| [ |
| { |
| "cohort": "rheum", |
| "patient_id": "0F2D54AF43B4C12BA2A9C39E9A34AECE", |
| "scans": [ |
| { |
| "reasoning": "The patient has a history of Psoriatic arthritis, which can sometimes be confused with Lupus or coexist. However, the primary goal is to assess for Lupus. Radiographs of the hands and feet are crucial for evaluating joint involvement in Lupus, looking for erosions, joint space narrowing, and periarticular osteopenia, which can occur in Lupus arthritis. The notes from 2017 showed no evidence of inflammatory arthropathy, but the patient's condition may have changed. The 2024 scans are more recent and relevant.", |
| "date": "2024-02-23", |
| "type": "XR HAND", |
| "view": "2 VIEWS BILATERAL", |
| "scan_index": "55" |
| }, |
| { |
| "reasoning": "Similar to the hand radiographs, foot radiographs are important for assessing joint involvement in Lupus. The 2024 scan is the most recent and relevant.", |
| "date": "2024-02-23", |
| "type": "XR FOOT", |
| "view": "3 OR MORE VIEWS BILATERAL", |
| "scan_index": "51" |
| }, |
| { |
| "reasoning": "Sacroiliitis can occur in Lupus, although it is more characteristic of spondyloarthropathies like Psoriatic arthritis. Evaluating the sacroiliac joints is important for a comprehensive assessment, especially given the patient's history of Psoriatic arthritis and current low back pain. The 2024 scan is the most recent.", |
| "date": "2024-02-23", |
| "type": "XR SACROILIAC JOINTS", |
| "view": "3 OR MORE VIEWS", |
| "scan_index": "58" |
| }, |
| { |
| "reasoning": "While less specific for Lupus, chest radiographs can show pleuritis, pericarditis, or pulmonary involvement, which can occur in Lupus. The 2023 scan is the most recent chest X-ray.", |
| "date": "2023/10/17", |
| "type": "XR CHEST", |
| "view": "2 VIEWS", |
| "scan_index": "42" |
| }, |
| { |
| "reasoning": "Although the patient's primary complaint is joint pain, systemic Lupus can affect various organs. A CT scan of the chest might reveal pulmonary manifestations or lymphadenopathy. The 2023 scan is the most recent CT chest.", |
| "date": "2023/10/18", |
| "type": "CT CHEST", |
| "view": "W CONTRAST", |
| "scan_index": "44" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "123DD18CD0EB9C1BB11D243144BD85DE", |
| "scans": [ |
| { |
| "reasoning": "The radiology notes from 2016, 2017, 2018, and 2019 mention bilateral sacroiliitis, which is a common finding in lupus and other seronegative spondyloarthropathies. The CT scans of the abdomen and pelvis from these years (CT enterography) are the most relevant for assessing this finding, as they often include the sacroiliac joints. The note from 2016 specifically mentions 'Prominent sclerotic changes surrounding the bilateral sacroiliac joints' and the 2018 note mentions 'Increased sclerosis of the sacroiliac joints, compatible with sacroiliitis'.", |
| "date": "2016/10/28", |
| "type": "CT_ENTEROGRAPHY_ABDOMEN_PELVIS", |
| "view": "Enterography__3_0__B31f", |
| "scan_index": "1" |
| }, |
| { |
| "reasoning": "Similar to the 2016 scan, the 2018 CT enterography also describes findings suggestive of sacroiliitis ('Increased sclerosis of the sacroiliac joints, compatible with sacroiliitis'). This scan provides further evidence of this potential lupus-related finding.", |
| "date": "2018/08/17", |
| "type": "CT_ENTEROGRAPHY_ABDOMEN_PELVIS_W_CONTRAST", |
| "view": "Enterography__3_0__I41f", |
| "scan_index": "7" |
| }, |
| { |
| "reasoning": "The 2023-08-20 XR Sacroiliac Joints scan was specifically ordered to evaluate lower back pain and explicitly mentions findings consistent with sacroiliitis ('Extensive sclerosis along the articular surface... with scattered foci of osteolysis... narrowing of the superior and inferior aspects of the left sacroiliac joint space'). This dedicated imaging of the SI joints is highly relevant.", |
| "date": "2023/08/20", |
| "type": "XR_SACROILIAC_JOINTS_3_OR_MORE_VIEWS", |
| "view": "T_SACROILIAC_JOINTS", |
| "scan_index": "41" |
| }, |
| { |
| "reasoning": "The 2024-04-29 CT Sacroiliac JT Injection scan was performed to further evaluate the sacroiliac joints, likely due to the persistent symptoms and findings on prior imaging. This dedicated CT scan of the SI joints would provide detailed anatomical information about the joint inflammation and potential structural changes.", |
| "date": "2024/04/29", |
| "type": "CT_SACROILIAC_JT_INJECTION_INCLD_GUIDE", |
| "view": "Spiral", |
| "scan_index": "59" |
| }, |
| { |
| "reasoning": "The 2025-03-09 CT Enterography Abdomen Pelvis scan also includes the sacroiliac joints. While the primary indication is Crohn's disease, the scan might incidentally show signs of sacroiliitis, which could be related to lupus or enteropathic arthritis associated with Crohn's. Given the patient's history of Crohn's, differentiating between enteropathic arthritis and lupus-related sacroiliitis is important, and this scan provides a comprehensive view of the abdomen and pelvis including the SI joints.", |
| "date": "2025/03/09", |
| "type": "CT_ENTEROGRAPHY_ABDOMEN_PELVIS_W_CONTRAST", |
| "view": "Axial3x3", |
| "scan_index": "54" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "1A69C54FE0AC00F009C4070299C445A8", |
| "scans": [ |
| { |
| "reasoning": "The patient has a history of JIA (juvenile idiopathic arthritis) and cystic fibrosis. While JIA can sometimes be associated with systemic lupus erythematosus (SLE), and cystic fibrosis can have pulmonary manifestations, the primary focus for lupus assessment via imaging often involves joints and potentially the chest for pleuritis or other complications. The hand X-rays show joint narrowing, erosions, and soft tissue swelling, which are suggestive of inflammatory arthritis. These findings could be related to JIA, but erosive arthritis is also a feature of lupus. Comparing these findings over time is important.", |
| "date": "2019/04/20", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "PA", |
| "scan_index": "7" |
| }, |
| { |
| "reasoning": "This scan shows similar findings to the previous hand X-ray, specifically joint narrowing and erosions, which are relevant for assessing inflammatory arthritis potentially related to lupus or JIA.", |
| "date": "2019/04/20", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "PA_OBL", |
| "scan_index": "8" |
| }, |
| { |
| "reasoning": "The chest X-rays are important to evaluate for pulmonary manifestations of lupus, such as pleuritis, pleural effusion, or interstitial lung disease. They are also important for assessing the patient's known cystic fibrosis, which can mimic or coexist with other conditions. The findings of bronchiectasis and bronchial wall thickening are consistent with CF.", |
| "date": "2019/06/11", |
| "type": "XR_CHEST_2_VIEWS", |
| "view": "CHEST_PA", |
| "scan_index": "10" |
| }, |
| { |
| "reasoning": "This is a later chest X-ray, useful for comparing the progression of lung disease, whether related to CF or potentially lupus-related pulmonary involvement.", |
| "date": "2023/08/18", |
| "type": "XR_CHEST_2_VIEWS", |
| "view": "W_CHEST_PA", |
| "scan_index": "45" |
| }, |
| { |
| "reasoning": "The patient has a history of JIA. The foot X-rays show erosions, which are characteristic of inflammatory arthritis. While likely related to JIA, it's important to assess the extent and nature of joint involvement, which can also occur in lupus.", |
| "date": "2017/12/23", |
| "type": "XR_FOOT_3_OR_MORE_VIEWS_BILATERAL", |
| "view": "UNKNOWN", |
| "scan_index": "3" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "389140CC2414F9F7D1441C69A3AEE8A2", |
| "scans": [ |
| { |
| "reasoning": "The patient has a positive ANA and symptoms suggestive of inflammatory arthritis (hand pain, polymyalgia). Lupus can affect multiple organ systems. Chest X-rays are often performed to evaluate for pleuritis, pericarditis, or pulmonary involvement, which can occur in lupus. The chest X-ray from 2022 is the earliest available and could show baseline findings or evidence of pulmonary disease.", |
| "date": "2022/11/10", |
| "type": "XR_CHEST_2_VIEWS", |
| "view": "W_CHEST_PA", |
| "scan_index": "2" |
| }, |
| { |
| "reasoning": "Abdominal and pelvic CT scans can reveal lupus manifestations such as splenomegaly, lymphadenopathy, or vasculitis affecting abdominal organs. The CT scan from 2023/07/17 provides a comprehensive view of these potential sites of involvement.", |
| "date": "2023/07/17", |
| "type": "CT_ABDOMEN_PELVIS_W_CONTRAST", |
| "view": "ABD_PEL_3x3", |
| "scan_index": "3" |
| }, |
| { |
| "reasoning": "Although the elbow X-rays performed on 2023/12/18 were normal, they were done in the context of assessing inflammatory arthritis. While X-rays are often normal in early lupus arthritis, they are part of the workup. The provided notes indicate these were normal.", |
| "date": "2023/12/18", |
| "type": "XR_ELBOW_3_OR_MORE_VIEWS_BILATERAL", |
| "view": "X_ELBOW_AP", |
| "scan_index": "8" |
| }, |
| { |
| "reasoning": "Hand X-rays are useful for evaluating joint changes in inflammatory arthritis. While the 2023/12/18 hand X-rays were reported as normal (no erosions, joint space narrowing, or periarticular osteopenia), they are relevant given the patient's hand pain and positive ANA. They serve as a baseline and can be compared with future imaging if symptoms persist or worsen.", |
| "date": "2023/12/18", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "X_HAND_PA_BILAT", |
| "scan_index": "12" |
| }, |
| { |
| "reasoning": "Knee X-rays, like elbow and hand X-rays, are part of the evaluation for inflammatory arthritis. The 2023/12/18 knee X-rays were normal, but are included in the set of relevant imaging for assessing joint involvement in the context of suspected lupus.", |
| "date": "2023/12/18", |
| "type": "XR_KNEE_1_OR_2_VIEWS_BILATERAL", |
| "view": "W_KNEE_AP_BILAT", |
| "scan_index": "13" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "3A42B4B52F9ABDD22C43DB499AA61AA2", |
| "scans": [ |
| { |
| "reasoning": "While lupus can affect many organ systems, specific imaging findings are often subtle or non-specific. However, chest imaging can sometimes reveal pleural effusions, pericardial effusions, or interstitial lung disease, which can be associated with lupus. This scan is a CTA of the chest.", |
| "date": "2019-02-09", |
| "type": "CTA_CHEST_W_WO_CONTRAST", |
| "view": "Arterial_AX_Thin_Mip", |
| "scan_index": 17 |
| }, |
| { |
| "reasoning": "Lupus can cause musculoskeletal symptoms, including arthritis. While plain radiographs are often normal in early lupus arthritis, they can show joint space narrowing, erosions, or periarticular osteopenia in more advanced or severe cases. This scan is an X-ray of the hands, which can show signs of arthritis.", |
| "date": "2019-06-15", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "PA", |
| "scan_index": 23 |
| }, |
| { |
| "reasoning": "Lupus can cause musculoskeletal symptoms, including arthritis. This scan is an X-ray of the feet, which can show signs of arthritis.", |
| "date": "2019-01-13", |
| "type": "XR_FOOT_3_OR_MORE_VIEWS_BILATERAL", |
| "view": "AP", |
| "scan_index": 14 |
| }, |
| { |
| "reasoning": "Lupus can cause musculoskeletal symptoms, including sacroiliitis. This scan is an X-ray of the sacroiliac joints, which can show signs of sacroiliitis.", |
| "date": "2019-06-15", |
| "type": "XR_SACROILIAC_JOINTS", |
| "view": "AP", |
| "scan_index": 25 |
| }, |
| { |
| "reasoning": "Lupus can affect the central nervous system, potentially causing vasculitis or other complications. While a non-contrast head CT is not the primary imaging modality for lupus CNS involvement, it can rule out other causes of neurological symptoms like stroke or hemorrhage. The patient has a history of TIA and visual disturbances. This scan is a CT of the head.", |
| "date": "2018-01-18", |
| "type": "CT_HEAD_WO_CONTRAST", |
| "view": "Head__5_0__H31s", |
| "scan_index": 8 |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "41B72BC55895E83366CC820BA28E6374", |
| "scans": [ |
| { |
| "reasoning": "X-rays of the hands are crucial for evaluating lupus as they can show characteristic findings like erosions, joint space narrowing, periarticular osteopenia, and soft tissue swelling, although the provided notes indicate these are absent in the 2022 and 2024 exams. However, reviewing the images directly is necessary to confirm the interpretation and look for subtle changes.", |
| "date": "2022/06/09", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "X_HAND_PA_BILAT", |
| "scan_index": "14" |
| }, |
| { |
| "reasoning": "X-rays of the feet can also show similar changes to the hands in lupus, such as erosions and joint space narrowing. The provided notes mention bilateral hallux valgus but state joint spaces are preserved and no erosions are seen. Direct review is needed to confirm.", |
| "date": "2022/06/09", |
| "type": "XR_FOOT_3_OR_MORE_VIEWS_BILATERAL", |
| "view": "X_FOOT_AP", |
| "scan_index": "10" |
| }, |
| { |
| "reasoning": "Sacroiliitis can occur in lupus, although it is more characteristic of spondyloarthropathies. The provided notes describe periarticular sclerosis, likely degenerative, and no erosions. Reviewing the sacroiliac joint X-rays is important to assess for inflammation or structural damage.", |
| "date": "2022/06/09", |
| "type": "XR_SACROILIAC_JOINTS_3_OR_MORE_VIEWS", |
| "view": "T_SACROILIAC_JOINTS", |
| "scan_index": "15" |
| }, |
| { |
| "reasoning": "Chest X-rays are important to evaluate for pleuritis, pleural effusion, pericarditis, or pulmonary involvement, which can occur in lupus. The 2022 scan showed no pleural effusion and clear lungs. The 2024 scan is a comparison film, but the 2022 film is the initial one available. Reviewing the chest X-ray is necessary to look for any signs of lupus-related lung or pleural disease.", |
| "date": "2022/06/09", |
| "type": "XR_CHEST_2_VIEWS", |
| "view": "W_CHEST_PA", |
| "scan_index": "9" |
| }, |
| { |
| "reasoning": "While CT scans are less specific for lupus diagnosis compared to X-rays for joint involvement, a CT chest can evaluate for interstitial lung disease or lymphadenopathy. The 2025 CT chest scan could potentially show pulmonary manifestations of lupus. However, given the primary focus on joint and pleural involvement in initial assessment, the X-rays are prioritized. If joint X-rays are negative and pulmonary symptoms exist, the CT chest would be more relevant.", |
| "date": "2025/07/23", |
| "type": "CT_CHEST_WO_CONTRAST", |
| "view": "Chestwo3x3", |
| "scan_index": "41" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "42CFFAC6D035C3D0A00F6518615A7E69", |
| "scans": [ |
| { |
| "reasoning": "While lupus can affect many organ systems, musculoskeletal involvement is very common. X-rays of the hands and feet are often performed to look for characteristic erosions, joint space narrowing, or periarticular osteopenia. The notes from 2019-06-01 show X-rays of the hands and feet were performed. Although these specific scans showed no erosions or significant findings, they are relevant baseline studies for assessing joint involvement over time, a key feature of lupus.", |
| "date": "2019-06-01", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "PA", |
| "scan_index": "12" |
| }, |
| { |
| "reasoning": "Similar to the hand X-rays, the foot X-rays from 2019-06-01 are relevant for assessing musculoskeletal involvement in lupus. Although negative in this instance, they provide a baseline for comparison.", |
| "date": "2019-06-01", |
| "type": "XR_FOOT_3_OR_MORE_VIEWS_BILATERAL", |
| "view": "AP", |
| "scan_index": "9" |
| }, |
| { |
| "reasoning": "Abdominal pain is a common symptom in lupus, potentially due to serositis, vasculitis, or other complications. The CT scan of the abdomen and pelvis with contrast from 2019-10-04 provides detailed imaging of the abdominal organs, which could reveal signs of lupus involvement such as mesenteric thickening, lymphadenopathy, or organomegaly, although the primary indication here was RLQ pain.", |
| "date": "2019-10-04", |
| "type": "CT_ABDOMEN_PELVIS_W_CONTRAST", |
| "view": "Abdomen_Pel__3_0__B31f", |
| "scan_index": "25" |
| }, |
| { |
| "reasoning": "The patient has a history of Crohn's disease, which can mimic or coexist with lupus. The CT scan from 2019-10-06 without contrast was performed for abdominal pain and shows findings consistent with Crohn's disease (mural thickening, inflammation). Comparing this with the prior CT with contrast (Note 8) might help differentiate or identify overlapping pathology, although the primary focus for lupus would be signs beyond typical Crohn's.", |
| "date": "2019-10-06", |
| "type": "CT_ABDOMEN_PELVIS_WO_CONTRAST", |
| "view": "ABD_PELVIS__3_0__I41f__2", |
| "scan_index": "29" |
| }, |
| { |
| "reasoning": "The MRI of the abdomen from 2019-12-25 provides detailed soft tissue imaging. While the indication was a pancreatic lesion, it can also reveal signs of lupus affecting abdominal organs, such as splenomegaly, lymphadenopathy, or serositis, with better detail than CT in some cases. The findings related to the pancreas are less relevant to lupus diagnosis itself, but the overall abdominal assessment is useful.", |
| "date": "2019-12-25", |
| "type": "MRI_ABDOMEN_W_WO_CONTRAST_MRCP", |
| "view": "t2_tse3d_rst_cor_trig_FREE", |
| "scan_index": "58" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "470E517DB114ED9D67AB5D19A173E70C", |
| "scans": [ |
| { |
| "reasoning": "CT scan of the abdomen and pelvis can show splenomegaly, lymphadenopathy, or other organ involvement associated with lupus. The note mentions a splenic cyst, which is not specific but warrants consideration in the context of other findings.", |
| "date": "2016/07/10", |
| "type": "CT_ABDOMEN_PELVIS_W_CONTRAST", |
| "view": "Abd_Pel__3_0__SPO__cor", |
| "scan_index": 108 |
| }, |
| { |
| "reasoning": "CT scan of the abdomen and pelvis can show splenomegaly, lymphadenopathy, or other organ involvement associated with lupus. The note mentions a splenic cyst, which is not specific but warrants consideration in the context of other findings.", |
| "date": "2016/07/10", |
| "type": "CT_ABDOMEN_PELVIS_W_CONTRAST", |
| "view": "Abd_Pel__5_0__B31f", |
| "scan_index": 110 |
| }, |
| { |
| "reasoning": "CT scan of the abdomen and pelvis can show splenomegaly, lymphadenopathy, or other organ involvement associated with lupus. The note mentions a splenic cyst, which is not specific but warrants consideration in the context of other findings.", |
| "date": "2017/01/11", |
| "type": "CT_ABDOMEN_PELVIS_W_CONTRAST", |
| "view": "Abd_Pel__3_0__SPO__cor", |
| "scan_index": 166 |
| }, |
| { |
| "reasoning": "CT scan of the abdomen and pelvis can show splenomegaly, lymphadenopathy, or other organ involvement associated with lupus. The note mentions a splenic cyst, which is not specific but warrants consideration in the context of other findings.", |
| "date": "2017/01/11", |
| "type": "CT_ABDOMEN_PELVIS_W_CONTRAST", |
| "view": "Abd_Pel__5_0__B31f", |
| "scan_index": 167 |
| }, |
| { |
| "reasoning": "CT scan of the abdomen and pelvis can show splenomegaly, lymphadenopathy, or other organ involvement associated with lupus. The note mentions a splenic cyst, which is not specific but warrants consideration in the context of other findings.", |
| "date": "2021/08/09", |
| "type": "CT_ABDOMEN_PELVIS_W_CONTRAST", |
| "view": "Abd_Pel__3_0__SPO__cor", |
| "scan_index": 295 |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "4C59D4FF5E8E168314E8341569B5BDFD", |
| "scans": [] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "68E0EF21200220B340DFCD9EBED65E07", |
| "scans": [ |
| { |
| "reasoning": "Chest X-rays are often performed in patients with suspected lupus to evaluate for pleuritis, pleural effusions, or interstitial lung disease, which can be manifestations of the disease. The patient has had multiple chest x-rays over time.", |
| "date": "2023/02/20", |
| "type": "XR_CHEST_2_VIEWS", |
| "view": "PA", |
| "scan_index": 18 |
| }, |
| { |
| "reasoning": "High-resolution CT (HRCT) of the chest is more sensitive than chest X-ray for detecting subtle interstitial lung changes, such as interstitial lung disease (ILD), which is a known complication of lupus. The report specifically mentions looking for ILD and bronchiectasis.", |
| "date": "2023/09/27", |
| "type": "CT_CHEST_HIGH_RESOLUTION_WO_CONTRAST", |
| "view": "HIGH_RES_INSP_SUPINE__0_6__I31f__3", |
| "scan_index": 151 |
| }, |
| { |
| "reasoning": "Echocardiograms can be useful in lupus patients to assess for pericarditis (pericardial effusion), myocarditis, valvular disease (e.g., Libman-Sacks endocarditis), or pulmonary hypertension, all of which can be associated with lupus. The patient has a history of myocarditis and has had multiple echocardiograms.", |
| "date": "2023/07/27", |
| "type": "ECHOCARDIOGRAM", |
| "view": "FOLLOW UP/LIMITED ECHO", |
| "scan_index": null |
| }, |
| { |
| "reasoning": "CT scans of the abdomen and pelvis can reveal splenomegaly, lymphadenopathy, or other organ involvement that might be associated with systemic lupus erythematosus (SLE). The patient had a CT abdomen/pelvis performed.", |
| "date": "2023/09/27", |
| "type": "CT_ABDOMEN_PELVIS_W_CONTRAST", |
| "view": "ABDOMEN_PELVIS_3_0_CORONALS", |
| "scan_index": 145 |
| }, |
| { |
| "reasoning": "MRI of the brain can detect neuropsychiatric manifestations of lupus, such as vasculitis, stroke, or demyelination. The patient had an MRI of the brain performed due to neurological symptoms.", |
| "date": "2024/01/02", |
| "type": "MRI_BRAIN_W_WO_CONTRAST", |
| "view": "AXIAL_SWI", |
| "scan_index": 159 |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "7AC980A04230BABB571BACE1349FFD46", |
| "scans": [ |
| { |
| "reasoning": "X-rays of the hands and wrists are crucial for evaluating lupus, as they can show characteristic erosions, joint space narrowing, and soft tissue swelling, particularly in the MCP and PIP joints. The patient has bilateral wrist pain, making this scan highly relevant.", |
| "date": "2022/07/16", |
| "type": "XR_WRIST_3_OR_MORE_VIEWS_BILATERAL", |
| "view": "PA", |
| "scan_index": "27" |
| }, |
| { |
| "reasoning": "X-rays of the knees are important for assessing joint involvement in lupus, which can manifest as effusions, erosions, or periarticular osteopenia. The patient has bilateral knee pain and swelling, and the notes mention a right joint effusion and joint space narrowing, making this scan relevant.", |
| "date": "2022/07/15", |
| "type": "XR_KNEE_1_OR_2_VIEWS_BILATERAL", |
| "view": "KNEE_AP", |
| "scan_index": "19" |
| }, |
| { |
| "reasoning": "X-rays of the ankles are also important for assessing joint involvement. The patient has bilateral ankle pain, making this scan relevant. Although the initial scan showed no effusion, it's worth reviewing.", |
| "date": "2022/07/16", |
| "type": "XR_ANKLE_3_OR_MORE_VIEWS_BILATERAL", |
| "view": "AP", |
| "scan_index": "21" |
| }, |
| { |
| "reasoning": "CT scans of the abdomen and pelvis can reveal splenomegaly or lymphadenopathy, which can be associated with lupus. The CT also provides detailed bone imaging, potentially showing erosions or other changes not visible on X-rays. The patient had liver nodularity on ultrasound, prompting the CT.", |
| "date": "2022/07/17", |
| "type": "CT_ABDOMEN_PELVIS_W_CONTRAST", |
| "view": "Abdomen_Pelvis_3mm_Axial_ST", |
| "scan_index": "29" |
| }, |
| { |
| "reasoning": "MRI of the knee can provide detailed information about synovitis, bone marrow edema, and erosions, which are characteristic features of lupus arthritis. The patient has right knee pain and injury, and the MRI was performed to evaluate this.", |
| "date": "2022/07/26", |
| "type": "MRI_LOWER_EXTREMITY_JOINT_RIGHT_WO_CONTRAST", |
| "view": "T2_FS_AX_RIGHT_KNEE_new", |
| "scan_index": "35" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "7BFC2F5A34FA5752619D4FB449F6A10F", |
| "scans": [ |
| { |
| "reasoning": "While lupus is primarily diagnosed clinically and serologically, imaging can sometimes show findings suggestive of it or rule out other conditions. However, the provided radiology notes primarily document procedures and findings related to the patient's known ALL and its treatment complications (e.g., port placement, intrathecal chemotherapy, infections, pulmonary issues). There are no specific scans listed that are typically used to diagnose lupus, such as imaging of joints (X-rays, MRI), kidneys (CT/MRI), or brain (MRI) for neuropsychiatric manifestations. The chest X-rays and CT scans show findings related to infection, atelectasis, or pleural effusions, which are common in immunocompromised patients but not specific to lupus. The CT sinuses might show inflammation, but this is also non-specific. The DEXA scan assesses bone density, which can be affected by lupus or its treatment, but is not diagnostic. The MRI abdomen is focused on the liver, likely related to treatment toxicity or GVHD. Given the clinical context (ALL, transplant), the imaging is focused on managing complications of the disease and its treatment. Therefore, selecting scans specifically for lupus diagnosis from this list is difficult as none are directly relevant or typical for lupus evaluation. However, if forced to choose based on potential, albeit non-specific, findings, chest imaging might show pleuritis or pulmonary involvement, and abdominal imaging might show splenomegaly or vasculitis, but these are not primary diagnostic tools for lupus.", |
| "date": "2020-07-14", |
| "type": "PET_CT_SKULL_BASE_TO_THIGH", |
| "view": "PET_CT_SKULL_BASE_TO_THIGH", |
| "scan_index": 43 |
| }, |
| { |
| "reasoning": "PET scans can sometimes show increased uptake in inflamed joints or tissues, which could potentially be seen in lupus, although this is not a standard diagnostic use. This scan provides a whole-body survey.", |
| "date": "2020-07-09", |
| "type": "PET_CT_SKULL_BASE_TO_THIGH", |
| "view": "PET_CT_SKULL_BASE_TO_THIGH", |
| "scan_index": 49 |
| }, |
| { |
| "reasoning": "CT scans of the chest can show pleuritis, pleural effusions, or pulmonary infiltrates, which can occur in lupus, although they are non-specific.", |
| "date": "2020-07-13", |
| "type": "CT_CHEST_WO_CONTRAST", |
| "view": "CT_CHEST_WO_CONTRAST", |
| "scan_index": 83 |
| }, |
| { |
| "reasoning": "CT scans of the chest can show pleuritis, pleural effusions, or pulmonary infiltrates, which can occur in lupus, although they are non-specific.", |
| "date": "2022-12-28", |
| "type": "CT_CHEST_W_CONTRAST", |
| "view": "CT_CHEST_W_CONTRAST", |
| "scan_index": 90 |
| }, |
| { |
| "reasoning": "Abdominal imaging (CT or MRI) might show splenomegaly or signs of vasculitis, which can be associated with lupus, but again, these are non-specific findings.", |
| "date": "2022-07-18", |
| "type": "MRI_ABDOMEN_W_WO_CONTRAST", |
| "view": "MRI_ABDOMEN_W_WO_CONTRAST", |
| "scan_index": 91 |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "8C6B04F4D63B4EDA68380E1C53A3E526", |
| "scans": [ |
| { |
| "reasoning": "The CT Chest from 2022 shows significant findings (architectural distortion, scarring, bronchiectasis, micronodularity, nodules, consolidation) in the right lung, which could potentially be related to lupus pneumonitis or other interstitial lung disease. This scan requires careful evaluation.", |
| "date": "2022/10/01", |
| "type": "CT_CHEST_WO_CONTRAST", |
| "view": "CHEST_THIN_MIP", |
| "scan_index": "32" |
| }, |
| { |
| "reasoning": "The most recent Chest X-ray (2024) is important for assessing the current state of the lungs for signs of pleuritis, effusion, or infiltrates, which can be manifestations of lupus.", |
| "date": "2024/09/16", |
| "type": "XR_CHEST_2_VIEWS", |
| "view": "PA", |
| "scan_index": "41" |
| }, |
| { |
| "reasoning": "Hand X-rays are relevant for assessing joint involvement, which is common in lupus (though typically non-erosive). Comparing the 2022 scan to earlier ones (if available) could show progression or changes.", |
| "date": "2022/03/10", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "X_HAND_PA_BILAT", |
| "scan_index": "18" |
| }, |
| { |
| "reasoning": "Foot X-rays are also relevant for assessing joint involvement, similar to hand X-rays.", |
| "date": "2022/03/10", |
| "type": "XR_FOOT_3_OR_MORE_VIEWS_BILATERAL", |
| "view": "X_FOOT_AP", |
| "scan_index": "14" |
| }, |
| { |
| "reasoning": "An earlier Chest X-ray (2019) can be used as a comparison point to evaluate the changes seen in the 2022 CT and 2024 X-ray, helping to determine if the lung findings are new or progressive.", |
| "date": "2019/03/03", |
| "type": "XR_CHEST_2_VIEWS", |
| "view": "PA", |
| "scan_index": "4" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "8ED750E2153010B36E255EB5213461D8", |
| "scans": [ |
| { |
| "reasoning": "MRI of the brain can show signs of neuropsychiatric lupus, such as vasculitis, infarcts, or white matter lesions, although the initial MRI was normal. It's important to review if any changes occurred over time or if other findings are present.", |
| "date": "2017/12/10", |
| "type": "MRI_BRAIN_W_WO_CONTRAST", |
| "view": "FLAIR_AX_BLADE", |
| "scan_index": "7" |
| }, |
| { |
| "reasoning": "While the primary complaint was ankle pain, lupus can cause arthritis. X-rays are useful for evaluating joint damage, erosions, or deformities characteristic of inflammatory arthritis, although they are often normal early in the disease. The patient has multiple X-rays of the left foot/ankle over time. Reviewing these for subtle changes, erosions, or joint space narrowing is relevant.", |
| "date": "2018/02/15", |
| "type": "XR_ANKLE_ARTHRITIS_SERIES_LEFT", |
| "view": "Bilateral_Standing_AP_Ankle", |
| "scan_index": "23" |
| }, |
| { |
| "reasoning": "CT scans can show joint involvement, particularly erosions or subluxations, sometimes better than X-rays. The patient had CT scans of the left ankle for pain. Reviewing these for signs of inflammatory arthritis is relevant.", |
| "date": "2018/02/26", |
| "type": "CT_LOWER_EXTREMITY_LEFT_WO_CONTRAST", |
| "view": "ANKLE_LEFT__2_0__B31s", |
| "scan_index": "28" |
| }, |
| { |
| "reasoning": "MRI of the joints (like the ankle/foot) is more sensitive than X-rays for detecting synovitis, bone marrow edema, and early erosions associated with inflammatory arthritis, which can be seen in lupus.", |
| "date": "2019/04/23", |
| "type": "MRI_LOWER_EXTREMITY_JOINT_LEFT_WO_CONTRAST", |
| "view": "STIR_COR", |
| "scan_index": "38" |
| }, |
| { |
| "reasoning": "Lupus can affect multiple systems, including the joints (as seen in the lower extremity scans). The patient also has a history of ovarian cysts and pain. While not directly diagnostic of lupus, evaluating the pelvis with imaging might reveal findings related to systemic inflammation or other associated conditions, although specific pelvic imaging findings for lupus are less common than joint or CNS findings. The ultrasound showed numerous follicles, suggestive of PCOS, but it's worth noting in the context of a systemic workup.", |
| "date": "2018/04/12", |
| "type": "US_ENDOVAGINAL_(NON-OB)", |
| "view": "UTERUS/CERVIX", |
| "scan_index": "46" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "96041E4588649E09BB9E02D43F86FF64", |
| "scans": [ |
| { |
| "reasoning": "The patient has a history of seropositive rheumatoid arthritis (RA). Lupus can also affect the joints, particularly the hands and feet. While the 2022 hand X-rays were negative for RA changes, X-rays of the feet might show different findings or changes over time related to inflammatory arthritis, which could be RA or lupus. Foot X-rays are often more sensitive than hand X-rays in RA and can show erosions or deformities.", |
| "date": "2025/02/06", |
| "type": "XR_FOOT_3_OR_MORE_VIEWS_BILATERAL", |
| "view": "X_FOOT_AP", |
| "scan_index": "13" |
| }, |
| { |
| "reasoning": "Similar to the foot X-rays, these foot X-rays from 2025 might show evidence of inflammatory arthritis affecting the feet, which could be related to lupus or RA. Different views might highlight specific changes.", |
| "date": "2025/02/06", |
| "type": "XR_FOOT_3_OR_MORE_VIEWS_BILATERAL", |
| "view": "X_FOOT_LAT", |
| "scan_index": "14" |
| }, |
| { |
| "reasoning": "These are the most recent hand X-rays. Although the 2022 hand X-rays were negative, it's important to review the most recent ones (2025) to see if any changes suggestive of inflammatory arthritis (erosions, joint space narrowing, periarticular osteopenia) have developed, which could be seen in both RA and lupus.", |
| "date": "2025/02/06", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "X_HAND_OBL_BILAT", |
| "scan_index": "16" |
| }, |
| { |
| "reasoning": "These are the most recent hand X-rays. Although the 2022 hand X-rays were negative, it's important to review the most recent ones (2025) to see if any changes suggestive of inflammatory arthritis (erosions, joint space narrowing, periarticular osteopenia) have developed, which could be seen in both RA and lupus.", |
| "date": "2025/02/06", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "X_HAND_PA_BILAT", |
| "scan_index": "17" |
| }, |
| { |
| "reasoning": "Chest X-rays can show findings related to lupus, such as pleuritis (pleural effusion, pleural thickening), pericarditis (cardiomegaly), or interstitial lung disease. While less specific, these findings could support a diagnosis of lupus, especially in the context of other clinical features.", |
| "date": "2018/11/23", |
| "type": "XR_CHEST_2_VIEWS", |
| "view": "W_CHEST_PA", |
| "scan_index": "5" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "9953E675DDC12D4D03BD9FEFA8271A95", |
| "scans": [ |
| { |
| "reasoning": "The patient's history includes hand pain and joint swelling, and the radiology notes mention evaluation for inflammatory arthritis. X-rays of the hands are crucial for assessing joint involvement in lupus, looking for characteristic findings like erosions, joint space narrowing, and soft tissue swelling, although the provided notes from 2022 and 2024 show no erosions.", |
| "date": "2024/08/05", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "X_HAND_PA_BILAT", |
| "scan_index": "32" |
| }, |
| { |
| "reasoning": "Similar to the hands, the feet can also be affected by inflammatory arthritis in lupus. The 2022 foot X-rays showed joint space narrowing and osteophytes, but no erosions. Reviewing these images is important for a complete assessment of peripheral joint involvement.", |
| "date": "2022/01/15", |
| "type": "XR_FOOT_3_OR_MORE_VIEWS_BILATERAL", |
| "view": "X_FOOT_AP", |
| "scan_index": "22" |
| }, |
| { |
| "reasoning": "Although the primary indication for the CT abdomen scans was related to a neuroendocrine tumor, CT scans can sometimes reveal findings suggestive of systemic lupus erythematosus (SLE), such as lymphadenopathy, splenomegaly, or serositis (pleural or pericardial effusions). While the notes don't mention these, reviewing the images is necessary as part of a comprehensive evaluation, especially given the systemic nature of lupus.", |
| "date": "2023/11/06", |
| "type": "CT_ABDOMEN_PELVIS_W_CONTRAST", |
| "view": "Abdomen_Pel__3_0__I41f_AXIALS", |
| "scan_index": "29" |
| }, |
| { |
| "reasoning": "The patient's history includes hand pain and joint swelling, and the radiology notes mention evaluation for inflammatory arthritis. X-rays of the hands are crucial for assessing joint involvement in lupus, looking for characteristic findings like erosions, joint space narrowing, and soft tissue swelling, although the provided notes from 2022 and 2024 show no erosions.", |
| "date": "2022/01/15", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "X_HAND_OBL_BILAT", |
| "scan_index": "25" |
| }, |
| { |
| "reasoning": "While less specific for lupus, the CT abdomen can show signs of vasculitis or other systemic involvement. The 2024 CT Abdomen/Pelvis might show findings not present in the 2023 scan, or vice versa, so reviewing both is prudent if systemic signs are suspected. The 2024 scan is chosen as it is more recent.", |
| "date": "2024/11/26", |
| "type": "CT_ABDOMEN_W_CONTRAST", |
| "view": "Abdomen_3mm_Axial_ST", |
| "scan_index": "36" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "A8EA0166DC339486783D1DAE26B1A0CB", |
| "scans": [ |
| { |
| "reasoning": "The patient has a history of Rheumatoid Arthritis (RA) and is seropositive. While RA is a distinct condition, it shares some features with Lupus (SLE), and differentiating them can sometimes be challenging. The chest X-rays are relevant because Lupus can cause pleuritis, pleural effusions, or interstitial lung disease, although these are not always present. The chest X-ray from 2015 shows no acute findings, but comparing it to later scans might reveal changes. The chest X-ray from 2023 also shows no acute findings. The chest X-ray from 2023 shows no acute findings.", |
| "date": "2023/06/17", |
| "type": "XR_CHEST_2_VIEWS", |
| "view": "PA", |
| "scan_index": "35" |
| }, |
| { |
| "reasoning": "The patient has a history of Rheumatoid Arthritis (RA) and is seropositive. RA primarily affects joints, and X-rays of the hands and feet are crucial for assessing joint damage like erosions, joint space narrowing, and osteopenia. While these findings are characteristic of RA, they can also occur in Lupus arthritis. Comparing the hand and foot X-rays over time (2015, 2018, 2024) can help assess the progression of joint disease. The 2015 hand X-ray shows juxta-articular osteopenia and narrowing of the radiocarpal space, suggestive of inflammatory arthritis. The 2018 hand X-ray shows progressed joint space narrowing. The 2024 hand X-ray shows stable joint space narrowing. The 2015 foot X-ray shows no erosions. The 2018 foot X-ray shows no erosions. The 2024 foot X-ray shows no erosions.", |
| "date": "2015/03/24", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "HAND", |
| "scan_index": "5" |
| }, |
| { |
| "reasoning": "The patient has a history of Rheumatoid Arthritis (RA) and is seropositive. RA primarily affects joints, and X-rays of the hands and feet are crucial for assessing joint damage like erosions, joint space narrowing, and osteopenia. While these findings are characteristic of RA, they can also occur in Lupus arthritis. Comparing the hand and foot X-rays over time (2015, 2018, 2024) can help assess the progression of joint disease. The 2018 hand X-ray shows progressed joint space narrowing. The 2024 hand X-ray shows stable joint space narrowing.", |
| "date": "2018/02/13", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "PA", |
| "scan_index": "10" |
| }, |
| { |
| "reasoning": "The patient has a history of Rheumatoid Arthritis (RA) and is seropositive. RA primarily affects joints, and X-rays of the hands and feet are crucial for assessing joint damage like erosions, joint space narrowing, and osteopenia. While these findings are characteristic of RA, they can also occur in Lupus arthritis. Comparing the hand and foot X-rays over time (2015, 2018, 2024) can help assess the progression of joint disease. The 2024 hand X-ray shows stable joint space narrowing.", |
| "date": "2024/02/01", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "X_HAND_PA_BILAT", |
| "scan_index": "43" |
| }, |
| { |
| "reasoning": "The patient has a history of Rheumatoid Arthritis (RA) and is seropositive. RA primarily affects joints, and X-rays of the hands and feet are crucial for assessing joint damage like erosions, joint space narrowing, and osteopenia. While these findings are characteristic of RA, they can also occur in Lupus arthritis. Comparing the hand and foot X-rays over time (2015, 2018, 2024) can help assess the progression of joint disease. The 2015 foot X-ray shows no erosions. The 2018 foot X-ray shows no erosions. The 2024 foot X-ray shows no erosions.", |
| "date": "2015/03/24", |
| "type": "XR_FOOT_3_OR_MORE_VIEWS_BILATERAL", |
| "view": "FOOT", |
| "scan_index": "2" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "BC338FF7F348AA8B0C5C07A993BFF8DC", |
| "scans": [ |
| { |
| "reasoning": "The patient has a history of Rheumatoid Arthritis (RA). While RA is an autoimmune disease, it is distinct from Systemic Lupus Erythematosus (SLE). However, autoimmune diseases can sometimes overlap or present with similar features. The patient's history of RA makes it important to evaluate joints for signs of inflammatory arthritis, which can be seen in both RA and SLE, although the patterns differ. The patient has hand and foot pain. X-rays of the hands and feet are crucial for evaluating joint involvement in suspected autoimmune diseases like lupus. The notes from 2021 and 2024 show repeated X-rays of the hands and feet, primarily looking for erosions, joint space narrowing, and periarticular osteopenia, which are characteristic of inflammatory arthritis. The 2024 hand X-rays mention a 'question of subtle periarticular erosion at the left third MCP joint', which warrants closer inspection.", |
| "date": "2024-02-11", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "PA", |
| "scan_index": "127" |
| }, |
| { |
| "reasoning": "Similar to the hand X-rays, the foot X-rays are important for evaluating joint involvement in suspected autoimmune diseases. The patient has foot pain. The 2024 foot X-rays are noted as showing no radiographic evidence of erosive or inflammatory arthropathy, but reviewing them is necessary to confirm this finding and look for subtle changes.", |
| "date": "2024-02-11", |
| "type": "XR_FOOT_2_VIEWS_BILATERAL", |
| "view": "AP", |
| "scan_index": "124" |
| }, |
| { |
| "reasoning": "The patient has a history of RA and the clinical indication for the cervical spine X-ray is 'Longstanding history of RA'. Cervical spine involvement is common in RA, potentially leading to atlantoaxial subluxation or other instability. While less specific for lupus, evaluating the cervical spine is relevant given the patient's known autoimmune condition and potential for systemic inflammation affecting joints and ligaments.", |
| "date": "2024-02-11", |
| "type": "XR_CERVICAL_SPINE_AP_LATERAL_ODONTOID_AND_FLEXION_AND_EXTENSION", |
| "view": "Lateral", |
| "scan_index": "120" |
| }, |
| { |
| "reasoning": "The patient has a history of RA and the clinical indication for the hand X-ray is 'Longstanding history of RA. Question erosion.'. Hand X-rays are crucial for evaluating joint involvement in suspected autoimmune diseases like lupus. The notes from 2021 and 2024 show repeated X-rays of the hands, primarily looking for erosions, joint space narrowing, and periarticular osteopenia, which are characteristic of inflammatory arthritis. The 2024 hand X-rays mention a 'question of subtle periarticular erosion at the left third MCP joint', which warrants closer inspection.", |
| "date": "2024-02-11", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "PA", |
| "scan_index": "127" |
| }, |
| { |
| "reasoning": "The patient has a history of RA and the clinical indication for the foot X-ray is 'Longstanding history of RA. Question erosion.'. Foot X-rays are crucial for evaluating joint involvement in suspected autoimmune diseases like lupus. The notes from 2021 and 2024 show repeated X-rays of the feet, primarily looking for erosions, joint space narrowing, and periarticular osteopenia, which are characteristic of inflammatory arthritis. The 2024 foot X-rays are noted as showing no radiographic evidence of erosive or inflammatory arthropathy, but reviewing them is necessary to confirm this finding and look for subtle changes.", |
| "date": "2024-02-11", |
| "type": "XR_FOOT_2_VIEWS_BILATERAL", |
| "view": "AP", |
| "scan_index": "124" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "C083EFC23D1F95B2EE252531E0B12515", |
| "scans": [ |
| { |
| "reasoning": "MRI of the pelvis can show sacroiliitis, which is a common finding in lupus. The patient has a history of seronegative inflammatory arthritis, making this scan highly relevant.", |
| "date": "2022-10-31", |
| "type": "MRI_PELVIS_W_WO_CONTRAST_MSK", |
| "view": "t1_tse_FS_COR_SACRUM", |
| "scan_index": "212" |
| }, |
| { |
| "reasoning": "MRI of the pelvis can show sacroiliitis, which is a common finding in lupus. The patient has a history of seronegative inflammatory arthritis, making this scan highly relevant.", |
| "date": "2022-10-31", |
| "type": "MRI_PELVIS_W_WO_CONTRAST_MSK", |
| "view": "t2_tse_fs_cor_sacrum", |
| "scan_index": "214" |
| }, |
| { |
| "reasoning": "XR of the sacroiliac joints can also show sacroiliitis, although MRI is more sensitive. The patient has a history of seronegative inflammatory arthritis, making this scan relevant.", |
| "date": "2022/10/10", |
| "type": "XR_SACROILIAC_JOINTS_3_OR_MORE_VIEWS", |
| "view": "T_SACROILIAC_JOINTS", |
| "scan_index": "216" |
| }, |
| { |
| "reasoning": "XR of the thoracic spine can show inflammatory changes, although less specific than SI joint imaging. The patient has a history of seronegative inflammatory arthritis, making this scan relevant.", |
| "date": "2022/10/10", |
| "type": "XR_THORACIC_SPINE_2_VIEWS", |
| "view": "W_THORACIC_SPINE_AP", |
| "scan_index": "264" |
| }, |
| { |
| "reasoning": "While less specific for lupus, the MRI of the upper extremity joint might show inflammatory changes in the joint if lupus is affecting it. The patient has chronic elbow pain.", |
| "date": "2022-05-19", |
| "type": "MRI_UPPER_EXTREMITY_JOINT_RIGHT_W_WO_CONTRAST", |
| "view": "t1_tse_cor", |
| "scan_index": "42" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "D6068A22A6FD66C5986BF8E158935685", |
| "scans": [ |
| { |
| "reasoning": "Chest X-rays can show pleural effusions, pericardial effusions, or interstitial lung disease, which are potential manifestations of lupus. The patient's history does not mention respiratory symptoms, but these findings can be subtle or asymptomatic.", |
| "date": "2021/05/05", |
| "type": "XR_CHEST_2_VIEWS", |
| "view": "PA", |
| "scan_index": "9" |
| }, |
| { |
| "reasoning": "Hand X-rays can reveal characteristic erosions, joint space narrowing, and soft tissue swelling, particularly in the distal interphalangeal (DIP) joints, which can be seen in lupus arthritis (Jaccoud's arthropathy, although typically non-erosive, can sometimes show subtle changes).", |
| "date": "2021/05/05", |
| "type": "XR_HAND_3_OR_MORE_VIEWS_BILATERAL", |
| "view": "PA", |
| "scan_index": "13" |
| }, |
| { |
| "reasoning": "Foot X-rays can show similar findings to hand X-rays, such as erosions or joint space narrowing, indicative of lupus arthritis.", |
| "date": "2021/05/12", |
| "type": "XR_FOOT_3_OR_MORE_VIEWS_LEFT", |
| "view": "FOOT_AP", |
| "scan_index": "19" |
| }, |
| { |
| "reasoning": "Knee X-rays can show joint effusions, erosions, or periarticular osteopenia, which can be associated with lupus arthritis. The provided radiology notes indicate osteoarthrosis, but it's important to evaluate for other potential findings suggestive of lupus.", |
| "date": "2021/05/05", |
| "type": "XR_KNEE_3_VIEWS_BILATERAL", |
| "view": "AP", |
| "scan_index": "14" |
| }, |
| { |
| "reasoning": "CT scans of the abdomen and pelvis can reveal splenomegaly or lymphadenopathy, which can be associated with lupus. While less specific for joint involvement, they provide information about systemic manifestations.", |
| "date": "2018/12/05", |
| "type": "CT_ABDOMEN_PELVIS_W_CONTRAST", |
| "view": "SAGITTAL", |
| "scan_index": "4" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "D729002AB8E186726340986BB5CAF43B", |
| "scans": [ |
| { |
| "reasoning": "While chest X-rays are common, they are often normal in lupus unless there is pleuritis, pneumonitis, or cardiomegaly. This patient has had multiple chest X-rays, and they are consistently reported as clear or unremarkable, making them less likely to be helpful for diagnosing lupus specifically, although they rule out other conditions. The provided notes do not suggest findings typical of lupus involvement of the chest.", |
| "date": "2019/04/20", |
| "type": "XR_CHEST_2_VIEWS", |
| "view": "PA", |
| "scan_index": "18" |
| }, |
| { |
| "reasoning": "CT scans of the abdomen and pelvis can sometimes show splenomegaly, lymphadenopathy, or vasculitis, but these are non-specific. The provided CT scans are mostly unremarkable or focused on other issues (appendicitis, renal stones). The CT scans do not show findings strongly suggestive of lupus.", |
| "date": "2019/01/19", |
| "type": "CT_ABDOMEN_PELVIS_WO_CONTRAST", |
| "view": "Abdomen_Pel__3_0__MPR__cor", |
| "scan_index": "10" |
| }, |
| { |
| "reasoning": "MRI of the brain is not listed in the provided scans. While neuro-psychiatric lupus can occur, brain imaging is not typically the primary diagnostic tool for systemic lupus erythematosus itself, and no MRI is available here.", |
| "date": "2019/09/09", |
| "type": "MRI_NEURO_COMPARISON_OF_OUTSIDE_FILM", |
| "view": "SAG_T2_FRFSE", |
| "scan_index": "24" |
| }, |
| { |
| "reasoning": "CT scans of the chest can show pleural effusions, pericardial effusions, or interstitial lung disease, but these are not specific to lupus. The CT chest scan performed in 2021 showed no acute findings. The provided notes do not suggest findings typical of lupus involvement of the chest.", |
| "date": "2021/11/24", |
| "type": "CT_CHEST_WO_CONTRAST", |
| "view": "Chest_W_O__3_0__MPR__cor", |
| "scan_index": "69" |
| }, |
| { |
| "reasoning": "The provided scans do not include imaging modalities most commonly associated with lupus manifestations, such as joint imaging (X-rays of hands/wrists/feet, MRI of joints) or specific imaging for vasculitis or nephritis. The lumbar spine X-ray is normal. The provided data is insufficient to assess for lupus based on imaging.", |
| "date": "2018/11/26", |
| "type": "XR_LUMBAR_SPINE_AP__LATERAL__FERGUSEN", |
| "view": "AP", |
| "scan_index": "7" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "DDCC90D0007AE5348E6A413296F2BCE4", |
| "scans": [ |
| { |
| "reasoning": "Chest X-rays can show pleural effusions, pericardial effusions, or interstitial lung disease, which can be associated with lupus. This scan from 2023-12-06 shows a prominent cardiac silhouette, which warrants further investigation, although the lungs are clear. The scan from 2025-06-16 shows clear lungs, but it's good to have multiple time points.", |
| "date": "2023-12-06", |
| "type": "XR_CHEST_2_VIEWS", |
| "view": "PA", |
| "scan_index": 38 |
| }, |
| { |
| "reasoning": "CT scans of the chest can reveal more subtle findings like interstitial lung disease, pulmonary hypertension, or lymphadenopathy, which can occur in lupus. The high-resolution CT from 2023-12-03 is relevant for assessing lung parenchyma for interstitial changes. The scan from 2024-12-06 is also a high-resolution CT and might show progression or changes over time.", |
| "date": "2023-12-03", |
| "type": "CT_CHEST_HIGH_RESOLUTION_WO_CONTRAST", |
| "view": "Inspiration_0_6mm_Axial_ST", |
| "scan_index": 41 |
| }, |
| { |
| "reasoning": "CT scans of the abdomen and pelvis can show splenomegaly, lymphadenopathy, or vasculitis, which can be seen in lupus. The scans from 2013-09-21, 2023-09-12, 2023-09-21, and 2024-09-06 all provide abdominal/pelvic imaging. The 2013 scan shows a splenic cyst, which is nonspecific. The 2023-09-21 scan shows a cystic right ovary, which could be related to lupus or other conditions, but needs context. The 2024-09-06 scan shows a corpus luteal cyst and enlarged right ovary, which needs follow-up. Given the recurrent abdominal pain and fevers, evaluating these scans for signs of lupus involvement (e.g., lymphadenopathy, vasculitis, serositis) is important.", |
| "date": "2023-09-21", |
| "type": "CT_ABDOMEN_PELVIS_W_CONTRAST", |
| "view": "Abdomen_Pel_3mm_Axial_ST", |
| "scan_index": 31 |
| }, |
| { |
| "reasoning": "MRI of the lumbar spine can detect inflammation or vasculitis affecting the spine or spinal cord, although this is less common in lupus compared to other manifestations. The MRI from 2023-11-02 was performed to evaluate for spondyloarthropathy, which can sometimes be confused with lupus or co-exist. The report indicates a normal study.", |
| "date": "2023-11-02", |
| "type": "MRI_LUMBAR_SPINE_W_WO_CONTRAST", |
| "view": "t2_tse_sag", |
| "scan_index": 17 |
| }, |
| { |
| "reasoning": "X-rays of the hands can show erosions, joint space narrowing, or soft tissue swelling characteristic of inflammatory arthritis, which is common in lupus. The hand X-rays from 2023-11-09 were normal, showing no evidence of erosive arthropathy.", |
| "date": "2023-11-09", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "X_HAND_OBL_BILAT", |
| "scan_index": 19 |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "DF9FD97F220FEB466405B35A7B8BD2F7", |
| "scans": [ |
| { |
| "reasoning": "The patient has a history suggestive of sarcoidosis, which can mimic lupus. The PET/CT scan from 2017 (Note 13) shows FDG avid hilar and mediastinal lymphadenopathy, which is a common finding in sarcoidosis but can also occur in lymphoma or other inflammatory conditions. The intense uptake in the lymph nodes and lungs (nodules) is highly relevant.", |
| "date": "2017-09-17", |
| "type": "PET_CT_FDG_SKULL_TO_THIGH", |
| "view": "PET_SBMT_TrueX___TOF", |
| "scan_index": "69" |
| }, |
| { |
| "reasoning": "The CT chest from 2017 (Note 7) shows innumerable bilateral pulmonary nodules and enlarged hilar and mediastinal lymph nodes. This pattern is highly suggestive of sarcoidosis, but other conditions, including infections or malignancy, need to be considered. This scan provides detailed anatomical information about the chest findings.", |
| "date": "2017-09-17", |
| "type": "CT_CHEST_W_CONTRAST", |
| "view": "Chest__5_0__B31f", |
| "scan_index": "11" |
| }, |
| { |
| "reasoning": "The MRI of the brain from 2017 (Note 18) shows scattered T2/FLAIR hyperintense lesions, which could represent neurosarcoidosis. Neurological involvement is a potential manifestation of both sarcoidosis and lupus (neuropsychiatric lupus). Evaluating the brain MRI is crucial.", |
| "date": "2017-11-25", |
| "type": "MRI_BRAIN_W_WO_CONTRAST", |
| "view": "Mag_Images", |
| "scan_index": "75" |
| }, |
| { |
| "reasoning": "The MRI of the cervical spine from 2019 (Note 25) was performed to evaluate for neurosarcoidosis, given the patient's history. While the findings were ultimately nonspecific or resolved, it provides information about potential spinal cord involvement, which can occur in both sarcoidosis and lupus.", |
| "date": "2019-06-10", |
| "type": "MRI_CERVICAL_SPINE_W_WO_CONTRAST", |
| "view": "t2_tirm_sag_p2", |
| "scan_index": "140" |
| }, |
| { |
| "reasoning": "The PET/CT scan from 2019 (Note 16) was performed for restaging, likely related to the sarcoidosis diagnosis. It shows decreased FDG uptake in the mediastinal nodes compared to the 2017 scan, suggesting response to treatment or disease activity change. It also assesses for other potential sites of inflammation or malignancy.", |
| "date": "2019-11-25", |
| "type": "PET_CT_FDG_SKULL_TO_THIGH", |
| "view": "PET_SBMT_NAC", |
| "scan_index": "68" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "EA493A796703046F40D3E423C084000B", |
| "scans": [ |
| { |
| "reasoning": "The patient has a history of inflammatory arthritis (juvenile arthritis, polyarthralgia, polyarthritis). Lupus can cause inflammatory arthritis, often affecting the hands and feet. While the 2020 and 2023 hand and foot X-rays were negative for erosions, they were taken relatively early in the patient's disease course (age 24 and 27). Lupus arthritis can develop later or have subtle findings initially. Reviewing these scans again, especially the 2023 hand X-rays, might reveal subtle changes or progression over time.", |
| "date": "2023/03/30", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "X_HAND_PA_BILAT", |
| "scan_index": "15" |
| }, |
| { |
| "reasoning": "Similar to the hand X-rays, the foot X-rays were negative but taken early. Reviewing the 2020 foot X-rays might reveal subtle changes or progression.", |
| "date": "2020/05/07", |
| "type": "XR_FOOT_3_OR_MORE_VIEWS_BILATERAL", |
| "view": "LATERAL", |
| "scan_index": "9" |
| }, |
| { |
| "reasoning": "Lupus can affect the chest, causing pleuritis (pleural effusion) or pneumonitis. The 2015 chest X-rays were normal, but symptoms like thoracic back pain could potentially be related to pleuritis. Reviewing these scans is important to rule out pulmonary involvement, although the initial findings were negative.", |
| "date": "2015/12/03", |
| "type": "XR_CHEST_PA_AND_LATERAL", |
| "view": "CHEST__PA", |
| "scan_index": "6" |
| }, |
| { |
| "reasoning": "While less specific, lupus can sometimes cause abdominal manifestations or be associated with conditions requiring abdominal imaging (like the patient's cholecystectomy). Reviewing the CT scan might reveal incidental findings or signs of vasculitis, although this is less likely to be diagnostic for lupus itself.", |
| "date": "2015/07/13", |
| "type": "CT_ABD_PELVIS_IV_CONTR", |
| "view": "ABDOMEN_AND_PELVIS", |
| "scan_index": "1" |
| }, |
| { |
| "reasoning": "The patient has a history of inflammatory arthritis. Knee involvement is common in inflammatory arthropathies, including lupus. Reviewing the 2020 knee X-rays could potentially show signs of inflammation or joint damage, although the radiology notes from the hands and feet suggest a low likelihood of significant radiographic changes at this time.", |
| "date": "2020/05/07", |
| "type": "XR_KNEE_1_OR_2_VIEWS_BILATERAL", |
| "view": "AP_WGHT_BEARING", |
| "scan_index": "12" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "EBF8A85D4BB34347337214B8D9FC9F52", |
| "scans": [ |
| { |
| "reasoning": "Chest X-ray from 2013 shows potential nodular opacity in the right upper lobe. While non-specific, pulmonary involvement is common in lupus, and this could be an early finding or require follow-up.", |
| "date": "2013/12/13", |
| "type": "XR_CHEST_2_VIEWS", |
| "view": "Chest", |
| "scan_index": "1" |
| }, |
| { |
| "reasoning": "CT Chest without contrast from 2019 shows diffuse groundglass opacities, small pleural effusions, and cardiomegaly. These findings can be associated with lupus pleuritis, pneumonitis, or cardiac involvement.", |
| "date": "2019/04/14", |
| "type": "CT_CHEST_WO_CONTRAST", |
| "view": "Chest", |
| "scan_index": "108" |
| }, |
| { |
| "reasoning": "Echocardiogram from 2019 reveals severe pulmonary hypertension, right ventricular dilation and dysfunction, and pericardial effusion. Cardiac involvement, including pericarditis and pulmonary hypertension, is a known manifestation of lupus.", |
| "date": "2019/02/06", |
| "type": "ECHO", |
| "view": "Echocardiogram", |
| "scan_index": "1" |
| }, |
| { |
| "reasoning": "Abdominal ultrasound from 2018 shows ascites and liver changes (heterogeneous echotexture, nodular contour). While non-specific, serositis (pleuritis, pericarditis, peritonitis) leading to ascites can occur in lupus. The liver changes could be related to various causes, including lupus hepatitis, but need further investigation.", |
| "date": "2018/08/18", |
| "type": "US_ABDOMEN_COMPLETE", |
| "view": "Abdomen", |
| "scan_index": "1" |
| }, |
| { |
| "reasoning": "CT Chest without contrast from 2019 shows diffuse groundglass opacities, small pleural effusions, and cardiomegaly. These findings can be associated with lupus pleuritis, pneumonitis, or cardiac involvement.", |
| "date": "2019/02/07", |
| "type": "CT_CHEST_WO_CONTRAST", |
| "view": "Chest", |
| "scan_index": "121" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "F14822D7481327E7FED90D44C026F0DD", |
| "scans": [ |
| { |
| "reasoning": "Initial assessment for pleural effusion, pneumonitis, or other lung abnormalities common in lupus.", |
| "date": "2024/04/17", |
| "type": "XR_CHEST_2_VIEWS", |
| "view": "PA", |
| "scan_index": "18" |
| }, |
| { |
| "reasoning": "Detailed evaluation of lungs and pleura for interstitial disease, effusions, lymphadenopathy, or vascular changes associated with lupus.", |
| "date": "2024/04/17", |
| "type": "CT_CHEST_W_CONTRAST", |
| "view": "SAGITTAL", |
| "scan_index": "13" |
| }, |
| { |
| "reasoning": "Comprehensive imaging to assess for systemic involvement, including abdominal/pelvic organs and detailed chest structures.", |
| "date": "2024/07/23", |
| "type": "CT_CHEST_ABDOMEN_PELVIS_W_WO_CONTRAST", |
| "view": "CORONAL", |
| "scan_index": "41" |
| }, |
| { |
| "reasoning": "Evaluation for cervical spine instability or atlantoaxial subluxation, a potential complication of lupus.", |
| "date": "2024/06/18", |
| "type": "CT_CERVICAL_SPINE_WO_CONTRAST", |
| "view": "C_Spine__2_0__MPR__sag", |
| "scan_index": "25" |
| }, |
| { |
| "reasoning": "Assessment of hand joints for arthritis (erosions, deformities, periarticular osteopenia), although the 2023 note suggests osteoarthritis.", |
| "date": "2023/11/23", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "X_HAND_PA_BILAT", |
| "scan_index": "8" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "F2DBBE8430D2927F55D06BE9E32E253C", |
| "scans": [ |
| { |
| "reasoning": "While the provided scans are primarily related to trauma from 2014, and the patient's history doesn't explicitly mention lupus, systemic lupus erythematosus (SLE) can affect multiple organ systems. The patient's history includes numbness/disturbance of skin sensation, which could potentially be related to neurological involvement in lupus, although it's also consistent with trauma. The patient also has a history of dermatomyositis, which is an autoimmune condition sometimes associated with other autoimmune diseases like lupus. Chest imaging is often relevant in lupus due to potential pleuritis, pericarditis, or interstitial lung disease. The CT chest from 2024 shows clear lungs, but a high-resolution CT (HRCT) might be more sensitive for subtle interstitial changes. The echocardiogram from 2024 is normal, but cardiac involvement (pericarditis, myocarditis) is common in lupus. Given the limited information and the focus on trauma in the provided scans, none are directly indicative of lupus. However, if I had to choose based on potential systemic involvement, the CT chest (HRCT) from 2024 would be the most relevant for assessing lung involvement, a common manifestation of lupus. The echocardiogram is also relevant for cardiac involvement. The trauma scans are unlikely to be helpful for diagnosing lupus.", |
| "date": "2024-01-28", |
| "type": "CT CHEST HIGH RESOLUTION WO CONTRAST", |
| "view": "Inspiration_0_6mm_Axial_ST", |
| "scan_index": "65" |
| }, |
| { |
| "reasoning": "Echocardiogram can reveal pericardial effusion or valvular abnormalities, which can occur in lupus. This scan provides information about cardiac structure and function.", |
| "date": "2024-01-27", |
| "type": "ECHOCARDIOGRAM W COLORFLOW SPECTRAL DOPPLER", |
| "view": "UNKNOWN", |
| "scan_index": "73" |
| }, |
| { |
| "reasoning": "The chest X-ray from 2024 is a basic assessment of the lungs and pleura. While the HRCT is more sensitive, the chest X-ray might show gross abnormalities like pleural effusions or significant infiltrates.", |
| "date": "2024-01-26", |
| "type": "XR CHEST 2 VIEWS", |
| "view": "PA", |
| "scan_index": "62" |
| }, |
| { |
| "reasoning": "The CT chest from 2014 showed a tiny pneumothorax and rib fractures related to trauma. While not directly related to lupus, it provides a baseline chest image from a different time point.", |
| "date": "2014-11-04", |
| "type": "XR CHEST PORTABLE", |
| "view": "AP", |
| "scan_index": "54" |
| }, |
| { |
| "reasoning": "The CT chest from 2014 showed a tiny pneumothorax and rib fractures related to trauma. While not directly related to lupus, it provides a baseline chest image from a different time point.", |
| "date": "2014-11-07", |
| "type": "XR_CHEST_PA_AND_LATERAL", |
| "view": "PA", |
| "scan_index": "58" |
| } |
| ] |
| }, |
| { |
| "cohort": "rheum", |
| "patient_id": "FE90627AB03FAD4A9F091F976AB3B6CB", |
| "scans": [ |
| { |
| "reasoning": "The patient presents with joint pain and swelling, a common symptom of lupus. X-rays of the hands and feet are crucial for evaluating inflammatory arthropathy, including potential erosions, periarticular osteopenia, and joint space narrowing, which can be seen in lupus arthritis. The provided notes mention findings in the hands (Note 1, Note 2) and feet (Note 3) from 2017. I want to review the hand X-rays to assess for signs of lupus arthritis.", |
| "date": "2017/10/25", |
| "type": "XR_HAND_2_VIEWS_BILATERAL", |
| "view": "PA", |
| "scan_index": "10" |
| }, |
| { |
| "reasoning": "The patient presents with joint pain and swelling, a common symptom of lupus. X-rays of the hands and feet are crucial for evaluating inflammatory arthropathy, including potential erosions, periarticular osteopenia, and joint space narrowing, which can be seen in lupus arthritis. The provided notes mention findings in the hands (Note 1, Note 2) and feet (Note 3) from 2017. I want to review the foot X-rays to assess for signs of lupus arthritis.", |
| "date": "2017/10/25", |
| "type": "XR_FOOT_3_OR_MORE_VIEWS_BILATERAL", |
| "view": "AP", |
| "scan_index": "7" |
| }, |
| { |
| "reasoning": "Lupus can affect various organs, including the chest. Pleural effusions or pericardial effusions can occur. A chest X-ray can help identify these findings, as well as other pulmonary manifestations like interstitial lung disease, although these are less common. The patient has chest X-rays from 2018 and 2019.", |
| "date": "2018/04/21", |
| "type": "XR_CHEST_2_VIEWS", |
| "view": "PA", |
| "scan_index": "13" |
| }, |
| { |
| "reasoning": "Neurological manifestations are common in lupus, including neuropsychiatric lupus. MRI of the brain is the most sensitive imaging modality for detecting these changes, such as white matter lesions, infarcts, or atrophy. The patient had a brain MRI in 2019.", |
| "date": "2019/03/04", |
| "type": "MRI_BRAIN_WO_CONTRAST", |
| "view": "FLAIR_AXIAL", |
| "scan_index": "17" |
| }, |
| { |
| "reasoning": "While less specific, CT scans of the abdomen and pelvis can sometimes reveal findings associated with lupus, such as lymphadenopathy, splenomegaly, or vasculitis affecting abdominal organs. The patient had CT scans of the abdomen/pelvis in 2019 and 2021.", |
| "date": "2019/09/22", |
| "type": "CT_ABDOMEN_PELVIS_W_CONTRAST", |
| "view": "COR_3X3", |
| "scan_index": "27" |
| } |
| ] |
| } |
| ] |
