosaic attenuation pattern in both lungs."}
{"volume_path": "dataset/train_fixed/train_1742/train_1742_b/train_1742_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1742/train_1742_b/train_1742_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1742_b_1.nii.gz", "findings": " The pericardial effusion observed in the previous examination showed great resorption, and in the current examination, there is a pericardial effusion reaching 5 mm in its thinnest part. Total resorption is observed in the pleural effusion observed in the left hemithorax. In the actual examination, pleural effusion was not detected in both hemithorax. Heart contour size is normal. The widths of the mediastinal main vascular structures were observed as normal as far as they could be evaluated in the non-contrast examination. The ground glass densities and consolidation areas observed in the left lung lower lobe and upper lobe lingular segments in the previous examination completely disappeared. In the current examination, no signs of active infiltration were observed in both lungs. No nodules were observed in both lungs. No difference was found in the upper abdominal organs included in the study area. When the bone was examined in the window, no lytic destructive lesion was detected in the thoracic vertebral column and other bones forming the thorax. The central venous catheter placed in the right jugular terminates centrally.", "impression": "Major resorption in the pericardial effusion observed in the previous examination, total resorption in the pleural effusion observed in the previous examination in the left hemithorax. Consolidation areas observed in the entire lower lobe of the left lung and upper lobe lingular segments in the previous examination are completely normal in the current examination. In the current examination, there was no finding in favor of active infiltration in both lung parenchyma."}
{"volume_path": "dataset/train_fixed/train_1743/train_1743_a/train_1743_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1743/train_1743_a/train_1743_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1743_a_1.nii.gz", "findings": "No lymph node was observed in pathological size and appearance in both axillae. In both supraclavicular fossas, no lymph node in pathological size and appearance was observed in the cross-section. Density of glandular parenchyma is observed in the bilateral retroareolar area and is compatible with bilateral gynecomastia. No lymph node was observed in the mediastinum in pathological size and appearance. There is one nonspecific mediastinal lymph node with a short axis less than 1 cm in the right upper paratracheal area. Heart size increased. Left ventricular diameter increased. Calibrations of mediastinal main vascular structures were followed naturally. In the evaluation of lung parenchyma structures; A slight irregular pleural thickness increase is observed in the right lung lower lobe posterobasal segment pleura. Pleural effusion reaching 10 mm in diameter between the left pleural leaves and compression atelectasis in its vicinity were observed. No infectious-infiltrative involvement or space-occupying mass-nodular lesion was detected in the lung parenchyma. The left kidney is not observed, it is operated renal donor. In the operation site, reticular density increases compatible with the early postoperative period, mild fluid and suture materials were observed. The adrenal gland has a natural appearance. Except for the findings secondary to the operation in the upper abdominal passages, no pathology was noticed. No space-occupying lesions in lytic-sclerotic structure were detected in bone structures. No fracture was observed.", "impression": "Left mild pleural effusion and adjacent compression atelectasis, slight increase in pleural thickness in the right lung lower lobe basal segment pleura. Bilateral gynecomastia."}
{"volume_path": "dataset/train_fixed/train_1753/train_1753_d/train_1753_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1753/train_1753_d/train_1753_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1753_d_1.nii.gz", "findings": " Heart contour and size are normal. No pericardial effusion or thickening was detected. The central venous catheter inserted through the right internal jugular vein terminates at the superior level of the valve cava. The widths of the mediastinal main vascular structures are normal. Multiple lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is bilateral minimal tubular bronchiectasis and accompanying peribronchial thickness increase. There are areas of consolidation in the lower lobes of both lungs, medial and posterior segments, right lung middle lobe lateral segment and left lung upper lobe lingular segment inferior subsegment, and areas of consolidation in which air bronchograms are also observed, accompanying ground glass areas and subsegmental atelectasis in the lower lobes. . Millimetric calcific nodule observed in the left lung upper lobe lingular segment is stable. Sliding type hiatal hernia is observed at the esophagogastric junction. No pathological increase in wall thickness was detected in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; there is a low-density hypodense lesion with a diameter of 17 mm in the middle zone of the left kidney cyst?. There are widespread lytic lesions in the bone structures within the sections.", "impression": " Consolidation areas in the lower lobes of both lungs, in which air bronchograms are observed, sometimes accompanied by ground glass and subsegmental atelectasis areas. There is an increase in the amount of consolidation in the lower lobe of the right lung.  Left minimal pleural effusion; amount of increase.  Millimetric calcific nodule in the upper lobe of the left lung.  Left renal hypodense lesion cyst?.  Hiatal hernia.  Diffuse lytic lesions in bone structures."}
{"volume_path": "dataset/train_fixed/train_1753/train_1753_e/train_1753_e_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1753/train_1753_e/train_1753_e_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1753_e_1.nii.gz", "findings": " A minimal effusion measuring approximately 8 mm in size was observed on the right at its deepest point in both pleural spaces. There are areas of increased density consistent with subsegmental-linear atelectasis in the lower lobes of both lungs and in the inferior lingular segment of the left lung upper lobe. Density increases in minimal ground glass density were also observed in the neighborhoods. Underlying pneumonic infiltration cannot be excluded. Other findings are stable. No newly developed pathology was detected.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1758/train_1758_c/train_1758_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1758/train_1758_c/train_1758_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1758_c_1.nii.gz", "findings": "Heart dimensions and compartments are of normal width. Calibrations of mediastinal major vascular structures are natural. In the anterior thoracic wall, reticular density increases are observed in the subcutaneous soft tissue in both axillae. There is an increase in nodular thickness in the bilateral brachial plexus fibers and it was evaluated in favor of leukemic involvement of the plexus. There is a suspicious mass in the right pectoralis minor muscle. Pathological lymph nodes are observed in bilateral level 4A localization. The size of the larger one on the right is 20x13, and the size of the larger one on the left is 16x14 mm. The increase in solid density that does not give a mass contour around the thyroid gland, diffuse infiltrative involvement is observed and it appears to infiltrate the thyroid parenchyma. Mediastinal diffuse infiltrative involvement is present. Plaque-like solid density increases are observed between pericardial leaves. No effusion was detected. Upper paratracheal and subcarinal mediastinal pathological lymph nodes are observed. Its size was measured as 18x13 mm in the largest subcarinal localization. When the lung parenchyma window is examined; right lung lower lobe middle lobe medial segment and upper lobe anterior segment have atelectasis appearance. Right lobar bronchi calibrations are observed diffusely fine. The lower lobe superior segment bronchus is obstructed. High-density effusion or solid mass involvement that cannot be differentiated is observed between the right pleural leaves. Its thickness was measured 3.5 cm adjacent to the superior segment of the lower lobe. It may belong to leukemic infiltration of the pleura. Leukemic infiltration is observed in the posterior segment pleura of the left lung upper lobe, whose continuity is observed together with the mediastinal pleura. The lower lobe is atelectatic. No pneumonic infiltration was detected in the aerated lung parenchyma. No features were detected in the upper abdomen sections. Diffuse thickness increase in both adrenal glands may belong to hyperplasia. No lytic-destructive space-occupying lesion was detected in bone structures.", "impression": " Recurrent AML.  Malignant infiltrative involvement infiltrating the thyroid parenchyma, adjacent to the thyroid gland in the upper mediastinum in both supraclavicular fossae, malignant infiltrative involvement of bilateral brachial plexus fibers, and widespread malignant infiltrative involvement in the upper mediastinal and pericardium.  Malignant infiltrative involvement in both lung pleura.  Level 4 and mediastinal pathological lymph nodes.  Lobar atelectasis in both lungs, more prominent on the right."}
{"volume_path": "dataset/train_fixed/train_1758/train_1758_d/train_1758_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1758/train_1758_d/train_1758_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1758_d_1.nii.gz", "findings": "Tracheal tube is observed. In the upper mediastinum of the right lung, there are soft tissue densities that cannot be differentiated from the heart and observed in previous examinations and cannot be distinguished from mediastinal lymphadenomegaly. In this localization, atelectasis is observed in the right lung upper lobe parenchyma and cannot be distinguished from the soft tissue described. Aortopulmonary lymphadenomegaly, which can be distinguished from this soft tissue, is observed and was also present in the previous examination. The cardiothoracic index has increased in favor of the heart, and pericardial fluid with irregular contours is observed, measuring 3. Soft tissues/lymphadenopathies are observed in the supraclavicular fossa, adjacent to the bilateral thyroid gland, and intense edematous areas extending to the bilateral breast tissue are observed in the neck region. In addition, bilateral axillary lymphadenopathies observed in previous examinations are stable. Bilateral pleural effusions measuring approximately 4.7 cm in the right hemithorax and 4. Interlobular septal thickenings and ground glass densities-consolidations, which are more prominent in the middle lobe of the right lung, are observed in the visible lung tissue. Widespread intra-abdominal effusion is observed in the sections passing through the upper part of the abdomen. Both adrenal glands prominent on the left are diffusely thick.", "impression": " In the bilateral supraclavicular fossa, areas of intense edema adjacent to the thyroid gland and soft tissue densities indistinguishable from lymphadenopathies.  Soft tissue density in the upper mediastinum indistinguishable from mediastinal LAPs and atelectasis in the adjacent lung area.  Stable pericardial effusion.  Bilateral pleural effusions showing increased size from previous examination.  Bilateral axillary lymphadenopathies.  Interlobular septal thickenings in the observed lung parenchyma areas and diffuse infiltration areas in the right lung middle lobe where the infective process can also be added.  Intense effusion in the abdomen; The amount of effusion in the abdomen increased with the part that entered the examination area."}
{"volume_path": "dataset/train_fixed/train_1759/train_1759_a/train_1759_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1759/train_1759_a/train_1759_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1759_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. The ascending aorta was measured 49 mm, and the descending aorta 35 mm. The cardiothoracic index increased in favor of the heart. 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. When examined in the lung parenchyma window; There are findings consistent with a small to moderate amount of effusion in both lungs. Mild mosaic pattern attenuations are observed at the apical levels of the upper lobes of both lungs. No nodular or infiltrative lesion was detected in the parenchyma of both lungs. The upper abdominal organs are partially included in the study, and there are large lesions in the liver with air attenuations around multiple metastatic lesions. Liver contours are irregular. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Left kidney is atrophic. There is a small to moderate amount of free fluid in the abdomen, and there are findings consistent with hyperemia, edema and nodular omental cake in the mesenteric fatty tissues. There is osteopenia appearance in the bone structures included in the study area. Vertebral corpus heights are preserved.", "impression": "Bilateral minor-moderate amount of effusion, more prominent on the right, atelectasis in the lower lobe basal parts, mosaic pattern attenuation compatible with pulmonary edema in the upper lobe apical levels. The ascending aorta is measured 49 mm.  Metastases in the liver . Omental cake, a small to moderate amount of free fluid in the abdomen . Osteopenic appearance in bone structures . Left kidney atrophy"}
{"volume_path": "dataset/train_fixed/train_1764/train_1764_a/train_1764_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1764/train_1764_a/train_1764_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1764_a_1.nii.gz", "findings": "The left breast has been operated and there is a breast prosthesis appearance on the left chest wall. An image of a port catheter extending to the junction of the inferior vena cava and the right heart is observed on the anterior aspect of the right hemithorax. Heart contour, size is normal. Minimal pericardial effusion is observed in the pericardial area. Pleural effusion is observed that fills the left lung almost completely and creates loculated shapes in places. The lung parenchyma around the effusion has collapsed appearance. There are air bronchograms within collapsed lung segments in the central part of the left lung. The upper lobe apical parts of the left lung have a partially pneumatized appearance, and there are inter-lobar and intralobular septal thickness increases within this pneumotized lung parenchyma. Although the evaluation of mediastinal vascular structures and the heart is suboptimal due to the lack of contrast, there are lymphadenopathies in the left hilar level, at the level of the aortopulmonary window and in the paratracheal area. There is a pleural effusion reaching approximately 2 cm in the right lung. In the right lung, especially in the lower lobe, diffusely localized interlobular septal thickness increases and scattered ground-glass opacities are observed. It is appropriate to evaluate the patient with clinical and laboratory findings in terms of Covid-19 pneumonia. There are hypodense nodular lesions in the liver included in the examination, which may be consistent with multiple metastases. In addition, there are pathologically sized lymphadenopathies in the paraaortic, paracaval and retrocrural regions. Free fluid is observed in the abdomen. Sclerotic bone lesions may be compatible with metastasis in the T1-T2, T12, and L2 vertebrae included in the study.", "impression": "The left lung is almost completely collapsed. Widespread and locally locating effusion areas are observed.  In the right lung, interlobular septal thickness increases along with ground-glass opacities are observed in the pneumotized lung parenchyma. It is recommended that the patient be evaluated together with the clinic in terms of Covid-19 pneumonia.  There is an appearance compatible with multiple lymphadenopathy in the mediastinal area. There are many metastases in the liver.  Numerous lymphadenopathy is present in the paraaortic and paracaval retrocrural regions. Appearances that may be compatible with metastasis are observed in the bone."}
{"volume_path": "dataset/train_fixed/train_1768/train_1768_a/train_1768_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1768/train_1768_a/train_1768_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1768_a_1.nii.gz", "findings": "A hypodense nodule with a diameter of 13 mm was observed in the right thyroid lobe. In the section, no lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla. In the non-contrast examination, no lymph node was observed in pathological size and appearance that can be distinguished from mediastinal vascular structures. Heart size increased. Left ventricular diameter increased. A central venous catheter is observed. There is pericardial effusion in the form of mild smearing. An effusion with a diameter of 1.5 cm on the right and 1 cm on the left is observed between the leaves of both pleura. Mild compression atelectasis is observed adjacent to the effusion. Trachea, both main bronchi, lobar and segmental bronchi, air passages are open. In both lungs, parenchymal and mild septal density increases are observed, which are more prominent in the basal segments, but also observed in the upper lobes. There are bronchial wall thickness increases in segment bronchi in both lungs and linear atelectasis are observed in both lungs. No consolidation was detected. Radiological findings may belong to collebe parenchyma, however, early lung parenchymal findings of non-Covid atypical interstitial pneumonias in the case examined with the preliminary diagnosis of pneumonia-opportunistic infection may belong to a similar appearance and cannot be excluded. Clinical and laboratory follow-up will be appropriate. No mass or nodular space-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive space-occupying lesion was detected in bone structures.", "impression": " Increase in heart size, left ventricular diameter.  Mild pericardial effusion and bilateral mild pleural effusion.  Linear atelectasis and parenchymal light ground glass densities, bronchial wall thickness increases and linear atelectasis in both lungs; Septal thickness increases, parenchymal light ground glass densities were thought to belong to the collebe parenchyma. However, early parenchymal involvement of non-Covid atypical interstitial pneumonias cannot be excluded in the case who was examined with the preliminary diagnosis of pneumonia-opportunistic infection. Clinical and laboratory follow-up will be appropriate."}
{"volume_path": "dataset/train_fixed/train_1785/train_1785_a/train_1785_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1785/train_1785_a/train_1785_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1785_a_1.nii.gz", "findings": "Pleural effusion is observed on the right. The pleural effusion measured 25 mm at its thickest point. No pleural effusion was detected on the left. Pleural thickening was not observed. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Consolidation and ground-glass appearance were observed in the posterobasal segment of the lower lobe of the right lung. The described appearance may also be passive atelectasis. However, the absence of significant volume loss and the presence of ground glass appearances suggest primarily in favor of pneumonic infiltration. It is recommended to evaluate the patient together with clinical, laboratory and physical examination findings. There was no mass in both lungs or an appearance that could be evaluated in favor of pneumonic infiltration in the left lung. There are 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. Atheroma plaques were observed in the aorta and coronary arteries. Pericardial effusion was not detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. 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. No fractures or lytic-destructive lesions were observed in the bone structures within the sections.", "impression": " Appearance evaluated primarily in favor of pneumonic infiltration in the lower lobe of the right lung.  Pleural effusion on the right.."}
{"volume_path": "dataset/train_fixed/train_1786/train_1786_d/train_1786_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1786/train_1786_d/train_1786_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1786_d_1.nii.gz", "findings": "No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Metallic material of the catheter is observed in the left pulmonary artery lumen. It was thought that it might belong to the intra-abdominal catheter. There is arteficial material at the base of the right ventricle giving metallic artifacts. No lymph node in pathological pathological size and appearance was observed in the mediastinum. Heart sizes are normal. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Between the leaves of the left pleura, there is a pleural effusion reaching 8 cm in diameter at its widest point. Mild interlobular septal thickenings observed in the lung parenchyma in the previous examination were not detected in the current examination. The anterior segment of the upper lobe of the left lung is ventilated. Other segments are atelectasis. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Massive or nodular space-occupying lesion was not observed in the aerated lung parenchyma. No loculated or free fluid was observed in the upper abdominal sections. Due to multiple myeloma, there are widespread lytic lesions in the bone structures and advanced height losses in the vertebral bodies. Cement injection was made in the vertebral corpuscles. In the 7th vertebra, the appearance of the vertebra plana is observed. At the T9, T10 and T11 vertebral levels, the extension of the cementum material into the epidural area is observed.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1786/train_1786_e/train_1786_e_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1786/train_1786_e/train_1786_e_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1786_e_1.nii.gz", "findings": "Diffuse calcifications are observed in both breasts. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques were observed in the coronary arteries. Pericardial effusion was not deviated. On the left, the density of the catheter in the pulmonary artery is stable. 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 is an effusion reaching 23 mm in diameter at its widest point in the left hemithorax, and air-fluid leveling within the effusion. Existing air densities may be due to empyema or interference. There are subsegmental atelectasis adjacent to the effusion. Significant reduction of signs of atelectasis 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. In bone structures, especially the vertebrae, osteoporotic density losses and the densities of multisegment vertebral plastic are stable.", "impression": "Apart from this, no significant difference was found between the examinations."}
{"volume_path": "dataset/train_fixed/train_1786/train_1786_f/train_1786_f_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1786/train_1786_f/train_1786_f_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1786_f_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 aortic arch and descending aorta embolizing material?. Linear material is observed in the left pulmonary artery. Multiple calcifications up to 4 mm in size are observed in both breast parenchyma. 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; Slight patchy density increases are observed in the left lung upper lobe inferior lingula and in the left lung lower lobe posterobasal, in which air bronchogram signs are also observed. Clinical and laboratory correlation of findings in terms of the onset of an infectious process is recommended due to the current pandemic. There is a 10 mm effusion in the left hemithorax. 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. A small cortical cyst is observed in the left kidney. Bone structures in the study area are natural. There are changes in the vertebral bodies secondary to vertebroplasty. Most of them have height losses.", "impression": " Close follow-up of clinical-laboratory correlation of the findings described in the lung parenchyma is recommended due to the patients known primary in terms of suspected early infectious process.  There is a 10 mm effusion in the left hemithorax.  Calcifications measuring up to 4 mm in both breasts.  Height losses in vertebral corpuscles secondary to vertebroplasty.  Linear external material embolizing material? in the left main pulmonary artery."}
{"volume_path": "dataset/train_fixed/train_1795/train_1795_a/train_1795_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1795/train_1795_a/train_1795_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1795_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. The diameter of the ascending aorta was 38 mm. The diameter of the main pulmonary artery was 34 mm, the diameter of the right pulmonary artery was 26 mm, and the diameter of the left pulmonary artery was 25 mm, and the diffuse increased. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Heart size increased. There is an effusion measuring 13 mm at its widest point in the pericardial area. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. Sliding type 1 hiatal hernia was observed. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. In the upper-lower paratracheal prevascular subcarinal localization, lymph nodes measuring 5 mm in the short axis of the largest were observed. No lymph node was detected in pathological size and appearance. When examined in the lung parenchyma window; Prominent inter-lobular septa in both lungs were observed secondary to cardiac pathology?. Mozoic attenuation areas were observed in both lungs. small airway disease? small vessel disease?. In the lower lobes of both lungs, atelectasis-consolidation areas with air bronchograms are noteworthy. On the left, a loculated pleural effusion area with thick-walled wall calcification, measuring 24 mm at its thickest part, is observed between the pleural leaves. Between the right pleural leaves, there is a thick-walled loculated pleural effusion measuring 26 mm at its thickest point. 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. At the central mesenteric level, there are increases in density compatible with edema-inflammation in fatty planes. Thoracic kyphosis has increased. Tapering and osteopathic changes were observed in the vertebral corpus corners. No lytic-destructive lesion was detected in the bone structures in the study area.", "impression": "Dilatation of pulmonary arteries, cardiomegaly, pericardial effusion. Thick-walled loculated pleural effusion areas with calcification on the left wall of both lungs.  Prominence of interlobular septa in both lungs secondary to cardiac pathology?.  Mosaic attenuation areas in both lungs. Atelectasis-consolidation areas with air bronchogram in the basal segments of the lower lobes of both lungs. Thoracic spondylosis."}
{"volume_path": "dataset/train_fixed/train_1811/train_1811_a/train_1811_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1811/train_1811_a/train_1811_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1811_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. The widths of the mediastinal main vascular structures are normal. Pericardial effusion is observed. The effusion measured 9 mm at its thickest point. There is bilateral pleural effusion. The pleural effusion measured 40 mm at its thickest point. 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. Atelectasis was observed adjacent to the effusion in the lower lobes of both lungs. There are emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections.", "impression": " Bladder ca.  Pericardial and pleural effusion.  Atelectasis in both lungs.  Emphysematous changes in both lungs."}
{"volume_path": "dataset/train_fixed/train_1813/train_1813_a/train_1813_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1813/train_1813_a/train_1813_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1813_a_1.nii.gz", "findings": "Bilateral pleural effusion is observed. The pleural effusion measured 40 mm at its thickest point. There is atelectasis in the lower lobes of both lungs adjacent to the pleural effusion. The left lung is almost completely atelectatic except for the lower lobe superior segment. No pelvic thickening was detected. 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 observed in both ventilated 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. It is understood that the patient underwent valve surgery. No significant or pericardial effusion was detected. The main pulmonary artery diameter was 34 mm and wider than normal. The diameters of the right and left pulmonary arteries are larger than normal. Aortic diameter is normal. In the mediastinum and hilar regions, there are lymph nodes measuring short 13 mm in diameter, the largest in the paratracheal region. No pathological increase in wall thickness was detected in the esophagus within the sections. There is no upper abdominal free fluid-collection within the sections. There are no enlarged lymph nodes in pathological dimensions. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Bilateral pleural effusion and atelectasis in both lung lower lobes adjacent to pleural effusion . Cardiomegaly, increase in pulmponary artery diameters . Mediastinal and hilar lymph nodes"}
{"volume_path": "dataset/train_fixed/train_1818/train_1818_a/train_1818_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1818/train_1818_a/train_1818_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1818_a_1.nii.gz", "findings": "Mediastinal structures could not be evaluated clearly because the examination was uncontrasted. Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The diameter of the ascending aorta is 43 mm and shows fusiform dilatation. No diabetes was detected in the pulmonary artery. Heart size increased. Multiple lymphadenopathies were observed in the upper-lower paratracheal, subcarinal localization, prevascular, aorticopulmonary and both hilar regions, the largest of which was 36x25 mm in size. Thoracic esophagus calibration was normal, and no significant pathological wall thickening was found in the limits of non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Bilateral peribronchial thickenings were observed. Diffuse interlobular septal thickenings were observed in both lungs. Subsegmental atelectasis areas were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Between the bilateral pleural leaves, atelectatic changes were observed in the adjacent lung parenchyma, with the pleural effusion reaching 6 cm in the thickest part on the right and 3 cm in diameter on the left, prominent on the right and extending in the bilateral fissure, prominent on the right. A few millimetric nonspecific pulmonary nodules were observed in both lungs. No space-occupying lesion was detected in the liver in the upper abdominal sections included in the examination area. A 15 mm diameter calculus was observed in the gallbladder lumen. Cortical and parapelvic cysts measuring 45 mm in diameter were observed in the left kidney. Multiple lymphadenopathies measuring 28x20 mm in size were observed in the central mesenteric area, in the peripancreatic localization, adjacent to the liver hilus. There are also paraaortic lymphadenopathies in the retrocrural area and lymphadenopathies in the aortocaval localization. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Fusiform dilatation in the ascending aorta . Prominent bilateral massive pleural effusion on the right . Interlobular septal thickenings in both lungs, peribronchial thickenings . A few nonspecific pulmonary nodules in both lungs . Mediastinal, bilateral hilar, retrocrural and intraabdominal multiple lymphadenopathies are recommended in terms of possible lymphoproliferative diseases.  Cholelithiasis . Left renal cysts"}
{"volume_path": "dataset/train_fixed/train_1819/train_1819_a/train_1819_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1819/train_1819_a/train_1819_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1819_a_1.nii.gz", "findings": "There is bilateral pleural effusion, more prominent on the right. The pleural effusion measured 30 mm at its thickest point. In addition, pneumothorax is observed on the left. The pneumothorax measured approximately 35 mm at its thickest point. In the left hemithorax, a tract belonging to the previous interventional procedure is observed at the level of the lower ribs. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal volume loss is observed in the left lung. There are millimetric nonspecific nodules in both lungs. There is no mass or appearance compatible with pneumonic infiltrative in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: A port chamber is observed in the subcutaneous adipose tissue in the left hemithorax. The port catheter terminates distal to the superior vena cava. Heart contour and size are normal. 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 a sliding type hiatal hernia at the lower end of the esophagus. The esophagus is larger than normal and there is fluid in the esophagus. No obstructive pathology was detected in this examination. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Bilateral pleural effusion and pneumothorax on the left.  Millimetric nodules in both lungs."}
{"volume_path": "dataset/train_fixed/train_1820/train_1820_a/train_1820_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1820/train_1820_a/train_1820_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1820_a_1.nii.gz", "findings": "There is bilateral pleural effusion. The pleural effusion measured approximately 7 cm at the level of the lower lobe on the right at its thickest point. There is atelectasis in both lungs adjacent to the pleural effusion. Especially the left lung, except for the lower lobe superior segment, is almost completely atelectatic. Subsegmental atelectasis is also observed in the medial segment of the right lung middle lobe. There is massive pericardial effusion. Pericardial effusion measured approximately 6 cm at its thickest point. No pleural or pericardial thickening was detected. It is understood that the described views are just emerging. Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. As far as can be observed in this examination, 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. Trachea and both main bronchi are normal. No mass or mass or infiltrative lesion was detected in both ventilated lungs. There is also minimal free fluid in the upper abdomen within the sections. No enlarged lymph nodes in upper abdominal 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. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Over ca on follow-up. Bilateral pleural effusion, massive pericardial effusion, atelectasis in both lungs, intraabdominal minimal free fluid"}
{"volume_path": "dataset/train_fixed/train_1843/train_1843_a/train_1843_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1843/train_1843_a/train_1843_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1843_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Heart size was slightly increased. Its contours are regular. Pericardial effusion was not detected. 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 less than 1 cm in pathological size and appearance are observed in the pretracheal area, subcarinal area, bilateral axillae in both hilar regions. Pleural effusions are observed in both hemithorax, reaching a thickness of about 3 cm at the thickest part on the right and 3 cm on the left. No pathological appearance was detected in the skin-subcutaneous fatty tissues within the limits of the examination. When examined in the lung parenchyma window; bilateral lung aeration is decreased. Mosaic attenuation pattern and minimal interseptal thickness increases are observed in both lungs. No mass lesions were detected in both lungs. Nonspecific pulmonary nodules not larger than 5 mm are observed in both lungs. Nonspecific ground glass densities are observed especially in the central parts of both lungs. When the upper abdominal organs included in the examination were evaluated; Calculus that does not cause dilatation of the collecting system is 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. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Calcific atheroma plaques in the aorta and coronary arteries, cardiomegaly.  Bilateral lung pleural effusion accompanied by compression atelectasis.  Mosaic attenuation pattern in both lungs, nonspecific ground glass densities in the central parts of both lungs small airway disease, small vessel disease.  Right nephrolithiasis."}
{"volume_path": "dataset/train_fixed/train_1843/train_1843_b/train_1843_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1843/train_1843_b/train_1843_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1843_b_1.nii.gz", "findings": "CTO increased in favor of the heart. The aortic arch calibration was measured as 31 mm. It is wider than normal. Calcific atheroma plaques are observed in the aortic arch, descending aorta and coronary arteries. Calibration of the main mediastinal vascular structures is natural. No pathologically sized and configured lymph nodes were detected in both hilar levels and mediastinum. In the paraesophageal area, there are lymph nodes of approximately 20x12 mm in size, of which hilar fat is selected. It was not detected in the previous review. 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. At the level of the anterior segment of the upper lobe of the right lung, a subpleural stable nodule with a diameter of 4 mm is observed. Slightly inferiorly, stable subpleural nodules of 3 mm and 5 mm in size are observed. On the right, there are 2 stable nodules, the largest of which is 3 mm in diameter, superposed on the interlobar fistula. A stable nodule with a diameter of 3 mm is observed laterally in the anterior and apicoposterior segment transition of the left lung upper lobe. A stable 3 mm diameter nodule is observed in the inferior lingular segment of the left lung. Nodules with a diameter of 3 mm in the superior segment of the lower lobe of the left lung and calcific nodules with a diameter of 4 mm at the level of the apicoposterior segment are observed. The calcific nodule appears stable. The pleural effusion observed in the previous examination in both lungs regressed significantly in the current examination. In the current examination, it is seen as a pleural thickening-pushing effusion. There is a mosaic attenuation pattern in both lungs small airway disease? small vessel disease?. Widespread thickening is observed in the interlobar septa, and it is more prominent in the mid-lower zones in the peripheral 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. Left adrenal is slightly filled. Right adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structure entering the examination area.", "impression": " Cardiomegaly.  Prominence and atherosclerosis in mediastinal vascular structures.  Mosaic attenuation pattern in both lungs small airway disease? small vessel disease?.  Stable-looking multiple millimetric nodule formation in both lungs.  More prominent in the mid-lower zones in peripheral areas, thickening in interlobular septa, bilateral pleural effusion in the previous examination has regressed significantly in the current examination. It is recommended to evaluate the case in terms of cardiac stasis."}
{"volume_path": "dataset/train_fixed/train_1843/train_1843_d/train_1843_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1843/train_1843_d/train_1843_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1843_d_1.nii.gz", "findings": "Trachea and main bronchi are open. Millimetric calcific plaques are observed in the walls of the trachea and main bronchus. Right upper-bilateral lower paratracheal lymph nodes in millimetric size are observed. No LAP was detected in the mediastinum in pathological size and appearance. The cardiothoracic index increased in favor of the heart. Pacemaker is observed on the left chest wall. The lead catheter extends into the right lateral ventricle. Millimetric calcific plaques are observed in the arch and descending aorta. In the evaluation of both lung parenchyma; Mosaic attenuation is observed in both lungs. A nonspecific nodule with a diameter of 2 mm is observed in the anterior segment of the left lung upper lobe. In addition, subpleural nodules with a diameter of 2-3 mm in the middle lobe of the right lung and 3 and 3.5 mm in diameter in the middle lobe of the right lung are observed. Fluid entering the major fissure on the left is observed in both hemithorax. It is 2.4 cm thick in the right hemithorax and 3 cm in the left hemithorax. Passive atelectasis is observed in the lung parenchyma adjacent to the effusion in the anterobasal segment of the lower lobe of the right lung. In the sections passing through the upper part of the abdomen, the medial and lateral crus of the left adrenal gland body are thick. No additional significant pathology was distinguished in the non-contrast examination of the abdominal sections. No lytic destructive lesion was observed in the bones.", "impression": " Cardiomegaly.  Pleural effusion in both hemithorax that is evident on the right according to the previous examination.  Nonspecific appearance in both lungs, those on the right subpleural 2-3 mm in diameter nonspecific nodules.  Mosaic attenuation pattern in both lungs small airway disease? small vessel disease?."}
{"volume_path": "dataset/train_fixed/train_1847/train_1847_a/train_1847_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1847/train_1847_a/train_1847_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1847_a_1.nii.gz", "findings": " The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The port chamber is seen on the anterior chest wall on the right, and the catheter extending to the level of the superior vena cava-right atrium junction is observed. Trachea and main bronchus are open and no obstructive pathology is observed. Calibration of the main mediastinal vascular structures, heart contour, size are normal. Calcified atheroma plaques are observed on the walls of the aorta and coronary vascular structures. Pericardial effusion-thickening was not observed. 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. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; An effusion measuring 7 cm 2.3 cm in the previous examination was observed in the right pleural space, extending from the apex to the basal area. Right lung volume decreased. A large consolidation area is observed in the middle and lower lobe central part of the right lung atelectasis?. Metastatic nodules were observed in the upper lobe of the right lung, the superior segment of the lower lobe and the aerated parts of the right lung, and the left lung. The largest metastatic nodules were measured in the basal segment of the lower lobe of the right lung, with a diameter of approximately 9.1 mm 9.3 mm in the previous examination. No significant difference was observed in the sizes of the metastatic nodules that could be observed. No newly emerged nodules were detected in the current examination. Pleuroparenchymal sequelae changes are observed in both lung apex. 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. No lytic-destructive lesion was observed in the bone structures in the study area. There is right-facing scoliosis in the dorsal localization.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1847/train_1847_b/train_1847_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1847/train_1847_b/train_1847_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1847_b_1.nii.gz", "findings": " There is prominent pleural effusion on the right. The pleural effusion measures 90mm at its thickest point and continues to the apex of the lung when the patient is in the supine position. There is also minimal pleural effusion on the left. Atelectasis is present in both lungs adjacent to the pleural effusion. The lower lobe and middle lobe of the right lung are almost completely atelectatic. There is no obstructive pathology in the trachea and both main bronchi. Consolidation and ground glass appearances are observed in the posterobasal segment of the left lung lower lobe, and it was evaluated primarily in favor of infective pathology. There are many millimetric nodules in both lungs, the largest of which is in the medial of the anterior segment of the left lung upper lobe and measuring approximately 5 mm in diameter. The appearance of the nodules is not specific. Therefore, these appearances were considered to be metastases. Mediastinal and abdominal structures could not be evaluated optimally because contrast material was not given. As far as can be observed: Heart contour and size are normal. No significant pleural or pericardial effusion or thickening was detected. The anterior-posterior diameter of the ascending aorta is 40mm and wider than normal. The diameters of the aortic arch and descending aorta are normal. Atheroma plaques are present in the aorta and coronary arteries. The diameters of the pulmonary arteries are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions in this examination. No pathological wall thickness increase was observed in the esophagus within the sections. There is a nasogastric tube that ends in the stomach in the esophagus. In this examination, there is diffuse air in the stomach wall. Although it cannot be evaluated optimally because contrast agent is not given, when evaluated together with the patients medical history it was learned that gastric artery was embolized for hepatic transarterial chemoembolization, the appearance of the gastric wall may be due to necrosis. However, intraabdominal free air was not detected. Upper abdominal free fluid is observed within the sections. No mass with discernible borders was detected in the peritoneum within the sections. As far as can be observed in this examination, there are no enlarged lymph nodes in the upper abdominal pathological dimensions within the sections. There are hypodense lesions in each segment of the liver. Although these lesions could not be clearly characterized because no contrast agent was given, it was understood that they were metastases when evaluated together with the patients previous examinations. Metastases fill the liver almost completely. The borders of some metastatic lesions cannot be distinguished from each other. The largest of the metastatic lesions is observed in the posterior segment of the right lobe and its longest diameter is approximately 88mm. The other large metastatic lesion is observed at the left lobe medial-lateral segment junction and its longest diameter is approximately 60mm. No enlargement was detected in the bile ducts. No lytic-destructive lesions were observed in the bone structures within the sections. There is a marked increase in the amount of pleural effusion on the right. On the left, it is understood that the pleural effusion has just appeared. There are many newly emerged millimetric nodules in both lungs. These nodules were thought to be metastases. Almost all of the lesions in the liver have an increase in size and some are thought to be new. Findings were evaluated in favor of progressive disease.", "impression": "Colon tumor, liver metastases, lung metastases, bilateral pleural effusion, intraabdominal free fluid in follow-up. Air view on the stomach wall."}
{"volume_path": "dataset/train_fixed/train_1851/train_1851_a/train_1851_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1851/train_1851_a/train_1851_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1851_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. Multiple lymph nodes measuring 13 mm on the short axis of the largest were observed in the mediastinal upper and lower paratracheal, prevascular, and subcarinal areas. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pericardial effusion is mild. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. When both lung parenchyma windows are evaluated; Peripheral subpleural consolidation area and free pleural effusion measuring 1 cm in thickness were observed in the posterobasal-mediobasal segment in the lower lobe of the left lung. On the right, there are thick-walled collections between the pleural leaves, showing loculation up to 7 cm in the thickest part, and air-fluid leveling. Atelectatic changes in adjacent lung parenchyma and prominence in interlobular septa were observed. In the upper abdominal sections included in the study area, collection areas compatible with abscess and external drainage catheters were observed in the left lobe and right lobe of the liver. At these levels, it is consistent with the localization of the mass in the liver parenchyma. An exophytic localized cortical cyst in the left kidney and a calculi image of 1 cm in diameter were observed in the upper pole. Degenerative changes were observed in the bone structure.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1851/train_1851_b/train_1851_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1851/train_1851_b/train_1851_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1851_b_1.nii.gz", "findings": "There is a pleural effusion that extends to the fissure in the right hemithorax. There is air in the effusion. A pleural drainage catheter is observed adjacent to the posterior segment of the upper lobe of the right lung. The air in the pleural space was thought to be connected to the drainage catheter. In addition, there is another pleural drainage catheter adjacent to the posterobasal segment of the lower lobe of the right lung. No pleural effusion was detected on the left. There is no obstructive pathology in the trachea and both main bronchi. There is bronchiectasis in the central parts of both lungs and minimal peribronchial thickening in both lungs. Emphysematous changes are present in both lungs. A nonspecific ground glass area is observed in the posterobasal segment of the lower lobe of the left lung. The described appearance is nonspecific. However, when evaluated together with peribronchial thickening, it was thought to be compatible with infective pathology. It is recommended to evaluate the patient in correlation with clinical and laboratory findings. There is consolidation with air bronchogram in the medial segment of the right lung middle lobe. When evaluated together with the volume loss in this localization, it was evaluated in favor of atelectasis. In addition, there are linear atelectasis in both lung lower lobes. Emphysematous changes are observed in both lungs. There are millimetric nodules in both lungs. In the right lobe anterior segment of the liver, in the diaphragmatic dome localization, the collection containing air and a percutaneous drainage catheter in the collection are observed. In addition, there is tissue loss due to surgery in the medial segment of the left lobe of the liver and another collection with decreased fluid content in this localization. Drainage catheters are also observed in this collection. No upper abdominal free fluid was detected in the sections.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_1859/train_1859_a/train_1859_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1859/train_1859_a/train_1859_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1859_a_1.nii.gz", "findings": "Heart contour and size are normal. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Bilateral tubular bronchiectasis is observed. Bilateral minimal pleural effusion is observed. In the lower lobe posterior segment of both lungs, right lung middle lobe medial segment, left lung upper lobe lingular segment, there are consolidation areas in which air bronchograms are observed, accompanying subsegmental atelectasis and occasional focal ground glass areas. No discernible 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 no discernible mass in the upper abdominal organs. Liver parenchyma density decreased in favor of fat 24 HU. Both adrenal glands are not included in the cross-sectional area. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": " Consolidation areas in both lungs with air bronchograms, accompanying subsegmental atelectasis and occasional focal ground glass areas.  Bilateral tubular bronchiectasis.  Hepatosteatosis."}
{"volume_path": "dataset/train_fixed/train_1861/train_1861_a/train_1861_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1861/train_1861_a/train_1861_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1861_a_1.nii.gz", "findings": "Tracheostomy cannula was observed in the trachea. Trachea and lumen of both main bronchi are open. Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the coronary arteries and thoracic aorta. A drainage catheter extending from the esophagus to the stomach antrum was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected. Lymph node with pathological dimensions measuring 1 cm on the short axis of the largest was observed at the upper paratracheal, prevascular, aortopulmonary, bilateral lower paratracheal and subcarinal levels. Atherosclerotic wall calcifications were observed in the coronary arteries and thoracic aorta. Mild pleural effusion was observed in both pleural spaces. When examined in the lung parenchyma window; Although the optimal evaluation secondary to motion artifacts could not be made, passive atelectatic changes were observed in the areas adjacent to the effusion in the lower lobe basal segments of both lungs. Fibrotic and band-shaped linear atelectasis were observed in both lung lower lobe basal segments. More extensive ground glass areas were observed in the subpleural areas of the left lung upper lobe posterior and lower lobe basal segments. It is significant in terms of infective processes during the resolution period. Liver, gallbladder and spleen are normal as far as can be seen on non-contrast sections. The pancreas is atrophic. The right adrenal gland is normal. Nodular thickening of 11x10 mm was observed in the left adrenal gland corpus. No stones were detected in the kidneys within the sections. Atherosclerotic wall calcifications were observed in the abdominal aorta and its visceral branches. Degenerative changes were observed in the thoracic vertebrae. Vertebral corpus heights are normal.", "impression": "Cardiomegaly, mediastinal pathological lymphadenopathies . Mild effusion in both hemithorax, passive atelectatic changes in adjacent lower lobe basal segments . Ground-glass areas appearing in subpleural areas in left lung upper lobe posterior and lower lobe basal segments were evaluated in favor of infection in resolution.  Degenerative changes in thoracic vertebrae"}
{"volume_path": "dataset/train_fixed/train_1883/train_1883_a/train_1883_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1883/train_1883_a/train_1883_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1883_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. At the level of the vocal cords, asymmetrical soft tissue thickness increase, especially on the right, which may be compatible with vocal cord paralysis, draws attention. Mediastinal main vascular structures and cardiac examination were evaluated as suoptimal since they were unenhanced. No obvious pathology was detected. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes up to 1 cm in short diameter were observed in the mediastinal prevascular area, in the aortopulmonary window, in the paratracheal area, and in the left hilar region. When examined in the lung parenchyma window; At the level of the hilus of the left lung, a soft tissue mass of approximately 37x40 mm with irregular borders and spiculated contours extending towards the lower lobe and invading and narrowing the lower lobe bronchus was observed. A cavitary lesion with air densities of approximately 76x56 mm, filling the lower lobe of the right lung, was observed distal to the mass. In addition, ground glass appearance and centriacinar density increases were observed in the ventilated areas of the left lung. In addition, panlobular emphysema findings and peripherally located bulla-blep formations were observed in both lungs. There is a pleural effusion reaching approximately 2 cm on the left. In the evaluation of the upper abdominal organs that entered the imaging area, a hypodense lesion consistent with a cortical cyst was observed in the middle zone of the left 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. Minimal rotoscoliotic changes were observed in the thoracic region. No lytic-sclerotic lesions were detected in bone structures.", "impression": "Spiculated contoured mass extending to the lower lobe in the hilum of the left lung, cavitary lesion containing pleural-based air densities in the distal of the mass, centriacinar density increases in the ventilated areas of the left lung, ground glass appearance, pleural fluid. Mediastinal millimetric lymph nodes. Vocal cord paralysis?."}
{"volume_path": "dataset/train_fixed/train_1886/train_1886_a/train_1886_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1886/train_1886_a/train_1886_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1886_a_1.nii.gz", "findings": "Thyroid parenchyma is not observed. 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 aortic arch and coronary arteries. There is an effusion measuring 33 mm in thickness in the right hemithorax. There is an effusion measuring 7 mm in thickness in the left hemithorax. 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; There are atelectatic changes in the lower lobes of both lungs, significant volume loss in the lower lobe of the right lung, and a consolidation area with an air bronchogram sign in the lower lobe at basal level. Upper abdominal organs are included in the study partially and evaluated as suboptimal. In the partial fluid attenuation, which was thought to be 47x30 mm in size, which was observed to be pressed into the liver parenchyma extending from the kidney parenchyma to the liver parenchyma, the oval-shaped finding was evaluated in favor of cortical cyst. On the right 3rd, 5th, 6-7-8-9 and 10th ribs, there are sclerotic areas compatible with calli secondary to previous fractures. There are sclerotic findings evaluated as suboptimal from motion artifacts.", "impression": " Slight consolidation areas with air bronchogram sign, more prominent at the basal level of the lower lobe of the right lung evaluated in favor of infectious processes. Clinical and laboratory correlation recommended.  Small-to-moderate effusions, atherosclerotic changes in both lungs, more prominent on the right.  Changes in the right ribs consistent with sclerotic degenerative calluses thought to be secondary to fractures.  Partially observed right kidney mid-level anterior cyst with indentation to liver parenchyma?  No pneumothorax was detected."}
{"volume_path": "dataset/train_fixed/train_1886/train_1886_b/train_1886_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1886/train_1886_b/train_1886_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1886_b_1.nii.gz", "findings": "Trachea, both main bronchi are open. There are calcific atheroma plaques in the aortic arch and coronary arteries, and in the descending aorta. Other mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Heart size 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; Volume losses are observed in the lower lobes of both lungs. There are atelectatic changes. There are bilateral effusions measuring 36 mm in thickness on the left and 28 mm in thickness on the right. 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. Transpedicular fixation material is observed in the dorsal vertebrae. There is a previous loss of height in the TH11 vertebral body, tapering in the end plates, and an increase in thoracic kyphosis.", "impression": " A small amount of bilateral effusion.  Atherosclerosis.  Increase in heart size.  Transpeduncular screwing materials in dorsal vertebrae, previous loss of height in TH11 vertebral body, decrease in density, tapering in endplates, increase in thoracic kyphosis."}
{"volume_path": "dataset/train_fixed/train_1896/train_1896_b/train_1896_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1896/train_1896_b/train_1896_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1896_b_1.nii.gz", "findings": " A 21 mm diameter hypodense nodule was observed in the posterior part of the left thyroid lobe; it is stable. It is recommended to be evaluated together with US. Trachea and both main bronchi were in the midline 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; Calibration of the main vascular structures in the mediastinum is natural. Atherosclerotic wall calcifications were observed in the aortic arch, its supraaortic branches and coronary arteries. Heart sizes 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; 8 mm diameter nodule was observed in the anterobasal segment of the left lung lower lobe. There was no finding in favor of a mass in both lungs. A smear-like effusion was observed between the bilateral pleural leaves. 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. Spur formations bridging with each other at the mid-thoracic level and mild dextroscoliosis were observed in the bone structures in the examination area. Vertebral corpus heights are preserved.", "impression": "Atherosclerotic wall calcifications in the aortic arch and coronary arteries, cardiomegaly. Hypodense nodule in the posterior left thyroid lobe; is stable.  Bilateral smearing pleural effusion; stable. Parenchymal nodules in the lung parenchyma, the largest in the right lung lower lobe laterobasal segment .Stable focal consolidation area in the mediobasal segment of the lower lobe of the right lung."}
{"volume_path": "dataset/train_fixed/train_1897/train_1897_a/train_1897_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1897/train_1897_a/train_1897_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1897_a_1.nii.gz", "findings": "CTO is normal. Pulmonary trunk calibration is natural. Pulmonary artery calibrations are natural. Calibration of the aortic arch is 33 mm wider than normal. Millimetric-sized calcific atheroma plaques are observed in the aortic arch, ascending aorta, and descending aorta. There are calcific atheroma plaques at the level of the aortic root. No lymph node with pathological size and configuration was detected in the anterior mediastinum. No lymph node with pathological size and configuration was detected at the hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; pleural effusion extending from the basal to the upper lobe on the right and a smear-like pleural effusion on the left is observed. It reaches 35 mm dimensions at its thickest point on the right. In its neighborhood, slightly more prominent atelectatic lung segments are observed on the right. Consolidative parenchyma appearance and mild ground-glass-like density increase are observed in the lower lobe of the left lung at the basal level and at the peribronchial levels at the inferior hilar level. In the upper abdominal organs, including sections; A reduction in the size of the liver, prominent lobulation in the contours, and significant heterogeneity in the parenchyma are observed. In the non-contrast examination, further evaluation cannot be made with the liver parenchyma. As far as the spleen enters the image, its parenchyma is natural, but size assessment cannot be made. Density compatible with the stent is observed in the common bile duct trace. Significant free fluid is observed in the abdomen. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure.", "impression": " Significant bilateral effusion on the right, adjacent atelectatic lung segments, consolidation in the peribronchial area in the left lung lower lobe basal and inferior lingular segment.  Cirrhotic liver appearance.  Significant effusion in the abdomen."}
{"volume_path": "dataset/train_fixed/train_1897/train_1897_b/train_1897_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1897/train_1897_b/train_1897_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1897_b_1.nii.gz", "findings": " The trachea is slightly deviated to the right. Mediastinal main vascular structures, heart contour, size are normal. There are calcific plaques in the aortic arch. 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; The existing pleural effusion in the right hemithorax has decreased and its diameter is 10 mm. There is minimal atelectasis in the posterobasal lower lobe on the right. Peribronchial consolidations appear to be reduced in the left lung. In the upper abdominal organs, including sections; There are chronic liver parenchymal disease, free fluid findings in the abdomen. The gallbladder is operated. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Calcific plaques in the aortic arch  Decreased pleural effusion on the right, decreased peribronchial consolidation in the left lung and atelectesis adjacent to the effusion  Chronic liver parenchymal disease  Cholecystectomy"}
{"volume_path": "dataset/train_fixed/train_1897/train_1897_c/train_1897_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1897/train_1897_c/train_1897_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1897_c_1.nii.gz", "findings": "Bilateral pleural effusion is observed. The diameter of the effusion was measured 4 cm at its widest point between both pleural leaves. Heart size increased. Left ventricular diameter increased. Aortic valve calcification is observed. There is a smear-like pericardial effusion. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. Segmentary atelectasis areas are observed in both lung lower lobes. Pneumonic consolidation area is not observed in the lung parenchyma. There are subsegmental atelectasis areas in the lingula inferior segment of the left lung. Parenchyma areas of patchy ground glass density are observed in the upper lobe of the right lung. It is non-specific. Clinical follow-up would be appropriate. Liver right lobe transplantation was performed in upper abdominal sections. Mild free fluid is observed in the abdomen. A 44x24 mm high-density lesion in the right adrenal gland was not present in the pre-op imaging and was evaluated in favor of hematoma. Osteoporosis is evident in bone structures. Insufficiency fracture is observed in the upper end plate of T7 vertebra and it caused mild angulation and gibbus deformity. No lytic-destructive lesions were detected in bone structures.", "impression": " Liver right lobe transplantation.  Bilateral pleural effusion, intra-abdominal free fluid.  Right adrenal hematoma.  Segmentary atelectasis in both lungs.  Ground-glass parenchyma areas in the upper lobe of the right lung; it is non-specific. Clinical follow-up is recommended.  Osteoporosis.  Insufficiency fracture in T7 vertera."}
{"volume_path": "dataset/train_fixed/train_1897/train_1897_d/train_1897_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1897/train_1897_d/train_1897_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1897_d_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; There are effusions in the form of smears measuring 10 mm in thickness on the right in both lungs, and effusion between the fissures in the right hemithorax. There are mild atelectatic changes in the basal segments of the lung parenchyma, especially in the lower lobes. Consolidated area is observed in the medial of the lower lobe of the right lung. It was initially evaluated in favor of atelectasis, and clinical laboratory correlation is recommended for the differential diagnosis of an infectious process. Mild atelectatic changes are observed in both lungs, more prominently in the lower lobes. The effusion in the fissure is observed on the right side. Transplanted liver was detected. Vascular structures were evaluated as suboptimal in the non-contrast examination. Minimal smear-like effusion is observed around the Tx liver. Diffuse degenerative changes are observed in bone structures. There is height loss in the T7 vertebral body. The height loss described is also present in the previous examination.", "impression": " Mild smear-like effusion in both hemithorax, more prominent on the right.  Consolidated findings in the lower lobe basal segments of both lungs, primarily on the right, which are evaluated in favor of atelectasis. Clinical laboratory correlation is recommended for the differential diagnosis of the infectious process.  Minimal smear-like effusion around Tx liver.  Height loss with no significant difference in the T7 vertebral body."}
{"volume_path": "dataset/train_fixed/train_1897/train_1897_e/train_1897_e_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1897/train_1897_e/train_1897_e_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1897_e_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. Bilateral pleural effusion was observed. The pleural effusion measured approximately 40 mm on the left at its thickest point. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. No enlarged lymph node was detected in pathological size and appearance. No pathological wall thickness increase was observed 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. There is consolidation adjacent to the effusion in the left lung lower lobe and upper lobe lingular segment. The described appearance is also present in the previous examination of the patient. However, it appears to have increased in this study. This appearance may be passive atelectasis or pneumonic infiltration. This distinction was not made in this study. It is recommended that the patient be evaluated together with the physical examination findings. There is atelectasis adjacent to the effusion in the right lung. There are emphysematous changes in both lungs. No mass was detected in both lungs. 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. Compression and height loss are observed in the T7 vertebral body. The height loss is more prominent in the anterior corpus and is approximately 25-50%. The described appearance can also be observed in the previous examination of the patient and no significant difference was detected. Minimal height loss is also observed in other thoracic vertebral corpuscles. Intervertebral disc distances are narrowed. The neural foramina are narrowed.", "impression": " Operated HCC at follow-up.  Passive atelectasis-pneumonic infiltration in the left lung lower lobe and upper lobe lingular segment.  Bilateral pleural effusion.  Atelectasis in the right lung.  Emphysematous changes in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."}
{"volume_path": "dataset/train_fixed/train_1897/train_1897_f/train_1897_f_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1897/train_1897_f/train_1897_f_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1897_f_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. Pericardial effusion was not detected. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is bilateral minimal pleural effusion. There is no pathological wall thickness increase 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 minimal ground glass appearance were observed in the left lung upper lobe lingular segment inferior subsegment. Consolidation can be observed in the patients previous examination, but it is understood that its dimensions have regressed. In addition, there are linear atelectasis in the lower lobes of both lungs. It is understood that the appearance observed in the lower lobe of the left lung and evaluated in favor of pneumonic infiltration in the previous examination of the patient disappeared. No mass was detected in both lungs. No upper abdominal free fluid-collection was observed in the sections. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Operated HCC, liver right lobe transplantation in follow-up.  Bilateral minimal pleural effusion.  Appearance compatible with pneumonic infiltration in the left lung upper lobe lingular segment.  Atelectasis in both lungs."}
{"volume_path": "dataset/train_fixed/train_1897/train_1897_g/train_1897_g_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1897/train_1897_g/train_1897_g_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1897_g_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are atelectasis in both lungs, most prominent in the left lung upper lobe lingular segment and lower lobe basal segment. There are minimal emphysematous changes in both lungs. No mass or appearance compatible with pneumonic infiltration 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. Atheroma plaques are observed in the aorta and coronary arteries. The anterior-posterior diameter of the ascending aorta is 41 mm and is minimally wider than normal. The diameters of the aortic arch and descending aorta are normal. Pericardial effusion was not detected. There is bilateral minimal pleural effusion. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. Height loss and minimal sclerosis are observed in the T7 vertebral body. The height loss is in the anterior section and is between 50-75%. This appearance was also present in the previous examination of the patient and no difference was found. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Atesclerotic changes in the aorta and coronary arteries.  Atelectasis in both lungs.  Minimal emphysematous changes in both lungs.  Minimal height loss in the T7 vertebral body."}
{"volume_path": "dataset/train_fixed/train_1904/train_1904_a/train_1904_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1904/train_1904_a/train_1904_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1904_a_1.nii.gz", "findings": "Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. A mosaic attenuation pattern is observed in both lungs small airway disease? small vessel disease?. There are linear atelectasis in the medial segment of the middle lobe of the right lung, the lower lobe of both lungs and the upper lobe of the left lung. A few millimetric nonspecific nodules are observed in both lungs. There is no mass or infiltrative lesion 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 bilateral minimal pleural effusion. There is no pericardial effusion. The main pulmonary artery diameter was 33 mm and was wider than normal. The diameters of the right and left pulmonary arteries are larger than normal. Aorta diameter is normal. There are atheromatous plaques in the aorta and coronary arteries. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. There are no enlarged lymph nodes in pathological dimensions. No pathological wall thickness increase was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were observed. There are no lytic-destructive lesions in the bone structures within the sections.", "impression": "Mosaic attenuation pattern in both lungs. Atelectasis in both lungs. Millimetric nonspecific nodules in both lungs. Bilateral minimal pleural effusion.  Increased pulmonary artery diameters, atherosclerotic changes in the aorta and coronary arteries. Hiatal hernia."}
{"volume_path": "dataset/train_fixed/train_1913/train_1913_a/train_1913_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1913/train_1913_a/train_1913_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1913_a_1.nii.gz", "findings": "As far as can be seen; A mass of 4 cm in diameter was observed in the right pulmonary hilus, in close proximity to the right main pulmonary artery and superior vena cava. Volume loss, structural distortion, traction bronchiectasis, reticular opacities and honeycomb appearances are observed in the right lung and left lung base Fibrosis?. Minimal size reduction was considered in paratracheal, aortopulmonary and prevascular lymph nodes in the mediastinum, the shortest axis of the largest being evaluated as 14 mm in the right inferior paratracheal area. Calcific atheroma plaques were observed in the anavascular structures. There is thickening 4.6 mm and calcification in the pericardium, and effusion reaching 14 mm near the left ventricle at its widest point. A pleural effusion was observed, reaching a thickness of 4.8 cm on the right and 3.7 cm on the left. On the right, the pleural effusion is loculated anterolaterally. In the follow-up, it is observed that the effusion on the right has decreased slightly and has just developed on the left. There are occasional passive atelectasis in the lung areas adjacent to the effusion. The esophageal hiatus is wider than normal at 2.5 cm. In the evaluation of the upper abdominal organs within the sections; No mass was detected in either adrenal gland. Free peritoneal fluid was observed adjacent to the liver. Cortical cysts were observed in bilateral kidneys. Diffuse osteoporosis in the vertebrae, decrease in vertebral corpus heights in the lower thoracic and upper lumbar regions, schmorl nodules in the vertebral plateaus, degenerative osteophytes, and occasionally vacuum phenomenon and disc calcifications in the intervertebral disc spaces are observed. There are appearances of cement applied in places in the vertebral corpuscles.", "impression": "Mass in the right pulmonary hilus in close proximity to the right main pulmonary artery and superior vena cava. Mediastinal lymph nodes Fibrosis in the lungs? Calcific atheroma plaques in anavascular structures Pericardial construction? Bilateral pleural effusion Free peritoneal fluid adjacent to the liver Cortical cysts in the bilateral kidneys Diffuse osteoporosis, degenerative changes in the vertebrae"}
{"volume_path": "dataset/train_fixed/train_1922/train_1922_a/train_1922_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1922/train_1922_a/train_1922_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1922_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Heart size increased. In coronary arteries, calcific atheroma plaques are observed in the aorta. Mediastinal main vascular structures are 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. When examined in the lung parenchyma window; Compression atelectasis is observed in parenchyma accompanied by pleural effusion reaching 35 mm on the right and 30 mm on the left in both hemithorax. In the lower lobes of both lungs, an area of consolidation containing airbronchograms, which is more prominent on the right, is observed pneumonic infiltration?. Centriacinar emphysema areas in both lungs and sequelae fibrotic densities in the upper lobe of the left lung are observed. Several pulmonary nodules were observed in both lungs, the largest in the right lung and the largest in the upper lobe anterior section, with a ground glass density of 5 mm in diameter. If present, it is recommended to evaluate the patient with previous examinations. No nodular lesions were detected in the parenchyma 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. Degenerative changes are also observed in the bone structures in the study area. Vertebral corpus heights are preserved.", "impression": "Consolidation area pneumonic infiltration? in the lower lobes of both lungs, which is more prominent on the right and contains airbronchograms?. Bilateral pleural effusion and accompanying atelectasis.  Ground-glass opacity nodules in both lungs, the largest of which is 5 mm in diameter in the upper lobe of the right lung. If present, evaluation together with previous examinations is recommended.  Sequela changes."}
{"volume_path": "dataset/train_fixed/train_1922/train_1922_b/train_1922_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1922/train_1922_b/train_1922_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1922_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 aorta and coronary arteries. 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. A small amount of effusion is observed in the right hemithorax. When examined in the lung parenchyma window; Diffuse centrilobular emphysematous changes are observed in both lungs. There are several millimetric nonspecific nodules in both lungs. Upper abdominal organs are included in the study partially and evaluated as suboptimal. There is diffuse density reduction in bone structures and it has an osteopenic appearance. There are hypertrophic osteophytic taperings on the end plates. There is left-facing scoliosis in the dorsal vertebrae.", "impression": " Millimetric nonspecific subpleural nodules in both lungs.  Effusions with a thickness of 14 mm and 8 mm on the left, more prominent on the right, in both hemithorax.  Atherosclerosis.  Small amount of free fluid in the perihepatic space.  Osteopenic appearance, diffuse degenerative changes in bone structures."}
{"volume_path": "dataset/train_fixed/train_1926/train_1926_a/train_1926_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1926/train_1926_a/train_1926_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1926_a_1.nii.gz", "findings": "The patient who was learned to have GBM with follow-up; Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific plaques were observed in the aorta and coronary arteries. Pericardial 5 mm effusion is present. 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. When examined in the lung parenchyma window; There are bilateral effusions of 21 mm on the right and thin smears on the left, and consolidation and atelectasis in the lower lobes adjacent to the effusion. In addition, peribronchial consolidation and nodular ground glass densities are observed in the posterior parts of both lungs. In the upper abdominal organs included in the sections, the gallbladder was seen as distended as far as it entered the section. 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": " Aortic and coronary artery atherosclerosis  Pericardial effusion  Bilateral pleural effusion  Atelectasis condolidations in both lung lower lobes and peribronchial consolidation and nodular ground-glass densities in the posterior segments of bilateral lungs. Findings suggest primarily aspiration pneumonia."}
{"volume_path": "dataset/train_fixed/train_1943/train_1943_a/train_1943_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1943/train_1943_a/train_1943_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1943_a_1.nii.gz", "findings": "Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be seen; The diameter of the pulmonary trunk is 37 mm, the diameter of the right pulmonary artery is 29 mm, and the diameter of the descending aorta is 31 mm, which is wider than normal. An increase in heart size is observed. In particular, there is an increase in the size of the right atrium. Pericardial effusion up to a depth of 30 mm was observed. There is a subcentimetric minimal effusion in the right pleural space 5 mm at its deepest point. No left pleural effusion 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. There is a slight sliding type hiatal hernia at the lower end of the esophagus. In both axillary regions, no lymph nodes were observed in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. There is diffuse mild ectasia in the bronchial structures. There are emphysematous changes and sequela parenchymal changes in the apex of both lungs. There are millimetric nodules in both lungs, the largest of which is 9.5x7.5 mm in size with a pleural base in the superior segment of the lower lobe on the right. It is recommended to evaluate or follow up with old-dated CT examinations, if any. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; liver contour acuity is decreased. No intraabdominal free fluid-loculated collection was detected. There are cortical lesions of hypodense fluid density measuring approximately 40 mm in diameter in the upper pole and middle zone of the left kidney, the largest in the upper pole. Not clearly characterized cyst? within the limits of unenhanced CT. In the bony structures within the image, left-facing scoliosis was observed in the thoracic vertebral column. There are osteophytic degenerative changes in the vertebral corpus corners, which tend to merge in the right anterolateral. No lytic or destructive lesion was detected.", "impression": " Increased heart size, pericardial effusion, increased caliber of the pulmonary trunk, right pulmonary artery, and descending aorta.  Minimal right pleural effusion.  Sliding type mild hiatal hernia at the lower end of the esophagus.  Emphysematous changes and sequela parenchymal changes in the apex of both lungs.  Diffuse mild ectasia in bronchial structures 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.  Findings consistent with liver parenchymal disease.  Cortical lesions of hypodense fluid density in the left kidney; cannot be characterized within the limits of non-enhanced CT cyst?.  Scoliosis with left opening in the thoracic vertebral column and osteophytic degenerative changes in the vertebral corpus corners that tend to merge in the right anterolateral."}
{"volume_path": "dataset/train_fixed/train_1954/train_1954_a/train_1954_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1954/train_1954_a/train_1954_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1954_a_1.nii.gz", "findings": "No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Linear pericardial effusion is observed in the form of mild smearing. Calibration of mediastinal major vascular structures is normal. No space-occupying lesion was detected in the pericardial fat pad. Pleural effusion reaching 24 mm in diameter between the right pleural leaves and 6 mm in diameter between the left pleural leaves is observed. Pleuroparenchymal density increases are observed as sequelae of primary tbc infection in both upper lobe apical segments of both lungs. Calcified parenchymal nodules are present. Linear subsegmental atelectasis areas in the upper lobe of the left lung and lower lobes of both lungs and mild compression atelectasis adjacent to the effusion are observed. Pneumonic infiltration was not observed. No suspicious mass or nodular lesion was detected in the lung parenchyma. There are a few nonspecific millimetric <5 mm nodules. In the upper abdominal sections, two calculus, 18 mm and 16 mm in diameter, were observed in the gallbladder lumen. The patients parapelvic cysts are observed in the left kidney. No lytic-destructive lesions were detected in bone structures.", "impression": " Bilateral mild pleural effusion, mild smear-like pericardial effusion, sequelae of primary tbc in the lung apex.  Linear atelectasis in both lungs.  Several millimetric nonspecific nodules in both lungs.  Cholelithiasis.  Simple cysts in the left kidney."}
{"volume_path": "dataset/train_fixed/train_1955/train_1955_a/train_1955_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1955/train_1955_a/train_1955_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1955_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the 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. In the lower zone of the left hemithorax, there is a fluid localization in which air-fluid leveling is observed and a slight dimensional increase of 48x63 mm is observed. There is a new effusion in the right hemithorax with a thickness of 25 mm, which was not observed in the previous examination. A space-occupying lesion with dimensional increase is observed at the apical level of the left lung upper lobe. There is an increase in the size of the effusion observed in the left hemithorax, and there are thickenings in the interlobular septa of both lungs, which are evaluated in favor of edema. In the upper abdominal organs included in the sections, in the fluid attenuation measured 31 mm on the left and 33 mm on the right in both kidneys, oval and smooth contoured findings were evaluated in favor of cysts. Mass lesions in segments 6, 7, 8 localizations in the right lobe of the liver can hardly be distinguished. Effusion is observed in the perihepatic area. There is a 14 mm implant in the posterior left lobe of the liver adjacent to the esophagogastric junction, which could not be seen in the previous examination, contamination in the fatty planes in the left upper quadrant, and nodular appearances. There are degenerative changes in the bone structures in the study area.", "impression": " There are dimensional increases in cavitary lesions observed in the lung parenchyma.  New effusion is observed in the right hemithorax.  There is a slight dimensional increase in the loculation, which shows air-fluid leveling observed in the left hemithorax.  There is a dimensional and numerical increase in the cavitary lesions observed in the lung parenchyma.  Atherosclerotic changes  14 mm implant in the posterior left lobe of the liver adjacent to the esophagogastric junction, which could not be detected in the previous examination, contamination in fatty planes in the left upper quadrant, nodular appearances  Degenerative changes in bone structures"}
{"volume_path": "dataset/train_fixed/train_1959/train_1959_b/train_1959_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_1959/train_1959_b/train_1959_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_1959_b_1.nii.gz", "findings": " In the current examination, there is a newly developed pericardial effusion measuring 25 at its deepest site and a pleural effusion measuring 18 mm on the left at the bilateral rare site. In the bilateral lower lobe of the lung, right lung middle lobe and left lingular segments, there are newly developed ground glass densities, density increases with occasional nodular consolidation, and 8 mm in size, well-defined cavitary nodules in the left lung lower lobe superior. Evaluation for opportunistic infective pathologies is recommended.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_2013/train_2013_a/train_2013_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2013/train_2013_a/train_2013_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2013_a_1.nii.gz", "findings": " An endotracheal intubation tube ending approximately 2.3 cm proximal to the carina was observed in the tracheal lumen. No occlusive pathology was detected in the trachea and lumen of both main bronchi. A nasogastric tube extending from the esophagus to the stomach was observed. A catheter extending from the right internal jugular vein to the superior distal vena cava was observed. A second image of a catheter extending from the left to the brachiocephalic vein is observed. Heart size increased. A smear-like effusion was observed in the pericardial space. Diffuse calcified atheroma plaques were observed in the aortic arch and coronary arteries. There is a pleural effusion reaching a thickness of 7 cm between the leaves of the right pleura and 3.4 cm on the left. When examined in the lung parenchyma window; Fissural edema is observed in bilateral lung. The upper and middle lobes of the right lung are expanded. The lower lobe of the right lung has an atelectasis appearance. Sequela cystic bronchiectasis area and volume loss at this level were observed in the anterior segment of the left lung upper lobe. A mosaic attenuation pattern was observed in the ventilated parts of both lungs small airway disease? small vessel disease?. In addition, nonspecific ground-glass opacities are observed in the ventilated segments of both lungs, and the appearance is nonspecific. It may be secondary to cardiac failure. Free fluid in the abdomen and diffuse edema in the subcutaneous adipose tissue were observed in the section. No lytic-destructive lesions were detected in bone structures.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_2017/train_2017_b/train_2017_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2017/train_2017_b/train_2017_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2017_b_1.nii.gz", "findings": "Mediastinal structures cannot be evaluated optimally because contrast material is not given. In the right pulmonary hilus, a soft tissue mass whose borders cannot be distinguished from the heart and mediastinal structures is observed, which causes narrowing in the bronchial structures. Since the contrast agent is not given, the boundaries of the described appearance cannot be clearly evaluated. Subsegmental atelectasis is observed in the right lung middle lobe and upper lobe posterior segment. The described appearance is also observed in the previous examination of the patient. When evaluated together with the patients previous examinations, there are appearances that are understood to be metastases in the posterior segment of the right lung upper lobe and the apicoposterior segment of the left lung upper lobe. The longest diameter of the lesion described in the left lung was 76 mm, and the longest diameter of the lesion described in the right lung was approximately 30 mm. The consolidation observed in the lower lobe of the left lung in the previous examination of the patient is not observed in this examination. There is consolidation with cavitation in the central part of the right lung lower lobe superior segment. It appears that the described appearance has just appeared. Although not very specific, the described appearance was primarily thought to be compatible with an infective pathology. Many pathogens can cause a similar appearance. Therefore, differential diagnosis could not be made. The described appearance may also be less likely a mass with a cavity in its center. There are diffuse emphysematous changes in both lungs. Pleural effusion is observed on the right. The pleural effusion measured 45 mm at its thickest point. No pleural effusion was detected on the left. Heart contour and size are normal. Pericardial effusion was not detected. There are diffuse atheroma plaques in the aorta and coronary arteries. Lymph nodes are observed in the mediastinum and hilar regions. The shortest diameter of the largest of the described lymph nodes was 10 mm. No upper abdominal free fluid-collection was detected in the sections. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": "Lung ca in the follow-up, soft tissue appearance, which was found to be a primary mass when evaluated together with the patients previous examinations in the right pulmonary hilus, metastatic lesions in both lungs. Atelectasis in the upper and middle lobes of the right lung.  Diffuse emphysematous changes in both lungs. Pleural effusion on the right.  The right lung lower lobe superior segment with central cavitation, primarily thought to be consolidation."}
{"volume_path": "dataset/train_fixed/train_2024/train_2024_a/train_2024_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2024/train_2024_a/train_2024_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2024_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal pleural effusion is observed on the right. Pleural effusion is absent in the previous examination. No pleural effusion was detected on the left. There are atelectasis in both lung lower lobes. Minimal emphysematous changes were observed in both lungs. Millimetric nonspecific nodules 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: Heart contour and size are normal. Pericardial effusion was not detected. 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. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections.", "impression": " Operated HCC at follow-up.  Pleural effusion on the right.  Atelectasis in both lungs.  Millimetric nonspecific nodules in both lungs.  Minimal emphysematous changes in both lungs."}
{"volume_path": "dataset/train_fixed/train_2037/train_2037_b/train_2037_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2037/train_2037_b/train_2037_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2037_b_1.nii.gz", "findings": "In the case followed up due to Covid pneumonia: The prevalence and width of the parenchymal ground glass areas increased. There is bilateral pleural effusion. It was measured 19 mm at its deepest point on the right and 9 mm at its deepest point on the left. In the previous examination, the effusion was in the form of plastering and increased in the current examination. Other findings are stable.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_2041/train_2041_a/train_2041_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2041/train_2041_a/train_2041_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2041_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 anterior-posterior diameter of the ascending aorta is 42 mm, and it is slightly ectatic. The anterior-posterior diameter of the descending aorta is within normal limits with 29 mm. Diffuse calcified atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Heart size increased. Minimal effusion was observed in the pericardial space. The effusion is also observed in the previous examination of the patient. Pleural effusion was observed in the right pleural space, reaching 52 mm in its widest part and 76 mm in the left pleural space, extending into major fissures. It just appeared in the current review. 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. Prevascular, bilateral upper-lower paratracheal, subcarinal, bilateral hilar and aortopulmonary lymph nodes, the largest of which are 26x13 mm in size, some of them reaching calcified pathological dimensions were observed. In the previous examination of the patient, no pathological lymph nodes were observed. When examined in the lung parenchyma window; Sequelae changes were observed in the apical segments of both lungs. Consolidation area is observed in the right lung lower lobe posterobasal segment in the area adjacent to the effusion. In addition, there is a widespread area of consolidation in the lower lobe basal segments of the left lung. Interlobular septal thickening was observed in both lungs. The described findings were newly revealed in the current review and were evaluated in favor of pneumonic infiltration. The upper abdominal organs are normal as far as can be observed in the non-contrast examination. A biconcave appearance is observed in the thoracolumbar vertebrae at multiple levels, and there are height losses in the most prominent L2 vertebra central, which cause a height loss of approximately 45%. In addition, degenerative changes were observed in bone structures.", "impression": "Aneurysmatic dilatation in the ascending aorta, atherosclerotic wall calcifications in the aorta and coronary arteries, cardiomegaly. Pathological lymph nodes in the mediastinum, some of which are calcified, . It was initially evaluated in favor of pneumonic infiltration.  Biconcave appearance in the thoracolumbar vertebrae at multiple levels, height losses characterized by approximately 45% loss of height in the central L2 vertebra, degenerative changes in the thoracolumbar vertebral column"}
{"volume_path": "dataset/train_fixed/train_2041/train_2041_e/train_2041_e_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2041/train_2041_e/train_2041_e_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2041_e_1.nii.gz", "findings": "Trachea, both main bronchi are open. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. Other mediastinal major vascular structures are normal. Heart size has 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. Lymph nodes measuring 15 mm in size of the largest conglomerate in the mediastinum were observed. When examined in the lung parenchyma window; There is pleural effusion in both hemithorax with a thickness of 12 mm on the right and 20 mm on the left. Interlobular septa are thickened. There are consolidated atelectasis findings observed in air bronchogram signs, more prominent on the left in both lung lower lobe basal segments. Upper abdominal organs are partially included in the study and were evaluated as subopotimal. 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. Osteopenic appearance and degenerative changes were observed in bone structures.", "impression": " There are findings consistent with infectious processes pneumonia accompanied by cardiac stasis in both lungs. Clinical and laboratory correlation and follow-up are recommended.  Lymph nodes measuring 15 mm in size, with the largest conglomerated in the mediastinum.  Pleural effusion in both hemithorax.  Cardiomegaly.  Atherosclerotic changes.  Osteopenic appearance, degenerative changes in bone structures."}
{"volume_path": "dataset/train_fixed/train_2041/train_2041_f/train_2041_f_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2041/train_2041_f/train_2041_f_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2041_f_1.nii.gz", "findings": "Heart sizes were significantly increased. Cardiac pacemaker catheter is monitored. Its distal end terminates distal to the right ventricle. There are wall calcifications in the aortic arch and thoracic aorta. Stents and calcific atherosclerotic plaques are observed in the LAD and circumflex. Pericardial effusion was not detected. Pleural effusion reaching 5 cm in diameter between the right pleural leaves and 3 cm in the left is observed. Extraction did not occur in sufficient expiration. Trachea and lobar and segmental bronchi appear collapsed. The lower lobe of the left lung is observed as almost complete atelectasis. Consolidation and ground-glass areas and presenting pneumonic infiltration were observed in the upper lobe of the right lung. There are mild interlobular septal thickenings in the basal segment of the lower lobe of the right lung. No loculated or free fluid was observed in the upper abdominal sections. No lytic-destructive space-occupying lesion was detected in bone structures.", "impression": " Bronchopneumonic infiltration in the upper lobe of the right lung  Increased heart size, cardiac pacemaker catheter  Bilateral pleural effusion  Near total atelectasis in the left lung  Mild interstitial edema in the lower lobe of the right lung"}
{"volume_path": "dataset/train_fixed/train_2041/train_2041_g/train_2041_g_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2041/train_2041_g/train_2041_g_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2041_g_1.nii.gz", "findings": " Intracardiac defibrillator is observed on the anterior wall of the left thorax, and the catheter tips end in the right ventricle. The cardiothoracic ratio increased in favor of the heart. Pericardial effusion was not detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the ascending aorta was 41 mm, the diameter of the descending aorta was 32 mm, and the diameter of the pulmonary trunk was 35 mm and increased. In the mediastinum and bilateral hilar regions, 17 mm in diameter, the largest in the right lower paratracheal area, some calcific multiple lymphadenopathies are observed. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Pleural effusion with a thickness of 2 cm in the right hemithorax and 1 cm in the left hemithorax is observed. Consolidation areas in the posterior segments of the lower lobes of both lungs, accompanied by air bronchograms and interlobular septal thickening in places, show regression. There is also a decrease in the prevalence of patchy consolidation areas and accompanying ground glass areas in the upper and middle lobes of the right lung and the lingular segment of the left lung upper lobe. Subpleural ground-glass areas in the middle lobe of the right lung have just appeared. There are emphysematous changes and areas of linear atelectasis in the upper lobes of 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 no discernible mass in the upper abdominal organs. Bridging osteophytes are observed at the corners of the thoracic vertebra corpus. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": " Cardiomegaly, intracardiac defibrillator, calcific atheroma plaques in the aorta and coronary arteries, dilatation of the aorta and pulmonary trunk.  Bilateral minimal pleural effusion; amount has decreased.  Consolidation areas in the lower lobes of both lungs with air bronchograms and accompanying increases in interlobular septal thickness, patchy consolidation areas accompanied by ground glass areas in the right lung middle-upper lobe and left lung upper lobe. The appearance of the patient followed for COVID is compatible with bacterial superinfection. There is regression in the defined findings. Subpleural ground-glass areas in the middle lobe of the right lung; has just emerged.  Minimal emphysematous changes in both lungs.  Mediastinal and bilateral hilar lymphadenopathies; No significant difference was found between the tests."}
{"volume_path": "dataset/train_fixed/train_2057/train_2057_b/train_2057_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2057/train_2057_b/train_2057_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2057_b_1.nii.gz", "findings": "Median sternotomy is observed. No separation was detected at the sternotomy ends. No discernible mass or collection was detected in the presternal region. In the retrosternal region, there is a dense collection with an anterior-posterior diameter measuring 13 mm at its widest point. There is bilateral minimal pleural effusion. In addition, minimal pericardial effusion is also observed. Chest tubes placed in the subxiphoid region and ending in the medial part of the upper lobe of the right lung and ending in the lateral part of the lower lobe of the left lung are observed. Heart contour and size are normal. It is understood that the patient underwent mitral valve surgery. The widths of the mediastinal main vascular structures are normal. Atelectasis is observed in both lungs adjacent to the effusion. No mass or infiltrative lesion was detected in both lungs.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_2064/train_2064_a/train_2064_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2064/train_2064_a/train_2064_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2064_a_1.nii.gz", "findings": "CTO slightly increased in favor of the heart. The aortic arch calibration is 30 mm. It is slightly wider than normal. Calibration of the pulmonary trunk and other major vascular structures is natural. Calcific atheroma plaques are observed in the coronary arteries. There are millimetric lymph nodes in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are occasional interlobular subpleural septal protrusions in both lungs. Density reductions consistent with emphysema are observed in both lungs. There was no finding compatible with bilateral pleural effusion, pneumothorax or significant pneumonia. In the sections passing through the upper abdomen, there is a mild effusion at the level of the central mesentery in the perihepatic and perisplenic areas. Portal vein calibration is increased. The spleen is larger than normal. On both sides, nonspecific density increases are observed in the lower abdomen, at lumbar levels, and in subcutaneous fat planes, compatible with edema-inflammation. Other soft tissue planes in the study area are natural. Degenerative changes are observed in the bone structure.", "impression": " Irregularity and mild thickening of the subpleural peripheral interstitial tissue in both lungs interstitial lung disease?. Evaluation with clinical and laboratory findings is recommended.  Free fluid appearances in the perihepatic, perisplenic areas and central mesentery.  Splenomegaly.  Calibration increase in portal vein.  Mild cardiomegaly, atherosclerotic changes."}
{"volume_path": "dataset/train_fixed/train_2072/train_2072_a/train_2072_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2072/train_2072_a/train_2072_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2072_a_1.nii.gz", "findings": "Mediastinal and abdominal solid 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. Pericardial effusion measured 15 mm at its thickest point. Atheroma plaques are observed in the aorta and coronary arteries. The ascending aorta measures 44 mm in anterior-posterior diameter and is wider than normal. The aortic arch is elongated. The diameter of the descending aorta is normal. The diameters of the pulmonary arteries are normal. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. Bilateral minimal pleural effusion was observed. The effusion measured 50 mm on the left at its thickest point. It is understood that the pleural effusion enters the fissures, especially on the left. No occlusive pathology was detected in the trachea and both main bronchi. Atelectasis was observed adjacent to the effusion in the lower lobes of both lungs. In addition, consolidation-soft tissue density appearances and ground glass areas are observed in both lung lower lobe superior segments. The described appearances could not be characterized in this examination. It is recommended that the patient be evaluated together with laboratory findings in terms of pneumonic infiltration and appropriate post-treatment control in terms of a possible underlying mass. There are also emphysematous changes and linear atelectasis in both aerated lungs. There is intraabdominal diffuse free fluid. No upper abdominal collection was detected in the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Cardiomegaly, pericardial effusion, atherosclerotic changes in the aorta and coronary arteries.  Mediastinal and hilar lymph nodes.  Bilateral effusion, more prominent on the left, and atelectasis in the lung adjacent to the pleural effusion.  Appearance-consolidation of soft tissue density in both lung lower lobes and surrounding ground glass area evaluation of the patient for pneumonic infiltration and appropriate post-treatment control is recommended.  Intraabdominal diffuse free fluid."}
{"volume_path": "dataset/train_fixed/train_2092/train_2092_a/train_2092_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2092/train_2092_a/train_2092_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2092_a_1.nii.gz", "findings": "Calibration of mediastinal major vascular structures is natural. The heart, contour and size are natural. 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 measuring 11 mm in diameter at its deepest point in the left pleural space. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; There are diffuse mild ectasia and peribronchial thickness increases in the bronchial structures in both lungs. Structural distortion in the bilateral apex of the left lung, upper lobe inferior segment and lower lobe posterobasal segment of the left lung, and medial segment of the right lung middle lobe, and density increases, which are evaluated as linear \u2013 nodular sequelae accompanied by volume loss, were observed. There are emphysematous changes in both lungs. No active infiltration or mass lesion was detected in both lungs. In the upper abdominal sections within the image, there is no free fluid, loculated collection or lymph node in pathological size and appearance within the borders of non-contrast CT. No lytic-destructive lesion was observed in the bone structures within the image. There are degenerative changes.", "impression": " Left pleural effusion.  Calcified plaques of atheroma in the wall of the thoracic aorta and coronary vascular structures.  Density increases in the apex of both lungs, left lung upper lobe inferior lingular segment and lower lobe posterobasal segment, and right lung middle lobe medial segment, evaluated in favor of linear \u2013 nodular sequelae changes accompanied by structural distortion, volume loss, and diffuse bronchial structures in both lungs mild ectasia and peribronchial thickness increases.  Emphysematous changes in both lungs.  Degenerative changes in bone structures, calcified atheroma plaques in the walls of the thoracic aorta and coronary vascular structures."}
{"volume_path": "dataset/train_fixed/train_2094/train_2094_b/train_2094_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2094/train_2094_b/train_2094_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2094_b_1.nii.gz", "findings": " Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. The heart size has increased. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the aorta and coronary arteries. Sternotomy is available. 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. When examined in the lung parenchyma window; In the patient who had budded tree views and ground glass densities on the background of bronchiectasis emphysema in the lung in the previous examination, newly developed consolidations especially in the lingula and lower lobe of the left lung, and an increase in budding tree views at all levels are observed in the new examination. In the right middle lobe, it is seen that consolidations increase at the level of cystic bronchiectasis and mild atelectasis develops. In the upper lobe of the left lung, it is seen that budding tree landscapes develop and minimal nodular ground glass densities are formed. Bilateral newly developing pleural effusion of 6 mm on the right and 18 mm on the left is observed. The findings of chronic liver parenchymal disease splenomegaly in the upper abdominal organs included in the sections are stable. When these sections are evaluated, an increase is observed in the free fluid in the abdomen. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Cardiomegaly, ascending aortic ectasia, coronary artery and atherosclerosis of the aorta  Diffuse cystic cylindrical bronchiectasis in bilateral lungs, emphysema, increase in budding tree landscapes in lung parenchymal infiltrations, newly developing consolidation and budding tree landscapes  Newly developing pleural effusion"}
{"volume_path": "dataset/train_fixed/train_2108/train_2108_a/train_2108_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2108/train_2108_a/train_2108_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2108_a_1.nii.gz", "findings": "CTO slightly increased in favor of the heart. In the mediastinum, the aortic arch calibration is 35 mm and larger than normal. The ascending aorta is larger than normal with a calibration of 41 mm. The descending aorta calibration is 33 mm, larger than normal. The right pulmonary artery and left pulmonary artery are within the maximal physiological limits. Pulmonary trunk calibration is natural. Calcific atheroma plaques are observed in the aortic root of the aortic arch, descending aorta, and coronary arteries. Aberrant right subclavian artery variation is observed in the case. Both CCA and left subclavian arteries are opened by separating from the aortic arch. There is a nasogastric tube in the esophagus. Coarse calcification is observed in the left lobe of the thyroid gland. There is a hypodense nodule in the posterior of the right lobe. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, in the aorticopulmonary window, at the prevascular level, and at the paraesophageal level, the largest of which was measured in the paraesophageal area and measuring 17x12 mm. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; The calibration of the trachea and main bronchi is normal and their lumens are clear. There are thickenings of the peribronchial sheath in the mid-lower zones. In both lungs, thickening of the interlobular septa, more prominent in the periphery, in the segments starting from the upper lobe starting from the upper lobe and extending towards the basal, more prominent on the right, and consolidative areas and density increases in the surrounding area are observed. It is recommended to be evaluated together with the clinic in terms of infective processes. There is a decrease in density consistent with mild emphysema in both lungs. There is a mild pleural effusion with a thickness of up to 15 mm at the base on the right. In the upper abdominal organs, including sections; There is a decrease in density consistent with hepatosteatosis in the liver. The gallbladder appears contracted. The wall thickness and structure cannot therefore be evaluated optimally. Degenerative changes are observed in the bone structure.", "impression": " Thickening of the interlobular septa, more prominent in the periphery, in the segments starting from the upper lobe starting from the upper lobe towards the basal, more prominent on the right in both lungs, consolidative areas and increases in density like ground glass around it are observed. It is recommended to be evaluated together with the clinic in terms of infective processes.  Cardiomegaly, increased calibration of mediastinal main vascular structures and atherosclerosis, aberrant right subclavian artery.  Hepatosteatosis.  Mediastinal lymph nodes."}
{"volume_path": "dataset/train_fixed/train_2129/train_2129_a/train_2129_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2129/train_2129_a/train_2129_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2129_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 47.5 mm. The diameters of the pulmonary trunk, right and left pulmonary arteries were larger than normal with 36 mm, 30 mm and 25.7 mm, respectively. Heart sizes increased. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the thoracic aorta, its supraaortic branches and LAD. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular or bilateral hilar-axillary pathological dimensions were detected. Right upper-lower paratracheal, aortopulmonary and subcarinal lymph nodes reaching pathological dimensions measuring 15 mm in the short axis of the right upper paratracheal were observed. When examined in the lung parenchyma window; A smear-like pleural effusion was observed, reaching a thickness of 15 mm on the right and 9 mm on the left, extending to both major fissures. In both lungs; more extensive interlobar septal thickenings were observed in the lower lobes, and nodular-patchical consolidations with ground glass opacities were observed around them, and the appearance was evaluated as compatible with viral pneumonias. It is recommended to be evaluated together with clinical and laboratory. Passive atelectatic changes were observed in the right lung middle lobe medial and left lung inferior lingular segment. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Liver, both kidneys, and both adrenal glands are normal as far as can be observed in the non-contrast examination. Millimetric stone densities were observed in the gallbladder lumen. An increase in trabeculation consistent with osteopenia was observed in the bone structures in the study area.", "impression": "Aneurysmatic dilatation in the ascending aorta . Pulmonary trunk, increase in the diameters of both pulmonary arteries pulmonary hypertension? . Cardiomegaly, calcified atheroma plaques in the thoracic aorta, supraartic branches and coronary arteries . Right upper-lower paratracheal, aortopulmonary and subcarinal lymph nodes reaching pathological dimensions . In both lungs, more diffuse interlobar septal thickening is observed in the lower lobes, nodular-patchical consolidations with ground glass opacities around them, the appearance may be compatible with viral pneumonias. It is recommended to evaluate it together with clinic and laboratory.  Right lung middle lobe medial and left lung passive in the inferior lingular segment atelectatic changes . Cholelithiasis . Osteopenia in bone structures"}
{"volume_path": "dataset/train_fixed/train_2154/train_2154_a/train_2154_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2154/train_2154_a/train_2154_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2154_a_1.nii.gz", "findings": "The right thyroid lobe was observed to be larger than normal. It slightly extends into the retrosternal area. Ultrasonography is recommended. 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. Pleural effusion with a thickness of 2 cm on the right and 3 cm on the left was observed in both hemithorax. In the evaluation of both lung parenchyma; Widespread, patchy, confluent ground-glass densities and consolidations were observed in both lungs. Pneumonic infiltration? In the sections passing through the upper part of the abdomen and the left adrenal gland diffusely thick. Degenerative osteophytes were observed in the vertebral plateaus. Intervertebral spaces are irregularly narrowed and vacuum phenomena are observed in places.", "impression": "Goiter, ultrasonography is recommended. Bilateral pneumonic infiltration? Bilateral pleural effusion Diffuse thickening of the left adrenal gland Degenerative bone changes"}
{"volume_path": "dataset/train_fixed/train_2155/train_2155_a/train_2155_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2155/train_2155_a/train_2155_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2155_a_1.nii.gz", "findings": "Trachea and both main bronchi were open and no obstructive pathology was detected. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and there are calcified atheroma plaques on the walls of the vascular structures. No lymph node was detected in the mediastinum in pathological size and appearance. Pericardial effusion or thickening is not observed. There is an increase in the cardiothoracic ratio in favor of the heart. There is an effusion up to 15 mm on the right in the deepest part of the bilateral pleural space. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Uniform interlobular septal thickness increases, which are more prominent in bilateral lower lobes, density changes of sequela atelectasis in the right lung upper lobe posterior, left lung inferior lingular segment and both lung lower lobes are observed. Alveolar ground glass densities were observed in the posterior segment of the right lung upper lobe, and the appearances were primarily evaluated as secondary to pneumonic infiltrative changes. No pathology was detected in the upper abdominal sections within the image. No lytic or destructive lesions are observed in the bone structures within the image, and there are osteophytic degenerative changes in the vertebral corpus corners that tend to merge in the right anterolateral.", "impression": "Increase in the cardiothoracic ratio in favor of the heart, calcified atheroma plaques on the walls of the mediastinal vascular structures, bilateral pleural effusion, lymph nodes that are not pathological in size and appearance in the mediastinum ."}
{"volume_path": "dataset/train_fixed/train_2158/train_2158_d/train_2158_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2158/train_2158_d/train_2158_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2158_d_1.nii.gz", "findings": " Trachea, both main bronchi are normal. No occlusive pathology was detected in the lumen. The heart and mediastinal main vascular structures are deviated to the left. Cardiac and mediastinal vascular structures are normal. An effusion of 1.5 cm in diameter was observed in the left pleural space, extending from the apex to the base, reaching 10 cm in its deepest part, in the right pleural space. When examined in the lung parenchyma window; Ground glass densities were observed in both lungs from place to place. Passive atelectatic changes were observed in the superior segment of the left lung lower lobe. The central part of the middle and lower lobes of the right lung has an atelectasis appearance and the volume of the right lung is decreased secondary to this. As far as it can be observed in the sections, the spleen was not observed in the lodge operated. Hemangioma is present in the T11 vertebral body.", "impression": "effusion . Stable nodules in both lungs . Splenectomized"}
{"volume_path": "dataset/train_fixed/train_2162/train_2162_a/train_2162_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2162/train_2162_a/train_2162_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2162_a_1.nii.gz", "findings": "Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Trachea, both main bronchi are open. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. 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 were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; The effusion reaching 3.7 cm in thickness in the thickest part in the left hemithorax and 2.7 cm in diameter in the thickest part in the right hemithorax was observed. There is a phantom tumor in the major fissure on the left. Ground-glass consolidations were observed in both lungs, in which subpleural areas extending from the central to the periphery were preserved, and the appearance is not typical for Covid-19 pneumonia. Acute interstitial edema and other viral pneumonias are considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory. More extensive interlobular-intralobar septal thickenings were observed in the upper lobes of both lungs. 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. A nodular lesion with a diameter of 2 cm and a fluid density was observed in the lower pole of the left kidney cyst?. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches. A 5 cm fascia defect was observed on the anterior abdominal wall at the epigastric level, and herniated intraperitoneal adipose tissue was observed inside the hernia sac. Degenerative changes were observed in the bone structures in the study area. Vertebral corpus heights are preserved.", "impression": "Surgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum, calcific atheroma plaques in the thoracic aorta and coronary arteries . Hiatal hernia . Bilateral effusion . Consolidations in the form of ground glass, in which the subpleural areas extending from the central to the periphery in both lungs are preserved in places; The outlook is not typical for Covid-19 pneumonia. Acute interstitial edema and other viral pneumonias are considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory.  Nodular lesion cyst? in fluid density in the lower pole of the left kidney . Epigastric hernia . Surgical suture materials secondary to previous bypass surgery in the anterior mediastinum of the sternum, . Calcific atheroma plaques in the thoracic aorta and coronary arteries . Hiatal hernia . Bilateral pleural effusion, acute pulmonary edema in the lung parenchyma or parenchymal findings that may be compatible with non-Covid viral pneumonias . Subsegmental atelectatic changes in both lungs . Epigastric hernia . Degenerative changes in bone structure"}
{"volume_path": "dataset/train_fixed/train_2162/train_2162_b/train_2162_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2162/train_2162_b/train_2162_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2162_b_1.nii.gz", "findings": "Trachea, both main bronchi are open. Heart size increased. Calcific atheroma plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are lymph nodes with a short axis measuring up to 5 mm in the mediastinum and a short axis measuring up to 10 mm in the carina. When examined in the lung parenchyma window; In both lungs, thickening of the interlobular septa and diffuse ground-glass density are observed in both lungs, more prominently on the right bilaterally. There is a small amount of effusion in the right hemithorax. 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. Abdominal fatty tissues show anterior herniation from the 34 mm defect in the anterior abdominal wall of the upper abdomen just distal to the sternum. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Cardiomegaly.  Atherosclerosis.  The findings described in the lung parenchyma were initially evaluated in favor of edema secondary to cardiac stasis, and clinical laboratory correlation follow-up is recommended for the differential diagnosis of an infectious process.  A few subpleural nonspecific nodules larger than 5 mm in both lungs.  A small amount of effusion measuring 10 mm in thickness in the right hemithorax.  Herniation in the upper abdomen, extending from a 30 mm opening just at the end of the sternum to the anterior abdominal wall, in which intestinal loops in which intra-abdominal fatty tissues are observed are not encountered."}
{"volume_path": "dataset/train_fixed/train_2162/train_2162_c/train_2162_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2162/train_2162_c/train_2162_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2162_c_1.nii.gz", "findings": "Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. 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; Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the walls of the aortic arch and coronary artery, and in the descending aorta. 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. Effusion reaching a thickness of 31 mm was observed in the right hemithorax. No effusion is observed on the left. Minimal sequela thickening was observed in the posterior costal pleura in the left hemithorax. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs small airway disease?, small vessel disease?. Thickening of the interlobular and intralobar septa were observed in both lungs. The described findings were evaluated in favor of cardiac stasis. Nodular consolidation areas were observed in the right lung lower lobe basal and left lung lingular segments, and the appearance was evaluated in favor of pneumonic infiltration. It is recommended to be evaluated together with clinical and laboratory. Linear subsegmentary atelectatic changes were observed in the basal segments of both lung lower lobes. Ground glass densities are observed in the area adjacent to the effusion in the basal segment of the lower lobe of the right lung, and the appearance is nonspecific. No mass lesion with distinguishable borders was detected in both lungs. Minimal effusion was observed in the fissure 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. Diffuse atherosclerotic wall calcifications were observed in the abdominal aorta and its visceral branches. There is a millimetric stone in the gallbladder lumen. Fascia defect at the lower end of the sternum at the epigastric level and intraperitoneal adipose tissue with herniation to the anterior abdominal wall were observed. Widespread osteodegenerative changes were observed in the bone structures in the study area.", "impression": " Postoperative changes secondary to bypass surgery in the sternum and anterior mediastinum, cardiomegaly, diffuse calcific plaques in the thoracoabdominal and coronary arteries  Hiatal hernia  Right pleural effusion, cardiac overload findings in the lung parenchyma  Findings consistent with pneumonic infiltration in the right lung lower lobe basal and left lung lingular segment ; It is recommended to be evaluated together with clinical and laboratory.  Cholelithiasis  Epigastric hernia"}
{"volume_path": "dataset/train_fixed/train_2177/train_2177_a/train_2177_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2177/train_2177_a/train_2177_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2177_a_1.nii.gz", "findings": " Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The ascending aorta measures approximately 43mm and has a dilated appearance. Calcified atheroma plaques were observed in the mediastinal main vascular structures. Within non-contrast sections, the heart is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus is in normal calibration. No pathological wall thickening was detected. Round-shaped lymphadenopathies with a short diameter up to 14mm in size were observed in the mediastinal prevascular area, aortopulmonary window, paratracheal area, and bilateral hilar region. In the previous examination, the shortest diameter of the largest of the lymphadenopathies reaches 11 mm. In the lung parenchyma examination, bilaterally increased pleural effusion was observed. Effusion in the left hemithorax occurred in the current examination and the thickness of both pleural effusions reaches 5 cm at their widest point. Pleural-based hypodense lesions were observed in the right lung. The appearances are formed in the current examination and it is not possible to distinguish between necrotic mass and anky effusion. The size of the largest reaches 56x30mm. Diffuse ground glass appearance and fibroatelectatic changes were observed in both lungs. There are parenchymal nodules in both lungs. It is stable. In the area of the parenchymal nodule in the middle lobe of the right lung, a pleural-based nodular lesion was revealed in the current examination metastasis?. In the evaluation of the upper abdominal organs that enter the imaging area, there is a stone in the gallbladder lumen and a colostomy at the umbilicus level draws attention. Degenerative changes are observed in the bone structure entering the examination area. Osteophyte formations are noteworthy in the vertebral corpus corners. Minimal rotoscoliosis was observed in the thoracic region. The skin and subcutaneous tissues are thickened in the left breast that enters the imaging field.", "impression": "Pleural effusion increasing in both lungs in the current examination in a patient with a prediagnosis of ovarian Ca, and pleural-based hypodense lesions in both lungs in the current examination necrotic mass and pleural effusion in ankysis could not be differentiated.  In the current examination in the area of the parenchymal nodule in the right lung middle lobe a pleural-based nodular lesion metastasis?. Lymphadenopathies with increased mediastinal size. Cholelithiasis.  Thickening of the skin-subcutaneous tissues in the left breast."}
{"volume_path": "dataset/train_fixed/train_2190/train_2190_a/train_2190_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2190/train_2190_a/train_2190_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2190_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal pleural effusion on the right. No pleural effusion was observed on the left. The pleural effusion on the right appears to have just appeared. There are emphysematous changes in both lungs. Atelectasis were observed in the middle lobe of the right lung and the lower lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. Pericardial effusion was not detected. Free fluid is observed in the perihepatic and perisplenic regions. There is mild lobulation in the liver contours. In addition, the inferior vena cava is wider than normal. The patients described appearance may be due to cardiac pathology. In this examination, it is observed that the intra-abdominal free fluid is minimally increased.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_2201/train_2201_b/train_2201_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2201/train_2201_b/train_2201_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2201_b_1.nii.gz", "findings": "Trachea, both main bronchi are open in the midline. Heart dimensions and contours are natural. Mediastinal vascular structures appear natural within the limits of the unenhanced examination. Pleural effusion-thickening was not observed. The image of the catheter extending from the anterior chest wall to the right atrium is observed. No pathologically enlarged lymph nodes were observed in pre-paratracheal, paravascular, subcarinal, hilar and axillary regions. When examined in the lung parenchyma window; The effusion reaching a thickness of approximately 3.5 cm in the right hemithorax and approximately 2 cm in the left hemithorax is observed. Atelectasis was noted in the parenchyma accompanying the effusion. In the lower lobe superior segments of both lungs, consolidation areas containing air bronchograms and opacities in ground glass density are observed. No mass 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 have a natural appearance.", "impression": "Consolidation areas and ground glass densities are observed in both lungs. The appearance may be related to the incipient infective process. It is recommended to be evaluated together with clinical findings."}
{"volume_path": "dataset/train_fixed/train_2206/train_2206_a/train_2206_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2206/train_2206_a/train_2206_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2206_a_1.nii.gz", "findings": "Findings of previous coronary by-pass surgery are observed. In the section, no lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla. In the mediastinum, a large number of mediastinal lymph nodes with a short diameter of less than 1 cm, located in the upper and lower paratracheal, paraortic, subcarinal and peribronchial, were observed. Its short diameter was measured 20 mm, the largest of which was subcarinal localization. Heart dimensions and compartments are of normal width. Findings of previous coronary bypass surgery are observed. There is a slight increase in fusiform diameter in the aortic arch, and the diameter of the aorta is 39 mm at its widest point. There is also an increase in fusiform diameter in the thoracic aorta. Its diameter was measured 42 mm at its widest point at the level of the aortic hiatus. There is a pleural effusion reaching a diameter of 24 mm between the right pleural leaves and 12 mm in the left. It is newly developed. In both lungs, there are subsegmental atelectasis areas adjacent to the more prominent effusion on the left. In the previous examination, there were areas of consolidation in the lower lobe basal segments of both lungs and areas of scattered ground-glass infiltration in both lungs history of Covid pneumonia. In the ground glass density, infiltration areas healed with parenchymal sequelae. Linear density increases causing pleuroparenchymal distortion improved with signs of fibrosis and emphysema. Sequela parenchyma findings are milder in the lower lobes, and irregularly circumscribed nodular consolidation areas are observed in the lower lobe of the right lung. These findings may belong to parenchymal findings in the late recovery period. The presence of an ongoing infective process could not be excluded. Correlation with clinical and laboratory is recommended. No mass was detected in the aerated lung parenchyma. Mildly circumscribed, milimetrically sized hypodense lesions in the lateral segment of the left lobe of the liver could not be characterized in this examination. There are nodular lesions in the upper and middle zone of the left kidney, partially cross-sectioned in the middle zone and causing contour lobulation, which cannot be differentiated from solid cystic in this examination. No lytic-destructive space-occupying lesion was detected in bone structures.", "impression": " History of CML and Covid.  In the previous examination, diffuse pneumonic consolidation areas in the lower lobes of both lungs regressed. Residual nodular enhancements may belong to radiological findings in the late recovery period. The presence of an active infectious process could not be ruled out by imaging. Clinical correlation is recommended.  Involvement areas in the upper lobes healed with parenchyma sequelae.  Newly developed bilateral pleural effusion.  Mediastinal stable lymph nodes.  Previous coronary by-pass surgery  Fusiform aneurysmatic increase in diameter in the aorta."}
{"volume_path": "dataset/train_fixed/train_2206/train_2206_b/train_2206_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2206/train_2206_b/train_2206_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2206_b_1.nii.gz", "findings": " Trachea, both main bronchi are open. There is a slight increase in fusiform diameter in the aortic arch. It measures up to 40 mm. An increase in fusiform diameter is observed in the thoracic aorta. It measured 41mm at its widest point. Other mediastinal main vascular structures, heart contour, size are normal. 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. There are areas of consolidation in the basal segments of the lower lobes of both lungs, and scattered areas of subpleural ground glass density infiltration in both lungs. There are linear density increases, fibrous findings, emphysema that cause pleuroparenchymal distortion. Sequela parenchyma findings are less in the lower lobes. But it is being watched. The findings described above were evaluated as parenchymal findings in the late recovery period or the presence of an active infectious process. Follow-up is recommended. In the upper abdominal organs included in the sections, the liver cannot be characterized within the examination limits with a faintly neutral hypodense area in the lateral segment of the left lobe. There are findings in the upper-middle zone of the left kidney, which are considered as a cystic nodular lesion in the first plan, which is partially included in the images. No lytic-destructive space-occupying lesion was detected in the bone structures in the study area.", "impression": " There are radiological findings in the late recovery period or findings consistent with an active infectious process in the case with a known history of Covid. Clinical laboratory correlation and follow-up is recommended.  Decrease in bilateral pleural effusion thickness observed in the previous examination  Mediastinal stable lymph nodes  Post-op changes in the sternum and mediastinum  No significant difference was found in the increase in fusiform aneurysmatic diameter in the ascending and thoracic aorta."}
{"volume_path": "dataset/train_fixed/train_2217/train_2217_a/train_2217_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2217/train_2217_a/train_2217_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2217_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. 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. Lymph nodes with a short axis measuring up to 10 mm in the mediastinum, especially the larger one, were observed in the aorticopulmonary window. When examined in the lung parenchyma window; Mild centrilobular emphysematous changes are observed in both lungs, more prominently in the upper lobes. There are mild atelectasis in the basal segments of the lower lobes of both lungs. A small amount of effusion measuring 30 mm in thickness is observed in the left hemithorax. Consolidated density increase, which is evaluated in favor of atelectasis in the first plan, is observed in the left lung upper lobe inferior lingul. Emphysematous changes are observed on the apical surfaces of both lungs. Due to the current pandemic, clinical laboratory correlation is recommended because of the consolidated appearance, which is initially evaluated in favor of atelectasis in the vicinity of the calcifications described in the left lung upper lobe inferior lingula. Upper abdominal organs are included in the study partially and evaluated as suboptimal. A few millimetric calcific foci are observed in both kidneys. In the hypodense and fluid attenuation measuring 29x24 mm in the right adrenal gland, the finding was initially evaluated in favor of adenoma with calcification in its wall. No lytic-destructive lesion was detected in bone structures.", "impression": " A small amount of 30 mm thick effusion in the left hemithorax.  Atelectasis with calcifications on the wall of both lungs, being more prominent on the left in the lower lobe basal segments.  Calcifications measuring up to 9 mm in thickness in the pleura in the left hemithorax, anteriorly in the area extending from the superior to the inferior.  Lymph nodes with a short axis measuring up to 10 mm in the mediastinum, especially the larger one, were observed in the aorticopulmonary window.  Due to the current pandemic, clinical laboratory correlation is recommended due to the consolidated appearance, which is initially evaluated in favor of atelectasis in the vicinity of the calcifications described in the left lung upper lobe inferior lingula.  In hypodense and fluid attenuation measuring 29x24 mm in the right adrenal gland, the finding was initially evaluated in favor of adenoma with calcification in its wall.  Bilateral millimetric nephrolithiasis.  Atherosclerosis. ?"}
{"volume_path": "dataset/train_fixed/train_2242/train_2242_a/train_2242_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2242/train_2242_a/train_2242_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2242_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. The 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, the diameter of the pulmonary trunk is 35 mm and wider than normal. Minimal pericardial effusion was observed. There is also minimal free effusion in both pleural spaces. It measures 10 mm at its deepest point on the right and 25 mm on the left. No lymph node was detected in pathological size and appearance in the mediastinum. In addition, no lymph nodes in pathological size and appearance were observed in both axillary regions and in the supraclavicular fossa. There are surgical materials secondary to the operation on the mitral valve and aortic valve. Density increase areas consistent with linear atelectasis are observed in both lung lower lobes, right lung middle lobe and upper lobe anterior segment, and left lung lingular segment. No active infiltration or mass lesion was detected in both lungs. There are minimal emphysematous changes in both lungs. In the upper abdominal sections within the image, there are hypodense lesions measuring 14 mm in diameter in segment 8 and 7 of the liver, and the largest in segment 7, as far as can be seen within the borders of non-contrast CT. It has not been clearly characterized within the limits of unenhanced CT. No intraabdominal free fluid, loculated collection was detected. No lytic or destructive lesions were detected in the bone structures within the image. Suture materials secondary to surgery are observed in the sternum.", "impression": "  Stable minimal emphysematous changes in both lungs.  Stable hypodense lesions in segment 8 and segment 7 of the liver in upper abdominal sections within the image; could not be characterized within the limits of non-contrast CT."}
{"volume_path": "dataset/train_fixed/train_2248/train_2248_a/train_2248_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2248/train_2248_a/train_2248_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2248_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. Cardiac pacemaker is observed in the left hemithorax. Cardiac pacemaker electrodes terminate in the right atrium and ventricle. There is minimal pericardial effusion. Atheroma plaques are observed in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Pleural effusion is observed on the right. The pleural effusion measured 47 mm at its thickest point. There is no obvious pleural effusion on the left. There is no pathological wall thickness increase in the esophagus within the sections. Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There are sometimes linear atelectasis in both lungs. A mosaic attenuation pattern was observed in both lungs small airway disease? small vessel disease?. No mass or infiltrative lesion was detected in both lungs. No upper abdominal pathologically enlarged lymph nodes were detected in the sections. There is minimal free fluid in the perihepatic region. Stones were observed in the gallbladder. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries. Pleural effusion on the right. Atelectasis in both lungs. Mosaic attenuation pattern in both lungs.  Cholelithiasis. Perihepatic minimal free fluid."}
{"volume_path": "dataset/train_fixed/train_2252/train_2252_a/train_2252_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2252/train_2252_a/train_2252_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2252_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. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. Minimal pericardial effusion was observed. Pathologically enlarged lymph nodes in the mediastinum and hilar regions were not detected in this examination. Bilateral pleural effusion was observed. The pleural effusion continues to the apex of the lung when the patient is in the supine position. The anteroposterior length of the effusion was measured as 80 mm at its widest point. No pathological increase in wall thickness was detected in the esophagus within the sections. No occlusive pathology was detected in the trachea and both main bronchi. Both lung lower lobes are totally atelectatic. No mass or infiltrative lesion was detected in both ventilated lungs. No upper abdominal free fluid-collection was detected in the sections. There is a hypodense appearance in the spleen, which is evaluated primarily in favor of infarct, without significant mass effect. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Bilateral pleural effusion and total atelectasis in the lower lobes of both lungs"}
{"volume_path": "dataset/train_fixed/train_2270/train_2270_a/train_2270_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2270/train_2270_a/train_2270_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2270_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. There is a secondary appearance of artifact in the air density extending between the thoracic esophagus and the trachea. 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 thickness increases in the area extending from the right upper lobe bronchus superiorly to the inferior distal part of the right lung. Due to the infiltrative character of the parenchyma adjacent to this area, which is known to be a primary mass, its dimensions cannot be measured clearly within the examination limits. In the current examination of peribronchial soft thickness increase, it was measured 24 mm in series 2 image 179 in the proximal part of the right upper lobe bronchus at its widest point. The upper lobe of the right lung has an atelectasis appearance. The smear-like pleural effusion observed in the previous examination is also present in the current examination. Right lung lower lobe at posterobasal level paravertebral, adjacent to the paraaortic area, in series 2 image 282, the nodule, which was observed in a more subtle nature in the current examination, was measured 9 mm. It does not show any significant dimensional difference. In his current examination, subpleural recessions and sequela changes are observed. It does not differ significantly. Diffuse centrilobular and paraseptal emphysematous changes are present in both lungs. Mild peribronchial thickenings are observed around the middle and lower lobe bronchi of the right lung. There are volume losses in the middle and lower lobes. Upper abdominal organs included in the sections are partially included in the study, and a millimetric calcific focus is observed in the left kidney cortical structure. It was evaluated in favor of cortical calcification. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No gross pathology was found in the bone structures included in the study area. Degenerative changes are observed.", "impression": " Lung Ca in follow-up. There is no significant difference of 22 mm in the previous examination.  In the current examination of the posterobasal segment of the right lung, no significant dimensional difference was detected in the 9 mm-sized nodular lesion in serial 2 image 251. It is observed in a fainter nature in the current examination.  No significant difference was observed in other described findings."}
{"volume_path": "dataset/train_fixed/train_2275/train_2275_a/train_2275_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2275/train_2275_a/train_2275_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2275_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Heart size increased. There are diffuse calcific atheroma plaques in the coronary arteries. Other mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Small lymph nodes are observed in the mediastinum. When examined in the lung parenchyma window; There is an effusion measuring 7.5 mm in thickness in the right hemithorax. Atelectasis changes are observed in the upper lobe and middle lobe of the right lung. There are thickenings and mosaic attenuation patterns in the interlobular septa. Peribronchial thickenings and mild bronchiectasis are present in both hilar regions, more prominent on the right. At the level of the anterior medial segment junction of the lower lobe of the right lung, there is an increase in density consistent with the consolidation, which is observed in air bronchogram signs, extending to the vicinity of the fissure. Pleural effusion-thickening was not detected. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. There are diffuse degenerative changes and decrease in density in bone structures.", "impression": " Consolidation area compatible with infectious processes at the level of anterior and medial segments of the lower lobe of the right lung, accompanied by changes secondary to cardiac stasis; clinical laboratory correlation and follow-up is recommended.  Atherosclerotic changes.  Small lymph nodes in the mediastinum.  Diffuse degenerative changes and decrease in density in bone structures."}
{"volume_path": "dataset/train_fixed/train_2310/train_2310_a/train_2310_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2310/train_2310_a/train_2310_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2310_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Although the mediastinum cannot be evaluated optimally due to the lack of contrast, the right pulmonary artery is 30 mm and is ectatic. Calcific atheroma plaques are observed in the aorta and coronary arteries. The heart size has increased. Pleural effusion measuring 55 mm on the right and 43 mm on the left in the bilateral hemithorax and parenchymal atelectasis adjacent to the effusion are observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There are lymph nodes with short axes not exceeding 10 mm in the mediastinum. 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 emphysematous changes in both lungs. In both lungs, bronchovascular structures are evident at the central level, and peribronchial atelectasis 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. Thorocolumbar scoliosis was observed.", "impression": " Aortic and coronary artery atherosclerosis.  Cardiomegaly.  Right pulmonary artery ectasia.  Prominence in central bronchovascular structures.  Bilateral lung emphysema.  Thoracolumbar scoliosis."}
{"volume_path": "dataset/train_fixed/train_2317/train_2317_a/train_2317_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2317/train_2317_a/train_2317_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2317_a_1.nii.gz", "findings": "CTO increased in favor of the heart. Aortic arch calibration was 32 mm, pulmonary trunk calibration 29 mm, right pulmonary artery calibration 24 mm, left pulmonary artery calibration 23 mm. Calibrations of the aortic arch and pulmonary trunk have increased. Both atrium volumes increased. Calcific atheroma plaques are observed in the aortic arch. There is a large hypodense nodule formation in the right lobe of the thyroid gland. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, in the aorticopulmonary window, at the prevascular level, and in the subcarinal area, with the largest measuring approximately 30x17 mm in the subcarinal area. In the non-contrast examination, both hilar levels could not be evaluated optimally. However, at the level of the right hilum, there is a hypodense lesion compatible with the lymph node, measuring approximately 20x12 mm. In both pleural distances, there is a pleural effusion with a thickness of 50 mm on the right and 25 mm on the left, in localizations where it is slightly more prominent on the right. Accompanying atelectatic lung segment is observed on the right. In the evaluation of both lungs in the parenchyma window; There are sequelae changes at the apical level. Appearances consistent with emphysema are observed in the upper zones of both lungs. In the right lung, branches with buds are observed around the sequelae changes in the upper lobe posterior segment and in the area extending caudally. Again, at the anterior segment level, there are bud branches and focal ground-glass-like densities in places. There is peribronchial thickening in the paramediastinal area in the middle lobe of the right lung and an appearance compatible with tubular bronchiectasis in the bronchial calibration. In the lower lobe segments, ground-glass-like density increases are observed adjacent to atelectasis. There are also ground-glass-like density increases in the lower lobe superior segment. In the lower lobe of the left lung, branch bud landscapes, sequelae changes, and accompanying ground glass-like density increments are present. In the evaluation of the sections passing through the upper abdomen; There is a decrease in density consistent with hepatosteatosis in the liver. Mild effusion is observed in both paracolic levels. Mild effusion appearance is observed in the bile bed. It is recommended to be evaluated together with sonography. Both adrenals are natural. The left kidney is atrophic. Lymph nodes are observed at the level of the central mesentery, the largest of which is approximately 17x10 mm in size. Surrounding soft tissue and muscle structures are natural. Degenerative changes are observed in the bone structure.", "impression": "Cardiomegaly, increased calibration in mediastinal main vascular structures and atherosclerosis . Effusion in both pleural distances and accompanying atelectasis on the right . Multiple lymph nodes at the right hilar level in the mediastinum and in the central mesentery . Emphysematous findings in the upper zone of both lungs . Right lung in the middle lobe paramediastinal area Tubular areas of bronchiectasis .Disseminated bud branch views in both lungs, ground glass-style density increments. It is recommended to evaluate the case together with clinical and laboratory findings in terms of infective processes."}
{"volume_path": "dataset/train_fixed/train_2317/train_2317_b/train_2317_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2317/train_2317_b/train_2317_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2317_b_1.nii.gz", "findings": "Trachea, both main bronchi are open. Multiple lymph nodes are observed in the bilateral hilar region and in the mediastinum, the larger ones reaching 23x17 mm. There are lymph nodes in the bilateral axillae, the largest of which is 20x13 mm on the left. Heart size slightly increased. Calcific plaques are present in the aorta and coronary arteries. The ascending aorta and pulmonary arteries are slightly ectatic. Other mediastinal main vascular structures 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. When examined in the lung parenchyma window; There are thickenings of the bronchial wall at the central hilar level. Emphysematous appearance is observed in the upper lobes of the lung. Mild bronchiectasis is observed in the right middle lobe and upper lobe. Bilateral pleural effusion of 39 mm on the right and 17 mm on the left, and mild band atelectasis around the effusion are observed. There are minimal ground glass densities in the areas adjacent to the effusion in the bilateral lower lobes. Slight thickening of the interlobular septa in both lungs, especially in the lower lobe, draws attention. There are millimetric nodules up to 3 mm in size in both lungs. There are budding tree appearances and minimal ground glass densities in the peribronchial areas of both lungs. Focal atrophy is observed in the upper pole of the left kidney entering the cross-sectional area double collecting system?. 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. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are lymph nodes in the mesentery at the supramesocolic level, the size of which reaches 23x20 mm. There are degenerative changes in the vertebrae.", "impression": " Findings in favor of emphysema and chronic bronchi in bilateral lungs. Sequelae changes in the lung.  Bilateral pleural effusion, cardiomegaly and vascular ectasia.  Lymph nodes in the mediastinum and mesentery.  Millimetric nonspecific nodules in bilateral lung.  Minimal peribronchial nodular ground glass densities in the bilateral lung and ground glass densities accompanying bronchial wall thickenings in the lower lobe posteriors. bronchiolitis?, pneumonia? findings not typical for Covid pneumonia."}
{"volume_path": "dataset/train_fixed/train_2317/train_2317_c/train_2317_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2317/train_2317_c/train_2317_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2317_c_1.nii.gz", "findings": "CTO slightly increased in favor of the heart. The ascending aorta is at the maximal physiological limit. The aortic arch calibration is 30 mm and wider than normal. Calibration of other mediastinal major vascular structures is normal. Calcific atheroma plaques are observed in the aortic arch. There are calcific atheroma plaques in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Multiple lymph nodes are observed in the mediastinum, upper-lower paratracheal area, prevascular area, aorticopulmonary window, and subcarinal level. Some are superposed on each other. In both hilar-level non-contrast examinations, no prominent lymph node that can be distinguished from vascular structures was detected. Oval-configured lymph nodes are observed in both axillary loci. When examined in the lung parenchyma window; In both lungs, there is pleural effusion reaching 67 mm on the right and 38 mm on the left in its thickest part. There is an increase in the amount of pleural effusion. In its vicinity, atelectatic lung segments are observed on both sides. Pleuroparenchymal sequelae changes are observed at the apical level, especially on the right. Density decreases in both lungs compatible with emphysema. In the lower lobes of both lungs, there are ground-glass-like density increases at the basal level, thickening of the reticular scars, and peribronchial thickenings. Those compatible with atelectasis-consolidation observed in the fluid neighborhoods in the previous examination became more evident in the current examination. Consolidative parenchyma area extending from the central level to the middle lobe in the right lung has become evident in the current examination. There are ground-glass-like density increases at the level of the upper lobes of both lungs. It was not detected in the previous review. In the case, there are occasional thickening of the interlobular septa and fibroatelectatic densities. Bilateral pleural effusion was not detected. Degenerative changes are observed in the bone structures in the study area. Vertebral corpus heights are preserved.", "impression": " Cardiomegaly, calibration increases and atherosclerotic changes in mediastinal main vascular structures  Significant bilateral pleural effusion on the right, atelectasis-consolidative areas in both lungs.  There are thickenings in the interlobular septa and peribronchial areas accompanying the above findings.  Findings suggest cardiac stasis. However, there are appearances that may be compatible with pneumonic consolidation in places. Clinical and laboratory verification is recommended."}
{"volume_path": "dataset/train_fixed/train_2317/train_2317_d/train_2317_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2317/train_2317_d/train_2317_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2317_d_1.nii.gz", "findings": "There is an area of encephalomalacia sequelae in the right supplementary motor cortex and left superior frontal gyrus. Central and peripheral CSF distances are slightly prominent. No intra-extraaxial acute bleeding was detected. There is effusion in both maxillary sinuses. The air passage in the nasopharynx is narrowed by secretions. Nasogastric tube is observed. Bone defect area is observed at the supraorbital level in the left frontal bone. Leveling effusion is present in both maxillary sinuses, ethmoid cells and sphenoid sinuses. Effusion was observed in the bilateral middle ear cavity.", "impression": " Areas of cerebral sequela encephalomalacia.  No intra-extraaxial acute bleeding was detected.  Maxillary and sphenoidal sinusitis.  Effusion in the middle ear cavity.  The air passage in the nasopharynx is obliterated due to secretions."}
{"volume_path": "dataset/train_fixed/train_2321/train_2321_a/train_2321_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2321/train_2321_a/train_2321_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2321_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. The ascending aorta measures 47 mm and is wider than normal. The descending aorta measures 32 mm. Calcific atheroma plaques are present in the descending aorta, aortic arch, and coronary arteries. Heart sizes are larger than 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; Atelectatic changes and patchy ground-glass densities are observed in the basal segments of both lung lower lobes. There is a small amount of bilateral effusion. There are thickenings of the interlobular septa in the basal segments of 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. A few millimetric calcific foci are observed in the liver parenchyma. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Cortical cyst and calcification are observed in both kidneys. There is a significant decrease in density and osteoporotic appearances in the vertebral corpuscles. Hypertrophic and osteophytic taperings are observed in the anteriors of the end plates.", "impression": "Thickening of the interlobular septa in the basal segments of the lower lobes of both lungs. A small amount of bilateral effusion is observed.  The findings described above in the lung parenchyma were primarily evaluated in favor of secondary to cardiac stasis. Clinical and laboratory correlation is recommended for an infectious process.  Osteopenic, osteoporotic appearance in bone structures, tapering in end plates, bridging tendencies, narrowing of intervertebral disc spaces and distances."}
{"volume_path": "dataset/train_fixed/train_2321/train_2321_b/train_2321_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2321/train_2321_b/train_2321_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2321_b_1.nii.gz", "findings": "Bilateral minimal pleural effusion is observed. The pleural effusion measured approximately 30 mm at its thickest point. There is no pleural thickening. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are sometimes linear atelectasis in both lungs. Minimal interlobular thickening is observed in the lower lobes of both lungs. The described appearance is non-specific. However, when evaluated together with other findings, it was thought to belong to cardiac pathology. Both lungs have a mosaic attenuation pattern small airway disease? small vessel disease?. There are millimetric nodules 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. Pericardial effusion was not detected. The anterior-posterior diameter of the ascending aorta is 47 mm and wider than normal. The diameter of the main pulmonary artery was 35 mm and was wider than normal. There are short lymph nodes less than 1 cm in diameter 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 was detected in the sections. There are stones in the gallbladder. There is widespread low density compatible with osteopenia in the bone structures within the sections. Vertebral corpus heights are normal. There are bridging syndesmophytes at the vertebral corpus corners. The neural foramen is open. It is recommended that the patient be evaluated for ankylosing spondylitis. lytic-", "impression": "Atherosclerotic changes in aorta and coronary arteries, fusiform aneurysmatic dilatation in ascending aorta, increase in pulmonary artery diameters . Bilateral pleural effusion . Mediastinal and hilar lymph nodes . Mosaic attenuation pattern in both lungs . Atelectasis in both lungs.  Nodules in both lungs."}
{"volume_path": "dataset/train_fixed/train_2321/train_2321_c/train_2321_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2321/train_2321_c/train_2321_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2321_c_1.nii.gz", "findings": "Trachea, both main bronchi are open. The thyroid gland has a multinodular appearance. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Emphysema is observed between the pacemaker placed on the anterior chest wall on the left and the subcutaneous adipose tissue and muscle planes related to it. The heart is significantly larger than normal. The aortic arch has an ectatic appearance 47 mm. The pulmonary trunk is ectatic 36 mm. Fluid in the form of smearing is observed in the pericardial space. 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 millimetric nodules in both lungs. An effusion with a diameter of 40 mm in the widest part of the left hemithorax and atelectatic changes are observed adjacent to the effusion, especially in the lower lobe. Mosaic density differences are observed in the left lung parenchyma due to artifacts related to the pacemaker. There are sequelae fibrotic changes in the upper lobe apex of both lungs. Clarification of peribronchovascular structures and thickening of the bronchial walls are observed, especially in the central part. Within the sections, there is a millimetric stone density in the upper pole of the right kidney. There are hypodense lesions of 32 mm in the right kidney, the largest of which is located cortical in the upper pole. A hypodense nodular lesion with suspicious presence of 10x10 mm was observed in the left adrenal gland genus. 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. Diffuse degenerative changes in the vertebrae, loss of osteoporotic densities and anculosant changes in the corpus are observed.", "impression": "Pacemaker and emphysematous changes in the left anterior chest wall, cardiomegaly, aortic and pulmonary trunk ectasia. Atherosclerosis, left pleural effusion.  Millimetric nodules in the lung. Findings in favor of chronic bronchitis.  Right renal cysts.  Right nephrolithiasis.  Left adrenal adenoma?. Bilateral thyroid nodules."}
{"volume_path": "dataset/train_fixed/train_2324/train_2324_a/train_2324_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2324/train_2324_a/train_2324_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2324_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Breast Ca. In the case with a diagnosis of diagnosis, a multiloculated, centrally necrotic soft tissue mass with a diameter of 12 cm was observed in the retroareolar area of the left breast, extending to the inner quadrant of the breast skin, extending to the areola where a distinctively defective appearance is observed on the breast skin, and invading the pectoral structures in the posterior, with extra cutaneous extension. In addition, there are lymphadenopathies evaluated as multiple metastatic in the left axillary region, in the pectoral region, the short axis of the largest reaching 6.5 cm. In addition, lymphadenopathies were observed in the supraclavicular region, prevascular, upper-lower paratracheal aorticopulmonary, and subcarinal localizations in both lower cervical chains included in the examination area. Calibration of thoracic main vascular structures is natural. Heart size increased. Pericardial minimal effusion was observed. When examined in the lung parenchyma window; free pleural effusion with a thickness of 33 mm on the left and 13 mm on the right, and extensive atelectatic changes in the lower lobe of the left lung were observed. In addition, atelectatic changes were observed in the inferior lingular segment of the left lung. Consolidation areas with air bronchogram in the middle lobe and lower lobe of the right lung are noteworthy. Clinical and laboratory correlation and post-treatment control are recommended for the infectious process. Faintly circumscribed parenchymal nodules measuring 5.5 mm in diameter were observed in the upper lobes of both lungs and the middle lobe of the right lung metastasis?. In the upper abdominal sections in the study area; liver parenchyma density has decreased diffusely in line with the fattening. Liver sizes increased. Since the examination is without contrast, the liver parenchyma cannot be evaluated clearly. No lytic-destructive lesion was detected in bone structures.", "impression": " Thickening of the skin of the left breast, extensive defective appearance extending to the parenchyma of the skin in the left intramammary quadrant, large malignant mass lesion in the left breast, left axilla, pectoral, supraclavicular lower cervical, mediastinal and hilar multiple lymphadenopathies, prominent bilateral pleural effusion on the left.  Consolidation areas in the right lung; Clinical and laboratory correlation and post-treatment control in terms of infectious process are recommended. Diffuse atelectatic changes in the left lung.  Hepatomegaly.  Since hepatosteatosis is not contrast-enhanced, the liver parenchyma cannot be evaluated clearly. It is recommended to be evaluated together with contrast-enhanced MR examination.  Faintly circumscribed parenchymal nodules metastasis? in both lungs."}
{"volume_path": "dataset/train_fixed/train_2327/train_2327_b/train_2327_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2327/train_2327_b/train_2327_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2327_b_1.nii.gz", "findings": " Trachea, both main bronchi are open. Pericardial thickening is observed. Pulmonary arteries are observed wider than normal. The aortic arch measures up to 37 mm and is wider than normal. There are calcific atheroma plaques in the aortic arch, ascending aorta, coronary arteries and descending aorta. No significant difference was found in the findings. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes measuring up to 41 mm are observed in both hilar regions, in the mediastinum, in the upper-lower paratracheal area, at the subcarinal level, in the aorticopulmonary window, adjacent to the ascending aorta. No dimensional and numerical differences were detected in the described lymph nodes. When examined in the lung parenchyma window; There is significant regression in the peripherally located, consolidative areas in both lungs, which were commonly observed in the previous examination, and there are mild patchy ground glass densities in the current examination. It was initially evaluated in favor of post-infectious changes, and clinical laboratory correlation is recommended for the continuation of the infectious process. There are diffuse emphysematous changes in both lungs. There are new pleural effusions in both lungs measuring 18 mm thick on the right and 12 mm on the left. In the upper abdominal organs, including sections; A new effusion is observed in the perihepatic area, which was not observed in the previous examination. There is a decrease in density consistent with mild steatosis in the liver parenchyma. Extrarenal pelvis variation is observed in the left 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 are degenerative changes and decrease in density in bone structures.", "impression": " In the first place, they were evaluated as secondary changes to the resolution of infectious processes. Clinical laboratory correlation is recommended for the continuation of infectious processes.  Emphysematous changes, bronchiectasis in both lungs.  Lymph nodes in both hilar regions that do not show more than one dimensional and numerical difference in the mediastinum.  Ectasia in the left collecting system.  No significant difference was found in pericardial thickening."}
{"volume_path": "dataset/train_fixed/train_2331/train_2331_a/train_2331_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2331/train_2331_a/train_2331_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2331_a_1.nii.gz", "findings": "CTO is at the maximal physiological limit. A venous port is observed at the right pectoral level. Its catheter is observed at the level of the right atrium appendix. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed in the case. Although the dimensions of the mediastinum cannot be evaluated clearly in the non-contrast examination, there are lymph nodes in the upper paratracheal area with a more dense appearance and locally confluenced lymph nodes. Lymph node evaluation cannot be performed due to soft tissue densities at the hilar level. When examined in the lung parenchyma window; In both lungs, basally, pleural effusion reaching 15 mm in thickness on the right and 10 mm on the left, and adjacent atelectatic lung segments are observed, but consolidative areas, including air bronchograms, extending from the hilar level to the lower lobes along the peribronchial sheath, towards the lingular segment on the left are observed. There are frosted glass-style density increments with scattered nodular character in places. Thickening is observed in the interlobular septa. There are density increments compatible with sequelae changes in places. A few nodules, the largest of which are 5x3 mm in size, are observed in the upper lobe posterior segment of the right lung. There is a decrease in density consistent with steatosis in the liver entering the cross-sectional area. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Left adrenal is full. The central mesentery is dirty. There are millimeter-sized lymph nodes. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure.", "impression": " CTO is at the maximal physiological limit.  Atelectatic lung segments adjacent to mild effusion in both pleural distances, smooth thickenings in interlobular septa.  Consolidative areas in both lungs starting from the hilar level and extending to the lower lobes, to the left lingular segment.  Concomitant diffuse more focal consolidative parenchyma-ground glass-like density increments above both lungs.  In the case with lymphoma anamnesis, findings may be compatible with pulmonary involvement of lymphoma, but infective processes that may accompany the appearance cannot be excluded; It is recommended to evaluate the case together with clinical and laboratory findings."}
{"volume_path": "dataset/train_fixed/train_2335/train_2335_a/train_2335_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2335/train_2335_a/train_2335_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2335_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. There is a smear-like pericardial effusion. The catheter reaching the superior vena cava is observed. The cardiothoracic index increased in favor of the heart. 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. There is a finding consistent with a moderate amount of effusion in the right hemithorax. When examined in the lung parenchyma window; In the lower lobe basal segments of both lungs, small areas of consolidation are observed in the air bronchogram sign within linear atelectatic changes in the anterior basals of both lung upper lobes. Clinical correlation of findings in terms of lobar pneumonia, laboratory correlation is recommended in terms of differential diagnosis of viral pneumonia due to current epidemic. Upper abdominal organs are partially included in the study and both kidneys are atrophic. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Viral pneumonia? Lobar pneumonia? Clinical laboratory correlation is recommended for the differential diagnosis of the findings described in the lung parenchyma.  There is a small amount of minimal pleural effusion in the right hemithorax and minimal pleural effusion in the left hemithorax, and a smear-like pericardial effusion.  Bilateral atrophic kidneys . Atherosclerosis"}
{"volume_path": "dataset/train_fixed/train_2348/train_2348_a/train_2348_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2348/train_2348_a/train_2348_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2348_a_1.nii.gz", "findings": " On the right, a port extending from the anterior chest wall to the superior vena cava is observed. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Diffuse calcific plaques are present in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Stable lymph nodes reaching 24 mm in diameter at the short axis infracarinal level are seen in the mediastinum. Effusion and atelectasis adjacent to the effusion were observed in the bilateral hemithorax with AP diameters of 19 mm on the right and 73 mm on the left at their widest point. There was no significant difference in effusions, and atelectasis on the right decreased. When examined in the lung parenchyma window; There are decreases in central and peripheral interlobular septal thickenings and ground glass densities in the lung parenchyma. In both lung parenchyma, multiple nodules with irregular borders, the largest of which reach 11 mm in diameter, do not differ significantly metastasis could not be excluded in the patient who was followed up due to gastric Ca. Perihepatic, perisplenic free fluid is present in the upper abdominal organs included in the sections, and diffuse conglomerated lymphadenopathies are seen at the paraceliac level. Bone structures in the study area are degenerative.", "impression": " Bilateral pleural effusions that do not show significant differences in the patient followed up due to gastric Ca. Decrease in atelectasis on the right  Decrease in infiltrates in both lung parenchyma  Multiple irregularly circumscribed nodules that did not differ significantly in both lung parenchyma metastasis could not be excluded  Multiple LAPs at paracelia level in mediastinum and upper abdominal sections  Perihepatic, perisplenic free fluid"}
{"volume_path": "dataset/train_fixed/train_2366/train_2366_a/train_2366_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2366/train_2366_a/train_2366_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2366_a_1.nii.gz", "findings": "Although the examination could not be performed optimally in the non-contrast examination, the trachea and both main bronchi were slightly deviated to the right and no obstructive pathology was observed in the lumen. Leveling is observed in the distal tracheal lumen. The right main bronchus is narrowed. The left upper bronchus is obliterated. Calibrations of mediastinal major vascular structures are natural. heart size slightly increased. An effusion measuring 2.3 cm in its thickest part is observed at the superior level in the pericardial space. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Prevascular bilateral paratracheal subcarinal aortopulmonary lymphadenopathies reaching pathological dimensions with a larger size of 22x16 mm were observed. When examined in the lung parenchyma window; In the left lung, a mass lesion without fatty planes between the mediastinum and mediastinum is observed in the central part, and the lung has an atelectasis appearance in the distal part. The soft tissue mass, which cannot be differentiated from mass-+atelectasis, is observed as a consolidation area that completely fills the lobe. Multiple metastatic nodules, 27x25 mm in size, were observed in the basal segment of the left lung lower lobe and the right lung, the largest of which was at the junction of the anterior-posterior segment of the right lung upper lobe. A band atelectatic change is observed in the basal segment of the lower lobe of the left lung. No right pleural effusion was detected. Effusion reaching 11 mm thickness is observed in the left pleural space. Liver, spleen, right adrenal gland, both kidneys and pancreas are normal, as can be seen on contrasted sections. thickening is observed in the left adrenal gland corpus. At the thoracic level, right-facing scoliosis is observed. Thoracic kyphosis is increased. Vertebral corpus heights are normal.", "impression": "Cardiomegaly, pericardial effusion, mediastinal lymphadenopathies.  Atelectasis+mass complex in which the fatty planes between the right lung and the mediastinum are erased in the central part and the lung parenchyma collapses in the distal part . Multiple metastatic nodules in both lungs, the largest at the border of the anterior-posterior segment of the right lung upper lobe.  Left pleural effusion."}
{"volume_path": "dataset/train_fixed/train_2367/train_2367_a/train_2367_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2367/train_2367_a/train_2367_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2367_a_1.nii.gz", "findings": "It is suboptimal due to motion artifacts. The left thyroid lobe is larger than normal and nodular in appearance. Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. Calcific atheroma plaques were observed in the main vascular structures. There is global enlargement of the cardiac cavities. The ascending aorta is wider than normal at 4.2 cm. Pulmonary arteries were observed as dilated. Esophagus is within normal limits. Minimal pleural effusion was observed on the right and 2.5 cm thick on the left. In the evaluation of both lung parenchyma; There are fibrotic changes at the apex of both lungs. Paraseptal emphysema appearances were observed in both lungs. In the right lung lower lobe superior segment and left lung upper lobe posterior segment, there is a consolidation appearance including bronchial dilatations in the hilar neighborhood, pneumonic infiltration? In bilateral lungs, appearances of multiple nodules were observed, the largest of which was a pleural-based nodule with a diameter of 15 mm in the posterobasal segment of the lower lobe of the right lung. Some nodules are purely calcified. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. A 2.7 cm cyst is observed in the 5th segment of the liver. A millimetric calyx stone is observed in the upper pole of the right kidney. There are degenerative changes in bone structures.", "impression": "Viral pneumonia? Views include possible findings for COVID. nodular goiter Organizing pneumonias and connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."}
{"volume_path": "dataset/train_fixed/train_2384/train_2384_a/train_2384_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2384/train_2384_a/train_2384_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2384_a_1.nii.gz", "findings": "CTO increased in favor of the heart. Pericardial thickening-effusion appearance is present. The pulmonary trunk calibration was 33 mm, the right pulmonary artery was 27 mm, and the left pulmonary artery was 26 mm, and it was observed to be slightly wider than normal. The aortic arch calibration is 29 mm. There are calcific atheroma plaques in the coronary arteries in the descending and ascending aorta of the aortic arch and its main branches. Calcific atheroma plaque is observed in the mitral valve. Lymph nodes are observed in the mediastinum, the largest of which is in the right lower paratracheal area and approximately 10 mm in size. No lymph node with pathological size and configuration was detected at the hilar level. When examined in the lung parenchyma window; there are pleuroparenchymal density increases in the middle lobe on the right. Examination has intense motion artefacts. Therefore, it is suboptimal. However, mild bronchiectasis and thickening of the peribronchial sheath are observed in the right lung lower lobe superior segment and left lung lower lobe segments. There is minimal smear-like effusion in 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. A parapelvic cyst is observed in the middle part of the left kidney. Degenerative changes are observed in the bone structures in the study area. In the dorsal region, left-facing scoliosis is observed.", "impression": "The examination is suboptimal due to artifacts.  Cardiomegaly, increased calibration in mediastinal main vascular structures, pericardial thickening-effusion, atheroscleroric changes . There was no obvious pneumonia appearance in the case. Mild bronchiectasis and sequelae changes were detected in the lower lobes of both lungs."}
{"volume_path": "dataset/train_fixed/train_2384/train_2384_b/train_2384_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2384/train_2384_b/train_2384_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2384_b_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; Heart size increased. Diffuse calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the 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; Subsegmental atelectasis areas were observed in the lower lobes of both lungs. Between the bilateral pleural leaves, a free pleural effusion with a thickness of 21 mm on the right and 12 mm on the left was observed. Upper abdominal sections entering the examination area are natural. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta. 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": "Examination due to motion artifacts is suboptimal. Cardiomegal, calcific atherosclerotic changes in thoracic aorta and coronary artery wall, pericardial effusion.  Pleural effusion and atelectatic changes in the lower lobes in both lungs increasing from previous examination."}
{"volume_path": "dataset/train_fixed/train_2492/train_2492_c/train_2492_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2492/train_2492_c/train_2492_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2492_c_1.nii.gz", "findings": " Tracheostomy and tracheostomy cannula are available. 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 observed: mediastinal main vascular structures, heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A nasogastric tube extending from the esophagus to the stomach was observed. There are lymph nodes in the mediastinum with short axes measuring less than 1 cm. no lymph node was observed in pathological size and appearance. When examined in the lung parenchyma window; Multiple metastatic nodules were observed in both lungs. The largest of the nodules was measured in the upper lobe of the right lung with a diameter of 11 mm. In his previous examination, there was a consolidation area in the basal segment of the lower lobe of the right lung. In the current examination, multisegmental consolidation areas were observed in both lungs, and the consolidation areas appear progressive in the current examination. It was evaluated in favor of pneumonic infiltration. There are segmental-subsegmental peribronchial thickenings in both lungs. Surgical suture materials were observed secondary to the operation in the left lung lower lobe basal segment. Effusion reaching 28 mm in thickness was observed in the left hemithorax. It is also present in the previous examination. No significant difference was detected. No effusion was observed on the right. Multiple metastatic mass lesions were observed in both lobes of the liver. Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion in favor of metastasis was observed in bone structures.", "impression": " Left stable pleural effusion.  Stable multiple metastatic nodules in both lungs.  Multiple metastases in both lobes of the liver."}
{"volume_path": "dataset/train_fixed/train_2513/train_2513_a/train_2513_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2513/train_2513_a/train_2513_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2513_a_1.nii.gz", "findings": "On the right, a catheter inserted through the jugular vein and ending in the superior vena cava is observed. Trachea, both main bronchi are open. The heart size has increased. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial thickening was not observed. Effusion reaching 14 mm in diameter is observed in the pericardial area. 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; Effusions of 30 mm on the right and 35 mm on the left and atelectasis adjacent to the effusion are observed in the bilateral pleural space. Peribronchial patched ground glass densities and mosaic density differences are observed in both lung parenchyma, more prominently in the upper lobe on the right. There are thickenings in the interlobular septa. Nodules with a diameter of 5 mm were observed in the right lung, the largest of which was in the anterior lower lobe. Upper abdominal sections show percutaneously inserted nephrostomy catheters in both kidneys. Bone structures are degenerative.", "impression": " Cardiomegaly.  Pericardial and bilateral pleural effusion.  Findings in favor of pulmonary edema in both lungs.  Millimetric nodules in the right lung."}
{"volume_path": "dataset/train_fixed/train_2554/train_2554_a/train_2554_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2554/train_2554_a/train_2554_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2554_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are consolidations with air bronchograms in the left lung upper lobe ligular segment and lower lobe basal segments. Volume loss was observed in this localization. Therefore, these appearances were thought to be passive atelectasis. There are also linear atelectasis in the lower lobe of the right lung. There is minimal pleural effusion on the left. No pleural effusion was detected on the right. There was no appearance that could be evaluated in favor of a mass or pneumonic infiltration 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 detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. An increase in density and minimal fluid consistent with edema-inflammation in the peripancreatic region were observed. There is thickening of the anterior pararenal fascia on the left. Pancreatic tail section has edematous appearance. It was learned that the patient was followed up for pancreatitis, and the described findings are consistent with pancreatitis. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Pancreatitis in follow-up  Findings evaluated in favor of atelectasis in both lungs  Minimal pleural effusion on the left"}
{"volume_path": "dataset/train_fixed/train_2557/train_2557_a/train_2557_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2557/train_2557_a/train_2557_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2557_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. Heart contour, size is normal. Multiple lymphadenopathies measuring 28x18 mm in size were observed in the bilateral supraclavicular region, the largest on the left, and were initially evaluated in favor of metastasis. Apart from this, metastatic lymphadenopathies were observed in the right upper paratracheal area and in the left parasternal region, the short axis of the largest being 10 mm. A mass lesion of approximately 35x30 mm in size with irregular contours was observed in the left breast outer quadrant. A few lymphadenopathies were observed in the left axillary region, the largest of which was 13 mm in the short axis. Again, at the level of the left axillary tail, there is a 24x15 mm mass lesion with irregular borders. There is prominent bilateral pleural effusion on the left. The diameter of the ascending aorta is 40 mm and shows dilatation. The diameter of the main pulmonary artery was 32 mm and it shows dilatation. Calcified atherosclerotic changes were observed in the thoracic aorta and its wall. There is an effusion measuring 1 cm in the widest part of the pericardium. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits. A parenchymal nodule with a diameter of 6 mm, evaluated in favor of metastasis with irregular borders, was observed in the apical left lung. In addition, millimetric nonspecific parenchymal nodules were observed in both lungs. There are extensive atelectatic changes in the lower lobe of the left lung. Emphysematous changes are present in both lungs. In the upper abdominal sections in the examination area, a soft tissue lesion with a round configuration of 14 mm in diameter was observed in the left adrenal gland. There are calcified atherosclerotic changes in the wall of the abdominal aorta. There are lymph nodes measuring 10 mm on the short axis of the largest in the paraaortic and paracaval area. Heterogeneous density increases were observed in all vertebrae in the bone structures within the study area, consistent with multiple metastases causing pathological fractures in both scapulae, sternum, ribs, multiple levels, right 5-6 and 8th rib lateral.", "impression": "Malignant mass lesions in the left breast, left axillary lymph nodes. Mediastinal, intra-abdominal lymphadenopathies in both supraclavicular regions. Significant bilateral pleural effusion on the left. Diffuse atelectatic changes in the left lung.  Faintly circumscribed parenchymal nodule evaluated in favor of metastasis in the left lung. Soft tissue lesion evaluated in favor of metastasis adjacent to the left adrenal gland. Metastatic lesions at multiple levels in bone structures within the study area and pathological fractures in the ribs described on the right."}
{"volume_path": "dataset/train_fixed/train_2558/train_2558_a/train_2558_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2558/train_2558_a/train_2558_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2558_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. Small hiatal hernia is observed. There are several short axis nodules measuring 5 mm in the mediastinum. When examined in the lung parenchyma window; Several nodules measuring up to 5 mm are observed in the right lung middle lobe, subpleural in serial 2 image 165, and in the left lung lower lobe, superior-posterior lateral, subpleural in series 2 image 186. There are smear-like effusions, mild atelectasis and patchy ground-glass densities in the basal segments of both lung lower lobes. A nodular density of 8 mm is observed adjacent to the esophagogastric junction. 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. Diffuse density reduction in bone structures and hypertrophic-osteophytic tapering in anterior end plates are present.", "impression": " Findings described in the lower lobe basal segment of the lung parenchyma are recommended for clinical laboratory correlation follow-up in terms of early-stage suspected infectious process.  Nodular density of 8 mm is observed adjacent to the esophagogastric junction.  Atelectatic changes in the basal segments of the lower lobes of both lungs.  Bilateral minimal smear-like effusion.  Several subpleural nonspecific nodules in both lungs.  Degenerative changes in bone structures."}
{"volume_path": "dataset/train_fixed/train_2563/train_2563_a/train_2563_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2563/train_2563_a/train_2563_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2563_a_1.nii.gz", "findings": "Trachea, 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 seen; The diameter of the ascending aorta is 67 mm and shows aneurysmatic dilatation. The diameter of the aortic arch was 40 mm and the diameter of the descending aorta was 43 mm. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart size increased  cardiomegaly. Pericardial thickening-effusion was not detected. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. Lymph nodes measuring 15x13 mm in size are observed in the upper-lower paratracheal, precarinal subcarinal prevascular and aorticopulmonary window. In addition, 30x19 mm lymphadenomegaly is present in the right inferior cervical chain entering the examination area. The diameter of the main pulmonary artery was 37 mm and it shows dilatation. When examined in the lung parenchyma window; Prominence of interlobular septa are observed in the lower lobes of both lungs secondary to cardiac pathology?. Ground-glass-like density increases in the bilateral lower lobes of the lung are noteworthy. Pleuroparenchymal sequelae density increases are observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. An air cyst with a diameter of 7 mm is observed in the anterior segment of the upper lobe of the right lung. A few millimetric nonspecific pulmonary nodules are observed in both lung parenchyma. Centri acinar opacities are observed in the lower lobes of both lungs. Minimal pleural effusion is observed between the pleural effusions on the right, with a thickness of 8 mm and a thickness of 6 mm on the left. Contours of the liver show lobulation in the upper abdominal sections in the study area. In the liver, several hypodense lesions are observed in different localizations, the largest of which is 30 mm in diameter at the level of the left lobe segment 4B. It cannot be characterized in this examination. 12 mm diameter calculi is observed in the middle zone of the left kidney. Bilateral cortical cysts measuring 50 mm in diameter are observed in both kidneys, the largest on the left. Diffuse calcific atherosclerotic changes are observed in the wall of the abdominal aorta. A large schmorl nodule causing height loss is observed in the upper end plate of the L1 vertebra. Mild scoliosis with left opening is observed in the thoracic vertebrae. No lytic-destructive lesion was detected in bone structures.", "impression": "Aneurysmatic dilatation of the ascending aorta, dilatation of the pulmonary artery. Cardiomegaly.  Right inferior cervical chain and mediastinal lymph nodes. Sequelae changes in both lungs, nonspecific pulmonary nodules of millimeter size.  Ground-glass-like density increases in both lungs, interlobular septal thickening secondary to cardiac pathology?. Bilateral renal cysts.  Left nephrolithiasis. Hypodense lesions in the liver that cannot be characterized on this examination. Bilateral minimal pleural effusion."}
{"volume_path": "dataset/train_fixed/train_2571/train_2571_a/train_2571_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2571/train_2571_a/train_2571_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2571_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. 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 is no pleural thickening. There are linear atelectasis in the upper and lower lobes of the right lung. 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. Pericardial effusion was not detected. Atheroma plaques are observed in the aorta and coronary arteries. The anterior-posterior diameter of the ascending aorta is 40 mm and wider than normal. The diameters of the aortic arch and descending aorta are normal. Pulmonary artery diameter was 30 mm and wider than normal. Aberrant right subclavian artery is observed. 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. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. There are stones in the gallbladder. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are narrowed. There are osteophytes in the vertebral corpus corners. There are degenerative hyperetrophic changes in the facet joints. The neural foramina are narrowed.", "impression": "Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries, increased pulmonary artery diameters. Minimal pleural effusion on the right. Atelectasis in both lungs, more prominent on the right. Minimal emphysematous changes in both lungs.  Cholelithiasis. Thoracic spondylosis."}
{"volume_path": "dataset/train_fixed/train_2572/train_2572_a/train_2572_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2572/train_2572_a/train_2572_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2572_a_1.nii.gz", "findings": "CTO is at the maximal physiological limit. Pericardial effusion is observed. Right atrium and right ventricle are prominent. Pulmonary trunk calibration is 31 mm. It is wider than normal. Right pulmonary artery calibration is 29 mm. It is wider than normal. Left pulmonary artery calibration is 29 mm. It is wider than normal. Calibration of the ascending and descending aorta is normal. The aortic arch calibration is 33 mm. It is wider than normal. In the aortic arch, descending aorta, at the level of the aortic root, the aortic arch calibration is 34 mm in the coronary arteries. It is wider than normal. Coarse calcification is observed in the left lobe of the thyroid gland. There are lymph nodes in the mediastinum, in the upper-lower paratracheal area, and in the prevascular area, and the short axis is approximately 9 mm in size, the largest in the lower paratracheal area. There is also a lymph node with a short axis of approximately 8 mm in the subcarinal area. No pathological size and configuration of lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. In both lungs, there is a pleural effusion reaching 47 mm on the right and 8 mm on the left in the thickest part of the area extending from the lower zone to the middle lobe level. A mosaic attenuation pattern is observed in both lungs small airway disease?, small vessel disease?. There are thickenings in the interlobular septa and fissures in both lungs. Focal consolidative parenchyma areas are observed at the posterobasal level, adjacent to the major fissure in the right lung, and at the posterobasal level in the left lung. It is recommended to evaluate the case in terms of cardiac stasis. A nodule of approximately 6x3.5 mm, which was not observed in the previous examination, is observed in the upper lobe anterior segment caudal to the right lung. There are 2 peripheral nodules in the middle lobe of the right lung, the largest of which is 3 mm in size, which was not observed in previous examinations. There is a 4 mm diameter nodule in the upper lobe apicoposterior segment of the left lung, which was not observed in the previous examination. In the anterior segment of the left lung upper lobe, there is a 4 mm diameter nodule with subpleural previous examination. In the apicoposterior segment of the left lung, there are 2 adjacent nodules, the largest of which is 6x4 mm in size, and they were not detected in the previous examination. There is an 8x5 mm nodule in the left lung apicoposterior segment caudal, which was not observed in the previous examination. No bilateral pleural effusion or pneumothorax was detected. A well-circumscribed nonspecific, hypodense nonspecific lesion measuring approximately 14x7 mm is observed in the anterior subcapsular area in the lateral segment of the left lobe of the liver. There are postoperative density increases in the gallbladder bed. There is a nodular lesion in the right adrenal lodge, measuring approximately 30x23 mm and giving approximately 0--9 HU density values. It was initially evaluated as compatible with adenoma. Fatty planes around the head of the pancreas are slightly soiled. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Dorsal kyphosis is evident.", "impression": " Cardiomegaly, pericardial effusion, increased caliber of mediastinal main vascular structures, mosaic attenuation pattern, thickening of interlobular septa, and bilateral pleural effusion; It is recommended that the case be evaluated together with the clinic in terms of cardiac stasis.  Millimetric sized nodular appearances in both lungs that were not observed in the previous examination.  Stable hypodense lesion in the right adrenal; It was evaluated in favor of adenoma in the first plan.  Cholestectomized, slight contamination of the mesenteric planes around the head of the pancreas; It is recommended to be evaluated together with clinical and laboratory findings.  Intense degenerative changes in bone structure, atherosclerosis."}
{"volume_path": "dataset/train_fixed/train_2575/train_2575_a/train_2575_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2575/train_2575_a/train_2575_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2575_a_1.nii.gz", "findings": "Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. A spiculated contoured mass with an anterior-posterior and transverse diameter of approximately 30x25mm is observed in its widest part series 2, section 206 in the lingular segment of the left lung upper lobe. Apart from this, no mass was detected in both lungs. There are millimetric nonspecific nodules in both lungs. Ground glass areas are observed in the posterobasal segment of both lung lower lobes, more prominently on the left. The views described are not specific. However, it was thought that it may belong to infective pathology. Bilateral minimal pleural effusion and minimal atelectasis are observed in the lower lobes of both lungs adjacent to the pleural effusion. There are minimal emphysematous changes in both lungs. Minimal pleuroparenchymal sequelae changes are observed in both lung apex. 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. Calcific atheroma plaques are observed in the aorta and coronary arteries. The anterior-posterior diameter of the ascending aorta is 38mm and is ectatic. The diameters of the pulmonary arteries are normal. There are lymph nodes in prevascular, paratracheal, subcarinal and both hilar regions. The largest of the described lymph nodes is observed in the prevascular region and measures approximately 13x10mm. There is no pathological wall thickness increase in the esophagus within the sections. Cardiac pacemarker is observed in the left hemithorax. No upper abdominal free fluid-collection was detected within the sections. There are hypodense and minimally hyperdense lesions in both kidneys within the sections that cannot be characterized because contrast agent is not given. It is recommended to be evaluated together with previous examinations, if any. Apart from these, no mass with distinguishable borders was detected in the upper abdominal organs within the sections, as far as it can be observed within the borders of non-contrast CT. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Spiculated contoured mass in upper lobe of left lung. Ground-glass areas in both lung lower lobes evaluated primarily in favor of infective pathology. Bilateral pleural effusion. Emphysematous changes in both lungs. Pleuroparenchymal sequelae changes in both lung apexes. Millimetric nonspecific nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries. Mediastinal and hilar lymph nodes.  Lesions in both kidneys that cannot be characterized on this examination."}
{"volume_path": "dataset/train_fixed/train_2585/train_2585_a/train_2585_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2585/train_2585_a/train_2585_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2585_a_1.nii.gz", "findings": "Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: It is understood that the patient underwent coronary bypass surgery. Median sternotomy is observed. No differentiation was detected in the sternotomy localization. As far as can be observed in this examination, the surgical materials appear normal. No collection was detected in the presternal and retrosternal regions. Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. Widespread atheroma plaques are observed in the coronary arteries. Pericardial effusion is observed. Pericardial effusion measured 14 mm at its thickest point. The effusion is minimally hyperdense and there is minimal thickening of the pericardium. It is recommended that the patient be evaluated for pericarditis. Pleural effusion is observed on the left. The pleural effusion was measured approximately 5.5 cm at its thickest point, adjacent to the lower lobe of the lung. There is atelectasis in the lower lobe of the left lung adjacent to the effusion. There is no pleural thickening. Trachea and both main bronchi are normal. There is no obstructive pathology in the trachea and both main bronchi. Apart from the lower lobe of the left lung, there are occasional atelectasis in both lungs. There are emphysematous changes in both lungs. A few millimetric nonspecific nodules were observed in both lungs. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. 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": "Pericardial effusion, thickening of the pericardium evaluation for pericarditis is recommended . Pleural effusion on the left . Atelectasis in both lungs . Emphysematous changes in both lungs . Millimetric nodules in both lungs"}
{"volume_path": "dataset/train_fixed/train_2599/train_2599_a/train_2599_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2599/train_2599_a/train_2599_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2599_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. 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. An increase in the size of the left thyroid gland is observed and there is an appearance of heterogeneous density; Evaluation with USG examination is recommended. The ascending aortic diameter increased by 42mm and the descending aortic diameter by 32mm. Calcified atheroma plaques are observed on the wall of mediastinal vascular structures. Pericardial effusion and effusion up to 35 millimeters on the right in the deepest part of the bilateral pleural space are observed. Active infiltration or mass lesion is detected in both lung parenchyma, there are sequelae changes. No lytic or destructive lesions are observed in bone structures, and there are widespread degenerative changes.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_2610/train_2610_a/train_2610_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2610/train_2610_a/train_2610_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2610_a_1.nii.gz", "findings": "Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. Pleural effusion that completely fills the right hemithorax is observed and there are compression atelectasis in the accompanying lung parenchyma. The right lung parenchyma can be minimally selected at the level of the lung hilum, and peribronchial thickness increases and nonspecific densities are observed in this lung parenchyma, which can also be selected in this area. The heart and mediastinal structures are deviated to the left. Trachea and esophagus are deviated to the left. Heart size and contours are normal. Pericardial effusion was not observed. No pleural effusion was observed in the left lung. No mass was detected in the left lung parenchyma. Mosaic attenuation pattern is observed in the left lung parenchyma. The upper abdominal organs included in the examination are in normal appearance. The skin-subcutaneous structures and breast parenchyma in both breasts are normal within the limits of the non-contrast examination. No fractures or lytic-destructive lesions were detected in the bones included in the examination.", "impression": " Pleural effusion completely filling the right lung, significant decrease in right lung aeration, atelectasis lung segments at the level of the right lung hilus  minimally aerated lung parenchyma at the level of the right lung hilus, and nonspecific densities are observed here. The heart and mediastinal structures are deviated to the left secondary to the effusion.  Mosaic lung pattern is observed in the left lung parenchyma."}
{"volume_path": "dataset/train_fixed/train_2613/train_2613_a/train_2613_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2613/train_2613_a/train_2613_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2613_a_1.nii.gz", "findings": " Trachea and 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 45 mm and shows fusiform. No dilatation was detected in the pulmonary artery. Heart contour size is natural. Pericardial effusion was observed. In the supra-infraclavicular localization, lymph nodes measuring 11 mm in the short axis of the largest were observed. Multiple LAPs were observed in the bilateral upper-lower paratracheal area, in the subcarinal localization, in the prevascular area, between the anterior pericardial fatty planes, showing conglomeration and slightly narrowing in the middle part of the trachea. There are also lymph nodes with a short axis smaller than 1 cm in the right hilar region. In the left hilar localization, there is a mass lesion extending into the main bronchus obliterating the left main bronchus and its segmental branches, extending towards the bronchi in the lower lobes and anteriorly along the paramediastinal area. At the distal of the described mass, areas of atelectasis-consolidation and density increases in the form of ground glass were observed. In addition, nodular consolidation area of 11 mm and 8 mm in diameter adjacent to each other was observed in the upper lobe of the left lung. It just appeared in the current review. Atelectasis changes were observed in the middle lobe and lower lobe of the right lung. Bilateral peribronchial thickenings were observed. According to the previous examination, a stable pulmonary nodule with a diameter of 6 mm was observed in the superior segment of the right lung lower lobe. A minimal pleural effusion measuring 1 cm at its thickest point is observed between the pleural leaves on the right. In the upper abdominal sections included in the sections, a hypodense cyst of 10 cm in diameter was observed in the left kidney. A cortical cyst of 29 mm in diameter was also observed in the upper pole of the right kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Gallbladder was not observed cholestectomized. No lytic-destructive lesion was detected in the bone structures included in the study area.", "impression": "Infiltrative mass lesion extending to the left main bronchus and lower lobe bronchus in the left hilar region, mediastinal LAPs . Two areas of nodular consolidation in the left lung are newly revealed on current examination.  Bilateral renal hypodense lesion cyst.  Stable pulmonary nodule in the upper lobe of the right lung."}
{"volume_path": "dataset/train_fixed/train_2619/train_2619_a/train_2619_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2619/train_2619_a/train_2619_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2619_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. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. 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. In the mediastinal upper-horse paratracheal, subcarinal and carinal localizations, slightly hyperdense lymph nodes measuring 12 mm on the short axis of the largest were observed. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. A mosaic attenuation pattern was observed in both lungs small airway disease?, small vessel disease?. A free pleural effusion measuring 8 cm in thickness is observed between the pleural leaves on the right. There are atelectatic changes in the lower lobe and middle lobe of the right lung. There are also fibroatelectasis changes in the inferior lingular segment of the left lung. No nodules were detected in both lungs. In the upper abdominal sections in the study area; Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Free fluid was observed in the perihepatic and perisplenic area. The gallbladder was not observed. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.", "impression": " Mosaic attenuation pattern in both lungs small airway disease?, small vessel disease?.  Emphysematous changes in both lungs.  Atelectatic changes in both lungs.  Large pleural effusion on the right.  Atherosclerotic changes.  Mediastinal slightly hyperdense multiple lymph nodes.  Free fluid in the abdomen.  Cholecystectomy.  Degenerative changes in bone structures."}
{"volume_path": "dataset/train_fixed/train_2632/train_2632_a/train_2632_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2632/train_2632_a/train_2632_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2632_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are bilateral minimal pleural effusion, more prominent on the left, and linear atelectasis in both lungs adjacent to the pleural effusion. Linear atelectasis were also observed in other parts of the lung. There are minimal emphysematous changes in both lungs. Millimetric nonspecific nodules 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 seen: Central venous catheter is seen on the right. The catheter terminates at the superior distal portion of the vena cava. Heart contour and size are normal. There is minimal pericardial effusion. Atheroma plaques were observed in the aorta and coronary arteries. 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. 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": " Bilateral minimal pleural effusion  Atelectasis in both lungs  Minimal emphysematous changes in both lungs  Atherosclerotic changes in the aorta and coronary arteries"}
{"volume_path": "dataset/train_fixed/train_2634/train_2634_a/train_2634_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2634/train_2634_a/train_2634_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2634_a_1.nii.gz", "findings": " Bilateral gynecomastia was observed. 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 observed: mediastinal main vascular structures, heart contour, size is normal. Effusion reaching 6 mm thickness was observed in the pericardial space. In the previous examination, it was measured 11 mm at its thickest point and decreased. 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; An effusion measuring 20 mm in the deepest part on the right and 34 mm in the deepest part on the left was observed between the pleural leaves in both hemithorax. In the previous examination, it was measured 20 mm and 37 mm, respectively, and decreased minimally. Passive atelectatic changes were observed in the right lung lower lobe basal. The consolidation area, in which air bronchograms are observed, is observed in the right lung lower lobe basal. It was evaluated in favor of pneumonic infiltration. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. No mass lesion with distinguishable borders was detected in the lung parenchyma. Millimetric stones were observed in the gallbladder lumen as far as can be observed within the sections. Other upper abdominal organs included in the sections are normal. Schmorl nodules were observed in the central end plates of the thoracic vertebrae.", "impression": " Bilateral gynecomastia.  Millimetric sized nonspecific parenchymal nodules in both lungs.  Cholelithiasis.  Degenerative Schmorl nodules in the thoracic vertebrae."}
{"volume_path": "dataset/train_fixed/train_2643/train_2643_a/train_2643_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2643/train_2643_a/train_2643_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2643_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Due to the lack of contrast, mediastinal vascular structures and heart could not be evaluated optimally. The ascending aorta is wider than normal, with an AP diameter of 45 mm. There are calcified atheroma plaques in the wall of the aortic arch. Minimal effusion is observed in the pericardial area. It was measured as approximately 9 mm, adjacent to the ventricle at its deepest point. There is an effusion measuring 20 mm at its deepest point in the right pleural area and 12 mm at its deepest point in the left pleural area. An increase in the cardiothoracic ratio in favor of the heart is observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No pathologically enlarged lymph nodes were detected in mediastinal lymph node stations and bilateral hilus level. When examined in the lung parenchyma window; There are areas of increase in density in the lateral segment and lower lobe of the right lung middle lobe, and in the mediobasal and posterobasal segments of the left lung lower lobe, which are consistent with the consolidation observed in air bronchograms. Infectious pathologies are considered in the etiology, and post-treatment control is recommended. No solid mass was detected in the upper abdominal organs included in the sections, within the borders of unenhanced CT. 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": "Ascending aorta AP diameter is wider than normal, increased cardiothoracic ratio in favor of the heart, pericardial, bilateral pleural effusion. Density compatible with consolidation in both lung parenchyma, right lung middle lobe lateral and lower lobe, left lung lower lobe mediobasal and posterobasal segments in air bronchograms increase areas."}
{"volume_path": "dataset/train_fixed/train_2650/train_2650_a/train_2650_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2650/train_2650_a/train_2650_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2650_a_1.nii.gz", "findings": " A catheter extending from the right internal jugular vein to the superior-right atrium junction of the vena cava was observed. Although the mediastinal could not be evaluated optimally in the non-contrast examination, no obstructive pathology was observed in the trachea and lumen of both main bronchi. Heart sizes are slightly increased, more prominent on the left. Pericardial effusion-thickening was not observed. Diffuse atheroma plaques were observed in the coronary arteries, thoracic and abdominal aorta. Thoracic aorta diameter is normal. The diameters of the pulmonary trunk and right-left pulmonary arteries increased by 31 mm, 24 mm, and 26 mm, respectively. Clinical evaluation for pulmonary hypertension is recommended. Thoracic esophageal 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; Atelectasis+consolidation areas, in which air bronchograms are observed, are observed starting from the distal right intermediar bronchus, continuing around the middle and lower lobe bronchi and narrowing the bronchi. In the right pleural space, a smear-like effusion extending in the major fissure is observed. Peribronchial wall thickness increases are observed at all levels in the right lung. Interlobular septal thickening was observed in the right lung. At the level of the anterior-posterior segment junction of the upper lobe of the right lung, subpleural nodules are observed in the lower lobe superior segment infective?. As far as can be observed in non-contrast examinations; liver, gall bladder, spleen, pancreas, both adrenal glands are natural. No stones were observed in both kidneys within the sections. At the thoracic level, left-facing scoliosis was observed. Diffuse degenerative changes were observed in the vertebrae. There is corpuscular hemangioma in T8 vertebra. Compression fracture in T12 and L1 vertebrae and postoperative hyperdense material at corpus level were observed.", "impression": "Catheter inserted through the right internal jugular vein. However, he perseveres. Other findings are stable."}
{"volume_path": "dataset/train_fixed/train_2656/train_2656_a/train_2656_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2656/train_2656_a/train_2656_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2656_a_1.nii.gz", "findings": "The evaluation of solid organs and major vascular structures is suboptimal because the examination is unenhanced. Mediastinal structures could not be evaluated clearly. Trachea, both main bronchi are open. Heart sizes were minimally increased. A smear-like effusion is observed in the pericardium. No lymphadenopathy was detected in the mediastinal area in pathological size and appearance. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; There is a pleural effusion in both lungs reaching a thickness of about 1 cm. Linear subsegmental atelectasis is observed in the lower lobes of both lungs and in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. There are interlobar and interlobular septal thickness increases in both lungs, more prominently in the left lung. Focal ground-glass opacity is observed in the central part of the left lung upper lobe. It is not specific for Covid-19. Peribronchial thickness increases 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": " Minimal pleural effusion in both lungs, effusion in the pericardium, enlarged heart size.  Interlobar and interlobular septal thickness increases are observed in the peripheral areas of both lungs, especially in the left lung.  There are subsegmental atelectasis in both lungs.  Focal ground-glass opacity is observed in the central part of the left lung upper lobe, and there are peribronchial thickness increases in both lungs."}
{"volume_path": "dataset/train_fixed/train_2661/train_2661_a/train_2661_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2661/train_2661_a/train_2661_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2661_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Diffuse ground-glass appearances and ground-glass appearances accompanying interlobular septal and interstitial thickenings and microcystic changes are observed in both lungs. In addition, the findings described in both lung lower lobes are accompanied by minimal structural distortion and minimal volume loss. The views described are nonspecific. However, it was evaluated primarily in favor of Covid-19 pneumonia during the pandemic process. 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 is minimal pleural effusion on the left. The widths of the mediastinal main vascular structures are 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. No upper abdominal free fluid-collection was detected in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. Sclerotic bone lesions are observed in the thoracic vertebral corpuscles. The lesions described are benign in appearance. Intervertebral disc distances are narrowed. The neural foramina are open.", "impression": " Findings evaluated primarily in favor of viral pneumonia in both lungs."}
{"volume_path": "dataset/train_fixed/train_2692/train_2692_b/train_2692_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2692/train_2692_b/train_2692_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2692_b_1.nii.gz", "findings": " On the right, the port chamber to the anterior chest wall and the catheter extending to the superior-right atrium junction of the vena cava are observed. 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 observed: mediastinal main vascular structures, heart contour, size is normal. Calcific 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; The prevalence and density of pneumonic infiltration areas increased in the lung parenchyma in the case followed up with Covid-19 pneumonia. Segmentary-subsegmental peribronchial thickening was observed in both lungs. Pleuroparenchymal fibroatelectasis sequelae, which also cause volume loss, were observed in the right lung middle lobe and left lung upper lobe lingular segment. Multiple parenchymal nodules were observed in both lungs. A thickening of the posterior costal pleura in both hemithorax and a slightly more prominent smear-like effusion on the left were observed. Effusion is new to the current review. There is degeneration in the bone structures in the study area. Diffuse density reduction and height loss were observed in bone structures.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_2698/train_2698_a/train_2698_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2698/train_2698_a/train_2698_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2698_a_1.nii.gz", "findings": "The main pulmonary artery was measured 26 mm, the right main pulmonary artery 29, and the left main pulmonary artery 23 mm. Crescent calcific atheroma plaques are observed in the aortic arch and its branches. The heart size was markedly increased. Small lymph nodes are observed in the mediastinum. There is a moderate amount of loculated pleural effusion measuring up to 61 mm in thickness in the right hemithorax. When examined in the lung parenchyma window; Bilateral atelectatic changes, more prominent in the basal segment of the lower lobe of the right lung, and partial collapse in the lower lobe of the right lung are observed. In the upper abdominal sections in the study area; hepatic venous structures are dilated. Liver and spleen are partially observed and appear larger than normal. There are degenerative changes in bone structures.", "impression": "\u00b7 Cardiomegaly. \u00b7 Hepatosplenomegaly. Moderate effusion of 61 mm in the right hemithorax. \u00b7 Atelectatic changes in the basal segments of the lower lobes of both lungs. Volume reduction in the lower lobe of the right lung. \u00b7 Atherosclerosis. \u00b7 Small lymph nodes in the mediastinum. \u00b7 No pulmonary embolism was detected. \u00b7 Degenerative changes in bone structures."}
{"volume_path": "dataset/train_fixed/train_2705/train_2705_a/train_2705_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2705/train_2705_a/train_2705_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2705_a_1.nii.gz", "findings": "Heart contour and size are normal. A 4.5 mm thick effusion is observed in the pericardial area. The widths of the mediastinal main vascular structures are normal. A few lymph nodes with a diameter of 7 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right parahilar area, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are 7 mm thick pleural effusion in the left hemithorax and subsegmental atelectasis areas in the posterior segment of the left lung lower lobe adjacent to the effusion. There are linear atelectasis areas in the left lung upper lobe lingular segment and right lung middle lobe medial segment. No mass or infiltrative lesion 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 no discernible mass in the upper abdominal organs. The pancreas looks full. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": " Minimal pericardial and left pleural effusion  Subsegmental atelectasis areas adjacent to the effusion in the lower lobe of the left lung  Fully appearance in the pancreas. This finding may be variational or may be observed in the early phase of acute pancreatitis. It is recommended to be evaluated together with clinical and laboratory findings."}
{"volume_path": "dataset/train_fixed/train_2705/train_2705_b/train_2705_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2705/train_2705_b/train_2705_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2705_b_1.nii.gz", "findings": "No occlusive pathology was observed 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; mediastinal main vascular structures, heart contour, size are normal. Effusion reaching a thickness of 4.5 mm was observed in the pericardial space. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No pleural effusion was detected in the right hemithorax. In the left hemithorax, 7 mm thick effusion was observed between the pleural leaves and subsegmental atelectatic changes were observed in the posterobasal segment of the lower lobe adjacent to the effusion. Linear subsegmental atelectatic changes were observed in the left lung upper lobe inferior lingular and right lung middle lobe medial segment. Atelectasis changes on the left are accompanied by stable minimally anky pleural effusion. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. 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": " Pericardial-left pleural effusion; is stable.  Areas of subsegmental atelectasis adjacent to the effusion in the lower lobe of the left lung; is stable."}
{"volume_path": "dataset/train_fixed/train_2707/train_2707_a/train_2707_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2707/train_2707_a/train_2707_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2707_a_1.nii.gz", "findings": "The shooting was carried out during expiration. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart size increased. Aortic valve replacement is observed. A cardiac pacemaker catheter was placed. The suture lines of the sternotomy are observed. Pericardial effusion was not detected. Diffuse calcified atherosclerotic plaques are observed in the ascending aorta, aortic arch, thoracic aorta and abdominal aorta. In lung parenchyma evaluation; Between the leaves of the right pleura, a light pleural effusion in the form of a smear is observed. Brochial wall thickness increases are observed in both lung segment bronchi. There are subsegmental atelectatic parenchyma areas in the right middle lobe and lower lobe. Pneumonic infiltration was not detected in the lung parenchyma. Slight parenchymal aeration differences are observed due to small airway involvement. No loculated or free fluid was observed in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures.", "impression": " Increased heart size, aortic valve replacement, cardiac pacemaker  Diffuse calcific plaques in the aorta  Mild pus-like right pleural effusion  Atelectasis parenchyma areas in the right lung  Bronchial wall thickness increases and parenchymal slight aeration differences"}
{"volume_path": "dataset/train_fixed/train_2718/train_2718_a/train_2718_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2718/train_2718_a/train_2718_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2718_a_1.nii.gz", "findings": "Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortopulmonary narrow mediastinal lephaadenomegaly reaching 1 cm in diameter and millimetric lymph nodes are observed. The cardiothoracic index increased in favor of the heart. Calcific atherosclerotic plaques are observed in the aortic arch, descending aorta, and coronary arteries. The AP diameter of the descending aorta is 31 mm and above normal. Pleural effusions in the form of bilateral smears are observed. In the evaluation of both lung parenchyma; Centriacinar and paraseptal emphysemato areas are observed in both lungs. In addition, there are pleuroparenchymal sequelae densities in both lung apex. Pleuroparenchymal sequelae densities are observed in the right lung middle lobe and upper lobe anterior segment. A subpleural nonspecific nodule with a diameter of 4 mm is observed in the middle lobe of the right lung. There are interlobular septal thickenings in both lungs. In the sections passing through the upper part of the abdomen, no significant pathology was detected in the bilateral adrenal lobes. The AP diameter of the abdominal aorta is 33 mm, which is above normal. It is 33 mm at the suprarenal level and is above normal. No lytic-destructive lesion was detected in bone structures.", "impression": "Cardiomegaly, bilateral smearing pericardial effusion. Ectasia in the descending and abdominal aorta.  Placing pleural effusions in both lungs. Interlobular septal thickenings in both lungs evaluated as secondary to cardiac load. 4 mm in diameter subpleural nodule with nonspecific appearance in the middle lobe of the right lung."}
{"volume_path": "dataset/train_fixed/train_2719/train_2719_b/train_2719_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2719/train_2719_b/train_2719_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2719_b_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In the posterior part of the upper lobe apical segment of the right lung, an increase in density and minimal structural distortion, which is evaluated primarily in favor of sequelae, are observed. There are also minimal pleuroparenchymal sequelae changes in the left lung apex. There are sometimes linear atelectasis in both lungs. Minimal emphysematous changes were observed in both lungs. There are millimetric nonspecific nodules in both lungs. Bilateral minimal pleural effusion, more prominent on the right, was observed. Atelectasis was also observed in the basal segments of the lower lobe of the lung 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. There is no pleural effusion. There is a millimetric atheroma plaque in the left anterior descending coronary artery. The widths of the mediastinal main vascular structures are normal. Central venous catheter is seen 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. No upper abdominal free fluid-collection was observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Bilateral pleural effusion.  Findings evaluated primarily in favor of sequelae change in the right lung apex.  Minimal pleuroparenchymal sequelae changes in the left lung apex.  Minimal emphysematous changes in both lungs.  Millimetric nonspecific nodules in both lungs."}
{"volume_path": "dataset/train_fixed/train_2719/train_2719_c/train_2719_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2719/train_2719_c/train_2719_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2719_c_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 observed in minimal plastering style. 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 mostly peripheral localized, interstitial signs, mild bronchiectatic changes in both lungs. Minimal pleuroparenchymal sequelae changes are observed in both lung apex. Mild emphysematous changes are present in both lungs. A few millimetric nonspecific nodules are observed in both lungs. In both hemithorax, there is a pleural effusion measuring 10 mm in thickness on the right and 12 mm in thickness on the left. The effusion observed in the right hemithorax in the previous examination is decreasing, and there is a minimal increase in the effusion observed in the left hemithorax. 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": " Pleuroparenchymal sequela changes in both lungs, mostly in the apex  Non-specific nodules that do not show millimetric significant differences in both lungs  Pericardial effusion with minimal smearing is observed.2  Mild emphysematous changes in both lungs  A small amount of effusion that decreases bilaterally on the right and slightly increases on the left"}
{"volume_path": "dataset/train_fixed/train_2719/train_2719_d/train_2719_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2719/train_2719_d/train_2719_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2719_d_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast, and no pathology was detected as far as can be observed. No lymphadenopathy was observed in the mediastinal area in pathological size and appearance. 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; Density increase and minimal structural distortions interpreted in favor of sequelae change are observed in the apical segments of both lungs. In the left lung upper lobe apicoposterior segment and inferior lingular segment, interlobar and interlobular thickness increases and pelvroparanchymal band densities are observed consistent with the sequelae change in the subpleural area. Pleural effusion is observed in both lungs. In the lower lobes of both lungs, interlobar and interlobular septal thickness increases are observed in the parenchyma adjacent to the effusion. Again in this area, nodular consolidation area is observed especially in the posterobasal-laterobasal section of the left lung. It is not present in the patients previous examination. Initially, it was thought to be compatible with pneumonic infiltration or atelectasis. Emphysematous changes are observed in both lungs. There are pleuroparenchymal linear densities in the lower lobe laterobasal part of the right lung. Sequelae were evaluated in favor of change. Minimal pericardial effusion is observed. A port catheter extending into the right atrium is observed. Minimal calcific atheromatous plaques are observed in the coronary arteries. 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. No fractures, lytic or sclerotic lesions were detected in the bone structures included in the study area.", "impression": " Emphysematous changes in both lungs  Density increases and structural distortion consistent with sequelae change in the apical segments of both lungs  Left lung upper lobe apicoposterior segment and subpleural area adjacent to the lingular segment, and interlobar and interlobular sequelae evaluated in favor of sequelae in the subpleural area in the right lung lower lobe laterobasal section Septal thickness increases are observed.  In the left lung lower lobe, interlobar and interlobular septal thickness increases and nodular consolidation area are observed in the parenchyma adjacent to the posterobasal and laterobasal segments. This consolidation was not present in the patients previous examination and showed minimal increase. It may be compatible with pneumonic infiltration or atelectasis. Evaluation with clinical and examination findings is recommended."}
{"volume_path": "dataset/train_fixed/train_2719/train_2719_e/train_2719_e_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2719/train_2719_e/train_2719_e_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2719_e_1.nii.gz", "findings": " A catheter 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. 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. An effusion reaching 12 mm in its thickest part was observed in the pericardial space, most prominently adjacent to the heart apex. The effusion was measured as 9 mm in the thickest part in the previous examination and there is a millimetric increase. Pericardial thickening was not observed. Occasionally, calcific atheroma plaques were observed in the 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. An effusion with a diameter of 23 mm 19 mm in the previous examination in the thickest part of the right hemithorax and 38 mm in the thickest part in the left hemithorax 28 mm in the previous examination was observed. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae and minimal structural distortion were observed in the apex of both lungs. Interlobular septal thickening, micro-retraction in the pleura and increases in subpleural density were observed in the peripheral subpleural areas of both upper lobe anterior, left lobe lingular and both lung lower lobe basal segments. The described appearances are also present in the previous examination of the patient. No significant difference was detected and it was evaluated in favor of sequelae. In the basal segments of both lungs, interlobular-intralobar septal thickness increases and irregular infiltrative consolidation areas were observed adjacent to the effusion. The described findings are also present in the previous examination of the patient, no change was detected. It was evaluated in favor of atelectatic changes in the first plan. Segmentary tubular bronchiectasis and segmental-subsegmental peribronchial thickening were observed in both lungs. 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. Nodular thickening was observed in the right adrenal gland corpus; is stable. The left adrenal glands were normal and no space-occupying lesion was detected. There is increased trabeculation in the thoracic vertebrae.", "impression": " Pericardial-bilateral pleural effusion; slightly increased.  Sequelae of atelectatic changes in both lungs.  Segmentary tubular bronchiectasis-segmental-subsegmental peribronchial thickening in both lungs.  There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma.  Stable nodular thickening of the right adrenal gland corpus.  Osteopenia in thoracic vertebrae."}
{"volume_path": "dataset/train_fixed/train_2719/train_2719_f/train_2719_f_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2719/train_2719_f/train_2719_f_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2719_f_1.nii.gz", "findings": " Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be seen; mediastinal vascular structures, heart contour and size are normal. Calcified atheroma plaques were observed on the wall of the coronary vascular structures. Bilateral pleural effusion and pericardial effusion observed in the previous CT examination showed almost complete regression. 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 are lymph nodes in the mediastinum that are not pathological in size and appearance. When examined in the lung parenchyma window; There is diffuse peribronchial thickness increase in both lungs. Locally sequela parenchymal changes were observed in both lungs. In the current examination in both lungs, there are areas of density increase compatible with nodular consolidation in newly developed millimetric dimensions, in which a ground glass halo is observed in the periphery, and areas of density increase in the left lung lingular segment and lower lobe superior segment, which are compatible with consolidation, in which airbronchograms are also observed. Fungal infection is considered primarily in the etiology of the findings. No mass lesions were detected in both lungs. No pathology was detected as far as it can be observed within the borders of non-contrast CT in the upper abdominal sections within the image. No lytic or destructive lesions were detected in the bone structures within the image.", "impression": " Bilateral pleural and pericardial effusion described in the previous CT examination showed total regression in the current examination. Calcific atheroma plaques were observed on the walls of the coronary vascular structures."}
{"volume_path": "dataset/train_fixed/train_2729/train_2729_a/train_2729_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2729/train_2729_a/train_2729_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2729_a_1.nii.gz", "findings": "CTO is normal. The stent appearance is observed along the LAD trace. The aortic arch calibration is 30 mm. It is wider than normal. The descending and ascending aorta calibration is natural. Calibration of mediastinal main vascular structures is also natural. A slight prominence is observed on the right anterolateral wall of the trachea at the level of acus aorta. Not detected in previous examination mucus impaction?. When examined in the lung parenchyma window; mediastinum and heart are displaced to the left. Calibration of the trachea and main bronchi is normal. Lumens are clear. There is a fracture and destruction at the 4th rib on the right. It is also observed in the old review. There is a ground-glass-like density increase extending to the lung parenchyma in its neighborhood. 5. jeans are natural. However, significant destruction is observed at the 6th level. On the left, there are cortical destructions in the lateral of the 2nd rib, the posterolateral of the 5th rib and the 7th rib, consistent with metastasis, which were also observed in previous examinations. Pleural effusion is observed in both lungs with a thickness of 14 mm on the right and 14 mm on the left at baseline, and it extends towards the upper zones. It was not detected in the previous review. A nodular lesion measuring approximately 7x4 mm is observed at the apical level of the right lung, and it was 5x3 mm in the previous examination. In the upper lobe posterior segment caudal, a branch with buds is observed adjacent to the fissure, and it was not detected in the previous examination. Again, the ground glass-style density defined in the middle lobe adjacent to the 4th level on the right is not observed in the previous examination. Consolidative areas with air bronchograms in the posterobasal and laterobasal segments of the right lung and ground glass-like density increases were not detected in the previous examination. It is a new finding. Band atelectasis is observed in the anteromediobasal segment of the left lung and is also present in the previous examination. However, the appearance consistent with band atelectasis, which is observed at the posterolateral level in the lower lobe, has become evident, and there are newly emerging ground-glass-like density increases in the left lung at the basal level. There is a hypodense appearance of approximately 35 mm in diameter, which may be compatible with a cortical cyst in the superior pole of the right kidney. Generally, degenerative changes are observed in the bone structure. Destructive changes are observed on the left in D2 vertebra posterior elements.", "impression": "In the case with pulmonary tumor anamnesis; . Stable mass lesion in the area extending from the lower lobe superior segment to the fissure level in the right lung, sitting on the pleura and intercostal muscles laterally and causing destruction in the adjacent bone structure . not detected.  Newly emerged consolidative areas and ground-glass-like density increases in the right lung, especially in the lower lobe segments, and newly-emerged bilateral pleural effusion. A ground-glass-like density increase observed in the parenchyma in the middle lobe adjacent to the metastatic lesion observed in the right 4th rib is a new finding."}
{"volume_path": "dataset/train_fixed/train_2762/train_2762_a/train_2762_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2762/train_2762_a/train_2762_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2762_a_1.nii.gz", "findings": "Heart contour and size are normal. Pericardial 1 cm thick effusion is observed. The widths of the mediastinal main vascular structures are normal. A few lymph nodes with a short diameter less than 5 mm were observed in the mediastinum and bilateral hilar regions. No enlarged lymph node was detected in pathological size and appearance. Tracheostomy is available. There is an appearance compatible with mucoid secretion at the carina level. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal pleural effusion in the left hemithorax, compression atelectasis and ground glass areas adjacent to the effusion. There are nodular ground glass areas in the superior segment of the left lung lower lobe. It is recommended to be evaluated together with clinical and laboratory findings in terms of infectious pathologies. There are areas of linear-subsegmentary atelectasis in both lungs. No mass was observed in both lungs. As far as it can be evaluated within the non-contrast CT limits; There is no discernible mass in the upper abdominal organs. The stomach appears distended. Within the sections, there are osteophytes that bridge from place to place anteriorly at the corners of the thoracic vertebral corpus. No lytic-destructive lesion was observed in bone structures.", "impression": " Minimal pericardial effusion, minimal left pleural effusion, compression atelectasis adjacent to the effusion, and ground glass areas.  Nodular ground glass areas in the lower lobe of the left lung; It is recommended to be evaluated together with clinical and laboratory findings in terms of early stage infectious pathologies.  Areas of atelectasis in both lungs.  Mediastinal millimetric lymph nodes.  Distant appearance in the stomach.  Thoracic spondylosis."}
{"volume_path": "dataset/train_fixed/train_2762/train_2762_b/train_2762_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2762/train_2762_b/train_2762_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2762_b_1.nii.gz", "findings": " Tracheostomy cannula is observed. Calcific plaques are present in the coronary arteries. Other mediastinal major vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion is regressed. Millimetric lymph nodes in the mediastinum are stable. When examined in the lung parenchyma window; There is an increase in effusion, consolidation and ground glass densities in the left hemithorax. On the right, newly developed minimal effusion and ground glass densities are seen in the posterobasal lower lobe. There is minimal emphysematous appearance in both lungs and minimal bronchiectasis in the center. There are degenerative changes in the thoracic vertebrae.", "impression": " Increased pleural effusion, consolidation and ground-glass densities on the left,  Newly developed minimal ground glass densities and consolidations on the right,  Central minimal bronchiectasis,  Regression in pericardial effusion,  Apart from this, no significant difference was observed between the examinations."}
{"volume_path": "dataset/train_fixed/train_2769/train_2769_a/train_2769_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2769/train_2769_a/train_2769_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2769_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. 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. Bilateral minimal pleural effusion was also observed. 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. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal peribronchial thickening was observed in both lungs. In addition, consolidation and ground-glass appearances are observed in the left lung upper lobe apicoposterior and lingular segments. Ground-glass appearance is accompanied by interlobular septal thickening. The described manifestations were primarily evaluated in favor of pneumonic infiltration. There are emphysematous changes and local atelectasis in both lungs. No mass was detected in both lungs. No upper abdominal free fluid-collection was detected in the sections. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Findings evaluated primarily in favor of pneumonic infiltration in the left lung.  Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries, pleural and pericardial effusion.  Emphysematous changes in both lungs.  Atelectasis in both lungs.  Peribronchial thickenings in both lungs."}
{"volume_path": "dataset/train_fixed/train_2785/train_2785_a/train_2785_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2785/train_2785_a/train_2785_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2785_a_1.nii.gz", "findings": "CTO is at the maximal physiological limit. Pulmonary trunk calibration is 26 mm, right pulmonary artery calibration is 29 mm, both are above normal. Left pulmonary artery calibration is normal. Calibration in the aortic arch is natural. Calibration of other major vascular structures is also natural. Calcific atheroma plaques are observed in the descending aorta and ascending aorta in the main branches of the aortic arch, and in the coronary arteries. There is a prosthesis appearance in the mitral valve. Tracheal diverticulum is observed on the right lateral at the level of the thoracic inlet. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, and in the aorticopulmonary window at the subcarinal level, the largest of which was measured in the subcarinal area and approximately 14 mm in the short axis. There are several lymph nodes at both hilar levels, the largest on the right and the short axis of 11 mm. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; Sequelae changes are observed at the apical level of both lungs prominent on the right. A nodular lesion with an axial plane size of approximately 22x19 mm with irregular borders is observed on this floor. The lesion described in the previous examination is 11x14 mm in dimensions that pass through the same level. There is progression. Control is recommended. There are findings consistent with emphysema in both lungs. A 4. A stable nodule with a diameter of 6 mm is observed at the subpleural level in the middle lobe of the right lung. There is a stable nodule with a diameter of 4 mm in the anterior segment of the left lung upper lobe. A little more caudally, there is a subpleural 3 mm diameter nodule. It is stable. Subpleural stable 3 mm diameter nodule is observed at the lower lobe laterobasal level. Pleural effusion is observed in both lungs and measured 25 mm at its thickest point on the right. There is thickening of the peribronchial sheath. Tractional bronchiectasis is observed at the level of sequela changes at the apical level of the right lung. The patient has a mosaic attenuation pattern small airway disease?, small vessel disease?. In almost all zones of both lungs, peripheral interlobular septa thickening, peripheral-subpleural interlobular septa thickening, mild irregularity in pleural contours are observed. In the upper abdominal sections in the study area; There is a decrease in density consistent with mild steatosis in the liver. The gallbladder is dense. Although the wall thickness cannot be clearly evaluated in the non-contrast examination, it is slightly prominent. If necessary, sonographic examination is recommended. There are changes secondary to sternotomy. Degenerative changes are observed in the bone structure.", "impression": "Cardiomegaly. Mild caliber increase in pulmonary trunk and right pulmonary artery.  Bilateral pleural effusion regressed according to previous review.  Mosaic attenuation pattern in both lungs small vessel disease? , small airway disease?.  Thickening of peripheral-subpleural interlobular septa, thickening of the peribronchial sheath. It is recommended to evaluate the case in terms of cardiac stasis and accompanying interstitial fibrosis.  Sequelae changes are observed at the apical level of the right lung, and the irregularly circumscribed nodular lesion observed in the central at this level has progressed according to the previous examination. Control is recommended."}
{"volume_path": "dataset/train_fixed/train_2790/train_2790_a/train_2790_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2790/train_2790_a/train_2790_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2790_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. There are calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures. Pericardial minimal effusion was observed. Tracheal cannula was observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was detected in the thoracic esophagus. Nasogastric catheter was observed. No lymph node was detected in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; In both pleural spaces, there is an effusion up to 80 mm deep on the right at its deepest point. In both lungs, areas of increase in density evaluated in favor of compressive atelectasis were observed adjacent to the effusion. Both lungs have a mosaic attenuation pattern small airway disease?, small vessel disease?. No active infiltration or mass lesion was detected in both ventilated lung parenchyma. In places, there are sequela parenchymal changes. 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. Degenerative changes were observed in the bone structures within the image. There are increases in reticular density secondary to osteopenia in the vertebral bodies. Left-facing scoliosis was observed in the thoracic vertebral column. Thoracic kyphosis has increased.", "impression": " Thoracic aorta, calcified atheroma plaques in the wall of coronary vascular structures, minimal pericardial effusion.  More prominent bilateral pleural effusion on the right and areas of increased density in both lungs adjacent to the effusion evaluated in favor of compressive atelectasis.  Locally sequela parenchymal changes and mosaic attenuation pattern in both lungs small airway disease?, small vessel disease?.  Degenerative changes in bone structures."}
{"volume_path": "dataset/train_fixed/train_2790/train_2790_b/train_2790_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2790/train_2790_b/train_2790_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2790_b_1.nii.gz", "findings": " In both pleural spaces, there is an effusion measuring 40 mm on the right at its deepest point in the current examination. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. There are calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures. An increase in heart size was observed. No pathological increase in wall thickness was detected in the thoracic esophagus. Trachea, both main bronchi are open and no obstructive pathology is observed. No lymph node was detected in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There is a mosaic attenuation pattern small airway disease?, small vessel disease?. There are sequela parenchymal changes in both lungs and areas of increased density in both lung parenchyma adjacent to the effusion evaluated in favor of compressive atelectasis. 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 in the study area. There is left-facing scoliosis in the thoracic vertebral column. Thoracic kyphosis is increasing. There are osteophytic degenerative changes that tend to merge anteriorly in the vertebral corpus corners.", "impression": " Minimal pericardial effusion was observed.  There is a minimal decrease in the pathological size observed in the mediastinum and the sizes of non-appearing lymph nodes in the current examination.  There are areas of density increase in both lungs adjacent to the pleural effusion, evaluated in favor of compressive atelectasis, and a mosaic attenuation pattern is observed in both lungs small airway disease?, small vessel disease?  There are degenerative changes in bone structures.  There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures, and an increase in heart size is observed."}
{"volume_path": "dataset/train_fixed/train_2800/train_2800_a/train_2800_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2800/train_2800_a/train_2800_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2800_a_1.nii.gz", "findings": "Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. 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; thoracic aorta calibration is natural. The diameter of the pulmonary trunk is above normal with 32 mm. Heart size increased. Pericardial effusion-thickening was not observed. Diffuse calcific atheroma plaques were observed in aortic arch, supraaortic branches and coronary arteries. 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. A large number of lymph nodes were observed in the right upper, bilateral lower, subcarinal bilateral hilar, aortopulmonary short axes reaching 1 cm and not reaching pathological dimensions. Bilateral pleural effusion, reaching 19 mm in the right hemithorax, was observed in the form of smearing in the left hemithorax. When examined in the lung parenchyma window; Interlobar-intralobular septal thickenings, segmental-subsegmental peribronchial thickening and ground-glass densities were observed in both lungs. The appearance is consistent with cardiac stasis. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung upper lobe lingular segment and right lung middle lobe. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. Millimetric calculi images were observed, forming a level in the gallbladder lumen. A nodular lesion area of 2.8 cm diameter and fluid density was observed in the lower pole of the left kidney cyst?. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches. Degenerative changes were observed in the bone structures in the study area.", "impression": "Surgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum, cardiomegaly, diffuse calcific atheroma plaques in the thoracic aorta, supraaortic branches and coronary arteries, increase in the diameter of the pulmonary trunk . Hiatal hernia . Minimal pleural effusion, slightly more prominent on the right, secondary to cardiac stasis in the lung parenchyma findings . Pleuroparenchymal linear atelectatic changes in the lingular segment of the right lung middle lobe and left lung upper lobe . Cholelithiasis . Nodular lesion cyst? in fluid density in the lower pole of the left kidney . Degenerative changes in bone structure"}
{"volume_path": "dataset/train_fixed/train_2811/train_2811_a/train_2811_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2811/train_2811_a/train_2811_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2811_a_1.nii.gz", "findings": "At the level of the right lobe of the thyroid gland, there is a nodule appearance of approximately 25x27 mm with heterogeneous internal structure and microcalcifications. It is recommended to be evaluated together with sonography. The aortic arch calibration is 29 mm. It is within the maximum physiological limits. Calibration of the ascending aorta is normal. Pulmonary trunk calibration is 29 mm. It is slightly above normal. Calibration of other mediastinal major vascular structures is normal. In the aortic arch and descending aorta, calcific atheroma plaques are observed at the level of the aortic root. No pathological size and configuration of lymph nodes were detected at both hilar levels. There is a 23x15 mm lymph node in the aorticopulmonary window. When examined in the lung parenchyma window; Pleural effusion is observed in the lower-middle zones of both lungs and reaches 32 mm on the right and 33 mm on the left in its thickest part. In its vicinity, atelectatic lung segments are observed. There are sequelae changes in the anterior segment of the right lung upper lobe. Sequelae changes are observed in the middle lobe. There is an increase in thickness in the peribronchial sheath. Similar findings are also observed in the left lung. There are multiple nodules in almost all zones in both lungs, the largest of which is approximately 6.5x5.5 mm in size on the right and superposed to the interlobar fissure. Multiple hypodense lesion in the liver is present in the upper abdominal sections in the examination area met?. Fluid appearances are observed at both paracolic levels at the perihepatic perisplenic level in the gallbladder bed. There are thickenings in the peritoneal reflections, reticulonodular density increases in the mesenteric fatty planes, and millimetric lymph nodes in the abdomen. It is recommended to be evaluated together with contrast-enhanced abdominal CT and clinical-anamnesis findings. There is a hypodense appearance between the tail of the pancreas and the hilum of the spleen. It gives partial demarcation. However, a clear assessment could not be made. Widespread degenerative changes are observed in the bone structure in the study area. There is kyphotic angulation. There are height losses in D12, D11, D10, D8, D7 vertebrae.", "impression": "The appearance of a nodule with microcalcifications in a heterogeneous internal structure at the level of the right lobe of the thyroid gland is recommended to be evaluated together with sonography.  Pleural effusion in both lungs and mild atelectatic lung segments adjacent to it . . The largest in both lungs is in the right lung and superposed on the interlobar fissure and 6.5x5 Multiple nodule formation, .5 mm in size, sequelae changes and thickness increase in the peribronchial sheath . Degenerative changes in bone structure, slight height loss in the dorsal vertebrae . Multiple hypodense lesion in the liver in the examination area met? . Free fluid in the abdomen . Contamination in the mesenteric planes, Thickening of the peritoneal reflections and nodular appearances that may be compatible with lymph nodes, hypodense appearance between the tail of the pancreas and the hilum of the spleen, partially demarcation.However, evaluation together with contrast-enhanced abdominal CT, clinical and anamnesis findings is recommended."}
{"volume_path": "dataset/train_fixed/train_2812/train_2812_a/train_2812_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2812/train_2812_a/train_2812_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2812_a_1.nii.gz", "findings": "Bilateral pleural effusion is observed. The pleural effusion continues to the apex of the lung with the patient in the supine position. The effusion has become loculated in the neighborhood of the upper lobe of the right lung and measures approximately 55mm at its thickest point in this localization. No significant thickening was detected in the pleura adjacent to the effusion. There is atelectasis in the lung adjacent to the effusion. The lower lobes of both lungs are almost completely atelectatic. Consolidation and ground glass areas are observed in the right lung lower lobe superior segment and lateral right lung upper lobe posterior segment. In addition, patchy ground glass areas are observed in the upper lobe of the left lung. The described manifestations were evaluated primarily in favor of pneumonic infiltration. No mass was detected in the ventilated parts of both lungs. Heart contour and size are normal. There is a pericardial effusion measuring 18mm in its thickest part. Thickening is also observed in the pericardium. However, no calcification was detected. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions, the largest of which measures 12mm in diameter. No pathological increase in wall thickness was detected in the esophagus within the sections. There is diffuse upper abdominal free fluid within 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": "Bilateral pleural effusion. Pericardial effusion.  Mediastinal and hilar lymph nodes. Atelectasis in both lungs.  Findings evaluated in favor of pneumonic infiltration in both lungs. Intraabdominal diffuse free fluid."}
{"volume_path": "dataset/train_fixed/train_2822/train_2822_b/train_2822_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2822/train_2822_b/train_2822_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2822_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; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. A 7.5 mm pleural effusion was observed on the right. Upper abdominal organs included in the sections are normal. Right lobectomy is seen in the liver entering the cross-sectional area. No space-occupying lesion was detected in other organs. 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": " Liver right lobectomy  Minimal pleural effusion on the right"}
{"volume_path": "dataset/train_fixed/train_2830/train_2830_a/train_2830_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2830/train_2830_a/train_2830_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2830_a_1.nii.gz", "findings": "The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. Mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination. As far as can be seen, the ascending aorta is ectatic with an anterior-posterior diameter of 35 mm. The descending aorta and pulmonary artery calibration are normal. Occasionally, calcified atheroma plaques were observed in the aortic arch and coronary arteries. Heart contour, size 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; There is a consolidation area in which air bronchograms are observed in the anterior and apicoposterior segments of the right lung upper lobe. Widespread free air images were observed in consolidation at the apical level. Consolidation areas in the upper lobe lingular segment are localized in peripheral subpleural areas, and large ground glass densities are observed in the central part. Findings may be compatible with lung abscess-necrotizing pneumonia. It is recommended to be evaluated together with clinical and laboratory. Widespread centriacinar-paraseptal emphysema areas were observed in the ventilated lung areas. Increased ground glass densities were observed in the vicinity of diffuse subpleural air cysts in both lung lower lobes. Linear fibroatelectasis changes were observed in both lung lower lobe basal segments. Subcentimetric pleural effusion was observed in the left pleural space. 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. A high-density nodular lesion with a diameter of 9 mm was observed in the upper pole posterolateral of the right kidney hemorrhagic 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. Mild scoliosis with left opening was observed at the thoracic level.", "impression": "Ectasia in the ascending and descending aorta . Consolidation in which air bronchograms are observed in the anterior-apicoposterior segment of the right lung upper lobe, subpleural consolidations and ground glass densities in the lingular segment; the appearance may be compatible with lung abscess-necrotizing pneumonia. It is recommended to be evaluated together with clinical and laboratory.  Diffuse centriacinar-paraseptal emphysema areas in lung areas . Linear atelectatic changes in lower lobe basal segments of both lungs . Ground-glass densities adjacent to diffuse air cysts in lower lobes of both lungs . Left pleural effusion . Well-defined hyperdense nodular lesion in right kidney upper pole posterolateral hemorrhagic cyst?.  Mild scoliosis with left-facing thoracic opening"}
{"volume_path": "dataset/train_fixed/train_2832/train_2832_a/train_2832_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2832/train_2832_a/train_2832_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2832_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. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Heart contour size is natural. Pericardial thickening-effusion was not detected. 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 mediastinal upper-lower paratracheal, aorticopulmonary window, and subcarinal localization. When examined in the lung parenchyma window; Interlobular septal thickening was observed in both lungs. Widely distributed centriacinar ground-glass nodules in both lungs and a focal minimal consolidation area adjacent to the fissure in the lateral segment of the right lung middle lobe were observed. The outlook may be compatible with the infectious process. Clinical and laboratory correlation is recommended. Fibroatelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Between the bilateral pleural leaves, a free pleural effusion measuring 9 mm in thickness on the left and 8.5 mm on the right was observed. In the upper abdominal sections in the study area; liver contours are irregular. Left lobe hypertrophic liver parenchymal disease?. Diffuse free fluid was observed in the perihepatic-perisplenic area. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.", "impression": " Atherosclerotic changes.  Mediastinal millimetric lymph nodes.  Uniform interlobular septal thickenings in both lungs.  Widely distributed centriacinar ground-glass nodules in both lungs and focal minimal consolidation area infectious process? in the right lung middle lobe, adjacent to the fissure in the lateral segment; should be considered in the differential diagnosis of fungal infections, clinical and laboratory correlation is recommended.  Fibroatelectatic changes in both lungs.  Bilateral mild pleural effusion.  Liver parenchymal disease?  Widespread free fluid in the abdomen."}
{"volume_path": "dataset/train_fixed/train_2839/train_2839_a/train_2839_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2839/train_2839_a/train_2839_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2839_a_1.nii.gz", "findings": "Bilateral pleural effusion is observed. The pleural effusion measured 30 mm at its thickest point. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Atelectasis is observed adjacent to the effusion in both lung lower lobes. Linear atelectasis was observed in other parts of both lungs. There are uniform interlobular septal thickenings in the upper lobes of both lungs. These views are not specific. However, when evaluated together with pleural effusion and other cardiac findings, it was thought that pulmonary edema might be present. There are 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. The ascending aorta measures 43 mm in anterior-posterior diameter and is wider than normal. The diameters of the aortic arch and descending aorta are normal. There are atheromatous plaques in the aorta and coronary arteries. There is no pericardial effusion. There are lymph nodes in the mediastinum and hilar regions, the largest measuring 10 mm in short diameter. No pathological increase in wall thickness was detected in the esophagus within the sections. There are masses evaluated in favor of adenomas measuring approximately 20 mm in diameter in the left adrenal gland corpus and approximately 15 mm in diameter in the lateral leg of the right adrenal gland. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries, pleural effusion, smooth interlobular septal thickening in the upper lobes of both lungs secondary to pulmonary edema?  Atelectasis in both lungs"}
{"volume_path": "dataset/train_fixed/train_2852/train_2852_a/train_2852_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2852/train_2852_a/train_2852_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2852_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal because 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. Calibration of thoracic main vascular structures is natural. Minimal calcific atherosclerotic changes were observed in the thoracic aorta and its wall. 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 pathological size and appearance in the mediastinal and hilar non-contrast examination limits. Soft tissue density compatible with gynecomastia was observed in the bilateral retroareolar region. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. Wide pleural effusion measuring 47 mm at its widest point and atelectatic changes in the adjacent lung parenchyma were observed between the pleural leaves on the right. Bilateral peribronchial thickenings were observed. Subsegmebter atelectasis areas in the lower lobe of the left lung are noteworthy. On the right, the image of the catheter extending to the superior vena cava is observed. The size, contour and parenchymal density of the transplanted liver are normal in the patient who underwent liver right lobe transplantation in the upper abdominal sections included in the study area. Post-op suture materials were observed on the section surface. There is a drainage catheter inserted into the abdomen. Loculated fluid was observed in the subhepatic area. No lytic-destructive lesion was detected in bone structures.", "impression": "Mild emphysematous changes in both lungs . Large areas of pleural effusion and atelectasis on the right . Bilateral peribronchial thickenings . Fluid localization in the subhepatic space"}
{"volume_path": "dataset/train_fixed/train_2860/train_2860_a/train_2860_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2860/train_2860_a/train_2860_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2860_a_1.nii.gz", "findings": "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; Linear density increases are observed in the left lung upper lobe inferior lingula, and it has an atypical appearance in terms of an infectious process, and it has been evaluated primarily in the direction of atelectatic changes. There is a moderate amount of effusion in the left hemithorax. There are linear atelectatic changes in the anterior upper lobe of the right lung. There is a subpleural millimetric nonspecific nodule in the anterior upper lobe of the right lung. Prominent vascular structures are observed under the skin of the thoracic wall. 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": "Moderate amount of effusion in the left hemithorax . Atelectatic changes are observed in the left lung upper lobe inferior lingula and right lung upper lobe anterior. It is atypical in terms of an infectious process. Clinical laboratory correlation is recommended for better differential diagnosis.  Nonspecific subpleural nodule in the anterior upper lobe of the right lung. Clarification of vascular structures under the skin of the thoracic wall."}
{"volume_path": "dataset/train_fixed/train_2886/train_2886_a/train_2886_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2886/train_2886_a/train_2886_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2886_a_1.nii.gz", "findings": " In the current examination in the pericardial area, there is a newly emerged minimal effusion. When both lung parenchyma windows are evaluated; A minimal free pleural effusion measuring 6 mm in thickness was observed on the left, and it has recently emerged in the current examination. Branch with buds and acinar infiltration areas are observed in the superior lingular segment of the left lung upper lobe, and there is minimal regression in the infiltration areas described according to the previous examination. However, in the current examination, newly emerging focal consolidation areas were observed in several foci in different localizations in the left lung upper lobe apicoposterior segment. In addition, newly emerging 1 cm diameter nodular consolidation areas were also observed in the lower lobe of the right lung. Apart from this, focal consolidation area in the right lung lower lobe laterobasal segment draws attention. Bilateral peribronchial thickenings were observed. There was no significant change in other findings in the current examination.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_2887/train_2887_b/train_2887_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2887/train_2887_b/train_2887_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2887_b_1.nii.gz", "findings": "Trachea, both main bronchi are open. Calcific atheroma plaques are observed in the aorta and 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. Multiple reactive lymph nodes are observed in the mediastinal area, with short axes not exceeding 1 cm. In both hemithorax, consolidation areas compatible with pleural effusion and accompanying compression atelectasis in the lung, 4.5 cm in the thickest part, are observed on the left. In addition, especially in the upper lobe of the right lung, ground glass densities are observed in the apical and anterior segments, which were not detected in the previous examination of the patient. These appearances were primarily evaluated in favor of viral pneumonia. Covid-19 pneumonia is also included in the differential diagnosis. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Nodular lesion area evaluated in favor of adenoma is observed in the left adrenal gland. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Pleural effusion in both lungs  Focal ground-glass densities in the apical and anterior segments of the right lung upper lobe; evaluated in favor of viral pneumonia. The differential diagnosis also includes Covid-19 pneumonia.  Adenoma in the left adrenal gland."}
{"volume_path": "dataset/train_fixed/train_2899/train_2899_a/train_2899_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2899/train_2899_a/train_2899_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2899_a_1.nii.gz", "findings": "Trachea and both main bronchi were in the midline 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 observed, the anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 26 mm. Calibration of pulmonary arteries is natural. Heart contour, size 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 were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Interlobular-intralobar septal thickenings were observed in both lungs. Peribronchial sheath thickening and accompanying ground glass densities were observed in both lungs. A pleural effusion with a diameter of 28 mm on the right and 17 mm on the left was observed in both hemiothoraxes. Findings are consistent with cardiac stasis. No mass lesion-active infiltration 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. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Fusiform aneurysmatic dilatation of the ascending aorta. \u00b7 Cardiac stasis and accompanying bilateral pleural effusion in the lung parenchyma. \u00b7 There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma."}
{"volume_path": "dataset/train_fixed/train_2920/train_2920_a/train_2920_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2920/train_2920_a/train_2920_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2920_a_1.nii.gz", "findings": "Trachea and main bronchi are open. Millimetric sized calcific nodules are observed in the trachea and main bronchus walls. A few millimetric-sized lymph nodes in the left upper-lower paratracheal aortopulmonary are observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index increased in favor of the heart. Calcific plaques are observed in the wall of the aortic arch. Coronary artery calcification is present. The ascending and descending aorta is ectatic. Secretion is observed in the esophageal wall slightly prominent. Pleural effusion measuring 4.3 cm in the thickest part of the left hemithorax is observed. There is a smear-like pleural effusion in the right hemithorax. In the evaluation of both lung parenchyma; Interlobular septal thickening in both lung parenchyma and more pronounced fibrotic density increases in both lung lower lobes are observed. There is a nonspecific nodule of 4 mm in diameter in the middle lobe of the right lung. In the sections passing through the upper part of the abdomen, the liver appears to have increased in size with the partial part undergoing examination. Subcapsular calcifications are observed in the spleen. No pathology was detected in bilateral adrenal glands. Bones have a distinctly osteopenic appearance. No lytic-destructive lesion was distinguished. In the dorsal localization, ossification is observed in the anterior longitudinal ligament compatible with DISH disease.", "impression": "- Interlobular septal thickenings in both lung parenchyma, which may be due to cardiac overload, and more pronounced fibrotic density increases in the lower lobes of both lungs - 4 mm diameter nodule in the middle lobe of the right lung with a nonspecific appearance. The ascending and descending aorta is ectaic. Cradiomegaly -Left pleural effusion"}
{"volume_path": "dataset/train_fixed/train_2927/train_2927_a/train_2927_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2927/train_2927_a/train_2927_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2927_a_1.nii.gz", "findings": "Findings of previous coronary bypass surgery are observed. Heart size slightly increased. The diameters of the main mediastinal vascular structures are normal. There is a slight increase in fusiform diameter in the thoracic aorta, and the diameter of the aorta was measured 35 mm at its widest point in the distal section. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. A slight pleural effusion is observed, 1.5 cm on the left and in the form of a smear on the right, between both pleural leaves. Atelectasis parenchyma areas are observed in the basal segments of both lungs in the vicinity of the effusion. More prominent diffuse centriacinar emphysema areas are observed in the upper lobes of both lungs. Trachea, both main bronchi, upper lobe bronchi are open. A collapsed appearance is observed in the atelectasis parenchyma areas in the lower lobe, segmental bronchi, air passages. Nodular consolidation area of 18 mm diameter was observed in the subpleural area in the superior segment of the right lung lower lobe. It is in close proximity to the atelectasis parenchyma and cannot be characterized. In this area, the round may belong to atelectasis and control imaging will be appropriate. There is a sliding type hiatal hernia. No lytic-destructive space-occupying lesion was detected in bone structures.", "impression": " Findings secondary to previous coronary bypass surgery.  Slight increase in fusiform diameter in the thoracic aorta.  Bilateral mild pleural effusion.  Lower lobe atelectasis of both lungs.  Area of nodular consolidation in the lower lobe of the right lung; round may belong to atelectasis. It could not be characterized in this examination. After the regression of the patients atelectasis, control imaging will be appropriate.  Emphysematous changes in both lungs."}
{"volume_path": "dataset/train_fixed/train_2942/train_2942_a/train_2942_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2942/train_2942_a/train_2942_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2942_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. Linear atelectesis is observed in both lungs, more prominently in the middle and lower lobes of the right lung. There are emphysematous changes in both lungs. Nodules and linear density increases are observed in the lower lobe of the left lung, which is evaluated primarily in favor of sequelae changes. There are millimetric nonspecific nodules 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. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. Pleural effusion is observed on the right. There is no pleural effusion on the left. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Pleural effusion on the right  Emphysematous changes in both lungs  Atelectasis in both lungs  Findings evaluated primarily in favor of sequelae changes in the lower lobe of the left lung  Millimetric nonspecific nodules in both lungs"}
{"volume_path": "dataset/train_fixed/train_2944/train_2944_a/train_2944_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2944/train_2944_a/train_2944_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2944_a_1.nii.gz", "findings": "Thyroid gland sizes increased. It is recommended to be evaluated together with US. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed on the walls of both main and segmental bronchi in the trachea. 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. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mixed 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; Although it could not be evaluated clearly in non-contrast examinations, a soft tissue density lesion-consolidation area was observed starting from the middle-lower lobe bronchi bifurcation level in the right lung central and continuing along the lower lobe bronchus. At this level, the middle lobe and lower lobe bronchus are narrowed, more prominently in the lower lobe. The described appearance may be of a primary lung mass. Further testing is recommended. A slightly more prominent smear-like effusion was observed on the right in both hemithorax. Peribronchial budded tree view and centriacinar nodular infiltrates were observed in the right lung upper lobe posterior, middle and lower lobe basal segments. The outlook was evaluated in favor of bronchopneumonia. It is recommended to be evaluated together with clinical and laboratory. Segmentary peribronchial thickening and luminal narrowing were observed in both lungs. Mosaic attenuation pattern of both lungs was observed. Masoic attenuation was thought to be secondary to small airway stenosis. In both lungs, nonspecific ground-glass densities were observed in the vicinity of the fissures due to a significant dependent effect. The right hemidiaphragm is elevated. No mass lesion with discernible borders was detected in the left lung. As far as can be seen within the sections; Multiple cholesterol stones with a diameter of 12 mm were observed in the gallbladder lumen. The pancreas is atrophic. Diffuse calcific atheroma plaques were observed in the abdominal aorta. There are findings consistent with diffuse idiopathic bone hyperostosis at the mid-thoracic level in the bone structure. Vertebral corpus heights are preserved.", "impression": " Thyromegaly; US control is recommended.  Diffuse calcific atheroma plaques in the thoracoabdominal aorta and coronary arteries.  Mixed hiatal hernia.  Soft tissue density-consolidation area starting from the bifurcation in the middle-lower lobe bronchus and extending towards the lower lobe in the right lung central; it cannot be clearly characterized in the non-contrast examination, it was thought that it may belong to a primary lung mass; Further examination is recommended.  Fluid effusion in both hemithorax, bronchopneumonia in the right lung.  Mosaic attenuation pattern secondary to small airway stenosis in both lungs.  Cholelithiasis.  Findings consistent with diffuse idiopathic bone hyperostosis."}
{"volume_path": "dataset/train_fixed/train_2947/train_2947_a/train_2947_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2947/train_2947_a/train_2947_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2947_a_1.nii.gz", "findings": "There is a mass lesion obstructing the lumen of the right main bronchus. The mediastinum is infiltrated. The right lung is almost not ventilated. Upper lobe segment bronchi are obstructed. The middle lobe and lower lobe segment bronchi are markedly narrowed. Mass borders and consolidated parenchyma borders cannot be selected. The presence of infection could not be ruled out due to the presence of non-tumor consolidation areas. He had similar findings in his previous imaging. A chronic collection area with a thick wall structure measuring 52 mm in diameter is observed in the basal segment of the lower lobe of the right lung. Heart size increased. Calcified atheroma plaques are observed in the coronary arteries. The pleural effusion is stable, reaching a diameter of 4.5 cm between the leaves of the left pleura. Pericardial effusion observed in his previous examination was not detected in the current examination. There are calcified atheroma plaques in the coronary arteries. Due to the lack of contrast material, primary mass lesion in the mediastinum and metastatic LAPs cannot be distinguished from each other. In the left major fissure, the fissuritis has just developed. There are areas of subsegmental atelectasis in the basal segment of the lower lobe of the left lung. There are subpleural ground-glass density areas and septal thickenings in the left lung upper lobe lingula inferior segment. Pulmonary parenchymal involvement of Covid-19 cannot be excluded. Correlation with clinical and laboratory and radiological follow-up would be appropriate. In the upper abdominal sections, there is diffuse gas distension in the abdomen. Subcutaneous edema was observed in abdominal sections. The dimensions of the central necrotic nodular lesion with a diameter of 16 mm in the isthmus are stable. There is significant osteoporosis in bone structures. Mild height loss due to osteoporosis is observed in the T12-L1 vertebra. No fracture was detected.", "impression": "The presence of infection could not be ruled out due to the presence of non-tumor consolidation areas in the right lung. He has similar findings in his previous imaging. Left pleural effusion is stable. Left fissural edema is newly developed. Subpleural localized septal thickening and ground glass opacities in the left lung upper lobe lingula inferior segment have recently developed. Covid could not be excluded. Radiological follow-up and further examination with laboratory are recommended.  Although the sizes of the nodular consolidation areas in the left lung upper lobe are stable, the numbers have increased in the current examination.  Pericardial effusion observed in the previous examination was not detected in the current examination. There is gas distension in the abdomen and subcutaneous edema is observed in the abdominal sections."}
{"volume_path": "dataset/train_fixed/train_2963/train_2963_b/train_2963_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2963/train_2963_b/train_2963_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2963_b_1.nii.gz", "findings": "A few pathological lymph nodes with short axes exceeding 1 cm in both supraclavicular fossa and level 4 localization were found to be newly developed in the current examination. There are metastatic lymph nodes located in the upper mediastinum in the paraesophageal area. There is stent material applied to the trachea and both main bronchi. A mass lesion with mediastinal invasion is observed in the middle part of the trachea and at the level of the carina. Mass lesion dimensions are progressive. Metastatic lesions are present in both lungs, small lesions increase in size, and multiple newly developed metastatic foci are observed in both lungs. The right lung shows conglomeration around the lower lobe and middle lobe bronchus, and the conglomerated metastatic lesion is quite progressive and prominent in the current examination. It has markedly narrowed the middle lobe and lower lobe segment broaches. Carcinomatous lymphangitic involvement is observed in the right lung lower lobe basal segment and middle lobe. Lower lobe basal segment aeration was markedly decreased. The pleural effusion, reaching a diameter of 17 mm at its widest point, has just developed between the right pleural leaves. New millimetric metastatic foci were detected in the pericardial pleura. It is not available in its previous review. There is an osteoporotic appearance in the bone structure. Bone metastasis is observed in the manubrium stern. It is progressive. A height loss-fracture line was observed in the upper end plateau of the T11 vertebra. It was evaluated primarily in favor of a regurgitation fracture. No discernible space-occupying lesion was detected in the vertebral body within the CT margins. At this level, a mild lytic appearance in the facet joints is observed, especially in the right facet joint. It could not be characterized in this examination.", "impression": "Newly developed pathological lymph nodes in both supraclavicular fossa and level 4 localization on the left.The masses showed conglomeration in the right lung middle lobe and lower lobe, and the masses narrowed the segmental bronchi.The right lung lower lobe showed cavitation-central necrosis in the basal segment.In the right lung, the middle lobe and lower lobe carcinomatous lymphangitic involvement. Right pleural effusion is newly developed. Pericardial pleural metastases are newly developed. It is compatible with progressive disease.  Metastatic lesions in T4 vertebral body and manubrium sternum are progressive.  There is height loss due to osteoporosis in the upper end plateau of the T11 vertebra."}
{"volume_path": "dataset/train_fixed/train_2963/train_2963_c/train_2963_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2963/train_2963_c/train_2963_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2963_c_1.nii.gz", "findings": " KTO is natural. The aortic arch calibration is 31 mm, larger than normal. Pulmonary trunk calibration is 33 mm. It is larger than normal. Calibration of other mediastinal major vascular structures is normal. A stent appearance extending to the trachea and both main bronchi is observed. Lymph nodes are observed in the upper-lower paratrecal area in the mediastinum. However, lymph node evaluation cannot be performed optimally because of mass lesions and soft tissue changes that invade the mediastinum at other levels. Lymph nodes are observed at the left hilar level and cannot be clearly evaluated in non-contrast examination. Soft tissue density, which is predominantly right at the level of the aortic arch, extends slightly towards the subcarinal area with density increases compatible with calcification, and which is evaluated as compatible with the mass lesion surrounding the right main bronchus and right pulmonary artery caudally. In the right lung, there is a dense consolidation area extending towards the upper lobe anterior segment and posterior segment and lower lobe superior segment at the central level. According to his previous examination, it regressed slightly, especially at the upper lobe level. Wide necrotic air appearance is observed within the consolidation area defined in the lower lobe superior segment. It is also available in the old review. Sequelae changes are observed at the apical level of both lungs. Sequelae calcific densities extending anteriorly and laterally are observed. Ground-glass-like density increases and interlobular septal thickening are observed in the posterior segment of the upper lobe. There is a mild pleural effusion in the right lung that has regressed according to the previous examination. Sequelae changes are also observed at the apical level in the left lung. There are also sequelae changes in the left lung lower lobe laterobasal segment. In the left lung, there are ground-glass-like density increases in the medial of the lower lobe superior segment and prominence in the interstitial scars. At the level of the lower lobe of the right lung, in the area extending from the basal to the superior segment, multiple nodules with a tendency to merge from place to place along the bronchovascular sheath and branch with buds are observed, and they are evaluated as compatible in satellite lesions. However, infective processes cannot be excluded. No significant difference was found in the appearance of branches with buds defined according to the previous examination. In non-contrast upper abdominal sections; liver and spleen, pancreas, both surrenal are natural. Nodules with a diameter of about 16 mm are observed in the spleen hilum. Also available in old review. It was evaluated as compatible with accessory spleen. Degenerative changes are observed in the bone structure entering the examination area. Compression fracture is observed in the D11 vertebral body. There is a height loss of approximately 25%. Lesions compatible with metastasis are observed in the D4 vertebral body and sternum.", "impression": "Mass lesions and soft tissue appearances that are predominantly observed in the mediastinum and at the right hilar level and continue in the craniocaudal axis throughout the upper-lower lobe. There is slight regression in the defined soft tissue changes. In the right lung lower lobe superior segment, the soft tissue appearance with necrotic cavitation area persists."}
{"volume_path": "dataset/train_fixed/train_2963/train_2963_d/train_2963_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2963/train_2963_d/train_2963_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2963_d_1.nii.gz", "findings": "The patients examination was evaluated together with the previous examinations. There is a stent extending to each main bronchus in the trachea. No occlusive pathology was detected in the trachea and both main bronchi. In the upper lobe bronchus of the right lung, there is an appearance of soft tissue density that causes obliteration in the bronchus. In addition, an appearance is observed in soft tissue density extending to the mediastinum around the right main bronchus and upper lobe bronchus, and to the upper lobe along the upper lobe bronchus. When evaluated together with the patients previous examinations, this appearance was thought to be primarily metastasis. In addition, masses and nodules are observed in both lungs, the largest of which is in the central part of the left lung upper lobe, measuring approximately 35 mm and 30 mm in diameter. The described lesions were evaluated in favor of metastases. There was no significant difference in the sizes of the masses described as the largest on the left. However, some of the other nodules have minimal increase in size. Apart from the described metastatic lesions, there is extensive consolidation with a cavity in the right lung lower lobe superior segment. Apart from this, wide consolidations are observed in the right lung upper lobe posterior segment and anterior segment. When the previous examinations of the patient are examined, it is understood that there are metastases in these localizations. Now, due to the consolidations in the examination, the possible presence of a mass in this localization cannot be completely excluded. There are emphysematous changes in both lungs. Linear atelectasis and pleuroparenchymal sequelae changes are observed in both lungs. There is bilateral minimal pleural effusion, more prominent on the right. 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. The port chamber is observed in the right hemithorax. The porta catheter terminates in the right atrium. There are millimetric lymph nodes in the mediastinum and hilar regions and within the pericardial fat pad. There was no significant difference in the number and size of these lymph nodes. There is no pathological wall thickness increase in the esophagus within the sections. No discernible mass was detected in either adrenal gland. No upper abdominal free fluid-collection was observed in the sections. There are no enlarged lymph nodes in pathological dimensions. Compression and height loss are observed in the T11 vertebral body. There was no significant increase in the anteroposterior diameter of the vertebrae. No fracture extending to the posterior elements of the vertebrae was observed. The described appearance is also present in the previous examination of the patient. In this examination, no differentiation between malignant and benign compression could be made. The described appearance can also be observed in the patients previous PET CT examination. No increased FDG uptake was detected in this localization. A lytic bone lesion is observed to the right of the midline in the manubrium sternium. In the presence of primary disease, this appearance was evaluated in favor of metastasis.", "impression": "Metastatic colon ca, multiple mass-nodules evaluated in favor of metastases in both lungs at follow-up, lytic bone lesion primarily evaluated in favor of metastases in the sternum, lymph nodes in the mediastinum and pericardial fat pad. Extensive consolidations in the right lung upper lobe and lower lobe.  Compression and height loss in T11 vertebra."}
{"volume_path": "dataset/train_fixed/train_2963/train_2963_e/train_2963_e_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2963/train_2963_e/train_2963_e_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2963_e_1.nii.gz", "findings": " There is a stent extending to both main bronchi within the trachea. No occlusive pathology was detected in the trachea and both main bronchi. In the right lung upper lobe bronchus, an appearance of soft tissue density is observed. There is an appearance of soft tissue density compatible with peribronchial thickening-consolidation around the right lung upper lobe, middle lobe and lower lobe bronchi. In addition, consolidations are observed in the central part of the lower lobe superior segment of the right lung, and in the anterior and apical segments of the upper lobe. In the central part of the left lung, there are appearances consistent with peribronchial thickening-consolidation in the peribronchovascular area. There is cavitation in the consolidated area observed in the superior segment of the right lung lower lobe. When the patient  was first examined, it is understood that the findings described in the right lung are present, albeit smaller, and when evaluated together with the primary disease, it was understood that these appearances were metastases. Apart from these, numerous nodules and masses, some with irregular borders, are observed in both lungs. The largest of the lesions described is observed in the apical segment of the left lung upper lobe apicoposterior segment, and their longest diameters were 33 mm and 31 mm, respectively. It is understood that these lesions are metastases. There was no significant difference in the number of nodules-masses observed in both lungs. In addition, some have minimal reduction in size, while others have minimal increase in size. Emphysematous changes are observed in both lungs. There are atelectasis in both lungs and surgical suture materials in the upper lobe of 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. 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. Minimal pleural effusion is observed on the right. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. Compression and height loss and minimal sclerosis are observed in the T11 vertebral body. There is minimal increase in the anteroposterior diameter of the vertebrae. No fracture was detected extending to the posterior element of the vertebra. No accompanying soft tissue component was observed. Benign-malignant compression cannot be differentiated in this examination. There is a lytic-bone lesion in the manibrium sterni and it was evaluated primarily in favor of metastasis. In the T4 vertebral corpus, a lytic-bone lesion extending to the left pedicle was observed and it was thought to be metastasis in appearance.", "impression": "In follow-up, metastatic colonic Ca, consolidation-soft tissue thickening in the peribronchial area, more prominent on the right and in the central part of both lungs, nodule-masses in both lungs when evaluated together with the patients primary disease and previous examinations, these appearances were found to be metastases, bone metastases ."}
{"volume_path": "dataset/train_fixed/train_2963/train_2963_f/train_2963_f_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2963/train_2963_f/train_2963_f_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2963_f_1.nii.gz", "findings": "A total loss of aeration is observed in the right lung, and it is understood to occur in this examination. In the previous examination of the patient, multiple masses and nodules are observed in the right lung, and it cannot be evaluated that there is a loss of lung aeration in this examination. In the right hemithorax, there are appearances of soft tissue density in the non-ventilated lung. These may be atelectatic lung segments or metastatic lesions. No occlusive pathology was detected in the trachea and left main bronchus. Masses and nodules, some of which are located in the peribronchial area, are also observed in the left lung. The boundaries of the described lesions cannot be clearly distinguished from each other. The described appearances were also evaluated in favor of metastases. The largest of the lesions evaluated as metastases is observed around the bronchial structures in the pulmonary hilus and its longest diameter was measured as 67 mm in its widest part series 2 section 173. Apart from these, interlobular septal thickenings and ground glass areas are observed in the left lung and it was evaluated in favor of lymphangitis carcinomatosa. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Heart contour and size are normal. There is no pericardial effusion. 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. Bilateral pleural effusion was observed. No upper abdominal free fluid-collection was observed in the sections. No enlarged lymph nodes in pathological dimensions were detected. Compression and height loss are observed in the T11 vertebral body. Concomitant soft tissue component was not detected in this examination. It is observed that the vertebral corpus fracture extends towards the posterior elements. Lytic bone lesion is observed in the manibrium sterni and it was evaluated in favor of metastasis. These findings are also observed in the previous examination of the patient. Apart from these, another lytic bone lesion extending to the left pedicle is observed in the T4 vertebral corpus and it is thought to be metastasis again. This appearance is present in the previous examination of the patient and no difference was detected. The described appearances were evaluated in favor of metastases.", "impression": "In the follow-up, metastatic colon ca, total loss of ventilation in the right lung and soft tissue appearances that may be compatible with atelectatic lung-metastatic lesion in the hemithorax, metastatic lesions in the left lung, findings evaluated in favor of lymphangitis carcinomatosa in the left lung, metastatic lesions in the T4 vertebra and sternum"}
{"volume_path": "dataset/train_fixed/train_2965/train_2965_a/train_2965_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2965/train_2965_a/train_2965_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2965_a_1.nii.gz", "findings": "A catheter extending from the right internal jugular vein to the superior-right atrium junction of the vena cava is observed. In the non-contrast examination, the mediastinum could not be evaluated optimally, and the trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Prevascular right upper bilateral lower aortopulmonary subcarinal lymphadenopathies with a size of 22x15 mm in pathological size and appearance were observed. Bilateral hilus could not be evaluated. When examined in the lung parenchyma window; a clearly consolidated appearance in the right lung upper lobe anterior left lung inferior lingular segment and left lung anteromediobasal segment showing a randomized distribution in both lungs; Parenchymal-subpleural nodules and mass lesions reaching 32 cm in size, some of which sit on the pleura, are observed. There are also centriacinar nodules in the parenchyma around the metastatic mass, which is more prominent in the right lung upper lobe superior segment and right lung hilus, and left lung upper lobe posterior segment, and budding tree view appearance endobronchial spread. Effusion reaching a thickness of 16 mm was observed in the right pleural space. No significant effusion was detected on the left. Millimetric calculi are observed in the gallbladder lumen as far as can be seen in the non-contrast sections. Lymphadenopathies with a size of 19x12.5 mm were observed in the paracardiac fatty tissue anterior to the liver dome. Paraaortic, paracaval, and interaorthocaval lymphadenopathies whose borders could not be distinguished from each other were observed in the non-contrast examination. In sections passing through the L1 vertebral corpus, an appearance compatible with a metastatic lymph node is observed in the first plan with dimensions of 24x18 mm in the deep subcutaneous fatty tissue on the anterior abdominal wall on the right. Thoracic vertebral corpus heights are normal. Degenerative changes are observed in the thoracic vertebrae.", "impression": "Metastatic mass lesions and centriacinar nodular - budding tree view endobronchial spread consolidated in the right lung upper lobe anterior, left lung lower lobe anteromediobasal, and left lung upper lobe inferior lingular segment, randomly distributed in both lungs. Paracardiac, paraaortacaval interaortacaval, paraaortic metastatic lymphadenopathies.  Cholelithiasis. Subcutaneous metastatic LAP on the anterior right abdominal wall."}
{"volume_path": "dataset/train_fixed/train_2965/train_2965_b/train_2965_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2965/train_2965_b/train_2965_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2965_b_1.nii.gz", "findings": " There is a catheter extending from the right internal jugular vein to the superior right atrium junction of the vena cava. 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. Multiple lymphadenopathies are observed in mediastinal lymph node stations in pathological dimensions, the largest of which is at the subcarinal level, with a short diameter of 14 mm. Bilateral hilus could not be evaluated optimally. An effusion measuring 15 mm in the deepest part in the right pleural area and 10 mm in the deepest part in the left pleural area is observed. When examined in the lung parenchyma window; In both lung parenchyma, diffuse subpleural-intraparenchymal mass lesions are observed in all segments. Near the metastatic mass lesions observed in the right lung lower lobe superior, lower lobe mediobasal, left lung upper lobe posterior, and lower lobe superior segment, there are centriacinar nodules that look like budded trees in places. The described findings were evaluated as compatible with endobronchial spread. In the current examination, an area of approximately 20x13 mm in which air bronchograms were also observed, which was observed to have newly developed in the paramediastinal area in the left lung lingula superior segment, attracted attention. Although this described lesion may belong to a newly developed mass lesion, underlying infectious pathologies cannot be excluded, close follow-up is recommended. In the abdominal sections within the image, there are mass lesions in the paraesophageal area adjacent to the spleen, which may be compatible with implant-lymphadenopathy in the paraaortic area. No lesion suggestive of lytic-destructive metastasis was detected in the bone structures within the image.", "impression": "Operated ovarian ca, bilateral pleural effusion at follow-up . Pathologically sized lymphadenopathy at all levels in mediastinal lymph node stations . Diffuse metastatic mass lesions in all segments in both lungs and budding tree-like centriacinar nodular opacities endobronchial spread? adjacent to mass lesions in some segments described above.  Mass lesions that may be compatible with multiple implant-lenadenopathy in the paraaortic area, paraesophageal area adjacent to the spleen in the abdominal sections within the image. new development is observed infectious pathologies are not excluded in the etiology of this described lesion, close follow-up is recommended. Other findings are stable."}
{"volume_path": "dataset/train_fixed/train_2967/train_2967_b/train_2967_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2967/train_2967_b/train_2967_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2967_b_1.nii.gz", "findings": " Trachea, both main bronchi are open. Mediastinal main vascular structure diameters are normal. Heart size slightly 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. There are widespread bronchial wall thickenings and peribronchial density increases that start from the central and extend bilaterally to the lower lobes. In addition, minimal subsegmental atelectasis is observed in both lower lobes. Bilateral pleural effusions are observed to regress to near total. Liver is larger than normal in upper abdominal sections. There is a millimetric calyx stone in the right kidney. There is a diffuse heterogeneous appearance in the bone structures within the sections, and in the vertebrae. Increased kyphosis in the thoracic region and multiple vertebral fractures in the lower and middle thoracic spines are observed. There is a density compatible with cement in the corpuus of the L5 vertebra.", "impression": "Peribronchial infiltrates with regressed bronchial wall thickening in both lung parenchyma. Multiple vertebral collapse fractures and diffuse heterogeneous appearance in the vertebrae.  Hepatomegaly. Right nephrolithiasis"}
{"volume_path": "dataset/train_fixed/train_2986/train_2986_a/train_2986_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2986/train_2986_a/train_2986_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2986_a_1.nii.gz", "findings": "Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast. As far as can be seen; Diffuse fusiform diameter increase was observed in the thoracic aorta and abdominal aorta. There is an increase in heart size. Calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures. Pericardial effusion was not detected. In both pleural spaces, effusion up to 16 mm was observed on the right at its deepest point. Trachea, both main bronchi are open. A mucus plug was observed in the right lower lobe bronchus. When examined in the lung parenchyma window; In the lower lobe of both lungs, right lung middle lobe lateral segment and left lung upper lobe inferior lingular segment, there are areas of increase in density consistent with consolidation in which air bronchograms are also observed aspiration pneumonia?. No mass lesion was detected in both lungs. There are minimal emphysematous changes 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 detected in the bone structures within the image.", "impression": " Slight increase in fusiform diameter in the thoracic aorta and abdominal aorta, calcified atheroma plaques in the wall of the thoracic aorta and coronary vascular structures.  Increase in heart size.  Bilateral minimal pleural effusion.  Density growth areas compatible with consolidation in the lower lobe of both lungs, right lung middle lobe lateral segment and left lung upper lobe inferior lingular segment, in which air bronchograms are also observed; aspiration pneumonia?."}
{"volume_path": "dataset/train_fixed/train_2986/train_2986_c/train_2986_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2986/train_2986_c/train_2986_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2986_c_1.nii.gz", "findings": "Trachea, both main bronchi are open. Fusiform dilatation is observed in the aorta. There are calcific atheromatous plaques in the aorta and coronary arteries. Heart sizes are normal. Other mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Lymph nodes with short axes not reaching 1 cm are observed in the mediastinal area. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; In both lungs, especially in the upper lobe of the right lung, centriacinar pulmonary nodules of ground glass density are observed. Interlobular septal thickness increases are observed in the lower lobe of the left lung and the lower lobes of the right lung. Minimal effusion and atelectasis are observed in the posterobasal section of the left lung lower lobe. 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 current examination, there are pulmonary nodules of ground glass density in centriacinar style in both lungs. These appearances were evaluated in favor of pneumonic infiltration.  There are interlobular thickness increases in the lower lobes of the left lung. Minimal pleural effusion and atelectasis are observed in the posterobasal region of the left lung lower lobe.  Fusiform dilatation of the aorta is observed.  There are calcific plaques in the coronary arteries."}
{"volume_path": "dataset/train_fixed/train_2994/train_2994_a/train_2994_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2994/train_2994_a/train_2994_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2994_a_1.nii.gz", "findings": "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; Peribronchial nodular consolidations and reticulonodular densities are observed in the lower lobe superiorly in the right lung and more prominently in the lower lobe posterior in the left lung. There is also an accompanying 7 mm pleural effusion on the left. When the upper abdominal organs included in the sections were evaluated; kidneys are atrophic. 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": " Peribronchial subpleural infiltrations in both lungs, especially in the lower lobes bacterial pneumonia is considered in the foreground.  Parapnomonic minimal effusion on the left.  Bilateral renal atrophy."}
{"volume_path": "dataset/train_fixed/train_2996/train_2996_a/train_2996_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_2996/train_2996_a/train_2996_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_2996_a_1.nii.gz", "findings": "The cannula extending into the tracheal lumen was observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi. A nasogastric tube extending from the esophagus to the stomach was observed. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed, the anterior-posterior diameter of the ascending aorta is 40 mm, and the anterior-posterior diameter of the descending aorta is 35 mm, which is larger than normal. The diameters of the pulmonary trunk and both pulmonary arteries have increased. Heart size increased. Pericardial effusion-thickening was not observed. Diffuse calcific atheroma plaques were observed in the thoracic 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. Effusion was observed in both hemithorax, reaching a diameter of 40 mm on the right and 33 mm on the left. Consolidation areas accompanied by peribronchial thickenings and ground glass densities were observed in the posterobasal and laterobasal segments of both lower lobes of the lung adjacent to the effusion. It is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes. No mass lesion with distinguishable borders was detected in both lungs. When the upper abdominal organs included in the sections were evaluated; liver is natural. An increase in density was observed in the gallbladder lumen. It is recommended to be evaluated together with US for sludge. Spleen, pancreas, both kidneys are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches. Degenerative changes were observed in the bone structures in the study area.", "impression": "Cannula in the lumen of the trachea. Fusiform aneurysmatic dilation of the thoracic aorta, cardiomegaly, diffuse calcific atheromatous plaques in the thoracic aorta and coronary arteries.  Bilateral pleural effusion, consolidation areas accompanied by peribronchial thickenings and ground glass densities in the lung areas adjacent to the effusion. It is recommended to be evaluated together with the clinic and laboratory in terms of infective processes.  Slight hyperdense appearance that gives a level in the gallbladder. It is recommended to be evaluated together with USG for sludge."}
{"volume_path": "dataset/train_fixed/train_3015/train_3015_b/train_3015_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3015/train_3015_b/train_3015_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3015_b_1.nii.gz", "findings": "Evaluation of solid organs and vascular structures is suboptimal due to the lack of contrast in the examination. Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Heart size increased. 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. Several lymph nodes are observed in the subcarinal area at the level of the right lung hilum in the prevascular area, at the level of the aortapulmonary window, and in the paratracheal area. The largest of these lymph nodes is observed in the right half of the trachea, and its short axis is 12 mm. Some of these lymph nodes have a round appearance. These appearances are also present in the previous examination of the patient and no significant difference was detected. When examined in the lung parenchyma window; Pleural effusions reaching a thickness of approximately 3.5 cm in the right hemithorax and approximately 1.5 cm in the left hemithorax are observed. There is also an anky-pleural effusion in the lateral part of the left hemithorax. In addition, there is an increase in thickness in the left lung fissure, which is evaluated primarily in favor of fluid. Interlobular and interseptal thickness increases 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": "It is recommended to be evaluated together with follow-up and examination findings."}
{"volume_path": "dataset/train_fixed/train_3026/train_3026_d/train_3026_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3026/train_3026_d/train_3026_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3026_d_1.nii.gz", "findings": " Heart contour and size are normal. Pericardial effusion was not detected. The central venous catheter placed through the right internal jugular vein terminates at the level of the right atrium. The widths of the mediastinal main vascular structures are normal. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. More prominent emphysematous changes are present in the upper lobes of both lungs. There are pleural effusion with a thickness of 2.5 cm in both hemithorax and compression atelectasis in which air bronchograms are observed in the lower lobes of both lungs adjacent to the effusion, and consolidations accompanied by airbronchograms and peripheral ground glass areas, more prominently on the left. In the upper lobes of both lungs, there are peripheral ground-glass areas in which air bronchograms are observed and consolidations accompanied by interlobular septal thickness increases in places. Findings are compatible with bronchopneumonia. In addition, there are widespread centriacinar nodular density increases in the upper lobes of both lungs. No pathological increase in wall thickness was observed in the esophagus. Within the limits of non-contrast BT; There is no discernible mass in the upper abdominal organs. Spleen AP diameter was 130 mm, liver AP diameter was 180 mm and increased. A 5 mm diameter hypodense lesion on the left side of the manubrium sterni is stable.", "impression": " Bilateral pleural effusion and compression atelectasis adjacent to the pleural effusion and consolidation areas common in both lungs, accompanied by peripheral ground glass areas with air bronchograms and increased interlobular septal thickness; has just emerged. Findings are compatible with bronchopneumonia.  Hepatosplenomegaly."}
{"volume_path": "dataset/train_fixed/train_3026/train_3026_e/train_3026_e_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3026/train_3026_e/train_3026_e_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3026_e_1.nii.gz", "findings": " Effusion was observed between the pleural leaves in both hemithorax, measuring 38 mm in the deepest part on the right 23 mm in the previous examination, 38 mm in the deepest part 25 mm in the previous examination between the pleural leaves in the left hemithorax. Atelectasis, in which air bronchograms are observed, were observed in the vicinity of the effusion in both lungs. Consolidation areas with diffuse ground glass areas, interlobular septal thickenings and centriacinar nodular infiltrations were observed in both lungs, the larger of which had an inverted halo in the left lung upper lobe. The findings described are consistent with infective processes. Invasive fungal infections, tbc, cryptogenic pneumonia, bacterial pneumonias were considered in the differential diagnosis. Other findings are stable.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_3026/train_3026_f/train_3026_f_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3026/train_3026_f/train_3026_f_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3026_f_1.nii.gz", "findings": "The effusions present in the bilateral hemithorax are markedly reduced. The effusions in the current examination were measured 17 mm on the right and 12 mm on the left. Atelectasis adjacent to the effusion decreased. The ground glass densities around the nodular infiltrative lesions in both lungs appear to be reduced. Apart from this, air densities appear to be decreased in the nodular lesions in the anterior left upper lobe and anterior lower right lobe. There is a new lesion of 10 mm in size adjacent to the nodular lesion in the anterior left upper lobe. The nodule size of 15 mm in the posterior right upper lobe decreased to 12 mm. No significant difference was found in other nodular lesions. Hepatosplenomegaly findings are stable in upper abdominal sections. Apart from this, no significant difference was observed between the examinations.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_3040/train_3040_a/train_3040_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3040/train_3040_a/train_3040_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3040_a_1.nii.gz", "findings": "Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Cardiac pacemaker is observed in the subcutaneous adipose tissue in the left hemithorax. It is observed that the pacamaker electrode terminates at the level of the left ventricular apex. Due to the artifact created by the electrode, the localization where the electrode ends cannot be clearly evaluated. Heart contour and size are normal. There is a pericardial effusion measuring 25 mm in its thickest part. The content of the effusion is observed as hyperdense in places and it was thought to be primarily hemorrhagic. There is also air in the pericardial space. The described appearance could not be characterized. However, if there is a recent history of interventional procedures, this mood may be related to this. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the left coronary arteries. 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. Pleural effusion is observed on the left. The pleural effusion measured approximately 40 mm at its thickest point. Atelectasis is observed in the lower lobe of the left lung adjacent to the pleural effusion. The left lung is almost completely atelectatic except for the superior segment. There are areas of ground glass in the apicoposterior segment of the upper lobe of the left lung. These views are nonspecific. When evaluated together with the patients clinical knowledge, it may belong to infective pathology, or it may be due to aspiration or cardiac pathology when evaluated together with other findings. No mass or infiltrative lesion was detected in both lungs. No upper abdominal free fluid-collection was observed in the sections. No pathologically enlarged lymph nodes were observed. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": "Pericardial effusion and air in the pericardial space. Pleural effusion on the left and atelectasis in the lung adjacent to the pleural effusion.  Nonspecific ground-glass area in the upper lobe of the left lung."}
{"volume_path": "dataset/train_fixed/train_3056/train_3056_a/train_3056_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3056/train_3056_a/train_3056_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3056_a_1.nii.gz", "findings": "Left thyroid gland dimensions are markedly increased and heterogeneous. It is recommended to be evaluated together with US. 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 45 mm, and the anterior-posterior diameter of the descending aorta is 31 mm, which is above normal. The size of the heart increased. An effusion reaching 2.8 cm in thickness was observed in the deepest part of the pericardial space. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. 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 were detected in prevascular, pre-paratracheal, subcarinal or bilateral axillary pathological dimensions. Nonspecific calcified lymph nodes were observed in the right lower paratracheal and hilar region. When examined in the lung parenchyma window; An effusion measuring 23 mm in the deepest part on the right and 35 mm in the deepest part on the left, extending to the fissures in both hemithorax was observed. Right lung volume decreased. Linear-band atelectatic changes were observed in the right lung and left lung upper lobe inferior lingular segment. An area of consolidation, which may be compatible with atelectasis or pneumonic infiltration, is observed in the mediobasal segment of the left lung lower lobe. No mass lesion with distinguishable borders was detected in the lung parenchyma. As far as can be observed in the sections, the gallbladder was not observed 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. Schmorl nodule impressions were observed in the thoracolumbar vertebrae end plates.", "impression": "\u00b7 Increased left thyroid gland size-heterogeneity; It is recommended to be evaluated together with USG. Fusiform aneurysmatic dilatation in the thoracic aorta, calcific atheroma plaques in the thoracic aorta and coronary arteries, cardiomegaly, pericardial effusion. \u00b7 Bilateral pleural effusion. \u00b7 Linear-band atelectatic changes in both lungs. \u00b7 Focal consolidation in the left lung lower lobe mediobasal segment, where atelectasis and pneumonic infiltration cannot be differentiated; It is recommended to be evaluated together with clinical and laboratory. \u00b7 Degenerative changes in bone structure."}
{"volume_path": "dataset/train_fixed/train_3062/train_3062_a/train_3062_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3062/train_3062_a/train_3062_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3062_a_1.nii.gz", "findings": "Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. The ascending aorta is wider than normal with 43 mm, pulmonary conus 40 mm, right pulmonary artery 29 and left pulmonary artery 28 mm. An increase in heart size is observed. Effusion up to 50 mm is observed in the deepest part of the pericardial area. In addition, in both pleural spaces, there is free effusion up to 50 mm in the deepest part on the right and up to 20 mm in the deepest part on the left. 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 observed in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; There are areas of density increase in both lungs adjacent to the effusion, which is primarily evaluated in favor of compressive atelectasis, which is consistent with the consolidation observed in air bronchograms. Apart from this, there are areas of increased density in the left lung upper lobe inferior lingular segment and right lung middle lobe lateral-medial segment within the air bronchograms, which are consistent with consolidation, and atelectasis and pneumonic infiltration could not be differentiated. Evaluation with clinical and laboratory findings is recommended. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT. No fluid, loculated collection is observed on the right. No lytic or destructive lesions were detected in the bone structures within the image.", "impression": " Ascending aorta, increased pulmonary vasculature calibration, increased heart size, pericardial and bilateral pleural effusion.  Density increase areas in both lungs adjacent to the effusion evaluated in favor of compressive atelectasis and consolidation area in the left lung upper lobe inferior lingular segment and right lung middle lobe where atelectasis and pneumonic infiltration cannot be clearly differentiated; Evaluation together with clinical and laboratory findings is recommended."}
{"volume_path": "dataset/train_fixed/train_3066/train_3066_c/train_3066_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3066/train_3066_c/train_3066_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3066_c_1.nii.gz", "findings": " In his previous examination, a focal ground-glass area accompanied by interlobular septal thickening in the subpleural area and subpleural lines was observed in the posterobasal segment of the lower lobe of the right lung. In the current examination, nodular-patchy ground-glass densities accompanied by interlobular septal thickenings in the right lung upper and lower lobe superior segment, left lung lower lobe posterobasal-laterobasal segments and peripheral subpleural areas were observed. Linear subsegmentary atelectatic changes were observed in the basal segments of the right lung middle lobe and left lung lower lobe. No mass lesion with distinguishable borders was detected in the lung parenchyma. Bilateral pleural effusion-thickening was not observed. Stable effusion in the form of smearing was observed in the pericardial area. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Perikerdial effusion in stable plastering style"}
{"volume_path": "dataset/train_fixed/train_3066/train_3066_f/train_3066_f_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3066/train_3066_f/train_3066_f_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3066_f_1.nii.gz", "findings": "In the case followed up due to COVID 19 pneumonia; Findings evaluated in favor of the infective process show an increase in the current examination and there is an increase in the involved lung volume. The described lesion is accompanied by areas of increase in density consistent with linear atelectasis, especially in the lower lobes. There is a newly developed subcentimeric minimal pleural effusion in both lungs on current examination.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_3073/train_3073_a/train_3073_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3073/train_3073_a/train_3073_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3073_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are emphysematous changes and occasional atelectasis in both lungs. Consolidation was observed in the superior segment and posterobasal segment in the lower lobe of the left lung. In addition, budding tree appearances and centriacinar nodules were observed in the apicoposterior segment of the upper lobe of the left lung. The described manifestations were primarily evaluated in favor of pneumonic infiltration. There are millimetric nodules in both lungs. 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: The heart is minimally larger than normal. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the coronary arteries. It is understood that the patient underwent coronary bypass surgery. There is bilateral minimal pleural effusion. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections.", "impression": " Findings evaluated primarily in favor of pneumonic infiltration in the left lung.  Millimetric nodules in both lungs.  Emphysematous changes in both lungs.  Bilateral minimal pleural effusion.  Cardiomegaly, coronary artery disease."}
{"volume_path": "dataset/train_fixed/train_3073/train_3073_b/train_3073_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3073/train_3073_b/train_3073_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3073_b_1.nii.gz", "findings": " No significant regression was detected in the pneumonic consolidation areas of the left lung. On the right, its thickness measured 18 mm in the current examination 14 mm in the previous examination. A slightly increased free pleural effusion was observed. According to the previous examination, stable millimetric non-specific parenchymal nodules were observed in both lungs. However, in the current examination, there is an increase in ground glass density increases with septal thickenings in the inferior lingular segment. In addition, centracinary nodules were also observed in the right lung lower lobe laterobasal segment, and they were newly discovered in the current examination. Pleural effusion was observed in the newly emerging minimal anx in the fissure plane on the left. There was no significant change in other findings in the current examination.", "impression": ""}
{"volume_path": "dataset/train_fixed/train_3105/train_3105_a/train_3105_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3105/train_3105_a/train_3105_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3105_a_1.nii.gz", "findings": " It was understood that the patient underwent right lung lower lobectomy because of the peripheral localized primary tumor mass in the lower lobe of the right lung. A chronic pleural effusion with a thickness of 21 mm 30 mm in the previous examination was observed between the pleural leaves in the lobectomy lodge, and its dimensions were reduced. No lymph node was detected in mediastinal pathological size and appearance. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Mild effusion, which was also observed in the previous pericardial examination, was observed. There are changes in the upper lobe and middle lobe of the right lung due to positive relative changes. In the current examination, focal consolidation areas were observed in the middle lobe and upper lobe of the right lung. The appearance may be due to post-RT change. An infectious process can be considered in the differential diagnosis. Clinical evaluation and control is recommended. Mild emphysematous changes were observed in both lungs. No pleural effusion-thickening was detected on the left. Contours of both kidneys show loculation in the upper abdominal sections entering the study area. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta. No lytic-destructive lesions were detected in bone structures. Left-facing scoliosis was observed in the thoracic vertebrae.", "impression": " Operated lung Ca, right lung lower lobectomy in follow-up.  Postoperative changes in the upper lobe of the right lung.  Newly revealed areas of infiltration in the upper lobe and middle zone of the right lung in the current examination may be compatible with the post-RT change in appearance. Infectious process can be considered in the differential diagnosis. Clinical correlation and control are recommended.  Atherosclerotic changes.  Millimetric stable nonspecific mediastinal lymph nodes."}
{"volume_path": "dataset/train_fixed/train_3108/train_3108_a/train_3108_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3108/train_3108_a/train_3108_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3108_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. No obvious pathology was detected. 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 lymph node reaching mediastinal pathological dimension was detected. When examined in the lung parenchyma window; The right diaphragm has an evantre appearance and pleural effusion reaching approximately 18 mm in its thickest part on the right and compressive atelectasis in the adjacent lung are observed. There are fibroatelectatic changes at the bases of both lungs. On the left, there is pleural fluid reaching a thickness of about 12 mm. No mass with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. The liver entering the section area is larger than normal. There are multiple metastatic masses and calcified metastases in the parenchyma. There is fluid in the perihepatic and perisplenic area. Only the tail part of the pancreas can be observed and it is edematous. Other areas are normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Metastatic breast ca, control . Bilateral pleural fluid and atelectasis in the adjacent lung . Eventration in the right diaphragm . Metastatic disease in the liver entering the imaging field . Perihepatic, perisplenic fluid . Significant edematous thickening pancreatitis in the tail of the pancreas that can be observed."}
{"volume_path": "dataset/train_fixed/train_3112/train_3112_a/train_3112_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3112/train_3112_a/train_3112_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3112_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. As far as can be seen; Trachea, lumen of 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 size increased. Calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls. Pericardial effusion-thickening was not observed. Diffuse wall thickness increase is observed in the lumen along the thoracic esophagus. Lymph nodes measuring 5 mm in the short axis of the mediastinal larger are observed. No lymph node was detected in mediastinal pathological size and appearance. When examined in the lung parenchyma window; Minimal free pleural effusion in both lungs and atelectasis-consolidation areas including air bronchograms in the lower lobe posterobasal segments are observed. In addition, ground-glass-like densities are observed in the posterior segment of the left lung upper lobe. Bilateral peribronchial thickenings are observed. Diffuse thickening is observed in the lateral crus of the left adrenal gland in the upper abdominal sections entering the examination area. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Cardiomegaly. Minimal areas of pleural effusion and infiltration in both lungs.  Diffuse thickening in the lateral crus of the left adrenal gland is stable.  Diffuse thickening of the thoracic esophageal wall has only recently emerged in the current examination. Endoscopy examination is recommended."}
{"volume_path": "dataset/train_fixed/train_3112/train_3112_b/train_3112_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3112/train_3112_b/train_3112_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3112_b_1.nii.gz", "findings": "Trachea and both main bronchi are normal. There is no obstructive pathology in the trachea and both main bronchi. Consolidations with air bronchograms and ground glass areas are observed in the lower lobes of both lungs, especially in the posterior parts of the lungs. There is also minimal pleural effusion on the right. The described appearances can also be observed in the previous examination of the patient. When these appearances were evaluated together with their clinical information, it was primarily thought to be pneumonic infiltration. In the left lung upper lobe apicoposterior segment, interlobular septal and intersial thickenings and cystic areas are observed in the subpleural areas. These appearances were evaluated primarily in favor of sequelae changes. There are emphysematous changes in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Heart contour and size are normal. Pericardial effusion was not detected. Aorta diameter is normal. The main pulmonary artery diameter was 30 mm and wider than normal. The diameters of the right and left pulmonary arteries are larger than normal. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid was observed in the sections. There is a minimal hypodense appearance measuring approximately 30 mm in diameter in the anterior of the stomach just to the right of the midline in the epigastric region. When the patients previous examinations were examined, it was understood that this appearance was a hematoma, and a significant reduction in size was observed. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Findings evaluated primarily in favor of pneumonic infiltration in the lower lobes of both lungs . Emphysematous changes in both lungs . Increase in the diameters of the pulmonary arteries "}
{"volume_path": "dataset/train_fixed/train_3112/train_3112_c/train_3112_c_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3112/train_3112_c/train_3112_c_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3112_c_1.nii.gz", "findings": " Trachea and both main bronchi are normal. There is no occlusive pathology in the tracheal lumen. There is mucus secretion in both main bronchial lumens. The mediastinum could not be evaluated optimally in the case where contrast material was not given. As far as can be observed: Calibration of the thoracic aorta is normal. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Main pulmonary artery diameter and right and left pulmonary artery diameters increased by 30 mm and 28 mm, respectively. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with short diameters less than 1 cm and not reaching pathological dimensions are observed in the mediastinum and hilar regions. When examined in the lung parenchyma window; In the lower lobes of both lungs, especially in the posterior parts, consolidations with air bronchograms are more common on the right and frosted glass areas are observed around it. There is also minimal pleural effusion on the right. The described appearances can also be observed in the previous examination of the patient. The appearances were evaluated in favor of pneumonic infiltration. No significant difference was found in the consolidation area on the right. There are emphysematous changes in both lungs. Sequelae fibrotic recessions are observed in the upper lobes of both lungs. No mass was detected in both lungs. There is an iso-hyperdense appearance in the epigastric region, to the right of the midline, at the anterior of the stomach, measuring approximately 15 mm in diameter and which was understood to be a hematoma from previous examinations. When evaluated together with the patients previous examinations, it shrunk significantly. Two millimetric calculi are observed in the upper pole of the right kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Consolidation areas, emphysematous changes in both lung lower lobes evaluated in favor of stable pneumonic infiltration on the right and mild regression on the left. Increase in the diameters of the pulmonary trunk and right left pulmonary artery. Right nephrolithiasis."}
{"volume_path": "dataset/train_fixed/train_3112/train_3112_d/train_3112_d_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3112/train_3112_d/train_3112_d_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3112_d_1.nii.gz", "findings": "Trachea and both main bronchi are normal. There is no obstructive pathology in the trachea and both main bronchi. Consolidation and ground glass areas are observed in both lung lower lobes, more prominently on the right. The described appearance can also be observed in the previous examination of the patient. However, a minimal increase was observed in this examination. This appearance is compatible with the diagnosis of aspiration pneumonia stated in the clinical preliminary diagnosis. Minimal pleural effusion is observed on the right. No pleural effusion was detected on the left. Linear atelectasis and emphysematous changes are observed in both lungs. There are pleuroparenchymal sequelae changes in both lung apex. 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. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. 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": "Consolidation and ground-glass views in the lower lobes of both lungs, pleural effusion on the right."}
{"volume_path": "dataset/train_fixed/train_3112/train_3112_g/train_3112_g_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3112/train_3112_g/train_3112_g_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3112_g_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Consolidation is observed in both lung lower lobes. There is also consolidation in a smaller area in the left lung upper lobe lingular segment. Consolidation is accompanied by areas of ground glass in the left lung. The described manifestations were evaluated primarily in favor of pneumonic infiltration. The fact that the lesions are located more posteriorly brings to mind aspiration. It is recommended to evaluate the patient together with the clinical findings. No mass was detected in both lungs. Emphysematous changes in both lungs and pleuroparenchymal sequelae changes in both lung apex are observed. There is minimal pleural effusion on the left. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta. Coronary arteries also have atheroma plaques. The main pulmonary artery diameter was 32 mm and wider than normal. There is no pericardial effusion. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. There are no lytic-destructive lesions in the bone structures within the sections.", "impression": "Findings evaluated primarily in favor of pneumonic infiltration in both lungs"}
{"volume_path": "dataset/train_fixed/train_3112/train_3112_j/train_3112_j_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3112/train_3112_j/train_3112_j_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3112_j_1.nii.gz", "findings": "Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. The diameter of the descending aorta increased by 33 mm. The diameters of the right and left pulmonary arteries and the pulmonary trunk are larger than normal. An increase in heart size is observed. There are calcified atheromatous plaques on the wall of the aortic arch and coronary vascular structures. Pericardial effusion was not detected. Bilateral pleural effusion, measuring 35 mm in size, is observed 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 is observed in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. Trachea and both main bronchi are open. In the examination made in the lung parenchyma window; A hypodense filling defect, which is evaluated primarily in favor of mucus plug, is observed in the posterobasal segment bronchus of the lower lobe of the right lung. On the right, there are areas of increase in density consistent with consolidation with air bronchograms in the lower lobes of both lungs. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No lytic-destructive lesion was observed in the bone structures within the image.", "impression": "Areas of increase in density compatible with consolidation including air bronchograms are observed in both lung lower lobes, and pneumonic infiltration is considered in the etiology of the findings. There is a progression in the findings according to previous CT examination. A hypodense filling defect is observed in the posterobasal segment bronchus of the right lung lower lobe mucus plug? . Bilateral pleural effusion ."}
{"volume_path": "dataset/train_fixed/train_3112/train_3112_k/train_3112_k_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3112/train_3112_k/train_3112_k_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3112_k_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; The anterior-posterior diameter of the descending aorta is above normal with 33 mm. Right and left pulmonary artery diameters and pulmonary conus are wider than normal. Heart size increased. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the aortic arch and coronary arteries. Placing pleural effusion was observed in both hemithorax. 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; Consolidation areas in nodular configuration are observed in both lung lower lobes. Ground glass densities are observed around the consolidation areas. The described manifestations were primarily evaluated in favor of pneumonic infiltration. The fact that the lesions are located mostly in the lower lobe posterior brings to mind aspiration. It is recommended to be evaluated together with clinical and laboratory findings. There is volume loss in the lower lobes of both lungs. Emphysematous changes were observed in both lungs. Pleuraparenchymal sequelae changes are observed in both lungs. As far as can be seen in non-contrast sections; upper abdominal organs are normal. A millimetric calculus image was observed in the gallbladder lumen. A 3.5 mm diameter calculus was observed in the middle part of the right kidney. A PEG catheter placed at the stomach antrum level was observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Consolidation areas that have gained nodular form in the lower lobes of both lungs, and ground glass densities around it; findings were evaluated in favor of pneumonic infiltration. The fact that the consolidations are located posterior to the lower lobe suggests aspiration in the first place.  Bleeding effusion in the bilateral pleural space, loss of volume in the lower lobes of both lungs.  Emphysematous changes, sequelae changes in both lungs.  Right nephrolithiasis.  Cholelithiasis."}
{"volume_path": "dataset/train_fixed/train_3112/train_3112_p/train_3112_p_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3112/train_3112_p/train_3112_p_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3112_p_1.nii.gz", "findings": "Trachea and main bronchi are open. Calcifications are observed around the trachea and main bronchi Tracheobronchopathy osteochondroplastica. Millimetric lymph nodes with prominent right upper paratracheal aortopulmonary hilar fat content are observed. No pathological LAP was detected. The cardiothoracic index increased in favor of the heart. Calcific plaques are observed in the walls of the aortic arch and coronary artery. Atelectasis is observed in the basal segments of the lower lobes of both lungs, accompanied by thin pleural effusion in the left hemithorax, which was also observed in previous examinations. This view was also present in the previous review, but has increased. Apart from this, ground glass densities, interlobular septal thickenings in the lung parenchyma, and pleuroparenchymal sequelae densities in the left lung apex are observed in the vicinity of the effusion. Interlobular septal thickenings were evaluated as secondary to cardiac load. Atelectasis-accompanying consolidation areas with increasing size in the lower lobes of both lungs were primarily evaluated as secondary to aspiration pneumonia. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Gastric PEG is observed. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures.", "impression": "#NAME?"}
{"volume_path": "dataset/train_fixed/train_3134/train_3134_a/train_3134_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3134/train_3134_a/train_3134_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3134_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 and minimal effusion was observed in both pleural spaces. 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; In both lungs, mostly peripheral, subpleural localized, indistinct nodular consolidation and areas of increased density in ground glass density were observed. Viral pneumonias are considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. 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, and the vertebral corpus heights were preserved.", "impression": " Findings consistent with viral pneumonia in both lungs.  Minimal pericardial and bilateral pleural effusion."}
{"volume_path": "dataset/train_fixed/train_3155/train_3155_a/train_3155_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3155/train_3155_a/train_3155_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3155_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. 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. Lymph nodes measuring 14 mm in the short axis of the largest were observed in the mediastinal upper-lower paratracheal, subcarinal area. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. A suspicious focal infiltration area was observed in the peripheral subpleural area in the posterior part of the right lung upper lobe. Post-treatment control is recommended. Bilateral bronchovascular scars have increased. Between the bilateral pleural leaves, a free pleural effusion measuring 16 mm in thickness on the right and 11 mm on the left was observed. Sequelae changes were observed in both lungs apical. In the upper abdominal sections in the study area; In the middle zone of the left kidney, two calcules, the largest of which were 6 mm in diameter, were observed. 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": " Cardiomegaly.  Emphysematous changes in both lungs, sequelae changes in both lungs.  Peripheral, subpleural focal infiltration area atelectasis?, consolidation area? in the posterior segment of the right lung upper lobe.  Bilateral pleural effusion.  Mediastinal lymph nodes.  Left nephrolithiasis."}
{"volume_path": "dataset/train_fixed/train_3162/train_3162_a/train_3162_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3162/train_3162_a/train_3162_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3162_a_1.nii.gz", "findings": "The thyroid is larger than normal and nodular in appearance. Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. A dilatation in favor of the left heart was observed in the cardiac chambers. Calcific atheroma plaques were observed in the main vascular structures. Esophagus is within normal limits. Pleural effusion with a thickness of 4.2 cm on the right and 1.8 cm on the left was observed. Mosaic attenuation was observed in both lungs. Peribronchovascular axial interstitial and interlobular septal thickening and subpleural band formations are observed in bilateral lung basals, and subsegmental atelectasis is observed in the anterobasal and lateralbasal segments of the right lung lower lobe. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. The left kidney was not observed. Appearances of degenerative osteophytes were observed in the vertebra corpus corners.", "impression": "Cardiomegaly, atherosclerosis Bilateral pleural effusion Changes identified in the lungs"}
{"volume_path": "dataset/train_fixed/train_3167/train_3167_b/train_3167_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3167/train_3167_b/train_3167_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3167_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. There are small lymph nodes in the mediastinum. When examined in the lung parenchyma window; There are mild atelectatic changes in the lower lobes of both lungs. Tapering of the vertebral corpus end plates and slight compressions on the lung parenchyma, especially on the right side, are observed. In the upper abdominal organs, including sections; a small amount of effusion in the perihepatic-perisplenic space. There are findings consistent with liver parenchymal disease.", "impression": " Mild atelectasis secondary to tapering in the vertebral corpus end plates in the lung parenchyma observed in the paravertebral area.  Small amount of effusion in the perihepatic-perisplenic area. Findings consistent with liver parenchymal disease.  Small lymph nodes and varicose veins in the upper abdomen."}
{"volume_path": "dataset/train_fixed/train_3191/train_3191_a/train_3191_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3191/train_3191_a/train_3191_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3191_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. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. Pericardial effusion was not detected. There is bilateral minimal pleural effusion, more prominent on the right. The pleural effusion measured 33 mm on the right at its thickest point. No pleural thickening was detected. There are lymph nodes in the mediastinum and hilar regions. The shortest diameter of the largest of the lymph nodes was 10 mm. Some of the lymph nodes are calcific. 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. There are emphysematous changes in both lungs. Linear and nodular density increases, structural distortion and volume loss are observed in the upper lobe of the right lung, especially in the apical segment. In addition, diffuse calcific nodules were observed in both lungs, more prominently in the upper lobe of the right lung. There is also minimal peribronchial thickening in the upper lobe of the right lung. These appearances were evaluated primarily in favor of sequelae changes. It is recommended to follow. There is a solid-looking lesion measuring 9x7 mm in the bronchiectatic duct in the upper lobe of the right lung. The described lesion can also be observed in the patients previous examinations, and no significant difference was detected. The described appearance may be a mucus plug. Although less likely, the appearance was thought to be compatible with aspergilloma. It is recommended to follow. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. There are lytic bone lesions in the bone structures within the sections. The described appearances were primarily evaluated in favor of metastases. No soft tissue component was detected accompanying these metastatic lesions. Minimal height loss is observed in the T6 superior end plate of the vertebra.", "impression": " Hepatocellular carcinoma, liver metastases, bone metastases in follow-up  Findings evaluated primarily in favor of sequelae changes in both lungs, more prominently on the right.  Bilateral pleural effusion.  Emphysematous changes in both lungs.  Solid-appearing lesion mucus plug?, aspergilloma?? in the bronchiectatic duct in the upper lobe of the right lung.  Atherosclerotic changes in the aorta and coronary arteries.  Mediastinal and hilar lymph nodes."}
{"volume_path": "dataset/train_fixed/train_3192/train_3192_a/train_3192_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3192/train_3192_a/train_3192_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3192_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Calcific atheroma plaques are observed in the aortic arch in the mediastinum. Other mediastinal main vascular structures are normal. Heart size increased. Pes maker double chamber is observed in the superior vena cava. 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; Atelectasis changes in the lower lobe of the right lung, consolidation area with air bronchogram sign, patchy ground-glass densities at the basal level of the lower lobe of the left lung are observed. Findings were initially evaluated in favor of infectious processes. There are effusions measuring 27 mm in thickness on the right and 6 mm in thickness on the left. Upper abdomen organs are partially included in the examination and were evaluated as suboptimal. Diffuse degenerative changes were observed in bone structures.", "impression": " Findings consistent with infectious processes pneumonia accompanied by cardiac stasis  Small bilateral effusions, more on the right  Increased heart size.  Diffuse degenerative changes in bone structures."}
{"volume_path": "dataset/train_fixed/train_3198/train_3198_a/train_3198_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3198/train_3198_a/train_3198_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3198_a_1.nii.gz", "findings": " No significant changes were detected in the dimensions described from the previous review. A lesion consistent with lymphadenopathy was observed in the left inferior cervical chain, with a short axis of 17. A hypodense lesion with a diameter of 1 cm was observed in the left thyroid lodge. US control is recommended. There are diffuse emphysematous changes that become evident in the upper lobes of both lungs and increase in pleuroparenchymal sequelae density in the right lung apical. According to the previous examination, stable millimetric parenchymal nodules were observed in both lungs. The left hemidiaphragm is elevated and atelectatic changes are observed in the lower lobe. Minimal pleural effusion is observed on the left. 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": " Malignant-looking mass lesion with indistinguishable borders from mediastinal structures in the apical left lung; is stable.  Mediastinal some conglomerated lymphadenopathies; is stable.  Stable lymphadenopathy in the left inferior cervical chain.  Emphysematous changes, sequelae changes in both lungs, millimetric stable parenchymal nodules in both lungs.  Atelectatic changes in the lower lobe of the left lung and elevation in the hemidiaphragm.  Pericardial effusion.  Minimal pleural effusion on the left."}
{"volume_path": "dataset/train_fixed/train_3201/train_3201_a/train_3201_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3201/train_3201_a/train_3201_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3201_a_1.nii.gz", "findings": "In the left thyroid lobe, there is a nodule measuring 8 mm in size, containing calcific rim in the crescentic stenosis. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch and in the abdominal aorta. 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; There is a small amount of effusion in both lungs, more on the right. Dependent atelectatic changes are present in both lung lower lobe basal segments, more prominent on the right. No nodular or infiltrative lesion was detected in the lung parenchyma. Upper abdominal organs were included in the study partially 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. There is a diffuse density decrease in the bone structures in the study area. There are mild hypertrophic osteophytic degenerative taperings in the vertebral corpus endplates.", "impression": "Atherosclerosis . A small amount of effusion, more prominent on the right bilateral side . Atelectatic changes in both lower lobe basal segments of both lungs . 8 mm nodule with calcific rim in the crescentic stenosis in the left thyroid lobe. USG correlation is recommended."}
{"volume_path": "dataset/train_fixed/train_3221/train_3221_a/train_3221_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3221/train_3221_a/train_3221_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3221_a_1.nii.gz", "findings": "Evaluation of solid organs, vascular and mediastinal structures is suboptimal because the examination is non-contrast. Trachea is in the midline, both main bronchi are open. The diameters of the mediastinal vascular structures are normal. Heart size and contours are normal. Pericardial effusion-thickening was not observed. No massive increase in wall thickness was detected in the thoracic esophagus. Skin and subcutaneous fatty tissues appear normal. No lymphadenopathy was observed in the mediastinal area in pathological size and appearance. Lymph nodes measuring 1 cm in the short axis of the largest are observed in the mediastinum. When examined in the lung parenchyma window; Pleural effusion reaching a thickness of 4.5 cm on the right and 3 cm on the left in bilateral lungs and compression atelectasis in the accompanying lung components are observed. Mosaic attenuation pattern and centrally located ground glass densities are observed in both lungs. These findings may be secondary to pulmonary edema. It is recommended to be evaluated together with the clinic. In the apical segment of the upper lobe of the right lung, 12 mm in diameter, well-circumscribed pulmonary nodules are observed. A pulmonary nodule with a diameter of 4 mm is observed in the superior segment of the lower lobe of the right 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. A small amount of free fluid is observed in the perihepatic area. There are widespread degenerative changes in bone structures in the study area. No fracture or lytic-sclerotic lesion was observed.", "impression": " Pleural effusion in both lungs, centrally located ground glass densities, prominent fissures, and pulmonary edema may be secondary. It is recommended to be evaluated together with clinical and examination findings.  Pulmonary nodules in the right lung upper lobe apical segment and right lung lower lobe superior segment.  Small amount of perihepatic free fluid."}
{"volume_path": "dataset/train_fixed/train_3226/train_3226_b/train_3226_b_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3226/train_3226_b/train_3226_b_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3226_b_1.nii.gz", "findings": " Trachea, both main bronchi are open. Heart size increased. The pulmonary artery is dilated and measures approximately 35 mm at its widest point. Other mediastinal main vascular structures are normal. Minimal fluid is observed in the pericardial area. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Numerous lymph nodes are observed in the mediastinal area, with a short axis of 12 mm, the largest of which is pretracheal, subcarinal, at the level of both lung hiluses and at the level of the aortopulmonary window. These findings are also present in the patients previous examination. There is an increase in the number of minimal lymph nodes. When examined in the lung parenchyma window; Pleural effusion reaching approximately 1 cm is observed in the right lung. Patchy ground glass densities and areas of consolidation are observed, which are more prominent in the lower lobes and peripheral areas of both lungs. These views are consistent with Covid-19 pneumonia. When evaluated together with the previous examination of the patient, the lung parenchyma area compatible with pneumonia showed a minimal increase. 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 is a minimal increase in the number of lymph nodes in the mediastinal area in the case followed up with Covid-19 pneumonia. Slight increase in the amount of lung parenchyma consistent with pneumonia.  Heart size increased, minimal pericardial effusion and pleural effusion up to 1 cm in the right hemithorax."}
{"volume_path": "dataset/train_fixed/train_3231/train_3231_a/train_3231_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3231/train_3231_a/train_3231_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3231_a_1.nii.gz", "findings": " Bilateral gynecomastia is observed. Although the mediastinum cannot be evaluated optimally in non-contrast examination; No occlusive pathology was observed in the lumen of the trachea and both main bronchi. Millimetric nodular calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi. Thoracic aorta and pulmonary artery calibrations are normal. Heart size increased. Effusion reaching 6.5 mm thickness was observed in the pericardial space. Diffuse atheroma plaques are observed in the thoracic aorta, its supraaortic branches and coronary arteries. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mixed type hiatal hernia is observed at the lower end of the esophagus. Numerous lymph nodes with short axes less than 1 cm were observed in the mediastinum. Fracture lines forming callus formation are observed on the left 8, 9, 10 and 11 ribs. A hemorrhagic effusion extending from the apex to the basis and extending to the major fissure was observed in the left pleural space, and a hematoma measuring 9.8x4.7 cm in the lower zone was observed. Left lung lower lobe and upper inferior lingular segment and areas of consolidation+atelectasis in which air bronchograms are observed are observed. Emphysematous changes are observed in the ventilated lung areas. In addition, diffuse pleuroparenchymal fibroatelectasis changes were observed in the right lung lower lobe superior segment and left lung upper lobe posterior segment, extending from the right lung upper lobe anterior segment to the middle lobe. Effusion reaching 4.7 cm in thickness extending from the apex to the base in the right pleural space and atelectatic changes are observed in the lung areas adjacent to the effusion. Findings were evaluated in favor of pneumonic infiltration. Correlation with clinical and laboratory is recommended. L5 is bilaterally sacralized. There is left-facing scoliosis at the thoracic level. Vertebral corpus heights are normal.", "impression": "Trachea and both main bronchial walls compatible with tracheobronchopathia osteochondroplastica. Bilateral gynecomastia, cardiomegaly, minimal pericardial effusion. Consolidation-atelectasis complex in the lower lobe of the left lung; evaluated in favor of pneumonic infiltration. Post-treatment control is recommended. Bilateral pleural effusion, emphysematous changes in both lungs. Other findings are stable."}
{"volume_path": "dataset/train_fixed/train_3243/train_3243_a/train_3243_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3243/train_3243_a/train_3243_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3243_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Heart size increased. Calcific atheroma plaques are observed in the aortic arch and descending aorta. 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; Slight patchy ground-glass densities are observed in the upper lobe of the left lung superiorly and peripherally in the middle lobe of the right lung. It was evaluated in favor of suspected infectious processes. Clinical laboratory correlation is recommended. In both hemithorax, there is an effusion measuring 47 mm in thickness on the right and 44 mm in thickness on the left. Mild thickenings are observed in the interlobular septa. There are dilatations in the visible colon loops. 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. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are hypertrophic osteophytic taperings in the anteriors of the vertebral corpus endplates, and diffuse density reduction in bone structures.", "impression": " Slight patchy ground-glass densities consistent with suspected infectious processes accompanied by cardiac stasis.  Bilateral small-to-moderate effusion.  Atelectatic changes in the lower lobes of both lungs.  Atherosclerotic findings.  Cardiomegaly.  Dilatations with air-fluid leveling in the intestinal loops that can be seen in the upper abdomen.  Diffuse density reduction, degenerative changes in bone structures."}
{"volume_path": "dataset/train_fixed/train_3253/train_3253_a/train_3253_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3253/train_3253_a/train_3253_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3253_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and central consolidations and ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. Findings are more prominent in the upper lobe and central part of the right lung. The described appearances were evaluated in favor of infective pathology. The distribution and extent of findings are not specific for differential diagnosis. Viral and bacterial pathogens can cause similar appearance. It is recommended that the patient be evaluated together with the laboratory findings. No mass was detected in both lungs. There is minimal pleural effusion on the right. No pleural effusion was detected on the left. 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. Atheroma plaques are observed in the aorta and coronary artery. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions. The largest of these lymph nodes is observed in the paratracheal region and its short diameter is 14 millimeters. No pathological increase in wall thickness was detected in the esophagus within the sections. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections.", "impression": "Diffuse consolidations in both lungs. Pleural effusion on the right."}
{"volume_path": "dataset/train_fixed/train_3267/train_3267_a/train_3267_a_1.nii.gz", "organ_mask": "organ_mask_whole/train_fixed/train_3267/train_3267_a/train_3267_a_1.nii.gz", "effusion_mask": "effusion_mask/train_fixed/train_3267_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Heart size increased. The ascending aorta has an ectatic appearance and measures 44 mm. Calcific atheroma plaques are observed in the aorta and coronary arteries. Nasogastric tube is observed in 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; Mosaic attenuation pattern is observed in both lungs. There is a ground-glass opacity extending to the subpleural area in the anterior segment of the right lung upper lobe. In the posterobasal and laterobasal sections of the lower lobe of the right lung, pleural effusion areas and atelectasis areas are observed in the anx. At the level of the left lung hilum, there is an appearance that cannot be fully differentiated from atelectasis, which causes narrowing in the bronchi. In addition, interlobar and interlobular septal thickness increases are observed in both lungs. Consolidation and ground glass densities are observed in the aerated parenchyma in the lower lobe of the right lung. The findings were evaluated primarily in favor of pneumonia infiltration. Although the soft tissue densities in the left lung hilum in the posterobasal and laterobasal sections of the right lung were primarily considered in favor of atelectasis, the mass could not be completely excluded. Contrast-enhanced examination is recommended if clinically necessary. 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, aortic ectasia, calcific plaques in the aorta and coronary arteries.  Effusion in the right lung.  Consolidation and ground glass densities are observed in the ventilated parenchyma in the lower lobe of the right lung. The findings were evaluated primarily in favor of pneumonia infiltration. Although the soft tissue densities in the left lung hilum in the posterobasal and laterobasal sections of the right lung were primarily considered in favor of atelectasis, the mass could not be completely excluded. Contrast-enhanced examination is recommended if clinically necessary."}