Blame for inference_inputs.json

[
  {
    "id": "47629_qa_rubric",
    "question": "What does this cardiac imaging frame show, and what are the most important visible findings?",
    "images": [
      "images/000_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_001_14368",
    "question": "Compare the two 12-lead ECGs, a and b, with the rhythm strips beneath each. Describe the main ST-T abnormalities and their change, and distinguish the intermittent wide complexes from the predominant conducted rhythm. What electrocardiographic process is most strongly suggested by the regional ST changes? Do not calculate rate or intervals without a readable time calibration. Explain how the regional lead relationships help distinguish the leading interpretation from a typical diffuse pericarditic ST-elevation pattern.",
    "images": [
      "images/001_figure1.jpg"
    ]
  },
  {
    "id": "16038_qa_rubric",
    "question": "What does this pathology image show, and what are the most important visible microscopic features?",
    "images": [
      "images/002_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_003_4099_cmp_10530",
    "question": "For the first attached figure (Figure1), The foot MRI figure includes fluid-sensitive images (a), precontrast T1-weighted images (b), and postcontrast images (c). Describe the osseous and soft-tissue abnormalities, identify the most discriminating internal lesion pattern, and give the leading imaging diagnosis with an appropriate alternative. For the second attached figure (Figure2), A,C,D are postcontrast fat-suppressed T1 images and B is fluid-sensitive MRI of hand lesions: the right fifth metacarpal is shown in A/C and the left second metacarpal in B/D. Describe the bone and adjacent soft-tissue abnormalities, distinguish enhancing tissue from collections, and compare the infection patterns with Figure1 without identifying a species from MRI.",
    "images": [
      "images/003_figure1.jpg",
      "images/003_figure2.jpg"
    ]
  },
  {
    "id": "bal20261109_004_3347",
    "question": "These axial muscle MR images show a control (C) and four patients (P1, P3, P4, P6), with pelvic levels on the left and thigh levels on the right. Compare the distribution and severity of muscle changes and describe the most supported general disease pattern. Do not infer a genetic subtype.",
    "images": [
      "images/004_figure1.jpg"
    ]
  },
  {
    "id": "48281_qa_rubric",
    "question": "What does this image show, and what are the main visible findings?",
    "images": [
      "images/005_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_006_5624",
    "question": "A is coronal T1-weighted MRI, B is sagittal T2-weighted MRI and C is axial T2-weighted MRI of the distal thigh. Characterize the arrowed lesion and the surrounding abnormal signal. Explain its relationship to muscle, bone and the vascular bundle, and state the most defensible broad interpretation without assigning a specific histologic diagnosis.",
    "images": [
      "images/006_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_007_30380",
    "question": "The knee MRI includes intermediate-weighted images (a-c) and fat-suppressed T2 images (d-f). Describe both the articular and medullary abnormalities, assess the stability of the osteochondral component, and explain the unifying process.",
    "images": [
      "images/007_figure1.jpg"
    ]
  },
  {
    "id": "46197_qa_rubric",
    "question": "What does this renal nuclear medicine image show, and what are the important findings about the kidneys?",
    "images": [
      "images/008_figure1.jpg"
    ]
  },
  {
    "id": "30564_qa_rubric",
    "question": "What are the main findings on this monitor tracing, including the key rhythm abnormality and any important change seen in the hemodynamic waveform?",
    "images": [
      "images/009_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_010_13019",
    "question": "The thigh MRI includes coronal T1 images (a, b), axial T1 (c), and axial fat-suppressed T1 (d). Describe the marrow and soft-tissue abnormalities, characterize the arrowed foci by comparing sequences, and explain their significance for the leading diagnostic category.",
    "images": [
      "images/010_figure1.jpg"
    ]
  },
  {
    "id": "15099_qa_rubric",
    "question": "What do these lateral cervical spine X-rays show, and what are the most important visible findings across the different neck positions?",
    "images": [
      "images/011_figure1.jpg"
    ]
  },
  {
    "id": "30214_qa_rubric",
    "question": "These shoulder MRI images include coronal STIR (A), diffusion-weighted imaging (B), an ADC map (C), and gadolinium-enhanced fat-suppressed T1 imaging (D). Describe the main marrow and adjacent soft-tissue abnormalities, compare the signal appearances across sequences, and give an appropriately limited differential diagnosis.",
    "images": [
      "images/012_figure1.jpg"
    ]
  },
  {
    "id": "48130_qa_rubric",
    "question": "What does this image show, and what are the main structures or cell types illustrated around the vessel?",
    "images": [
      "images/013_figure1.jpg"
    ]
  },
  {
    "id": "33915_qa_rubric",
    "question": "What does this angiographic image show, including the key vascular device finding and any important complication visible?",
    "images": [
      "images/014_figure1.jpg"
    ]
  },
  {
    "id": "26964_qa_rubric",
    "question": "What do these eye photographs show, and what are the most important visible changes across the three panels?",
    "images": [
      "images/015_figure1.jpg"
    ]
  },
  {
    "id": "22641_qa_rubric",
    "question": "What does this ECG show, and what are the most important visible findings?",
    "images": [
      "images/016_figure1.jpg"
    ]
  },
  {
    "id": "49652_qa_rubric",
    "question": "What does this image show about how a circulating cell interacts with the endothelium and moves across the vessel wall?",
    "images": [
      "images/017_figure1.jpg"
    ]
  },
  {
    "id": "37517_qa_rubric",
    "question": "What does this neck image show, and what are the most important visible abnormalities?",
    "images": [
      "images/018_figure1.jpg"
    ]
  },
  {
    "id": "44315_qa_rubric",
    "question": "What does this cardiac CT image show, and what are the most important visible findings around the aortic valve and nearby coronary artery?",
    "images": [
      "images/019_figure1.jpg"
    ]
  },
  {
    "id": "29350_qa_rubric",
    "question": "What does this histology image show, and what are the main visible abnormalities or tissue features?",
    "images": [
      "images/020_figure1.jpg"
    ]
  },
  {
    "id": "34878_qa_rubric",
    "question": "What does this chest image show, and what are the main visible skin findings?",
    "images": [
      "images/021_figure1.jpg"
    ]
  },
  {
    "id": "15888_qa_rubric",
    "question": "The upper row is the earlier PET/CT study and the lower row is the later study. What are the main findings and interval changes shown on this PET/CT image set?",
    "images": [
      "images/022_figure1.jpg"
    ]
  },
  {
    "id": "42730_qa_rubric",
    "question": "What does this EEG tracing show, and are there any important abnormal patterns visible?",
    "images": [
      "images/023_figure1.jpg"
    ]
  },
  {
    "id": "33128_qa_rubric",
    "question": "What does this breast MRI show, and what are the key visible findings in the chest wall or retropectoral region?",
    "images": [
      "images/024_figure1.jpg"
    ]
  },
  {
    "id": "4950_qa_rubric",
    "question": "This whole-body PET image uses blue, green, and red markers for liver, spleen, and vertebral bone marrow volumes of interest, respectively. Describe the sampling regions and the main visible tracer distribution, distinguishing the markers from lesions.",
    "images": [
      "images/025_figure1.jpg"
    ]
  },
  {
    "id": "43131_qa_rubric",
    "question": "What are the main findings shown in this multi-panel medical figure?",
    "images": [
      "images/026_figure1.jpg"
    ]
  },
  {
    "id": "50207_qa_rubric",
    "question": "What does this shoulder CT image show, and what are the main visible anatomic relationships or abnormalities?",
    "images": [
      "images/027_figure1.jpg"
    ]
  },
  {
    "id": "36240_qa_rubric",
    "question": "What does this postoperative lower leg image show?",
    "images": [
      "images/028_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_029_16610",
    "question": "These are corresponding MRI views of a symptomatic foot: a is T1-weighted, b is fat-suppressed T2-weighted, and c is STIR. Describe the heel abnormality and associated bone and muscle findings. Compare the arrowed forefoot marrow appearances across b and c, and explain which abnormalities represent convincing disease and which may be technical. Include the T1 appearance of the arrow-corresponding forefoot marrow in your comparison. Use the surrounding fat as an internal technical reference when comparing the forefoot appearances.",
    "images": [
      "images/029_figure1.jpg"
    ]
  },
  {
    "id": "29992_qa_rubric",
    "question": "What does this dental schematic show about the localized ridge or socket defect between the remaining teeth?",
    "images": [
      "images/030_figure1.jpg"
    ]
  },
  {
    "id": "11923_qa_rubric",
    "question": "What does this dental CBCT cross-sectional image show, and what are the main important findings in this region?",
    "images": [
      "images/031_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_032_5921",
    "question": "These orbital MR images show three different patients. Panels a-b are axial and coronal contrast-enhanced fat-suppressed T1 images in patient 1. Panels c-d are axial pre- and postcontrast T1 images in patient 2. Panel e is an axial T2 image in patient 3. Describe the abnormal orbital and adjacent sinonasal findings in each patient, compare globe involvement, and identify the most concerning structural complication in e. Use standard radiologic image orientation. For patient 1, explain what the spatial relationships suggest about the likely origin and extension of the process, compared with a primary globe-centered lesion.",
    "images": [
      "images/032_figure1.jpg"
    ]
  },
  {
    "id": "18601_qa_rubric",
    "question": "What does this laparoscopic intra-abdominal image show, and what are the main structures or abnormal relationships you can identify?",
    "images": [
      "images/033_figure1.jpg"
    ]
  },
  {
    "id": "10038_qa_rubric",
    "question": "What does this head image show, and are there any important acute intracranial abnormalities visible?",
    "images": [
      "images/034_figure1.jpg"
    ]
  },
  {
    "id": "15125_qa_rubric",
    "question": "What are the main findings on this brain image, and what pattern of abnormality does it suggest?",
    "images": [
      "images/035_figure1.jpg"
    ]
  },
  {
    "id": "6105_qa_rubric",
    "question": "Operative context: this is an opened resected Meckel diverticulum. Describe the visible specimen and its contents, and distinguish directly visible findings from the supplied organ-of-origin information.",
    "images": [
      "images/036_figure1.jpg"
    ]
  },
  {
    "id": "6032_qa_rubric",
    "question": "What does this shoulder MRI show, and what are the most important visible findings?",
    "images": [
      "images/037_figure1.jpg"
    ]
  },
  {
    "id": "24502_qa_rubric",
    "question": "What does this pelvic ultrasound show, and what are the main visible findings?",
    "images": [
      "images/038_figure1.jpg"
    ]
  },
  {
    "id": "38312_qa_rubric",
    "question": "What does this image show, and what are the main visible structural parts you can identify?",
    "images": [
      "images/039_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_040_18936",
    "question": "Compare the three rectal cases. Within each case, the six panels are T2-weighted MRI, ADC map, APT-T2 fusion map, native T1 map, postcontrast T1 map, and H&E histology, respectively (A-F, G-L and M-R). Which case shows the strongest water/mucin-rich tissue pattern? Support your answer with rectal morphology, relative T2 and ADC appearance, and histology, and describe the relative native and postcontrast T1 map appearances. Use color scales for qualitative comparisons only. Explain whether the relative ADC appearance alone can exclude malignancy in the selected case.",
    "images": [
      "images/040_figure1.jpg"
    ]
  },
  {
    "id": "42917_qa_rubric",
    "question": "What does this image show? Please briefly describe the visible anatomy, the view/orientation, and any labeled landmarks you can identify.",
    "images": [
      "images/041_figure1.jpg"
    ]
  },
  {
    "id": "23423_qa_rubric",
    "question": "What does this ECG show, and what are the main visible abnormalities if any?",
    "images": [
      "images/042_figure1.jpg"
    ]
  },
  {
    "id": "50228_qa_rubric",
    "question": "What does this fluoroscopic abdominal image show, especially regarding the tubing/wire and the ductal structures?",
    "images": [
      "images/043_figure1.jpg"
    ]
  },
  {
    "id": "26490_qa_rubric",
    "question": "What does this breast image show, and what are the most important visible findings?",
    "images": [
      "images/044_figure1.jpg"
    ]
  },
  {
    "id": "28432_qa_rubric",
    "question": "What does this MR image show in the thorax, and are there any notable lymphatic findings or variants visible?",
    "images": [
      "images/045_figure1.jpg"
    ]
  },
  {
    "id": "8122_qa_rubric",
    "question": "What does this pelvic hip image show, and what important visual measurement or alignment feature is being illustrated?",
    "images": [
      "images/046_figure1.jpg"
    ]
  },
  {
    "id": "41912_qa_rubric",
    "question": "What important abnormalities are visible in this breast photograph?",
    "images": [
      "images/047_figure1.jpg"
    ]
  },
  {
    "id": "4462_qa_rubric",
    "question": "What does this ECG show, and what are the most important visible abnormalities?",
    "images": [
      "images/048_figure1.jpg"
    ]
  },
  {
    "id": "41251_qa_rubric",
    "question": "What does this fluoroscopic image show, and what are the key visible findings?",
    "images": [
      "images/049_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_050_25369",
    "question": "These are T2-weighted MRI examples from three different patients with soft-tissue masses: a near the shoulder, b in the calf on an axial view, and c in the calf on a longitudinal view. Compare their margins, relation to fascia and muscle, and morphology. Explain how those features complicate a single-diameter assessment and what tumor behavior can be inferred without a histologic diagnosis. Explain what the internal signal pattern suggests about tissue composition and how it compares with uniform simple fluid.",
    "images": [
      "images/050_figure1.jpg"
    ]
  },
  {
    "id": "18983_qa_rubric",
    "question": "What does this intraoperative hip image show?",
    "images": [
      "images/051_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_052_8973",
    "question": "These images examine the same right ear: A is otoscopy. B is an en-face optical coherence tomography (OCT) view with blue and red section lines corresponding to C and D. E is another marked OCT section. F and G are axial and coronal CT. T labels the tissue deep to the thin curved tympanic membrane. Describe the abnormality, its relationship to the membrane and middle-ear space, and how the modalities corroborate it. What broad lesion category is supported?",
    "images": [
      "images/052_figure1.jpg"
    ]
  },
  {
    "id": "23566_qa_rubric",
    "question": "This is a color Doppler view of the right popliteal vein near the proximal calf. Describe the visible blood flow and explain what this single image can and cannot establish about venous patency.",
    "images": [
      "images/053_figure1.jpg"
    ]
  },
  {
    "id": "8264_qa_rubric",
    "question": "What does this knee MRI show, and what are the main important findings visible in these images?",
    "images": [
      "images/054_figure1.jpg"
    ]
  },
  {
    "id": "50654_qa_rubric",
    "question": "What does this contrast study show in the chest, and what are the most important visible abnormalities?",
    "images": [
      "images/055_figure1.jpg"
    ]
  },
  {
    "id": "624_qa_rubric",
    "question": "What does this cardiac MRI image show, and what are the key visible findings?",
    "images": [
      "images/056_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_057_16239",
    "question": "Compare the dental panoramic images and CT examples: a-b form one mandibular pair, c-d a second mandibular pair, e-f show another mandibular site, g shows the maxilla, and h-i form a final mandibular pair. Describe abnormalities of jaw-bone density, cortical contours and adjacent tissues indicated by the arrows, and distinguish the final structural complication from the earlier examples. What jaw-bone disease pattern is supported? Do not assign a medication or radiation cause from morphology alone. Explain what unprovided information would be needed to attribute the jaw changes to a medication or to radiation.",
    "images": [
      "images/057_figure1.jpg"
    ]
  },
  {
    "id": "2758_qa_rubric",
    "question": "What are the key findings on this head CT image, and what important abnormality does it suggest?",
    "images": [
      "images/058_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_059_936_cmp_19411",
    "question": "For the first attached figure (Figure1), Panels A and B are fluid-sensitive and postcontrast fat-suppressed MR images of a painful swollen toe. Panel C is its radiograph. Describe the osseous and extraosseous abnormalities, integrate their distribution, and give the most supported inflammatory pattern with a relevant alternative. For the second attached figure (Figure2), initial foot T1/STIR MRI is shown in A-D and later T1/STIR in E-F. Describe the marrow distribution and interval evolution. Compare the osseous and extraosseous patterns between the two figures and explain whether the same diagnosis can be assumed solely from marrow edema.",
    "images": [
      "images/059_figure1.jpg",
      "images/059_figure2.jpg"
    ]
  },
  {
    "id": "363_qa_rubric",
    "question": "What does this surgical specimen show, and what are the main visible abnormalities?",
    "images": [
      "images/060_figure1.jpg"
    ]
  },
  {
    "id": "5995_qa_rubric",
    "question": "This axial susceptibility-sensitive T2*-weighted GRE brain MR image is displayed in conventional radiological orientation. Describe the focal abnormality, its location and signal characteristics, and give the leading imaging interpretation with appropriate uncertainty.",
    "images": [
      "images/061_figure1.jpg"
    ]
  },
  {
    "id": "13849_qa_rubric",
    "question": "What does this abdominal ultrasound show? Please describe the main visible findings and any brief impression based on the image.",
    "images": [
      "images/062_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_063_3109_cmp_404",
    "question": "The first attached figure (Figure1) shows axial T1 MRI of thighs and calves from four different patients (A-D). Bright signal is fat. Compare severity, symmetry and selective muscle involvement, including the arrowed patterns, and interpret the overall process. The second attached figure (Figure2) shows right-thigh MRI in a 15-year-old with pain and dark urine after strenuous squatting: a is T1, b T2, c postcontrast fat-suppressed T1 at day 4, and d the corresponding postcontrast study 7 weeks later. Describe the acute distribution and subsequent change. Compare the signal basis and tissue response with Figure1, and give the broad muscle-injury interpretation.",
    "images": [
      "images/063_figure1.jpg",
      "images/063_figure2.jpg"
    ]
  },
  {
    "id": "35450_qa_rubric",
    "question": "What does this fluoroscopic image show, and what are the main abnormal findings you can identify?",
    "images": [
      "images/064_figure1.jpg"
    ]
  },
  {
    "id": "42235_qa_rubric",
    "question": "What does this image show in the pelvis and hips, and are there any important visible abnormalities around the hip implants?",
    "images": [
      "images/065_figure1.jpg"
    ]
  },
  {
    "id": "49511_qa_rubric",
    "question": "This whole-body CT localizer/projection image shows a red arrow over the cardiac region. Describe the abnormal gas pattern and explain the localization limits of this projection image.",
    "images": [
      "images/066_figure1.jpg"
    ]
  },
  {
    "id": "1099_qa_rubric",
    "question": "These CT and MRI examples are from patients with known malignancies. Panels (d) and (e) follow a percutaneous liver biopsy. Describe the abdominal-wall masses, their relationship to the underlying tumors, and possible patterns of involvement.",
    "images": [
      "images/067_figure1.jpg"
    ]
  },
  {
    "id": "27565_qa_rubric",
    "question": "What does this ECG show, and what are the most important visible abnormalities?",
    "images": [
      "images/068_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_069_1285",
    "question": "This is a chronological neurovascular series. a is presentation CT, b-d are initial DSA, e is later CT, f-h are repeat DSA, i-l are subsequent CT/DSA/procedural views, m-o are later CT angiographic/postoperative views, and p-r are follow-up DWI. For localization, b/f arrows mark the left orbitofrontal ACA branch, b arrowheads the left frontopolar ACA branch, c/n the left anterior temporal MCA branch, d the right frontopolar ACA branch, g right ACA A2, h/m the left anterior choroidal/posterior communicating branches, and j/k the anterior communicating region. Describe the aneurysm morphology and interval changes, the hemorrhagic and postoperative findings, and the distribution of the final diffusion abnormalities.",
    "images": [
      "images/069_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_070_7305_cmp_15549",
    "question": "The first attached figure (Figure1) shows fat-suppressed T2 ankle MR sections from an adult with recurrent sprains. Describe the focal osteochondral, ligament and tendon abnormalities. The second attached figure (Figure2) shows ankle MRI from an 8-year-old with a swollen ankle: internal panels 6a/6b are fat-suppressed PD, 6c postcontrast T1 and 6d STIR. Describe the distribution of marrow and joint abnormalities, including the posterior talar articular surface. Compare the focality and tissue compartments involved in the two figures and explain why Figure2 cannot simply be described as the same localized injury. Give a broad differential for Figure2 without claiming a specific cause from MRI alone.",
    "images": [
      "images/070_figure1.jpg",
      "images/070_figure2.jpg"
    ]
  },
  {
    "id": "24681_qa_rubric",
    "question": "This is a lateral left vertebral follow-up angiogram of a previously known proximal PICA aneurysm and treated AVM. Describe the visible vascular findings and any apparent residual abnormality, noting that prior comparison images are not provided.",
    "images": [
      "images/071_figure1.jpg"
    ]
  },
  {
    "id": "17268_qa_rubric",
    "question": "This schematic illustrates lower-extremity ulcers in a patient with diabetes. Describe the visible lesions and their locations.",
    "images": [
      "images/072_figure1.jpg"
    ]
  },
  {
    "id": "43150_qa_rubric",
    "question": "What do these wrist CT images show?",
    "images": [
      "images/073_figure1.jpg"
    ]
  },
  {
    "id": "66_qa_rubric",
    "question": "What does this radiograph show, and what are the most important visible abnormalities?",
    "images": [
      "images/074_figure1.jpg"
    ]
  },
  {
    "id": "21502_qa_rubric",
    "question": "What does this contrast radiograph show in the lower abdomen and pelvis, and what are the key visible findings?",
    "images": [
      "images/075_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_076_1011_cmp_26126",
    "question": "For the first attached figure (Figure1), Using the T2-weighted (A), T1-weighted (B), and FLAIR (C) brain MR images, characterize the right hemispheric abnormality. Explain the key feature that distinguishes the leading diagnosis from a simple destructive cavity. For the second attached figure (Figure2), an axial T2-weighted brain MRI at age one year is shown. Describe the side, extent, tissue-volume and CSF-space changes. Compare its cavity/volume-loss pattern with Figure1, identify the key imaging distinction between a developmental cleft and a destructive cavity, and give the broad favored mechanism for Figure2.",
    "images": [
      "images/076_figure1.jpg",
      "images/076_figure2.jpg"
    ]
  },
  {
    "id": "33912_qa_rubric",
    "question": "What does this MRI of the foot show, and where is the main abnormality located?",
    "images": [
      "images/077_figure1.jpg"
    ]
  },
  {
    "id": "6421_qa_rubric",
    "question": "What does this image show about the different skull suture patterns and head shapes, and what abnormalities can you identify?",
    "images": [
      "images/078_figure1.jpg"
    ]
  },
  {
    "id": "47664_qa_rubric",
    "question": "This fluoroscopic image is from enteral stenting of a narrowed afferent limb in postoperative biliary-enteric anatomy. Describe the visible device, contrast-filled structures, and any limits in assessing patency from this single frame.",
    "images": [
      "images/079_figure1.jpg"
    ]
  },
  {
    "id": "31039_qa_rubric",
    "question": "What do these radiographs show in the femurs, and what are the most important visible abnormalities or postoperative changes?",
    "images": [
      "images/080_figure1.jpg"
    ]
  },
  {
    "id": "41483_qa_rubric",
    "question": "What does this intraoral image show, and what are the main visible postoperative findings?",
    "images": [
      "images/081_figure1.jpg"
    ]
  },
  {
    "id": "7228_qa_rubric",
    "question": "What does this axial abdominal image show, and what are the most important visible abnormalities?",
    "images": [
      "images/082_figure1.jpg"
    ]
  },
  {
    "id": "15552_qa_rubric",
    "question": "What does this cardiac ultrasound image show, and what is the main visible abnormality of the valve?",
    "images": [
      "images/083_figure1.jpg"
    ]
  },
  {
    "id": "13766_qa_rubric",
    "question": "What do these prenatal ultrasound images show, and what are the most important fetal and placental abnormalities visible across the panels?",
    "images": [
      "images/084_figure1.jpg"
    ]
  },
  {
    "id": "7463_qa_rubric",
    "question": "What does this histology image show, and what are the most important visible pathologic features?",
    "images": [
      "images/085_figure1.jpg"
    ]
  },
  {
    "id": "19277_qa_rubric",
    "question": "What does this lung ultrasound show, and what is the key abnormal pattern visible here?",
    "images": [
      "images/086_figure1.jpg"
    ]
  },
  {
    "id": "35459_qa_rubric",
    "question": "What does this CT image show in the upper arm, and what are the most important visible abnormalities?",
    "images": [
      "images/087_figure1.jpg"
    ]
  },
  {
    "id": "38130_qa_rubric",
    "question": "What does this image show, and what are the important visible findings?",
    "images": [
      "images/088_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_089_4851",
    "question": "The columns show preoperative MRI, MRI after stage I endoscopic surgery, and MRI after stage II craniotomy. Characterize the original lesion and surrounding effects, compare the residual lesion after each stage, and interpret the perfusion and diffusion findings within the limits of the displayed images. Compare the diagnostic significance of a thin cavity-margin enhancement pattern with the earlier bulky nodular enhancing tissue.",
    "images": [
      "images/089_figure1.jpg"
    ]
  },
  {
    "id": "38633_qa_rubric",
    "question": "This is a hysteroscopic image from a patient with postmenopausal bleeding. Describe the visible endometrial surface and any apparent focal lesions, keeping the limits of visual assessment in mind.",
    "images": [
      "images/090_figure1.jpg"
    ]
  },
  {
    "id": "10800_qa_rubric",
    "question": "What do these hip images show across the different imaging modalities, and what is the main abnormality visible?",
    "images": [
      "images/091_figure1.jpg"
    ]
  },
  {
    "id": "3943_qa_rubric",
    "question": "CT has identified nodules, but only the whole-body PET projection is shown here. Describe the visible tracer distribution and any conspicuous abnormal uptake, and state the limits of matching individual CT nodules on this image alone.",
    "images": [
      "images/092_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_093_27990",
    "question": "These neonatal brain images comprise coronal and parasagittal ultrasound (a-b), coronal CT (c-d), axial T2 MRI (e), and axial postcontrast T1 MRI (f). Compare the ventricular contents and lining, the periventricular abnormalities, and the brain parenchyma across modalities. What intracranial inflammatory/infective pattern is supported, and what complications are visible? Do not name an organism from imaging alone. Correlate the echogenic foci with CT and distinguish them from the ventricular contents.",
    "images": [
      "images/093_figure1.jpg"
    ]
  },
  {
    "id": "5775_qa_rubric",
    "question": "What does this fluoroscopic cardiac device image show, including the position of the leads and any important orientation seen across the different views?",
    "images": [
      "images/094_figure1.jpg"
    ]
  },
  {
    "id": "5451_qa_rubric",
    "question": "What does this hip/pelvis X-ray show, and what are the main important visual findings?",
    "images": [
      "images/095_figure1.jpg"
    ]
  },
  {
    "id": "49546_qa_rubric",
    "question": "This axial/top-down schematic uses conventional radiological orientation (the patient's left is on the right of the displayed image). Describe the spinal anatomy and its numbered sectors.",
    "images": [
      "images/096_figure1.jpg"
    ]
  },
  {
    "id": "41370_qa_rubric",
    "question": "What does this image show, and what are the main visible changes or findings in the facial skeletal and dental profile?",
    "images": [
      "images/097_figure1.jpg"
    ]
  },
  {
    "id": "38632_qa_rubric",
    "question": "What does this X-ray show? Please describe the main visible skeletal abnormalities and any brief impression based on the image.",
    "images": [
      "images/098_figure1.jpg"
    ]
  },
  {
    "id": "7744_qa_rubric",
    "question": "What does this hand image show, and what are the most important visible abnormalities?",
    "images": [
      "images/099_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_100_29741_cmp_481",
    "question": "For the first attached figure (Figure1), the figure combines brain MRI from several children. A and D are coronal FLAIR from the same child at ages 2 and 2.5 years. B and C are sagittal T1, E axial T2, and F susceptibility-weighted imaging. Describe the major structural and signal abnormalities, compare A with D, and explain the broad diagnostic pattern supported by their combination. For the second attached figure (Figure2), A-B are midsagittal T1 images from patient 1 at age 11 years and patient 2 at age 22 months. C-D are axial T2 images from these patients at ages 8 and 5 years, respectively. Describe the brainstem, callosal and white-matter appearances, and compare the dominant structural/signal pattern with Figure1. Do not infer interval change by comparing different patients or identify a genetic syndrome from these images. For Figure1 F, explain whether the displayed susceptibility darkness alone identifies its chemical source, and what corroboration could help.",
    "images": [
      "images/100_figure1.jpg",
      "images/100_figure2.jpg"
    ]
  },
  {
    "id": "7190_qa_rubric",
    "question": "What does this histology image show, and what are the main microscopic abnormalities you can identify?",
    "images": [
      "images/101_figure1.jpg"
    ]
  },
  {
    "id": "31677_qa_rubric",
    "question": "These breast ultrasound images were acquired with the imaging array located at the bottom of the displayed images. Describe the blue-outlined regions and explain their likely sonographic nature, distinguishing them from a discrete lesion.",
    "images": [
      "images/102_figure1.jpg"
    ]
  },
  {
    "id": "10323_qa_rubric",
    "question": "What does this image show about the joint problem and the material or treatment being illustrated?",
    "images": [
      "images/103_figure1.jpg"
    ]
  },
  {
    "id": "35670_qa_rubric",
    "question": "What does this ultrasound image show, and what are the most important visible abnormalities?",
    "images": [
      "images/104_figure1.jpg"
    ]
  },
  {
    "id": "908_qa_rubric",
    "question": "These pelvic MRI panels are T2-weighted (a), T1-weighted (b), postcontrast fat-suppressed T1-weighted (c), diffusion-weighted imaging (d), and an ADC map (e). Describe the uterine mass morphology, signal, enhancement and diffusion appearances, and give a limited differential diagnosis.",
    "images": [
      "images/105_figure1.jpg"
    ]
  },
  {
    "id": "31839_qa_rubric",
    "question": "What does this gross cardiac image show, and what are the most important visible abnormalities?",
    "images": [
      "images/106_figure1.jpg"
    ]
  },
  {
    "id": "2007_qa_rubric",
    "question": "During removal of ankle/hindfoot screw hardware, what does this lateral fluoroscopic image show? Describe the screw path, guidewire, and removal-instrument relationship.",
    "images": [
      "images/107_figure1.jpg"
    ]
  },
  {
    "id": "10208_qa_rubric",
    "question": "What are the main abnormal findings shown on this spine MRI?",
    "images": [
      "images/108_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_109_10520",
    "question": "The figure compares several individuals with intracranial arterial disease. A-C belong to one individual, D another, E-F another, and G-I a fourth. Focus on the MR angiograms and diffusion image, using the catheter angiograms as supplementary information. Characterize the distribution of stenosis/occlusion, compare the phenotypes, and identify the unifying vasculopathy and visible parenchymal complication.",
    "images": [
      "images/109_figure1.jpg"
    ]
  },
  {
    "id": "4014_qa_rubric",
    "question": "What does this hip radiograph show, and what are the key visible abnormalities?",
    "images": [
      "images/110_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_111_2965",
    "question": "These axial FLAIR brain MR images are from an adult with subacute confusion and nystagmus. Map the abnormal signal distribution, identify its principal anatomical network, and give a focused imaging differential. Only FLAIR images are supplied.",
    "images": [
      "images/111_figure1.jpg"
    ]
  },
  {
    "id": "2422_qa_rubric",
    "question": "Panel a is the initial thoracic CT, b is PET/CT from the initial work-up, and c is a later follow-up CT. Describe the nodal findings, metabolic activity and interval morphological changes across the panels.",
    "images": [
      "images/112_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_113_8386",
    "question": "The figure shows different brain lesion appearances in one patient: a is axial FLAIR, b axial T2, and c paired FLAIR (upper) and T2 (lower). Describe their morphology and distribution, compare the internal signal on the paired sequences, and give a focused differential supported by the displayed patterns.",
    "images": [
      "images/113_figure1.jpg"
    ]
  },
  {
    "id": "20547_qa_rubric",
    "question": "What does this histology image show, and what are the key epithelial features you can identify?",
    "images": [
      "images/114_figure1.jpg"
    ]
  },
  {
    "id": "21768_qa_rubric",
    "question": "What does this coronary angiographic image show, and what are the most important visible abnormalities?",
    "images": [
      "images/115_figure1.jpg"
    ]
  },
  {
    "id": "48308_qa_rubric",
    "question": "This clinical/endoscopic view is of the right soft palate. What visible mucosal abnormalities are present?",
    "images": [
      "images/116_figure1.jpg"
    ]
  },
  {
    "id": "25021_qa_rubric",
    "question": "What does this pathology image show, and what are the key visible features?",
    "images": [
      "images/117_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_118_21731",
    "question": "A young adult has sustained major head trauma. Panels A/B are gradient-echo susceptibility-sensitive MRI. C is diffusion-weighted MRI and D is its ADC map. Identify the hemorrhagic and diffusion abnormalities, including their compartments and distribution. What injury pattern best integrates them? Explain how the distribution compares with a single arterial-territory process.",
    "images": [
      "images/118_figure1.jpg"
    ]
  },
  {
    "id": "11995_qa_rubric",
    "question": "What does this endoscopic image show in the larynx, and are there any important visible findings involving the vocal folds or glottis?",
    "images": [
      "images/119_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_120_15719",
    "question": "These MRI examples are from five different neonates. Panels a and e are T1-weighted, b and d are T2-weighted, and c is diffusion-weighted. For each example, localize the arrowed abnormality and describe its signal and symmetry. Compare the regional injury distributions and explain the strength and limitations of the diffusion evidence shown.",
    "images": [
      "images/120_figure1.jpg"
    ]
  },
  {
    "id": "46463_qa_rubric",
    "question": "What does this axial CT of the left knee show, particularly the patellar position and adjacent bony remodeling?",
    "images": [
      "images/121_figure1.jpg"
    ]
  },
  {
    "id": "19358_qa_rubric",
    "question": "What does this ECG show, and what are the main important visible rhythm findings?",
    "images": [
      "images/122_figure1.jpg"
    ]
  },
  {
    "id": "43846_qa_rubric",
    "question": "What does this eye image show, and what are the main visible corneal findings?",
    "images": [
      "images/123_figure1.jpg"
    ]
  },
  {
    "id": "13310_qa_rubric",
    "question": "What does this head CT show, including the main abnormal findings and any important postoperative changes you can identify?",
    "images": [
      "images/124_figure1.jpg"
    ]
  },
  {
    "id": "13369_qa_rubric",
    "question": "What does this X-ray show in the left upper arm and shoulder region?",
    "images": [
      "images/125_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_126_1028",
    "question": "Integrate this cardiac work-up. A is a 12-lead ECG, B a chest radiograph, C parasternal long-axis/M-mode echocardiography, D mitral-inflow Doppler, E a longitudinal-strain bull’s-eye map (more negative strain means greater shortening), F-H technetium-99m pyrophosphate cardiac scintigraphy including fused SPECT/CT G, I-J short-axis native T1/ECV maps, and K late-gadolinium-enhancement MRI. Describe the electrical findings and cardiac morphology, the regional strain pattern and tracer/MRI distribution. What unifying cardiac disease pattern is supported? Do not assign function, precise map values or protein subtype from unlabeled measurements. Explain how the distribution of enhancement in K compares with a single-coronary-territory subendocardial infarct pattern. Explain why these images alone do not establish the amyloid protein subtype and identify the key unprovided laboratory assessment relevant to that distinction.",
    "images": [
      "images/126_figure1.jpg"
    ]
  },
  {
    "id": "6856_qa_rubric",
    "question": "What does this image show on the foot, and what are the important visible findings?",
    "images": [
      "images/127_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_128_28640",
    "question": "A contains PA and lateral chest radiographs. B contains contrast CT in axial, coronal and sagittal planes. C is thoracoscopy. D is H&E histology. E shows immunostains labeled ER, PgR and PAX-8. Characterize the lesion and its anatomic relationships, correlate the imaging with the wall morphology and staining, and give the most supported lesion class.",
    "images": [
      "images/128_figure1.jpg"
    ]
  },
  {
    "id": "33375_qa_rubric",
    "question": "What does this pelvic radiograph show, and what are the main visible abnormalities at the hips?",
    "images": [
      "images/129_figure1.jpg"
    ]
  },
  {
    "id": "48101_qa_rubric",
    "question": "After remnant-preserving ACL reconstruction, what does this arthroscopic view show about the visible tissue coverage and continuity in the graft region?",
    "images": [
      "images/130_figure1.jpg"
    ]
  },
  {
    "id": "42362_qa_rubric",
    "question": "What does this CT image show in the jaw, and what are the most important visible abnormalities?",
    "images": [
      "images/131_figure1.jpg"
    ]
  },
  {
    "id": "50772_qa_rubric",
    "question": "What does this microscopic endoscopic image show, and what are the key visible features?",
    "images": [
      "images/132_figure1.jpg"
    ]
  },
  {
    "id": "20085_qa_rubric",
    "question": "What are the main histologic findings shown in this tissue image?",
    "images": [
      "images/133_figure1.jpg"
    ]
  },
  {
    "id": "13629_qa_rubric",
    "question": "This figure compares baseline imaging (A-F) with post-treatment imaging (G-J), with histology in K-L. What are the main PET/CT findings in the left chest and upper abdomen, and how do they change?",
    "images": [
      "images/134_figure1.jpg"
    ]
  },
  {
    "id": "16359_qa_rubric",
    "question": "What does this clinical image show, including the main visible postoperative findings and where they are located?",
    "images": [
      "images/135_figure1.jpg"
    ]
  },
  {
    "id": "12684_qa_rubric",
    "question": "What are the main visible findings in this image of the feet, especially involving the big toes and nails?",
    "images": [
      "images/136_figure1.jpg"
    ]
  },
  {
    "id": "14608_qa_rubric",
    "question": "What does this jaw imaging show, especially around the mandibular canal and adjacent cortical bone?",
    "images": [
      "images/137_figure1.jpg"
    ]
  },
  {
    "id": "38743_qa_rubric",
    "question": "What does this intraoperative X-ray show in the hip, including the main hardware configuration and what it is treating?",
    "images": [
      "images/138_figure1.jpg"
    ]
  },
  {
    "id": "49492_qa_rubric",
    "question": "What does this eye image show, and what are the main abnormal findings you can identify?",
    "images": [
      "images/139_figure1.jpg"
    ]
  },
  {
    "id": "15974_qa_rubric",
    "question": "What do these ultrasound views of the left thyroid lobe show, and what are the main parenchymal findings?",
    "images": [
      "images/140_figure1.jpg"
    ]
  },
  {
    "id": "14389_qa_rubric",
    "question": "What does this dental radiograph show, and what are the most important visible abnormalities?",
    "images": [
      "images/141_figure1.jpg"
    ]
  },
  {
    "id": "35172_qa_rubric",
    "question": "What does this gross pathology image show in the heart, and what are the main visible abnormalities?",
    "images": [
      "images/142_figure1.jpg"
    ]
  },
  {
    "id": "28904_qa_rubric",
    "question": "What does this periapical radiograph of the left mandibular molar region show, particularly around the roots of the involved tooth?",
    "images": [
      "images/143_figure1.jpg"
    ]
  },
  {
    "id": "45716_qa_rubric",
    "question": "What does this image show in the perineal/genital region, and what are the main visible abnormalities or markings?",
    "images": [
      "images/144_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_145_27836",
    "question": "This is serial contrast-enhanced brain MRI: A/B before treatment, C/D immediately after surgery, E/F at an early follow-up after additional treatment, and G/H at a later follow-up. Describe the initial lesion and its effects on adjacent structures, then compare the residual abnormality and ventricular configuration over time. What can and cannot be concluded about local disease from the displayed images?",
    "images": [
      "images/145_figure1.jpg"
    ]
  },
  {
    "id": "38046_qa_rubric",
    "question": "This H&E section is from the appendix. Describe the visible tissue architecture and histologic findings, and explain whether the displayed field alone establishes acute appendicitis.",
    "images": [
      "images/146_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_147_28715",
    "question": "Panels A-F are brain MRI (A T1, B FLAIR, C/D postcontrast, E diffusion-weighted, F ADC). G/H are sagittal fluid-sensitive spinal MRI. Describe the lesion distribution and internal pattern, assess diffusion, and relate the spinal findings. Give a defensible differential category without requiring an organism or histology.",
    "images": [
      "images/147_figure1.jpg"
    ]
  },
  {
    "id": "11447_qa_rubric",
    "question": "What does this histology image show, and what are the main visible microscopic features?",
    "images": [
      "images/148_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_149_1062_cmp_7905",
    "question": "For the first attached figure (Figure1), panels A-E are axial T2, FLAIR, precontrast T1, diffusion-weighted MRI and ADC, respectively. Describe the deep-gray and adjacent white-matter abnormalities. Compare the central nuclear and peripheral rim diffusion behavior, and explain the most defensible pattern-level differential. The second attached figure (Figure2) is from a different patient: a-b are axial T2-weighted MRI, c coronal FLAIR, d axial diffusion-weighted imaging, e its ADC map, f postcontrast T1-weighted MRI, and g the paired sagittal spinal survey (the left g view is fluid-sensitive). Use conventional radiological orientation. Describe the brain lesion distribution, morphology and T1/postcontrast appearances. Assess diffusion only at the levels actually shown on d-e. Assess ventricular and sulcal configuration and any conspicuous focal spinal-cord signal lesion in g. Compare the dominant brain compartments and diffusion behavior with Figure1, without assuming that superficially similar T2 hyperintensity represents the same cause or that either figure alone establishes a clinical etiology. For Figure1, what different edema mechanisms are suggested by the central nuclear and peripheral rim ADC behavior?",
    "images": [
      "images/149_figure1.jpg",
      "images/149_figure2.jpg"
    ]
  },
  {
    "id": "35378_qa_rubric",
    "question": "What does this image show in the foot and toes, and what are the most important visible abnormalities?",
    "images": [
      "images/150_figure1.jpg"
    ]
  },
  {
    "id": "9398_qa_rubric",
    "question": "What does this ECG show, and what are the most important visible abnormalities?",
    "images": [
      "images/151_figure1.jpg"
    ]
  },
  {
    "id": "13556_qa_rubric",
    "question": "What does this ultrasound image show, and what are the key visible findings?",
    "images": [
      "images/152_figure1.jpg"
    ]
  },
  {
    "id": "37707_qa_rubric",
    "question": "This is a liver biopsy from a patient with known colorectal adenocarcinoma. What tumor pattern is visible, and how does it relate to that clinical history?",
    "images": [
      "images/153_figure1.jpg"
    ]
  },
  {
    "id": "15426_qa_rubric",
    "question": "What does this pelvis/hip image show, and what are the most important abnormalities you notice?",
    "images": [
      "images/154_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_155_17604",
    "question": "These are serial brain MR images. a is FLAIR, b is precontrast T1, and c/d are postcontrast images from the initial examination. e and f are postcontrast sagittal images from two successive intermediate follow-ups. Panels g-i are postcontrast axial images at the latest follow-up. Describe the initial lesion distribution and enhancement, then compare lesion behavior over time. Which pattern-level differential is supported, and what cautions apply to interpreting enhancement?",
    "images": [
      "images/155_figure1.jpg"
    ]
  },
  {
    "id": "29901_qa_rubric",
    "question": "These lower-leg MRI panels include fluid-sensitive and post-gadolinium images. What muscle abnormalities are visible, and is there an obvious marrow abnormality?",
    "images": [
      "images/156_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_157_6986_cmp_4043",
    "question": "The first attached figure (Figure1) has axial brain FLAIR images in the upper row and SWI in the lower row. Describe lesion distribution and signal behavior and identify the best-supported vascular lesion pattern. The second attached figure (Figure2) is a single axial susceptibility-weighted brain image from a 62-year-old being evaluated for cognitive decline. Describe the hemorrhagic-focus distribution and morphology, compare it with Figure1, and give the favored small-vessel disease category and a relevant alternative. Explain why dark susceptibility foci in both figures do not automatically represent the same lesion type.",
    "images": [
      "images/157_figure1.jpg",
      "images/157_figure2.jpg"
    ]
  },
  {
    "id": "50643_qa_rubric",
    "question": "What does this angiographic image show, and what are the key visible findings or devices present?",
    "images": [
      "images/158_figure1.jpg"
    ]
  },
  {
    "id": "33546_qa_rubric",
    "question": "This is an MRI of the right hand/wrist, reported as a T2-weighted image. Describe the visible joint-fluid findings and any gross erosive or destructive change, allowing for the limits of this single image.",
    "images": [
      "images/159_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_160_7501_cmp_1757",
    "question": "For the first attached figure (Figure1), This figure compares structural brain MR images from six patients with focal epilepsy (P1, P3, P4, P9, P12 and P24). Use the paired images and arrows to describe each distinct structural pattern, distinguish developmental cortical abnormalities from acquired injury, and explain how hippocampal asymmetry is recognized. For the second attached figure (Figure2), a-f are axial FLAIR, coronal T2, ADC, axial SWI (d-e) and sagittal T1 brain MRI. Describe the arrowed lesion across sequences and give its favored broad vascular type. Compare its architecture with the developmental cortical and acquired gliotic abnormalities in Figure1, and state what vascular characterization is still needed.",
    "images": [
      "images/160_figure1.jpg",
      "images/160_figure2.jpg"
    ]
  },
  {
    "id": "42132_qa_rubric",
    "question": "This is a section from a nonstenotic resected bowel segment. The arrow marks a mesenteric vein. Describe its wall and lumen and the visible mucosal changes.",
    "images": [
      "images/161_figure1.jpg"
    ]
  },
  {
    "id": "47865_qa_rubric",
    "question": "What are the main findings shown on this CT image of the spine?",
    "images": [
      "images/162_figure1.jpg"
    ]
  },
  {
    "id": "20190_qa_rubric",
    "question": "What does this CT image show at the knee, and what are the main visible abnormalities or postoperative changes?",
    "images": [
      "images/163_figure1.jpg"
    ]
  },
  {
    "id": "23949_qa_rubric",
    "question": "What does this image show inside the chest, and what are the main visible structural or hardware features?",
    "images": [
      "images/164_figure1.jpg"
    ]
  },
  {
    "id": "47790_qa_rubric",
    "question": "What does this upper GI contrast image show in the stomach, and what are the main visible abnormalities?",
    "images": [
      "images/165_figure1.jpg"
    ]
  },
  {
    "id": "44333_qa_rubric",
    "question": "What does this microscopic image show, and what are the important visible features of the embryo?",
    "images": [
      "images/166_figure1.jpg"
    ]
  },
  {
    "id": "25319_qa_rubric",
    "question": "What are the main findings shown on this PET/CT, especially in the lungs and any other areas of abnormal uptake?",
    "images": [
      "images/167_figure1.jpg"
    ]
  },
  {
    "id": "12731_qa_rubric",
    "question": "What does this ultrasound image show, and what are the most important visible findings?",
    "images": [
      "images/168_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_169_28437",
    "question": "Panels a, b and f are from presentation, c and d from a later visit, and e from a subsequent follow-up. Compare the optic disc and nearby retina over time, correlate the OCT/OCT-angiography findings, and give the most supported inflammatory pattern.",
    "images": [
      "images/169_figure1.jpg"
    ]
  },
  {
    "id": "7677_qa_rubric",
    "question": "This cardiac MRI figure contains SSFP cine images (A-B), T1 and T2 maps (C-D, respectively), and delayed postcontrast inversion-recovery images (E-F). Describe the focal myocardial finding, its location, and its conspicuity across the displayed techniques.",
    "images": [
      "images/170_figure1.jpg"
    ]
  },
  {
    "id": "22545_qa_rubric",
    "question": "What does this intraoperative image show, and what are the most important visible devices or findings?",
    "images": [
      "images/171_figure1.jpg"
    ]
  },
  {
    "id": "43765_qa_rubric",
    "question": "What does this sagittal CT image show, and what are the main important abnormalities you can identify?",
    "images": [
      "images/172_figure1.jpg"
    ]
  },
  {
    "id": "44865_qa_rubric",
    "question": "What does this fluoroscopic image show, and what are the most important visible abnormalities?",
    "images": [
      "images/173_figure1.jpg"
    ]
  },
  {
    "id": "12590_qa_rubric",
    "question": "What does this elbow radiograph show?",
    "images": [
      "images/174_figure1.jpg"
    ]
  },
  {
    "id": "23052_qa_rubric",
    "question": "What does this abdominal radiograph show, and what are the most important visible findings?",
    "images": [
      "images/175_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_176_7802_cmp_29575",
    "question": "The first attached figure (Figure1) contains precontrast T1, postcontrast T1, T2, DWI, ADC and SWI brain MRI (a-f). Describe the midline lesion, its signal behavior and ventricular effect. Give the favored diagnosis and relevant differential. The second attached figure (Figure2) includes sagittal T2 (A), 3D-CISS (B) and a static phase-contrast re-phase image (C). Describe the ventricular/posterior fossa abnormalities visible in A-B, including the arrowed membrane. Compare the likely level of CSF obstruction with Figure1. The QR codes are not diagnostic panels. Do not infer dynamic CSF flow measurements from the static image. For Figure2, describe the ventricular abnormalities and deformation of adjacent supratentorial and posterior fossa structures visible in A-B, including the arrowed membrane.",
    "images": [
      "images/176_figure1.jpg",
      "images/176_figure2.jpg"
    ]
  },
  {
    "id": "15756_qa_rubric",
    "question": "What treatment-related findings are visible in this cropped dental radiograph?",
    "images": [
      "images/177_figure1.jpg"
    ]
  },
  {
    "id": "20175_qa_rubric",
    "question": "What does this brain image show?",
    "images": [
      "images/178_figure1.jpg"
    ]
  },
  {
    "id": "29535_qa_rubric",
    "question": "These are preoperative weight-bearing foot radiographs. Describe the main visible deformities, alignment abnormalities and degenerative changes.",
    "images": [
      "images/179_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_180_19857_cmp_18367",
    "question": "For the first attached figure (Figure1), Panel A is noncontrast CT, and B-H are T1, T2, FLAIR, DWI, GRE and postcontrast MR views. Describe the intracranial lesion pattern, edema and hemorrhagic features. In a patient with impaired cellular immunity, give a prioritized differential and explain which visible findings guide it. The second attached figure (Figure2) contains postcontrast brain MRI in A-C and a fluid-sensitive mastoid view in D. Describe the lesion distribution and enhancement pattern and the mastoid abnormality. Compare the two intracranial patterns and discuss infectious and granulomatous alternatives without assuming that enhancement establishes one organism.",
    "images": [
      "images/180_figure1.jpg",
      "images/180_figure2.jpg"
    ]
  },
  {
    "id": "31711_qa_rubric",
    "question": "What does this brain image show, and what are the marked circular regions likely indicating?",
    "images": [
      "images/181_figure1.jpg"
    ]
  },
  {
    "id": "4670_qa_rubric",
    "question": "What are the main findings on this axial contrast-enhanced MRI, and what important abnormality does it show?",
    "images": [
      "images/182_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_183_27317_cmp_27124",
    "question": "The first attached figure (Figure1) contains axial T2 MR sections from upper cervical cord through brainstem to cerebrum. Describe the distribution and principal tracts involved and give a broad inflammatory versus vascular interpretation. The second attached figure (Figure2) shows sagittal cervical (A) and thoracic (B) T1, T2, DIR and postcontrast T1 images and axial brain (C) T1, T2, FLAIR and DIR images in a 16-year-old with hand numbness. Characterize its cord and cerebral lesion distribution, compare lesion conspicuity across the displayed sequences, and compare its overall pattern with Figure1. Give the broad disease category favored by Figure2 without claiming a specific pathogen, antibody or definitive diagnosis from these images.",
    "images": [
      "images/183_figure1.jpg",
      "images/183_figure2.jpg"
    ]
  },
  {
    "id": "bal20261109_184_971",
    "question": "The great-toe MRI shows sagittal T1 (1A), sagittal STIR (1B), coronal fat-suppressed T1 before contrast (1C), coronal postcontrast T1 (1D), and sagittal postcontrast T1 (1E). Localize the abnormality by tissue compartment, characterize its signal/enhancement, and assess the visible relationship to the tendon and bone. Give an appropriately broad interpretation.",
    "images": [
      "images/184_figure1.jpg"
    ]
  },
  {
    "id": "19105_qa_rubric",
    "question": "What does this endoscopic image show, and what are the important visible findings?",
    "images": [
      "images/185_figure1.jpg"
    ]
  },
  {
    "id": "8759_qa_rubric",
    "question": "What does this chest radiograph show, and what are the most important visible abnormalities?",
    "images": [
      "images/186_figure1.jpg"
    ]
  },
  {
    "id": "26649_qa_rubric",
    "question": "What does this retinal fundus image show? Please describe the main visible abnormalities and, if possible, give the most likely brief interpretation.",
    "images": [
      "images/187_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_188_17386",
    "question": "This figure places four serial ECG samples side by side for each lead: black is an earlier baseline, brown is presentation, green is two days later, and blue is one week later. Compare regional ST-T evolution and the visible rhythm features. What broad electrocardiographic process is supported by the changes? Do not infer a specific coronary or inflammatory cause from ECG alone.",
    "images": [
      "images/188_figure1.jpg"
    ]
  },
  {
    "id": "qc2_20261109_189_2498_cmp_7970",
    "question": "For the first attached figure (Figure1), use conventional AP display orientation, with the patient’s right on the image left. A-B are earlier pelvic radiographs from a 6-year-old boy, and C-D are later follow-up views after right pelvic osteotomy. Compare the proximal femoral epiphyses, adjacent metaphysis, and hip alignment across the panels. Give the leading disease pattern and describe the structural evolution, distinguishing improvement from proof of a completely normal long-term outcome. Do not assign a formal disease stage or a numerical sphericity score from these views. The second attached figure (Figure2) contains three chronological AP pelvic radiographs from a girl: A at 10 months before reduction, B at 3.8 years after reduction, and C seven months after a later left pelvic osteotomy. Use the same conventional display orientation. Describe the femoral-acetabular relationship and socket morphology across A-C, give the favored disorder, and compare its principal structural problem and evolution with Figure1. Explain the limits of judging unossified cartilage from the infant radiograph. Do not infer exact angles, absent cartilage, or clinical function from the films.",
    "images": [
      "images/189_figure1.jpg",
      "images/189_figure2.jpg"
    ]
  },
  {
    "id": "4469_qa_rubric",
    "question": "What does this MRI of the face/skull base show, and what are the most important visible abnormalities?",
    "images": [
      "images/190_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_191_6100_cmp_22170",
    "question": "The first attached figure (Figure1) contains coronal and axial T2-weighted MRI of a chronic medial thigh lesion. Describe the tissue compartments, margin and internal nodular pattern and give the favored disease category with a differential. The second attached figure (Figure2) contains coronal fat-suppressed T2 MRI views of another proximal thigh/pelvic lesion. Map its extent, internal architecture and relation to muscle compartments. Compare the two lesions, explain whether both can be reduced to a simple abscess, and discuss what MRI can and cannot establish about a cystic or myxoid-appearing lesion without tissue sampling.",
    "images": [
      "images/191_figure1.jpg",
      "images/191_figure2.jpg"
    ]
  },
  {
    "id": "30285_qa_rubric",
    "question": "What does this fluoroscopic image show, and what is the important abnormal contrast finding?",
    "images": [
      "images/192_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_193_9923",
    "question": "Compare the three ankle dual-energy CT examples (a-c, d-f, g-i), each pairing material maps/renderings with conventional CT. Which findings more convincingly represent urate tophi, and which favor artifact? Explain the discriminating evidence rather than relying on color alone.",
    "images": [
      "images/193_figure1.jpg"
    ]
  },
  {
    "id": "24868_qa_rubric",
    "question": "This figure overlays functional maps on anatomical MRI: red represents fMRI T-values, blue multidirectional DOT HbO, and green conventional DOT HbO. Only suprathreshold regions are displayed. Describe the localization, colors, and spatial overlap of the mapped regions.",
    "images": [
      "images/194_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_195_13343",
    "question": "This CT montage shows five different wrists (A-E), and A includes additional orthogonal views. Describe the common scaphoid abnormality, compare the arrowed abnormalities around the lunate in A, B/C and D/E, and explain what the fracture margins, alignment and adjacent joint changes indicate about chronicity and mechanics.",
    "images": [
      "images/195_figure1.jpg"
    ]
  },
  {
    "id": "37088_qa_rubric",
    "question": "What are the main abnormalities shown on this radiograph?",
    "images": [
      "images/196_figure1.jpg"
    ]
  },
  {
    "id": "46576_qa_rubric",
    "question": "In a patient undergoing endovascular balloon fenestration for aortic dissection, what does this abdominal fluoroscopic sequence show? Describe the visible devices, balloon changes, and lumen configuration.",
    "images": [
      "images/197_figure1.jpg"
    ]
  },
  {
    "id": "5439_qa_rubric",
    "question": "What are the main findings shown in this set of thoracic images, and what kind of lesion does it appear to be?",
    "images": [
      "images/198_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_199_17283",
    "question": "Radiographs A-B and CT images C-H show an injured pediatric elbow. Localize and characterize the fragment, assess the displayed joint relationships, and distinguish the injury from an isolated displaced capitellar ossification center. Use the reconstructions to explain the fragment's orientation.",
    "images": [
      "images/199_figure1.jpg"
    ]
  },
  {
    "id": "23006_qa_rubric",
    "question": "During curettage of diseased bone in the femoral head under C-arm guidance, what does this intraoperative image show? Describe the visible anatomy and instrument position.",
    "images": [
      "images/200_figure1.jpg"
    ]
  },
  {
    "id": "27980_qa_rubric",
    "question": "What does this X-ray show in the thigh/femur region?",
    "images": [
      "images/201_figure1.jpg"
    ]
  },
  {
    "id": "35153_qa_rubric",
    "question": "The colored overlays mark potential posterior-fossa meningioma attachment regions. What anatomical regions are shown, and how do they relate to nearby cranial nerves?",
    "images": [
      "images/202_figure1.jpg"
    ]
  },
  {
    "id": "23406_qa_rubric",
    "question": "What does this dental radiograph show, and what are the main visible abnormalities in the mandible?",
    "images": [
      "images/203_figure1.jpg"
    ]
  },
  {
    "id": "1410_qa_rubric",
    "question": "What are the main findings on these coronal head and facial images, and what important abnormality is being shown?",
    "images": [
      "images/204_figure1.jpg"
    ]
  },
  {
    "id": "40901_qa_rubric",
    "question": "What does this intraoperative radiographic image show?",
    "images": [
      "images/205_figure1.jpg"
    ]
  },
  {
    "id": "17946_qa_rubric",
    "question": "What does this ECG show, and what are the most important visible abnormalities?",
    "images": [
      "images/206_figure1.jpg"
    ]
  },
  {
    "id": "48300_qa_rubric",
    "question": "What does this spinal SPECT/CT image show? Please describe the main visible abnormalities and where they are located.",
    "images": [
      "images/207_figure1.jpg"
    ]
  },
  {
    "id": "26896_qa_rubric",
    "question": "What does this ECG show, and what are the most important visible rhythm features? Also describe associated visible ST-T changes without inferring their cause from this tracing alone.",
    "images": [
      "images/208_figure1.jpg"
    ]
  },
  {
    "id": "41414_qa_rubric",
    "question": "What does this clinical photograph show about the breasts, and what are the most important visible abnormalities?",
    "images": [
      "images/209_figure1.jpg"
    ]
  },
  {
    "id": "40220_qa_rubric",
    "question": "What does this image show about the arrangement of cells across the air-blood barrier, and what are the main cell types and compartments visible?",
    "images": [
      "images/210_figure1.jpg"
    ]
  },
  {
    "id": "28756_qa_rubric",
    "question": "What does this image show, and what are the main visible landmarks or reference lines?",
    "images": [
      "images/211_figure1.jpg"
    ]
  },
  {
    "id": "4866_qa_rubric",
    "question": "What does this chest CT angiographic image show, and what are the most important findings you can identify?",
    "images": [
      "images/212_figure1.jpg"
    ]
  },
  {
    "id": "33765_qa_rubric",
    "question": "What does this coronary angiographic image show?",
    "images": [
      "images/213_figure1.jpg"
    ]
  },
  {
    "id": "35668_qa_rubric",
    "question": "What does this image show in the upper gastrointestinal tract, and what are the main visible features?",
    "images": [
      "images/214_figure1.jpg"
    ]
  },
  {
    "id": "29287_qa_rubric",
    "question": "What does this gross specimen image show in the cranial cavity, and what are the main visible abnormalities?",
    "images": [
      "images/215_figure1.jpg"
    ]
  },
  {
    "id": "3751_qa_rubric",
    "question": "What are the main findings in this multipanel parotid figure? Panels A-C are T2-weighted, T1-weighted, and delayed contrast-enhanced MRI. D-F are IVIM parameter maps, G-H are DKI maps, and I is H&E histology. Describe lesion location, MRI appearance, and a cautious likely interpretation. Use the broad tissue architecture in I as supporting evidence, without assigning an exact microscopic grade or matrix composition.",
    "images": [
      "images/216_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_217_18112",
    "question": "The chest CT columns A-D are from one patient on January 28, February 8, February 12, and February 20. Compare parenchymal and pleural changes, identify the dominant patterns and worst illustrated stage, and assess whether the final appearance proves permanent fibrosis.",
    "images": [
      "images/217_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_218_14131",
    "question": "The aortic CT images show the initial examination (A), after a first repair (B), after a second repair (C), and later follow-up (D). Describe the lumen and device relationships, explain the problem in B, and assess the response to the second procedure.",
    "images": [
      "images/218_figure1.jpg"
    ]
  },
  {
    "id": "11247_qa_rubric",
    "question": "What does this ECG show, including the main rhythm and the most important ST-segment or wave abnormalities you can see?",
    "images": [
      "images/219_figure1.jpg"
    ]
  },
  {
    "id": "49480_qa_rubric",
    "question": "These are coronal MRCP images before (A) and after secretin (B) in a patient after distal pancreatectomy. What changes are visible around the remnant pancreatic duct, and what complication do they suggest?",
    "images": [
      "images/220_figure1.jpg"
    ]
  },
  {
    "id": "47554_qa_rubric",
    "question": "What does this image show, and what are the key visible neurological features or relationships being illustrated?",
    "images": [
      "images/221_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_222_31301",
    "question": "Assess this breast lesion by integrating MRI panels A-F and the H&E section G. A is a contrast-enhanced T1 subtraction image, B a contrast-enhanced axial image, C and D are the third and fourth ultrafast contrast phases, E is a maximal-enhancement map, and F plots enhancement against seconds. Describe lesion morphology, regional nodes, contrast timing and curve shape, and the architectural evidence in G relevant to whether this is a benign circumscribed process or an invasive malignancy. Do not infer receptor status or a numeric histologic grade. Explain how the displayed enhancement kinetics should be weighed against the lesion morphology and tissue architecture.",
    "images": [
      "images/222_figure1.jpg"
    ]
  },
  {
    "id": "27769_qa_rubric",
    "question": "What does this intraoral surgical image show, and what are the main visible findings?",
    "images": [
      "images/223_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_224_1024",
    "question": "Focus on CT angiographic images A-D, using catheter angiograms E-F as supplementary information. Trace the abnormal vessel origin, course and termination, explain the nature of the connection and how it differs from a normal coronary branch, and state which hemodynamic conclusions cannot be established from these static images. Use the traced origin and receiving vessel to compare the connection with a pulmonary arteriovenous malformation.",
    "images": [
      "images/224_figure1.jpg"
    ]
  },
  {
    "id": "6591_qa_rubric",
    "question": "What does this wrist MRI show, and what are the most important visible abnormalities?",
    "images": [
      "images/225_figure1.jpg"
    ]
  },
  {
    "id": "35481_qa_rubric",
    "question": "What does this image show, and what are the main visible anatomical structures or features depicted?",
    "images": [
      "images/226_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_227_20439_cmp_25309",
    "question": "For the first attached figure (Figure1), These contrast-enhanced chest CT images show a patient with a cardiac pacing device. Trace the lead tip relative to the right ventricular wall and adjacent lung, characterize the pleural findings, and explain the leading complication supported by their combination. For the second attached figure (Figure2), A is a chest radiograph five days after pacing-device implantation, B-C are chest CT seven days after implantation, and D-E are corresponding CT follow-up one year later. Focus on the pleural CT findings and their evolution. Compare them with Figure1 and explain which conclusions about bleeding and the precise perforation site require more evidence than these selected Figure2 slices provide.",
    "images": [
      "images/227_figure1.jpg",
      "images/227_figure2.jpg"
    ]
  },
  {
    "id": "29793_qa_rubric",
    "question": "What does this CT image show, and what are the most important visible findings?",
    "images": [
      "images/228_figure1.jpg"
    ]
  },
  {
    "id": "412_qa_rubric",
    "question": "What does this pelvic image show, and what are the main important findings you can identify?",
    "images": [
      "images/229_figure1.jpg"
    ]
  },
  {
    "id": "16643_qa_rubric",
    "question": "What does this ECG show? Please describe the main visible findings and any brief interpretation supported by the tracing. Discuss a possible technical explanation for the combined anterior P-wave and R-wave findings.",
    "images": [
      "images/230_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_231_16229_cmp_15441",
    "question": "For the first attached figure (Figure1), the CT series shows a lung lesion before local seed implantation (A), immediately afterward (B), and at 3 months (C). Characterize the initial lesion and background lungs, identify the implanted material and interval structural change, and assess the limits of inferring treatment response from these selected images. For the second attached figure (Figure2), a-c are chronological chest CT images over approximately two years in a patient with a severe pulmonary inflammatory illness. Panel d is auxiliary bronchoscopy and need not be interpreted. Describe parenchymal and pleural components and their evolution. Compare this pattern of regression/cavitation with the localized post-treatment changes in Figure1 and explain the limits of diagnosing persistent malignancy or microbiology from cavitation alone.",
    "images": [
      "images/231_figure1.jpg",
      "images/231_figure2.jpg"
    ]
  },
  {
    "id": "22327_qa_rubric",
    "question": "What does this intraoperative X-ray show at the elbow, including the main hardware configuration and the injury being treated?",
    "images": [
      "images/232_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_233_11873",
    "question": "This figure follows an L1 vertebral injury. A-C are initial CT, D is initial sagittal fluid-sensitive MRI, E-F are procedural radiographs, G-H are early postoperative CT, and I-K are follow-up radiographs/CT. Describe the initial fracture and neural-canal relationships, identify the visible stabilization/augmentation, and compare the structural result across the displayed time points.",
    "images": [
      "images/233_figure1.jpg"
    ]
  },
  {
    "id": "36702_qa_rubric",
    "question": "What does this dental scan show, and what are the main abnormal findings you can identify?",
    "images": [
      "images/234_figure1.jpg"
    ]
  },
  {
    "id": "30262_qa_rubric",
    "question": "What does this electrophysiology tracing show, and what are the most important visible findings?",
    "images": [
      "images/235_figure1.jpg"
    ]
  },
  {
    "id": "49975_qa_rubric",
    "question": "This technical drawing depicts a wrist prosthesis. Describe its main components, articulation, and the visible stabilizing structure.",
    "images": [
      "images/236_figure1.jpg"
    ]
  },
  {
    "id": "25987_qa_rubric",
    "question": "What does this abdominal-wall grayscale ultrasound show? Describe the lesion morphology and its relationship to the superficial tissue layers.",
    "images": [
      "images/237_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_238_2895",
    "question": "This is a serial CT examination: A-H are the initial study and I-P are a later study. Concentrate on the thorax, then note the upper-abdominal findings that help characterize the systemic pattern. Describe the initial airway, interstitial, pleural and pericardial abnormalities and the changes on follow-up. What pattern-level interpretation is justified without naming a specific underlying disease?",
    "images": [
      "images/238_figure1.jpg"
    ]
  },
  {
    "id": "34251_qa_rubric",
    "question": "What does this vascular imaging study show in the breast/chest region, and what are the most important visible findings?",
    "images": [
      "images/239_figure1.jpg"
    ]
  },
  {
    "id": "25018_qa_rubric",
    "question": "What are the key findings shown in this breast imaging figure?",
    "images": [
      "images/240_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_241_29419",
    "question": "The two rows show different patients after local lung-tumor ablation. In row a, a1 is pre-ablation CT, a2 early CT, a3 a later chest radiograph and a4 delayed CT. In row b, b1 is pre-ablation CT, b2 an early radiograph, b3 a radiograph after drainage and b4 subsequent CT. Compare lesion location, early local changes, pleural complications and follow-up appearances. Explain whether the broader early opacity necessarily means tumor growth.",
    "images": [
      "images/241_figure1.jpg"
    ]
  },
  {
    "id": "50554_qa_rubric",
    "question": "What does this image show in the forearm, and what are the main visible abnormalities or exposed structures?",
    "images": [
      "images/242_figure1.jpg"
    ]
  },
  {
    "id": "43037_qa_rubric",
    "question": "After thermal treatment and resection of a bone tumor, what does this gross bone specimen show? Describe the visible discoloration and its distribution relative to the cut margin.",
    "images": [
      "images/243_figure1.jpg"
    ]
  },
  {
    "id": "29762_qa_rubric",
    "question": "What does this image show in the anal/perianal region, and what are the most important visible abnormalities?",
    "images": [
      "images/244_figure1.jpg"
    ]
  },
  {
    "id": "37969_qa_rubric",
    "question": "What does this intraoperative fluoroscopic image show around the hip and pelvis?",
    "images": [
      "images/245_figure1.jpg"
    ]
  },
  {
    "id": "46320_qa_rubric",
    "question": "This right-shoulder angiogram was obtained after injection treatment of a vascular lesion. What are the visible findings in the treated region and remaining vascular branches?",
    "images": [
      "images/246_figure1.jpg"
    ]
  },
  {
    "id": "7167_qa_rubric",
    "question": "What do these knee radiographs show?",
    "images": [
      "images/247_figure1.jpg"
    ]
  },
  {
    "id": "10432_qa_rubric",
    "question": "What does this chest radiograph show?",
    "images": [
      "images/248_figure1.jpg"
    ]
  },
  {
    "id": "39253_qa_rubric",
    "question": "What does this head imaging study show, and what are the main visible findings?",
    "images": [
      "images/249_figure1.jpg"
    ]
  },
  {
    "id": "15447_qa_rubric",
    "question": "What does this ECG show? Please describe the main visible findings and any brief interpretation supported by the tracing.",
    "images": [
      "images/250_figure1.jpg"
    ]
  },
  {
    "id": "10021_qa_rubric",
    "question": "What does this endoscopic image show, and what are the important visible findings?",
    "images": [
      "images/251_figure1.jpg"
    ]
  },
  {
    "id": "18376_qa_rubric",
    "question": "What does this cardiac ultrasound image show?",
    "images": [
      "images/252_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_253_13502",
    "question": "A-B are admission noncontrast head CT, C an arterial-phase CTA detail, D a later postcontrast detail, E a postoperative follow-up diffusion-weighted image, F an additional diffusion-weighted brain image, G a vertebral-injection catheter angiogram, and H a CTA overview. Describe the parenchymal and extra-axial abnormalities and their effects on adjacent brain, assess the vascular foci in C-D and G-H separately with their locations, and interpret the diffusion abnormalities in F. What vascular lesions and complications are supported? Do not infer an infectious cause or use DWI alone as definitive proof of restricted diffusion.",
    "images": [
      "images/253_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_254_8600",
    "question": "A and B are sagittal CT angiograms at successive examinations, C is an intervening contrast-enhanced MR angiogram, and D is a later CT angiogram. On C the square marks the right common carotid origin and the circle marks a descending thoracic aortic segment. Prioritize comparison of the aortic CT appearances and use C as an anatomic adjunct. Describe the evolving wall and luminal abnormalities and give a limited differential for the overall pattern. Compare the mural morphology and serial change with isolated chronic focal atherosclerotic plaque.",
    "images": [
      "images/254_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_255_28189",
    "question": "The montage includes a chest radiograph (a), thoracic ultrasound (b), an axial contrast CT (c), and a coronal contrast CT from another example (d). Prioritize the CT morphology: identify the compartment and complexity of each collection, use a/b as supporting evidence, and explain which features distinguish the leading interpretation from simple pleural fluid and an intrapulmonary cavity.",
    "images": [
      "images/255_figure1.jpg"
    ]
  },
  {
    "id": "44529_qa_rubric",
    "question": "During ultrasound-guided localization of a breast lesion, what does this image show? Describe the mass and the visible needle or marker position.",
    "images": [
      "images/256_figure1.jpg"
    ]
  },
  {
    "id": "37156_qa_rubric",
    "question": "This is a laparoscopic view near the deep inguinal ring. What lesion is visible, and what are its main surface features and relationship to the opening?",
    "images": [
      "images/257_figure1.jpg"
    ]
  },
  {
    "id": "8064_qa_rubric",
    "question": "What does this radiograph show in the left shoulder and upper chest region?",
    "images": [
      "images/258_figure1.jpg"
    ]
  },
  {
    "id": "5597_qa_rubric",
    "question": "What does this axial chest/spine image show, especially around the vertebral body and nearby soft tissues?",
    "images": [
      "images/259_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_260_6637",
    "question": "Panels A-C show CT reconstructions. D is sagittal T2-weighted MRI and E is sagittal fluid-sensitive fat-suppressed MRI. The red arrows mark the same thoracolumbar level. Describe the bone-forming background, characterize the injury and its MRI correlates, and distinguish the injured level from other visible causes of canal narrowing.",
    "images": [
      "images/260_figure1.jpg"
    ]
  },
  {
    "id": "46826_qa_rubric",
    "question": "What does this mammogram show, and what are the main abnormal visual findings?",
    "images": [
      "images/261_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_262_8470",
    "question": "This is a coronary CT angiography montage with an orientation diagram (A), volume renderings, multiplanar and curved reconstructions. Focus on the anomalous vessel relationships and the abnormal channel near the main pulmonary artery (MPA). Describe the findings supported by the CT images and distinguish an anatomic communication from claims that require dynamic flow or functional analysis.",
    "images": [
      "images/262_figure1.jpg"
    ]
  },
  {
    "id": "25238_qa_rubric",
    "question": "What does this foot radiograph show, and what are the key abnormal findings you can identify?",
    "images": [
      "images/263_figure1.jpg"
    ]
  },
  {
    "id": "46758_qa_rubric",
    "question": "What does this shoulder MRI show, and what are the key visible abnormalities?",
    "images": [
      "images/264_figure1.jpg"
    ]
  },
  {
    "id": "21989_qa_rubric",
    "question": "What are the main findings shown in this ankle/heel imaging?",
    "images": [
      "images/265_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_266_15500_cmp_12625",
    "question": "For the first attached figure (Figure1), Panels A-D show CT airway and vascular reconstructions from one patient. E-F show a second patient. Describe the sites and extent of airway narrowing and the relevant vessel-airway relationships in each case. Explain which structural relationships could contribute to external airway compression. For the second attached figure (Figure2), axial chest CT images A-D are shown. Describe the location and circumferential distribution of the airway wall abnormality, adjacent changes and any bronchial narrowing. Compare its mechanism with the airway narrowing and vascular relationships in Figure1, and give a supported inflammatory differential without requiring a biopsy-level diagnosis.",
    "images": [
      "images/266_figure1.jpg",
      "images/266_figure2.jpg"
    ]
  },
  {
    "id": "48190_qa_rubric",
    "question": "What does this image show in the superficial soft tissues, and what important visible abnormality or complication is illustrated?",
    "images": [
      "images/267_figure1.jpg"
    ]
  },
  {
    "id": "29573_qa_rubric",
    "question": "What does this image show on the skin, and what are the main visible features?",
    "images": [
      "images/268_figure1.jpg"
    ]
  },
  {
    "id": "38414_qa_rubric",
    "question": "This intraoperative endoscopic view is from the left maxillary sinus. What lesion is visible, and what are its main gross features?",
    "images": [
      "images/269_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_270_23420_cmp_16840",
    "question": "For the first attached figure (Figure1), Compare the anomalous vessels shown in CT/3D pairs a-b and c-d. Then use e-f to explain the unusual central venous catheter course. Trace the drainage pathways and distinguish venous anomalies from a pulmonary arterial connection. For the second attached figure (Figure2), a contrast-enhanced axial chest CT is shown at the pulmonary arterial bifurcation. Describe the arrowed abnormality and its extent, explain its likely diagnosis and compare its vascular compartment and mechanism with the abnormal vessels in Figure1. State which hemodynamic conclusions this single CT slice cannot establish.",
    "images": [
      "images/270_figure1.jpg",
      "images/270_figure2.jpg"
    ]
  },
  {
    "id": "38160_qa_rubric",
    "question": "What are the main findings on this neck PET/CT image, and what important abnormality is shown?",
    "images": [
      "images/271_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_272_11005_cmp_30979",
    "question": "For the first attached figure (Figure1), These chest CT images show diffuse lung disease and an arrowed focal abnormality in a patient who develops a new fever after a recent severe respiratory infection. Describe both components, explain what makes the focal finding concerning, and give an appropriate differential without assuming microbiologic confirmation. For the second attached figure (Figure2), a single axial lung-window chest CT is shown. Describe the focal abnormality and its associated airway/parenchymal pattern, compare it with the focal and diffuse components of Figure1, and discuss how the pattern guides an infectious differential without identifying an organism from CT alone.",
    "images": [
      "images/272_figure1.jpg",
      "images/272_figure2.jpg"
    ]
  },
  {
    "id": "bal20261109_273_2300_cmp_17558",
    "question": "For the first attached figure (Figure1), Panel a is CT pulmonary angiography, and b-c are lung-window images from the same patient with acute dyspnea and fever. Describe the vascular and parenchymal findings, give an integrated interpretation, and explain why neither component should be used to dismiss the other. For the second attached figure (Figure2), A-B are chest radiographs, C-E high-resolution CT at presentation, and F-G CT before and after whole-lung lavage. Describe the CT distribution and opacity pattern and its interval change. Compare it with the parenchymal findings in Figure1 and distinguish what the two figures establish about vascular versus alveolar disease. Give a broad differential for the Figure2 CT pattern.",
    "images": [
      "images/273_figure1.jpg",
      "images/273_figure2.jpg"
    ]
  },
  {
    "id": "18056_qa_rubric",
    "question": "What does this oral image show, and what are the most important visible abnormalities?",
    "images": [
      "images/274_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_275_11508_cmp_11117",
    "question": "For the first attached figure (Figure1), Rows A-B show CT examples of paratracheal outpouchings. Row C shows the same patient's pretreatment and later images. Describe the contrasting content and communication patterns, explain the interval change in C, and distinguish these findings from other causes of paratracheal gas or a neck mass. The second attached figure (Figure2) shows airway endoscopy before and after intervention (A-B) and corresponding axial/sagittal CT one month later (C-D) in a patient previously treated for esophageal cancer. Focus on C-D: describe the device and arrowed airway-adjacent communication, relate these to A-B, and compare this process with the outpouchings in Figure1. Explain why an air-filled space next to the trachea should not automatically be called a diverticulum.",
    "images": [
      "images/275_figure1.jpg",
      "images/275_figure2.jpg"
    ]
  },
  {
    "id": "6133_qa_rubric",
    "question": "What does this CT angiographic image show in the chest, and what are the most important visible findings?",
    "images": [
      "images/276_figure1.jpg"
    ]
  },
  {
    "id": "30917_qa_rubric",
    "question": "What does this postoperative breast photograph show? Describe breast asymmetry, scar distribution, skin appearance, and contour using image-left and image-right rather than assuming patient laterality.",
    "images": [
      "images/277_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_278_5959",
    "question": "A1-B3 illustrate one patient, and C1-C3 a second. Compare the bowel-associated lesions, their enhancement and vascular supply, and explain the mechanism of obstruction where visible. Give a focused tumor differential accounting for the different growth patterns.",
    "images": [
      "images/278_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_279_3253",
    "question": "Panels a-e are fetal T2-weighted MRI. Panel d shows the opposite leg for comparison. Panel f is a postnatal venogram, g-h are postnatal contrast MRI, i is coronal contrast CT, and j/k are arterial/venous phase axial CT, respectively. Describe the distribution and morphology of the vascular abnormality across limb, pelvis and abdomen. Compare the two legs and the contrast-phase findings, then give the best supported overall vascular-malformation interpretation. Explain which displayed evidence helps distinguish the dominant channels from purely lymphatic cystic spaces.",
    "images": [
      "images/279_figure1.jpg"
    ]
  },
  {
    "id": "13810_qa_rubric",
    "question": "What does this postoperative knee image show, and what are the main visible findings around the patella?",
    "images": [
      "images/280_figure1.jpg"
    ]
  },
  {
    "id": "10122_qa_rubric",
    "question": "What does this MRCP image show in the biliary system, and what is the main visible abnormality?",
    "images": [
      "images/281_figure1.jpg"
    ]
  },
  {
    "id": "15590_qa_rubric",
    "question": "What does this veterinary head-and-neck contrast radiograph show around the pharyngeal swallowing passage? Describe the arrowed lesion and its effect on the lumen.",
    "images": [
      "images/282_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_283_5470_cmp_5822_26356",
    "question": "For the first attached figure (Figure1), CT images A-B are the initial examination. C is a follow-up after esophageal closure. Identify the foreign material and its relationship to the esophageal wall, then compare the adjacent gas and pleural findings. What complication is supported, and how does the follow-up differ from an uncomplicated postoperative appearance? The second attached figure (Figure2) contains sagittal and axial noncontrast CT centered on the thoracic esophagus. The third attached figure (Figure3) is a contrast-enhanced axial upper-abdominal CT. Describe luminal contents, mural abnormalities and the location of any extra-luminal gas in Figure2/3. Compare the evidence for simple luminal distension versus gastrointestinal wall breach across all three figures, localize the likely source in Figure3, and distinguish the long tubular material in Figure2 from the focal object in Figure1. Do not identify a specific ingested object or histological cause without evidence.",
    "images": [
      "images/283_figure1.jpg",
      "images/283_figure2.jpg",
      "images/283_figure3.jpg"
    ]
  },
  {
    "id": "25286_qa_rubric",
    "question": "What are the main abnormalities shown on this cerebral angiographic image?",
    "images": [
      "images/284_figure1.jpg"
    ]
  },
  {
    "id": "12316_qa_rubric",
    "question": "What does this cardiac image show, and what are the main visible differences between the structures illustrated?",
    "images": [
      "images/285_figure1.jpg"
    ]
  },
  {
    "id": "31750_qa_rubric",
    "question": "This is a healed foot donor site after a toe-based flap was used for finger-pulp reconstruction. What visible postoperative findings and scars are present?",
    "images": [
      "images/286_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_287_2911",
    "question": "The figure contains gallbladder imaging examples from different patients. A/B are ultrasound and C-I are CT. The embedded text names several morphologic findings. Explain how the displayed wall nodules, lining changes and adjacent-tissue abnormalities weigh a destructive inflammatory process against carcinoma, including the limitations of each finding. Do not assume that the different examples belong to one patient.",
    "images": [
      "images/287_figure1.jpg"
    ]
  },
  {
    "id": "34773_qa_rubric",
    "question": "A is a femoral radiograph, B is the initial axial STIR MRI, C is follow-up fat-suppressed T2 MRI 10 months after an open biopsy, and D-E show the biopsy histology. Describe the surface bone lesion and surrounding soft-tissue changes, compare B with C, and give a cautious integrated interpretation.",
    "images": [
      "images/288_figure1.jpg"
    ]
  },
  {
    "id": "13339_qa_rubric",
    "question": "These abdominal skin photographs were taken at initial presentation (A), two weeks (B), and two months (C). Describe lesion morphology and how the eruption changes over time.",
    "images": [
      "images/289_figure1.jpg"
    ]
  },
  {
    "id": "44268_qa_rubric",
    "question": "What does this wrist image show, including the key hardware and any important visible alignment or postoperative features?",
    "images": [
      "images/290_figure1.jpg"
    ]
  },
  {
    "id": "44106_qa_rubric",
    "question": "This schematic compares lung-granuloma cell organization (A), FDG signal (B), and FPR1-targeted gallium-68-cFLFLF signal (C). Using the cell legend, describe the cellular arrangement and how signal distribution differs between B and C.",
    "images": [
      "images/291_figure1.jpg"
    ]
  },
  {
    "id": "29369_qa_rubric",
    "question": "What are the most important findings on this ECG, and what does the tracing show overall?",
    "images": [
      "images/292_figure1.jpg"
    ]
  },
  {
    "id": "21787_qa_rubric",
    "question": "What does this MRI show in the foot, and what are the main visible features of the lesion?",
    "images": [
      "images/293_figure1.jpg"
    ]
  },
  {
    "id": "8135_qa_rubric",
    "question": "What does this facial image show, and what are the main visible skin findings?",
    "images": [
      "images/294_figure1.jpg"
    ]
  },
  {
    "id": "21307_qa_rubric",
    "question": "What does this ultrasound image show, and what is the main abnormal finding visible in the fetus?",
    "images": [
      "images/295_figure1.jpg"
    ]
  },
  {
    "id": "14772_qa_rubric",
    "question": "What does this image show, and what are the key visible anatomic structures or surgical exposure being demonstrated?",
    "images": [
      "images/296_figure1.jpg"
    ]
  },
  {
    "id": "49359_qa_rubric",
    "question": "What important structures and boundaries are shown in this nerve cell diagram, and what parts of the axon are being highlighted?",
    "images": [
      "images/297_figure1.jpg"
    ]
  },
  {
    "id": "15631_qa_rubric",
    "question": "What do these knee MRI images show, and what are the main meniscal abnormalities visible across the different panels?",
    "images": [
      "images/298_figure1.jpg"
    ]
  },
  {
    "id": "41162_qa_rubric",
    "question": "What does this image show in the groin and upper thigh region, and what are the key anatomic structures and incision orientations depicted?",
    "images": [
      "images/299_figure1.jpg"
    ]
  },
  {
    "id": "39752_qa_rubric",
    "question": "This CBCT cross-section is between the right mandibular canine and lateral incisor, with measurements at 2, 5, 8, and 11 mm apical to the CEJ. What alveolar dimensions are being assessed, and what values and labial-lingual differences are visible?",
    "images": [
      "images/300_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_301_17263",
    "question": "These are contrast-enhanced abdominal CT images in coronal (a) and axial (b) planes. Describe the pelvic mass and the bowel/mesenteric abnormality. Explain the mechanism of obstruction and give a limited differential for the mass using its wall, contents and relationship to bowel.",
    "images": [
      "images/301_figure1.jpg"
    ]
  },
  {
    "id": "50424_qa_rubric",
    "question": "What does this image show in the upper abdomen, and what important postoperative anatomy or reconstruction is depicted?",
    "images": [
      "images/302_figure1.jpg"
    ]
  },
  {
    "id": "5404_qa_rubric",
    "question": "What is shown in this coronary angioplasty image, and what are the important visual findings?",
    "images": [
      "images/303_figure1.jpg"
    ]
  },
  {
    "id": "21489_qa_rubric",
    "question": "What are the main findings on this ECG, and what important abnormal pattern does it show?",
    "images": [
      "images/304_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_305_23995",
    "question": "Four contrast-enhanced CT examples (A-D) show colorectal tumors. Compare the mural and extramural appearances, rank the examples by apparent depth of invasion, and explain which distinctions can and cannot be made confidently from CT alone.",
    "images": [
      "images/305_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_306_10446",
    "question": "Panels a-c are contrast-enhanced CT, an iodine overlay, and virtual noncontrast reconstruction, respectively, and d-e show the corresponding operative and tissue appearances. Describe the obstruction pattern and bowel viability evidence, explain the apparent mural brightness, and reconcile the imaging with the displayed tissue findings.",
    "images": [
      "images/306_figure1.jpg"
    ]
  },
  {
    "id": "39177_qa_rubric",
    "question": "What does this histology image show, and what are the most important visible abnormalities?",
    "images": [
      "images/307_figure1.jpg"
    ]
  },
  {
    "id": "30947_qa_rubric",
    "question": "What are the main visible findings in this foot image, and where are they located?",
    "images": [
      "images/308_figure1.jpg"
    ]
  },
  {
    "id": "24223_qa_rubric",
    "question": "These hip images were obtained before (A), during (B), and after (C) revision for prosthetic instability. Describe prosthetic alignment, the initial abnormality, and the postoperative appearance.",
    "images": [
      "images/309_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_310_8993_cmp_2574",
    "question": "For the first attached figure (Figure1), These transverse shoulder ultrasound images show the subscapularis insertion (A) and bicipital groove (B). Describe the abnormality at each site and explain how the images distinguish a focal tendon defect from tendon-sheath fluid. Assess the visible extent of injury without inferring unshown motion or Doppler findings. The second attached figure (Figure2) contains longitudinal shoulder sonograms A-C and a transverse view D corresponding to C. The supraspinatus is marked by the double-line arrow and the biceps by an asterisk. Describe the different supraspinatus and biceps relationships, separate true lesions from acoustic obscuration, and compare them with the two abnormalities in Figure1.",
    "images": [
      "images/310_figure1.jpg",
      "images/310_figure2.jpg"
    ]
  },
  {
    "id": "16728_qa_rubric",
    "question": "What does this shoulder image show, and what are the most important visible findings?",
    "images": [
      "images/311_figure1.jpg"
    ]
  },
  {
    "id": "26440_qa_rubric",
    "question": "What does this image show in the upper abdomen, and what important surgical changes or anatomy are visible?",
    "images": [
      "images/312_figure1.jpg"
    ]
  },
  {
    "id": "15358_qa_rubric",
    "question": "What does this postoperative knee radiograph show, including the main hardware and any important reconstruction or fixation visible?",
    "images": [
      "images/313_figure1.jpg"
    ]
  },
  {
    "id": "17480_qa_rubric",
    "question": "What does this microscopic image show, and what are the main visible structural features?",
    "images": [
      "images/314_figure1.jpg"
    ]
  },
  {
    "id": "8371_qa_rubric",
    "question": "What does this abdominal radiograph show, and what is the important visible finding?",
    "images": [
      "images/315_figure1.jpg"
    ]
  },
  {
    "id": "37307_qa_rubric",
    "question": "After periodontal root-surface debridement, what does this intraoral surgical photograph show? Describe the exposed roots, defect, and visible tissue condition.",
    "images": [
      "images/316_figure1.jpg"
    ]
  },
  {
    "id": "24180_qa_rubric",
    "question": "What does this breast image show, and what are the main visible findings around the nipple-areolar area?",
    "images": [
      "images/317_figure1.jpg"
    ]
  },
  {
    "id": "19152_qa_rubric",
    "question": "What does this left-shoulder MRI show, and what are the most important abnormalities in the joint, bursae, and rotator cuff?",
    "images": [
      "images/318_figure1.jpg"
    ]
  },
  {
    "id": "24199_qa_rubric",
    "question": "What does this foot radiograph show, including the key lines or angle being demonstrated?",
    "images": [
      "images/319_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_320_14904",
    "question": "The shoulder ultrasound compares right (A, C) with left control (B, D), using transverse and longitudinal views. Identify the relevant structure and the principal side-to-side abnormality, then distinguish what the images establish from the possible causes.",
    "images": [
      "images/320_figure1.jpg"
    ]
  },
  {
    "id": "42776_qa_rubric",
    "question": "What does this image show around the knee/proximal lower leg, and what are the key visible findings?",
    "images": [
      "images/321_figure1.jpg"
    ]
  },
  {
    "id": "23363_qa_rubric",
    "question": "These retinal images show baseline (a-c), one year after photodynamic therapy (d-f), and 19 months after therapy (g-h). Describe the fundus, OCT, and OCTA abnormalities and their evolution.",
    "images": [
      "images/322_figure1.jpg"
    ]
  },
  {
    "id": "10348_qa_rubric",
    "question": "What are the key findings shown on these prostate MRI images?",
    "images": [
      "images/323_figure1.jpg"
    ]
  },
  {
    "id": "36065_qa_rubric",
    "question": "What does this diagram show on the side of the face, and what are the key marked landmarks or important structures visible?",
    "images": [
      "images/324_figure1.jpg"
    ]
  },
  {
    "id": "14910_qa_rubric",
    "question": "What are the main microscopic findings shown in this skin biopsy image?",
    "images": [
      "images/325_figure1.jpg"
    ]
  },
  {
    "id": "2454_qa_rubric",
    "question": "What does this ultrasound image show in the spleen, and what are the important visible features?",
    "images": [
      "images/326_figure1.jpg"
    ]
  },
  {
    "id": "40848_qa_rubric",
    "question": "What does this image show, and what are the main visible differences between the orthopedic implants pictured?",
    "images": [
      "images/327_figure1.jpg"
    ]
  },
  {
    "id": "44580_qa_rubric",
    "question": "What does this contrast swallow image show, and what is the main abnormality visible in the oesophagus?",
    "images": [
      "images/328_figure1.jpg"
    ]
  },
  {
    "id": "3836_qa_rubric",
    "question": "What are the main findings on this abdominal/pelvic MRI, and what does the image appear to show?",
    "images": [
      "images/329_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_330_15173",
    "question": "These two axial-oblique ultrasound views cover the medial retromalleolar region, and B is obtained slightly posterior to A. Identify the tendons and neurovascular structures indicated by the markers, explain their depth relationships, and characterize the asterisked dark space. How would you distinguish the nerve from an adjacent tendon or vessel?",
    "images": [
      "images/330_figure1.jpg"
    ]
  },
  {
    "id": "40331_qa_rubric",
    "question": "This photograph was taken after creation of a diverting loop ileostomy. Describe the visible stoma configuration, mucosal appearance, and surrounding skin.",
    "images": [
      "images/331_figure1.jpg"
    ]
  },
  {
    "id": "34592_qa_rubric",
    "question": "These photographs illustrate earlier clinical appearances (A-B) and a later appearance (C) of the same dermatologic disease. The panels need not represent the same patient. Describe the skin morphology, pigmentation and anatomical distribution in each panel, and distinguish the inflammatory plaque from the pigmentary changes.",
    "images": [
      "images/332_figure1.jpg"
    ]
  },
  {
    "id": "28726_qa_rubric",
    "question": "What does this intraoperative shoulder image show, including any hardware and the main relationship of the clavicle to the surrounding structures?",
    "images": [
      "images/333_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_334_1356_cmp_25490_1207",
    "question": "For the first attached figure (Figure1), The figure shows leg perforating veins: a-b posterior tibial, c paratibial, d medial thigh, and e posterior calf. The Doppler acquisitions c follow Valsalva and d follow distal calf compression. Describe the anatomical connections and compare the spectral response shapes. Assess what these still images support about perforator patency and possible incompetence, and what directional information is needed to establish reflux. The second attached figure (Figure2) shows paired grayscale compression views of the distal left femoral vein. The third attached figure (Figure3) is a color Doppler image of a focal vascular abnormality near a small arterial branch at the right knee. Describe the structural and flow findings, compare reflux, occlusive and swirling-sac patterns across the three figures, and state what additional Doppler information would be needed to characterize the Figure3 lesion definitively.",
    "images": [
      "images/334_figure1.jpg",
      "images/334_figure2.jpg",
      "images/334_figure3.jpg"
    ]
  },
  {
    "id": "rep20261109_335_1540",
    "question": "These contrast-enhanced CT panels illustrate three patients with suspected bowel injury: a-b show the same upper-abdominal case in axial and sagittal planes, c shows a jejunal case, and d shows a sigmoid case in a coronal plane. Identify the direct and indirect signs of bowel injury, localize the likely wall defect in a-b, and compare the abnormalities in c and d. What unifying injury pattern is supported?",
    "images": [
      "images/335_figure1.jpg"
    ]
  },
  {
    "id": "49242_qa_rubric",
    "question": "What does this eye image show, and what are the key visible abnormalities?",
    "images": [
      "images/336_figure1.jpg"
    ]
  },
  {
    "id": "577_qa_rubric",
    "question": "This anterior dental radiograph is provided for interradicular implant-site planning during orthodontic treatment. Describe the visible root and hardware relationships and explain what this single two-dimensional view can and cannot establish for planning.",
    "images": [
      "images/337_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_338_639",
    "question": "These grayscale ultrasound examples show the Achilles tendon (a), first metatarsophalangeal joint (b), and a metacarpophalangeal joint (c). Describe the deposits and their tissue relationships. Explain how the cartilage-surface finding differs from deposits within cartilage and how the combined pattern narrows the crystal-arthropathy differential.",
    "images": [
      "images/338_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_339_5749",
    "question": "Integrate the esophageal studies. A is endoscopy, and B-C are low- and high-power H&E biopsy. D and J are contrast esophagrams before and after treatment, respectively. E-I are CT at thoracic, lower-neck and upper-abdominal levels. Describe the luminal lesion, histologic architecture, nodal distribution and the visible change between D and J. What unifying diagnosis and extent of disease are supported? Do not infer complete remission or nodal histology from these selected images.",
    "images": [
      "images/339_figure1.jpg"
    ]
  },
  {
    "id": "36914_qa_rubric",
    "question": "This anterior body-surface schematic illustrates a port layout for laparoscopic splenectomy. The patient’s left is on the image right. Using labels A-E, describe the positions relative to the umbilicus and midline, their superior-inferior order, and the asymmetry of the layout. Explain how separated entry sites may support access to a left upper-abdominal operative target. State which port specifications cannot be determined from this unlabeled schematic.",
    "images": [
      "images/340_figure1.jpg"
    ]
  },
  {
    "id": "38802_qa_rubric",
    "question": "This is a microscopic image from a liver impression. What does the main structure show, and what are its most important visible morphological features?",
    "images": [
      "images/341_figure1.jpg"
    ]
  },
  {
    "id": "27279_qa_rubric",
    "question": "What does this clinical photograph show on the legs?",
    "images": [
      "images/342_figure1.jpg"
    ]
  },
  {
    "id": "37486_qa_rubric",
    "question": "What are the main abnormal findings visible on this CBCT of the maxilla and adjacent structures?",
    "images": [
      "images/343_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_344_31110",
    "question": "These longitudinal finger ultrasound examples are from four individuals. A/B are patients with joint symptoms, C has a nail abnormality, and D is a healthy control. Labels mark nail plate (np), distal phalanx (dp), middle phalanx (mp), extensor insertion (*), and distal interphalangeal joint (#). Compare the tendon, joint, bone and nail findings and distinguish the most relevant inflammatory and degenerative patterns.",
    "images": [
      "images/344_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_345_6149",
    "question": "These transverse grayscale ultrasound views follow the same median nerve: a is proximal to the carpal tunnel, b is at the inlet and c at the outlet. In d, the dashed line is the reference between the retinacular bony attachment points. Describe the nerve and retinaculum changes, and explain whether the pattern supports a focal compressive neuropathy rather than diffuse nerve enlargement.",
    "images": [
      "images/345_figure1.jpg"
    ]
  },
  {
    "id": "16431_qa_rubric",
    "question": "These are ventrodorsal and lateral pelvic radiographs of a small animal. Use the conventional ventrodorsal display orientation, with the patient’s left on the image right. Describe the main visible joint and associated bony injuries.",
    "images": [
      "images/346_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_347_7039",
    "question": "A-C are noncontrast CT, D is the initial CT angiogram, E-F are left vertebral angiograms, G-H are right vertebral angiograms, and I-J are baseline T2 MRI/TOF-MRA. K-L are corresponding follow-up MRI/MRA after an intervention. Describe the hemorrhage distribution, compare the left and right vertebral findings across modalities, and explain the structural change at follow-up. What vascular process best integrates the findings?",
    "images": [
      "images/347_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_348_9575",
    "question": "These examples concern muscle injuries in three different patients. Prioritize ultrasound: a shows longitudinal/transverse gastrocnemius views, b shows longitudinal/transverse hamstring views, and c shows a longitudinal hamstring view. MRI in b/c is supplemental. Compare myofascial separation, hemorrhagic change and fiber continuity/retraction, and distinguish partial structural injury from a complete retracted rupture where supported. Include a readable displayed collection measurement where available.",
    "images": [
      "images/348_figure1.jpg"
    ]
  },
  {
    "id": "43036_qa_rubric",
    "question": "What does this pathology image show? Please describe the main visible findings and, if appropriate, give a brief interpretation. Include an architectural landmark supporting the tissue identification.",
    "images": [
      "images/349_figure1.jpg"
    ]
  },
  {
    "id": "45249_qa_rubric",
    "question": "What does this CT image show, and what are the important visible findings in the joint? Describe the visible fixation construct as well as the joint surface.",
    "images": [
      "images/350_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_351_1882_cmp_23758_12207",
    "question": "For the first attached figure (Figure1), these nerve ultrasound images show two traumatic cases: a-c concern the ulnar nerve, and d the median nerve. Describe nerve continuity, stump morphology and the intervening tissue. Compare the two cases and distinguish complete transection from nerve swelling with preserved continuity. The second attached figure (Figure2) is a transverse median-nerve sonogram at the elbow after local trauma. The third attached figure (Figure3) is a transverse median-nerve sonogram at the carpal tunnel in a patient with hand paresthesia. Compare the distribution of fascicular abnormality, interpret the displayed area measurement in Figure3, and contrast the supported injury/compression patterns across all three figures. State the limitations of judging longitudinal continuity from a transverse image. Report readable distance annotations in Figure1 and avoid assuming that all caliper directions represent a complete longitudinal repair gap.",
    "images": [
      "images/351_figure1.jpg",
      "images/351_figure2.jpg",
      "images/351_figure3.jpg"
    ]
  },
  {
    "id": "27344_qa_rubric",
    "question": "What does this cardiac angiographic image show? Please describe the main visible findings and any important coronary vessels or post-treatment changes you can identify.",
    "images": [
      "images/352_figure1.jpg"
    ]
  },
  {
    "id": "21951_qa_rubric",
    "question": "What are the main histologic features visible in this image?",
    "images": [
      "images/353_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_354_23638",
    "question": "A is a foot radiograph, B-C are dorsal grayscale/Doppler views of the third MTP joint, and D is a plantar intermetatarsal view. Describe the abnormalities, interpret the two cortical appearances in A and B, and use the ligament and nerve relationships to identify the origin of the intermetatarsal lesion.",
    "images": [
      "images/354_figure1.jpg"
    ]
  },
  {
    "id": "49326_qa_rubric",
    "question": "What does this fluoroscopic image show, and what are the most important visible findings?",
    "images": [
      "images/355_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_356_21533",
    "question": "Panel A is a reference transverse image of the posterior tibial nerve at the medial malleolus, B is the symptomatic nerve before an ultrasound-guided injection, C shows needle positioning, and D-E show the immediate post-injection transverse and longitudinal appearances. Describe the nerve differences and needle/fluid relationships, and distinguish perineural fluid separation from an intraneural collection.",
    "images": [
      "images/356_figure1.jpg"
    ]
  },
  {
    "id": "16203_qa_rubric",
    "question": "What do these knee radiographs show, and what are the most important visible abnormalities or postoperative features? Include the visible fixation configuration in the description.",
    "images": [
      "images/357_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_358_21433",
    "question": "Panel A is a frontal knee radiograph. B-D are sagittal, coronal and axial proton-density fat-suppressed MRI. Describe the osseous pattern and associated ligament/tendon abnormalities, especially whether the marked soft-tissue disruptions are continuous with bony fracture lines. Do not infer ligament function from these static images.",
    "images": [
      "images/358_figure1.jpg"
    ]
  },
  {
    "id": "18016_qa_rubric",
    "question": "What does this dental radiograph show, especially in the lower front teeth?",
    "images": [
      "images/359_figure1.jpg"
    ]
  },
  {
    "id": "19793_qa_rubric",
    "question": "What does this knee MRI show, and what are the main abnormal findings you can identify?",
    "images": [
      "images/360_figure1.jpg"
    ]
  },
  {
    "id": "3856_qa_rubric",
    "question": "What are the main visible skin findings in this clinical photograph of the face and neck?",
    "images": [
      "images/361_figure1.jpg"
    ]
  },
  {
    "id": "25785_qa_rubric",
    "question": "What does this surgical illustration show, and what are the key anatomical connections or reconstruction seen here?",
    "images": [
      "images/362_figure1.jpg"
    ]
  },
  {
    "id": "50594_qa_rubric",
    "question": "What important findings are shown in this coronary angiography image?",
    "images": [
      "images/363_figure1.jpg"
    ]
  },
  {
    "id": "43629_qa_rubric",
    "question": "What are the main findings on this whole-spine radiograph?",
    "images": [
      "images/364_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_365_cmp_23287_13246",
    "question": "The first attached figure (Figure1) contains transverse ultrasound views of second-toe flexor tendons and their annular pulleys: A/a at the metatarsophalangeal joint, B/b over the proximal phalanx, C/c at the proximal interphalangeal joint and D/d at the distal interphalangeal joint. The upper and lower sets use different probes. The second attached figure (Figure2) contains grayscale and Doppler ultrasound examples from hand MCP joints (a-c), dorsal wrist (d), finger flexor tendon sheath (e) and a carpal surface (f). Describe the tendon/pulley and joint appearances, distinguish fluid from tissue proliferation, and compare the patterns. Give the most supported broad inflammatory versus focal mechanical interpretation of Figure2 and explain the limits of assigning a systemic disease or tendon rupture from these images.",
    "images": [
      "images/365_figure1.jpg",
      "images/365_figure2.jpg"
    ]
  },
  {
    "id": "bal20261109_366_30734",
    "question": "Compare the four superficial ultrasound examples (a-d). Describe their architectures and depth relationships. Explain whether they uniformly represent simple cysts or a solid/infiltrative process, and give a broad differential interpretation.",
    "images": [
      "images/366_figure1.jpg"
    ]
  },
  {
    "id": "40192_qa_rubric",
    "question": "What are the main abnormal findings shown on this FDG PET-CT image?",
    "images": [
      "images/367_figure1.jpg"
    ]
  },
  {
    "id": "21292_qa_rubric",
    "question": "What does this coronary angiogram show, and what is the most important abnormality visible?",
    "images": [
      "images/368_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_369_29086",
    "question": "Compare the superficial ultrasound patterns B-G in this figure of a swollen limb (A). White arrowheads mark deep channels, yellow arrowheads ascending channels, red arrowheads the dermal layer, and L denotes large fluid spaces. Describe how the tissue architecture differs across the examples and give the most supported broad mechanism of swelling. Do not infer temporal progression in one patient.",
    "images": [
      "images/369_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_370_6514_cmp_11737",
    "question": "For the first attached figure (Figure1), the figure shows ultrasound before a superficial fat graft (A), at 1 month (B, C), and at 3 months (D, E). B and D are grayscale, and C and E contrast-enhanced ultrasound. Compare tissue thickness and contrast distribution. What can these displayed findings support about the graft, and what remains unproven? For the second attached figure (Figure2), a grayscale ultrasound image of superficial tissue is shown with a perpendicular caliper measurement. Describe the adipose and deeper muscle architecture, identify the measurement endpoints and read its value. Compare what this single grayscale measurement can establish with the serial grayscale/contrast-enhanced graft assessment in Figure1. The visible layer labels need not be repeated.",
    "images": [
      "images/370_figure1.jpg",
      "images/370_figure2.jpg"
    ]
  },
  {
    "id": "6833_qa_rubric",
    "question": "Assuming standard ECG calibration of 25 mm/s and 10 mm/mV, describe the rhythm, approximate rate, conduction pattern and limb versus precordial voltage on this tracing. Do not infer a specific structural diagnosis.",
    "images": [
      "images/371_figure1.jpg"
    ]
  },
  {
    "id": "35293_qa_rubric",
    "question": "This scan is from a bone graft specimen. What imaging type and main visible bone microarchitectural features does it show?",
    "images": [
      "images/372_figure1.jpg"
    ]
  },
  {
    "id": "22636_qa_rubric",
    "question": "What does this shoulder MRI show? Please describe the main visible abnormality and where it is located.",
    "images": [
      "images/373_figure1.jpg"
    ]
  },
  {
    "id": "44493_qa_rubric",
    "question": "What does this fluoroscopic chest image show in terms of the cardiac device and lead positions?",
    "images": [
      "images/374_figure1.jpg"
    ]
  },
  {
    "id": "30957_qa_rubric",
    "question": "What does this cervical spine image show, especially around the upper neck?",
    "images": [
      "images/375_figure1.jpg"
    ]
  },
  {
    "id": "30059_qa_rubric",
    "question": "What does this foot image show, and what are the most important visible abnormalities?",
    "images": [
      "images/376_figure1.jpg"
    ]
  },
  {
    "id": "3824_qa_rubric",
    "question": "What does this image show in the knee, including the main reconstructed structure and how it is attached? Also describe any joint implant components shown beneath the graft.",
    "images": [
      "images/377_figure1.jpg"
    ]
  },
  {
    "id": "17505_qa_rubric",
    "question": "This endoscopic ultrasound view was obtained in the distal common bile duct region. What focal finding and key sonographic features are visible?",
    "images": [
      "images/378_figure1.jpg"
    ]
  },
  {
    "id": "26410_qa_rubric",
    "question": "This is an H&E-stained biopsy from a breast lesion. What does the histology show, and what are the main visible architectural features? Include a visible cytologic feature supporting the architectural interpretation.",
    "images": [
      "images/379_figure1.jpg"
    ]
  },
  {
    "id": "41025_qa_rubric",
    "question": "What are the main findings on these jaw CT/CBCT images, and how would you briefly describe the lesion that is shown?",
    "images": [
      "images/380_figure1.jpg"
    ]
  },
  {
    "id": "41984_qa_rubric",
    "question": "What does this ear image show, and what are the most important visible abnormalities?",
    "images": [
      "images/381_figure1.jpg"
    ]
  },
  {
    "id": "23766_qa_rubric",
    "question": "What does this endoscopic image of the throat show?",
    "images": [
      "images/382_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_383_6601_cmp_26340_24128",
    "question": "For the first attached figure (Figure1), The top of this longitudinal ultrasound image is superficial and the left is proximal. Characterize the outlined lesion, including its relationship to the skin and deeper tissues, and propose an appropriately limited differential based on morphology. The second attached figure (Figure2) shows plantar soft-tissue ultrasound (a) and a corresponding radiograph (b). The third attached figure (Figure3) includes scalp grayscale/color ultrasound (A-B) and auxiliary MRI (C-D). Focus on ultrasound: characterize the internal echoes, surrounding reaction, vascularity where shown and relation to the deep bone surface. Compare the three superficial-lesion patterns and explain when an inclusion or deep extension should alter the interpretation of a circumscribed mass. MRI sequence interpretation is not required.",
    "images": [
      "images/383_figure1.jpg",
      "images/383_figure2.jpg",
      "images/383_figure3.jpg"
    ]
  },
  {
    "id": "39147_qa_rubric",
    "question": "What does this contrast radiograph show, and what are the key visible findings?",
    "images": [
      "images/384_figure1.jpg"
    ]
  },
  {
    "id": "49338_qa_rubric",
    "question": "What does this ear image show, and what are the most important visible abnormalities?",
    "images": [
      "images/385_figure1.jpg"
    ]
  },
  {
    "id": "835_qa_rubric",
    "question": "What does this head MRI show, and what are the main visible abnormalities?",
    "images": [
      "images/386_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_387_17025",
    "question": "These are high-frequency ultrasound comparisons of skin, subcutaneous tissue and nails. A is the patient and A′ is a healthy comparison. B and B′ are grayscale and power Doppler views of another superficial abnormality. C is a normal nail and C′ is an affected nail. The overlays label epidermis (ep), dermis (de), hypodermis (hyp), nail plate (p), nail bed (nb), and distal phalanx (dp). Describe the abnormalities in each comparison and give the most defensible tissue-pattern interpretations.",
    "images": [
      "images/387_figure1.jpg"
    ]
  },
  {
    "id": "15096_qa_rubric",
    "question": "What does this radiograph show in the femur and adjacent lower limb, and are there any notable deformities or alignment abnormalities?",
    "images": [
      "images/388_figure1.jpg"
    ]
  },
  {
    "id": "12556_qa_rubric",
    "question": "What does this image show, and what are the main visible skin findings?",
    "images": [
      "images/389_figure1.jpg"
    ]
  },
  {
    "id": "23016_qa_rubric",
    "question": "What does this ultrasound image set show, and what are the main visible findings or differences between the panels?",
    "images": [
      "images/390_figure1.jpg"
    ]
  },
  {
    "id": "4452_qa_rubric",
    "question": "What are the main findings shown on these CT images?",
    "images": [
      "images/391_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_392_17939",
    "question": "Panels a-c show one patient and d-f a second patient. Panels a, b and d are axial fluid-sensitive MRI and e is a coronal T2-weighted image. Compare the abnormalities in each patient, relating the MRI distribution and internal architecture to the clinical photographs. What vascular-malformation pattern is most supported?",
    "images": [
      "images/392_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_393_11811",
    "question": "The figure combines a photograph and high-frequency skin ultrasound. Panel b is a longitudinal grayscale view of the photographed leg lesion, c is Doppler of the leg lesion and d is Doppler of a separate finger lesion. In b, e, d and h denote epidermis, dermis and hypodermis. Describe the superficial tissue abnormalities, compare the Doppler patterns, and state the supported inflammatory pattern without assuming a specific organism. Explain how the displayed tissue architecture compares with a single simple fluid-filled abscess cavity.",
    "images": [
      "images/393_figure1.jpg"
    ]
  },
  {
    "id": "40261_qa_rubric",
    "question": "What does this EEG show, and where is the main abnormal activity located?",
    "images": [
      "images/394_figure1.jpg"
    ]
  },
  {
    "id": "36026_qa_rubric",
    "question": "What does this clinical photograph show on the limb?",
    "images": [
      "images/395_figure1.jpg"
    ]
  },
  {
    "id": "2180_qa_rubric",
    "question": "What does this endoscopic image show, and what are the most important visible abnormalities?",
    "images": [
      "images/396_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_397_1300",
    "question": "This is a scar assessment: A/B are before/after photographs. C is normal-skin grayscale ultrasound, D/E are before/after grayscale views of the scar, and F/G/H are corresponding shear-wave elastography maps. Compare thickness, echotexture and stiffness, using ultrasound as the main evidence and the photographs as support. Explain what these comparisons establish and what limitations remain. Report the displayed mean stiffness values approximately, using their units.",
    "images": [
      "images/397_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_398_17897",
    "question": "These are a nail photograph (A), longitudinal grayscale nail ultrasound (B), an enlarged structural view (C), and power Doppler (D). Describe the plate and adjacent tissue abnormalities, explain their correlation, and give the most supported structural pattern. Explain which displayed structural relationships distinguish the interpretation from proximal whole-plate shedding such as onychomadesis.",
    "images": [
      "images/398_figure1.jpg"
    ]
  },
  {
    "id": "36769_qa_rubric",
    "question": "This operative view was obtained during surgery in the right pelvis. What abnormal tissue changes and dissection are visible?",
    "images": [
      "images/399_figure1.jpg"
    ]
  },
  {
    "id": "23565_qa_rubric",
    "question": "What does this neck ultrasound image show, and what are the main structures visible? Include a lateral vascular-appearing structure if visible, without claiming Doppler confirmation.",
    "images": [
      "images/400_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_401_3655_cmp_19851_27229",
    "question": "For the first attached figure (Figure1), Panel A shows the clinical skin lesion. B-C are grayscale and color Doppler views, D an axillary node, and E a later scan of the superficial lesion. Describe the primary mass and node morphology, compare the later local appearance, and give a broad interpretation without assigning an unseen histologic subtype. The second attached figure (Figure2) shows a skin plaque (upper left), initial high-frequency ultrasound (upper right), later ultrasound after six months of treatment (lower right), and auxiliary histology (lower left). The third attached figure (Figure3) shows a skin nodule (a), in-vivo Doppler ultrasound (b), ex-vivo ultrasound (c) and auxiliary histology (d). Focus on the ultrasound: compare depth, margin, vascularity where displayed and the meaning of follow-up or ex-vivo findings across the three figures. Explain what cannot be inferred about histological type or treatment response from morphology alone.",
    "images": [
      "images/401_figure1.jpg",
      "images/401_figure2.jpg",
      "images/401_figure3.jpg"
    ]
  },
  {
    "id": "48911_qa_rubric",
    "question": "This figure includes whole-body PET, an initial axial CT (b), follow-up CT eight weeks later (c), and fused PET/CT (d). What lesion and corresponding structural/metabolic findings are visible?",
    "images": [
      "images/402_figure1.jpg"
    ]
  },
  {
    "id": "21234_qa_rubric",
    "question": "The upper-row prenatal cranial ultrasound images were obtained at 32 weeks and 3 days. The lower row provides age-matched developmental comparison views. What cortical pattern differences and anatomical distribution are visible?",
    "images": [
      "images/403_figure1.jpg"
    ]
  },
  {
    "id": "25850_qa_rubric",
    "question": "These endoscopic and histological images are from a cecal lesion. What are the main visible findings and the supported pathological interpretation?",
    "images": [
      "images/404_figure1.jpg"
    ]
  },
  {
    "id": "28979_qa_rubric",
    "question": "What does this ultra-widefield retinal image show, and what are the main abnormal visual findings?",
    "images": [
      "images/405_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_406_20024",
    "question": "These paired grayscale/color Doppler examples (a-b, c-d, e-f and g-h) show four cutaneous lesions. Compare their shape, depth, surface relationship, acoustic behavior and vascularity. Which examples raise concern for deeper invasion, and what diagnostic significance and limitations do the Doppler and posterior acoustic appearances have? State whether posterior acoustic effects limit assessment of the deep margin in any example.",
    "images": [
      "images/406_figure1.jpg"
    ]
  },
  {
    "id": "3787_qa_rubric",
    "question": "What does this wrist radiograph show, and what are the main important abnormalities you can identify?",
    "images": [
      "images/407_figure1.jpg"
    ]
  },
  {
    "id": "32370_qa_rubric",
    "question": "This is a schematic of porcine airway anatomy. What are the main visible branching features and the relationship of the labeled tracheal bronchus to the main bronchi?",
    "images": [
      "images/408_figure1.jpg"
    ]
  },
  {
    "id": "33158_qa_rubric",
    "question": "What does this fluoroscopic vascular image show, including the main device or finding and where it is located?",
    "images": [
      "images/409_figure1.jpg"
    ]
  },
  {
    "id": "30938_qa_rubric",
    "question": "What are the main findings shown in these knee images? Explain which MRI feature supports an ossified component in some bodies.",
    "images": [
      "images/410_figure1.jpg"
    ]
  },
  {
    "id": "43635_qa_rubric",
    "question": "This image was obtained after contrast injection into the left pulmonary arterial circulation. What distribution of pulmonary vascular opacification is visible in the provided field?",
    "images": [
      "images/411_figure1.jpg"
    ]
  },
  {
    "id": "45262_qa_rubric",
    "question": "What does this image show, and what is the main abnormal or important finding visible here?",
    "images": [
      "images/412_figure1.jpg"
    ]
  },
  {
    "id": "34328_qa_rubric",
    "question": "What does this image show, and what are the most important visible findings? Read a visible dose annotation and state what cannot be concluded from that single value.",
    "images": [
      "images/413_figure1.jpg"
    ]
  },
  {
    "id": "40032_qa_rubric",
    "question": "What does this image show, and what is the main abnormal pattern visible in the lymphatic channel?",
    "images": [
      "images/414_figure1.jpg"
    ]
  },
  {
    "id": "47524_qa_rubric",
    "question": "What does this vascular imaging of the kidneys show, and what are the most important visible abnormalities?",
    "images": [
      "images/415_figure1.jpg"
    ]
  },
  {
    "id": "34277_qa_rubric",
    "question": "What does this cardiac fluoroscopic/angiographic image show, and what are the key visible findings about the position of the intracardiac device?",
    "images": [
      "images/416_figure1.jpg"
    ]
  },
  {
    "id": "20670_qa_rubric",
    "question": "What are the main findings visible in this retinal image?",
    "images": [
      "images/417_figure1.jpg"
    ]
  },
  {
    "id": "14629_qa_rubric",
    "question": "What does this neck radiograph show, and are there any important visible abnormalities?",
    "images": [
      "images/418_figure1.jpg"
    ]
  },
  {
    "id": "18862_qa_rubric",
    "question": "What does this postoperative breast image show, and what are the main visible findings?",
    "images": [
      "images/419_figure1.jpg"
    ]
  },
  {
    "id": "34488_qa_rubric",
    "question": "This fused PET/CT image was obtained after hepatic Y-90 radioembolization. What intrahepatic activity distribution and contoured target regions are visible? Also compare activity inside and outside the displayed lesion contours.",
    "images": [
      "images/420_figure1.jpg"
    ]
  },
  {
    "id": "28814_qa_rubric",
    "question": "What does this upright abdominal radiograph show, and what are the main visible bowel and free-air findings?",
    "images": [
      "images/421_figure1.jpg"
    ]
  },
  {
    "id": "25700_qa_rubric",
    "question": "What does this dental X-ray show? Please describe the main visible findings and any important abnormality.",
    "images": [
      "images/422_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_423_12410",
    "question": "Four ultrasound examples show superficial lesions in different children. Compare their internal texture, surrounding tissue and anatomic compartments, and give the most supported structural processes in a-c and d. Explain which displayed features distinguish a focal cystic lesion from a tissue-plane injury.",
    "images": [
      "images/423_figure1.jpg"
    ]
  },
  {
    "id": "28659_qa_rubric",
    "question": "On this T1-weighted fat-suppressed post-contrast plantar foot MRI slice, what structure is indicated by the arrow, and what visible anatomical course does it follow?",
    "images": [
      "images/424_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_425_29280_cmp_7870",
    "question": "For the first attached figure (Figure1), this high-frequency grayscale ultrasound shows a superficial lesion in a patient with recurrent inflammatory skin nodules. Describe the collection and its internal linear structure, explain its relationship to the skin, and give the most supported interpretation with a relevant alternative. In the second attached figure (Figure2), the lower panels c-d are high-frequency skin ultrasound, while a-b are auxiliary reflectance confocal views. Focus on c-d: describe lesion depth, shape, internal echo and posterior acoustic behavior. Compare with Figure1 and discuss a burrow-associated process versus an embedded linear fragment. Do not identify a species or prove motility from still images. Include the posterior acoustic behavior of the Figure1 collection.",
    "images": [
      "images/425_figure1.jpg",
      "images/425_figure2.jpg"
    ]
  },
  {
    "id": "bal20261109_426_1155",
    "question": "Focus on cellular microscopy C-E, using hair-shaft microscopy B and clinical image A as supporting context. C is a peripheral leukocyte, D electron microscopy of leukocyte-rich tissue (G marks inclusions, N nuclei), and E a whole-mount platelet electron micrograph. Describe the cellular contents and pigment distribution, and identify the most supported syndrome and broad cellular mechanism. Do not use F to infer a neurological outcome. Explain what the visible pigment in B supports about pigment distribution versus complete absence of pigment.",
    "images": [
      "images/426_figure1.jpg"
    ]
  },
  {
    "id": "14645_qa_rubric",
    "question": "This ultrasound view was obtained near the lower pole of the left thyroid. What focal lesion and internal sonographic features are visible?",
    "images": [
      "images/427_figure1.jpg"
    ]
  },
  {
    "id": "43891_qa_rubric",
    "question": "This AP fluoroscopic image is centered on the L5 region during a lumbar procedure. What instrument and its relationship to the visible bony landmarks can be identified?",
    "images": [
      "images/428_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_429_27241",
    "question": "This is a stained bone-marrow aspirate field from an immunocompromised adult. Describe the small purple elements, their relationship to marrow cells and the most useful morphologic clue for narrowing a fungal differential. Compare with the most relevant yeast mimic, while stating the limit of species identification from this field.",
    "images": [
      "images/429_figure1.jpg"
    ]
  },
  {
    "id": "9107_qa_rubric",
    "question": "What are the main abnormal findings shown on this cervical spine image?",
    "images": [
      "images/430_figure1.jpg"
    ]
  },
  {
    "id": "1603_qa_rubric",
    "question": "What are the main microscopic findings shown in this histology image?",
    "images": [
      "images/431_figure1.jpg"
    ]
  },
  {
    "id": "41555_qa_rubric",
    "question": "What are the main findings shown across these chest imaging studies? Also describe the visible instrument and target in panel E.",
    "images": [
      "images/432_figure1.jpg"
    ]
  },
  {
    "id": "28110_qa_rubric",
    "question": "What does this hand image show, including the main visible abnormality and any treatment-related features?",
    "images": [
      "images/433_figure1.jpg"
    ]
  },
  {
    "id": "15757_qa_rubric",
    "question": "What does this abdominal ultrasound show, and what are the main visible abnormalities or important findings?",
    "images": [
      "images/434_figure1.jpg"
    ]
  },
  {
    "id": "46577_qa_rubric",
    "question": "What does this cardiac CT image show, and what are the most important visible abnormalities?",
    "images": [
      "images/435_figure1.jpg"
    ]
  },
  {
    "id": "14759_qa_rubric",
    "question": "What does this CT image show in the lower spine/pelvis region? Describe the effect on the visible sacral canal alignment, without asserting neural injury.",
    "images": [
      "images/436_figure1.jpg"
    ]
  },
  {
    "id": "46538_qa_rubric",
    "question": "What does this clinical photograph show? Please describe the main visible findings, including any asymmetry, chest wall changes, or signs of prior surgery.",
    "images": [
      "images/437_figure1.jpg"
    ]
  },
  {
    "id": "50196_qa_rubric",
    "question": "This is a whole-body 68Ga-PSMA PET overview. What abnormal uptake distribution and major disease compartments are visible?",
    "images": [
      "images/438_figure1.jpg"
    ]
  },
  {
    "id": "13521_qa_rubric",
    "question": "What does this CT image show? Please describe the main visible findings and where they are located.",
    "images": [
      "images/439_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_440_23540",
    "question": "Each row represents a different eye: a-c, d-f, g-i and j-l. Color fundus photographs are paired with en face localization images and OCT B-scans. Compare the fundus lesions and the yellow- versus blue-arrow sites on OCT. Describe the affected tissue levels, local contour changes and any associated retinal or subretinal abnormalities. Do not assume the arrow colors encode a diagnosis.",
    "images": [
      "images/440_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_441_135",
    "question": "The shoulder MRI includes coronal T1 (A), axial proton-density (B), and coronal fat-suppressed proton-density imaging (C). Describe the osseous, joint, bursal and tendon abnormalities. Give the most supported arthropathy pattern and a short differential, explaining the imaging limits on assigning a cause.",
    "images": [
      "images/441_figure1.jpg"
    ]
  },
  {
    "id": "2101_qa_rubric",
    "question": "What does this dental radiograph show, and what are the most important visible findings around the implants and adjacent bone?",
    "images": [
      "images/442_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_443_29019",
    "question": "This is a stained bone-marrow aspirate field. Describe the dominant abnormal large cell and its internal material. Explain how the spatial arrangement influences your interpretation and what clinical syndrome the finding can support, including the limits of diagnosis from morphology alone.",
    "images": [
      "images/443_figure1.jpg"
    ]
  },
  {
    "id": "4845_qa_rubric",
    "question": "What do these prenatal and postnatal spinal images show, and what are the main visual differences between the two lesions illustrated?",
    "images": [
      "images/444_figure1.jpg"
    ]
  },
  {
    "id": "12282_qa_rubric",
    "question": "What are the main findings shown in this set of images?",
    "images": [
      "images/445_figure1.jpg"
    ]
  },
  {
    "id": "14256_qa_rubric",
    "question": "What does this dental radiograph show? Please describe the main visible findings and any likely abnormality.",
    "images": [
      "images/446_figure1.jpg"
    ]
  },
  {
    "id": "2744_qa_rubric",
    "question": "What does this chest radiograph show? Please describe the main visible findings and any likely interpretation based on the image.",
    "images": [
      "images/447_figure1.jpg"
    ]
  },
  {
    "id": "40461_qa_rubric",
    "question": "What does this medical illustration show, and what are the key cardiovascular structures and surgical connections visible?",
    "images": [
      "images/448_figure1.jpg"
    ]
  },
  {
    "id": "26757_qa_rubric",
    "question": "What does this ECG strip show, and what is the important finding visible on the tracing?",
    "images": [
      "images/449_figure1.jpg"
    ]
  },
  {
    "id": "26505_qa_rubric",
    "question": "What do these cardiac rhythm tracings show, and what are the main visible differences between the examples? Explain which electrical features can and cannot be assessed on PPG compared with ECG.",
    "images": [
      "images/450_figure1.jpg"
    ]
  },
  {
    "id": "32545_qa_rubric",
    "question": "What does this angiographic image show, and what are the main visible findings?",
    "images": [
      "images/451_figure1.jpg"
    ]
  },
  {
    "id": "6641_qa_rubric",
    "question": "What does this chest image show? Please briefly describe the main visible findings and any important abnormality you can identify.",
    "images": [
      "images/452_figure1.jpg"
    ]
  },
  {
    "id": "26927_qa_rubric",
    "question": "What do these orbital MR images show in the lacrimal drainage system, including the side and level of any narrowing or dilatation that is visible?",
    "images": [
      "images/453_figure1.jpg"
    ]
  },
  {
    "id": "2169_qa_rubric",
    "question": "What does this ultrasound image show, and what are the most important visible findings? Include the displayed lesion dimensions approximately.",
    "images": [
      "images/454_figure1.jpg"
    ]
  },
  {
    "id": "40997_qa_rubric",
    "question": "What does this cardiac angiographic image show, and what is the main important abnormality you can identify?",
    "images": [
      "images/455_figure1.jpg"
    ]
  },
  {
    "id": "5260_qa_rubric",
    "question": "What does this facial/oral clinical image show, and what is the key abnormal finding?",
    "images": [
      "images/456_figure1.jpg"
    ]
  },
  {
    "id": "28811_qa_rubric",
    "question": "Panel A is technetium-99m thyroid scintigraphy. B and C are gallium-67 neck and whole-body scintigraphy. What thyroid-region uptake pattern and distribution differences are visible?",
    "images": [
      "images/457_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_458_4935_cmp_27466_15876",
    "question": "For the first attached figure (Figure1), Panel a is diagnostic marrow cytology, b diagnostic marrow histology, and c a later marrow biopsy. Describe the cell morphology and marrow architecture in each, compare the diagnostic and later appearances, and state the broad hematologic pattern supported by these fields. The second attached figure (Figure2) is an H&E-stained marrow core field. The third attached figure (Figure3) is a high-power marrow aspirate field. Describe the dominant architecture/cell morphology in each and compare them with the diagnostic and later fields in Figure1. Distinguish cellular depletion, immature-cell predominance and phagocytic activity. Explain what additional information would be required before assigning an etiologic marrow-failure diagnosis or a systemic hemophagocytic syndrome.",
    "images": [
      "images/458_figure1.jpg",
      "images/458_figure2.jpg",
      "images/458_figure3.jpg"
    ]
  },
  {
    "id": "2681_qa_rubric",
    "question": "What important abnormal findings are visible around the eyes in this facial image?",
    "images": [
      "images/459_figure1.jpg"
    ]
  },
  {
    "id": "48565_qa_rubric",
    "question": "What does this contrast fluoroscopic image of the pancreatic ductal system show? Distinguish the small communicating connection from other visible duct side branches.",
    "images": [
      "images/460_figure1.jpg"
    ]
  },
  {
    "id": "5629_qa_rubric",
    "question": "What does this head image show, and what are the most important visible abnormalities?",
    "images": [
      "images/461_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_462_12766",
    "question": "Using the whole-body FDG PET MIP (a), fused PET/CT views (b-g), and the clinical photograph (h), characterize the dominant disease compartment and distinguish superficial plaque-like disease from deeper extension. Correlate the visible skin morphology and give an appropriately broad differential, without requiring histology.",
    "images": [
      "images/462_figure1.jpg"
    ]
  },
  {
    "id": "44473_qa_rubric",
    "question": "What does this arthroscopic image show, and what are the key visible findings?",
    "images": [
      "images/463_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_464_19286",
    "question": "In a patient undergoing oncologic evaluation, review the whole-body PET projections (A, B) and the corresponding axial CT, PET and fused PET/CT images (C-E). Describe the distribution and compartment of the arrowed abnormalities, explain what the axial correlation establishes, and give the appropriately limited oncologic interpretation.",
    "images": [
      "images/464_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_465_30082",
    "question": "A is the initial color fundus photograph, B/C are early/late indocyanine-green angiograms and D is late fluorescein angiography. F is the initial OCT. E and G are follow-up color photography and OCT, respectively. Describe the macular lesion across the modalities, identify the compartments involved on OCT, and compare the structural abnormalities at follow-up. Give the supported broad neovascular interpretation and explain any limits on subtype assignment.",
    "images": [
      "images/465_figure1.jpg"
    ]
  },
  {
    "id": "13089_qa_rubric",
    "question": "What are the main findings shown in these images?",
    "images": [
      "images/466_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_467_1463",
    "question": "The left whole-body projection and A1-A4 use FDG. The right projection and B1-B4 use a PSMA-targeted tracer. A1-A4 show selected neck/thoracic, hepatic and skeletal regions. B1 is a neck view corresponding to the level sampled by A1, and B2-B4 show other selected regions. Describe the disease distribution and compare uptake across the two studies. Explain the implications and limitations for assigning a common tumor origin.",
    "images": [
      "images/467_figure1.jpg"
    ]
  },
  {
    "id": "6846_qa_rubric",
    "question": "What does this pelvic MRI show, and what are the most important visible abnormalities?",
    "images": [
      "images/468_figure1.jpg"
    ]
  },
  {
    "id": "1703_qa_rubric",
    "question": "What does this knee radiograph show? Please describe the main visible abnormal findings and where they are located.",
    "images": [
      "images/469_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_470_25060_cmp_7096",
    "question": "For the first attached figure (Figure1), A is the FDG PET maximum-intensity projection. B-J are matched PET, CT and fusion views. Map the abnormal uptake and its anatomic correlates, distinguish physiologic activity from disease, and give the most supported systemic pattern with its principal differential. The second attached figure (Figure2) shows initial FDG PET MIP and axial fusion views (A-C) and corresponding six-month follow-up views (D-F). Map its initially abnormal nodal uptake and distinguish it from tracer excretion. Assess the interval metabolic and anatomic changes. Compare the distribution and measurable evidence of response with Figure1 and explain the limits of inferring histological subtype or mechanism from FDG images. In Figure1, compare pharyngeal soft tissue with the neighboring maxillary sinus compartments on matched images.",
    "images": [
      "images/470_figure1.jpg",
      "images/470_figure2.jpg"
    ]
  },
  {
    "id": "30594_qa_rubric",
    "question": "What does this angiographic MR image show, and what are the most important visible findings about the lesion and its enhancement pattern?",
    "images": [
      "images/471_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_472_3378",
    "question": "This figure shows endoscopic drainage of a perirectal collection. A-C are endoscopic-ultrasound guidance. D-G are endoscopic views after access. Describe the collection and the visible access/drainage sequence, identify the implanted device, and assess what the final cavity appearance does and does not establish.",
    "images": [
      "images/472_figure1.jpg"
    ]
  },
  {
    "id": "21973_qa_rubric",
    "question": "What does this ECG show, and what are the most important visible rhythm abnormalities or notable features? Also describe the timing of the next baseline beat after the ectopic complex.",
    "images": [
      "images/473_figure1.jpg"
    ]
  },
  {
    "id": "6116_qa_rubric",
    "question": "What does this histology image show, and what are the main visible microscopic features?",
    "images": [
      "images/474_figure1.jpg"
    ]
  },
  {
    "id": "24716_qa_rubric",
    "question": "What does this retinal image show, and what are the main abnormal findings you can identify?",
    "images": [
      "images/475_figure1.jpg"
    ]
  },
  {
    "id": "14311_qa_rubric",
    "question": "This is an H&E section from a respiratory mucosal biopsy. What epithelial and subepithelial stromal findings are visible?",
    "images": [
      "images/476_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_477_17949",
    "question": "The panels show a rectal lesion initially (a), after neoadjuvant treatment (b), and after endoscopic stent placement with an accompanying radiograph (c). Compare the mucosal and luminal appearances, describe the stent's relationship to the stenosis, and explain why a smoother post-treatment surface does not establish that an obstruction is resolved or that no tumor remains.",
    "images": [
      "images/477_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_478_8265",
    "question": "The figure groups five eyes: case 1 A-C, case 2 D-F, case 3 G-I, case 4 J-L, and case 5 M-P. Within each group the order is chronological. E to F and O to P bracket macular-hole surgery, and G to H and J to K bracket tumor treatment. Compare the macular OCT defects, their associated retinal changes, and the visible tumor appearances. Which demonstrated holes close and which remain open? Avoid inferring visual acuity or tumor histology from appearance alone.",
    "images": [
      "images/478_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_479_26010",
    "question": "The figure combines color fundus photography (A), early/late fluorescein angiography (B/C), OCT angiography slabs (D-F), a cross-sectional structural/flow OCT (G), a composite map (H), and a retinal-thickness deviation map (I). In G/H the legend distinguishes inner retinal, outer retinal and choroidal flow, intraretinal cysts and subretinal fluid. Describe and classify the neovascular complex using its position relative to the RPE and its associated structural abnormalities. Explain the limits of interpreting flow defects and relate the thickness-map pattern.",
    "images": [
      "images/479_figure1.jpg"
    ]
  },
  {
    "id": "33453_qa_rubric",
    "question": "What does this neck image show, and what are the most important visible abnormalities? Describe whether the visible neck contour contains a single bulge or more than one discrete prominence.",
    "images": [
      "images/480_figure1.jpg"
    ]
  },
  {
    "id": "1548_qa_rubric",
    "question": "What does this ECG show, and what are the most important visible rhythm and waveform abnormalities?",
    "images": [
      "images/481_figure1.jpg"
    ]
  },
  {
    "id": "14002_qa_rubric",
    "question": "What does this oral image show? Please describe the main visible findings on the tongue and give the most likely brief interpretation.",
    "images": [
      "images/482_figure1.jpg"
    ]
  },
  {
    "id": "36020_qa_rubric",
    "question": "What visible skin changes are present on the feet, and what do they most likely represent?",
    "images": [
      "images/483_figure1.jpg"
    ]
  },
  {
    "id": "38699_qa_rubric",
    "question": "This IVUS view was acquired within the left common iliac vein. What luminal shape and extrinsic relationship are visible? Comment on whether any residual lumen is visible around the imaging catheter.",
    "images": [
      "images/484_figure1.jpg"
    ]
  },
  {
    "id": "7080_qa_rubric",
    "question": "What does this ECG show, and what are the main important findings visible on the tracing? Also describe the width/morphology of the ventricular complexes without assigning an anatomic block level from it alone.",
    "images": [
      "images/485_figure1.jpg"
    ]
  },
  {
    "id": "9564_qa_rubric",
    "question": "What does this pelvic radiograph show, including the main postoperative findings and whether there are any visible complications?",
    "images": [
      "images/486_figure1.jpg"
    ]
  },
  {
    "id": "6209_qa_rubric",
    "question": "What are the main findings visible on this upper abdominal MRI image?",
    "images": [
      "images/487_figure1.jpg"
    ]
  },
  {
    "id": "25218_qa_rubric",
    "question": "What do these radiographs show, and what is the main abnormality visible in the distal lower leg/ankle region? Describe the adjacent ankle articular contour and alignment as well as the medullary lesion.",
    "images": [
      "images/488_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_489_648",
    "question": "These ophthalmic images compare pretreatment and later appearances: A-C versus D-F are the right eye, G-I versus J-L the left macula, and M-N versus O-P a superior left-eye lesion. Describe the distinct findings and interval changes across fundus photography, autofluorescence and OCT. Distinguish macular tissue loss from fluid, and identify what remains abnormal despite improvement. Compare the later autofluorescence pattern with the OCT changes, including any discordance in normalization.",
    "images": [
      "images/489_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_490_178",
    "question": "Panels a-h are color fundus, autofluorescence, early/late fluorescein angiography, early/late indocyanine green angiography, OCT and choriocapillaris OCT angiography. Describe the pattern across modalities, identify the principal anatomic compartments involved, and explain the mechanism best supported by their correspondence. Compare it with a focal retinal arterial explanation.",
    "images": [
      "images/490_figure1.jpg"
    ]
  },
  {
    "id": "bal20261109_491_27319",
    "question": "This is a bone-marrow clot section stained with ASD-Giemsa. Describe the arrangement, cell populations and maturation visible in the field. Explain how the morphology weighs a monotonous blast replacement, and what limitations remain for a specific marrow diagnosis.",
    "images": [
      "images/491_figure1.jpg"
    ]
  },
  {
    "id": "rep20261109_492_18327",
    "question": "These images show one thoracic lesion: (a) frontal chest radiograph, (b) contrast CT in mediastinal window, (c) lung-window CT, and (d/e) gray-scale and color Doppler thoracic ultrasound. Axial CT uses standard radiologic orientation. Describe the dominant lesion and additional pulmonary abnormality, compare how CT and ultrasound characterize them, and state the most supported broad interpretation.",
    "images": [
      "images/492_figure1.jpg"
    ]
  },
  {
    "id": "40774_qa_rubric",
    "question": "What does this brain MRI image show, including the key overlaid outlines and any important visible structural features?",
    "images": [
      "images/493_figure1.jpg"
    ]
  },
  {
    "id": "8737_qa_rubric",
    "question": "What does this skin image show on the lower leg, and what are the main visible abnormalities?",
    "images": [
      "images/494_figure1.jpg"
    ]
  },
  {
    "id": "25769_qa_rubric",
    "question": "What are the important findings on this infant chest-abdominal radiograph? Also describe the visible enteric tube course and tip projection.",
    "images": [
      "images/495_figure1.jpg"
    ]
  },
  {
    "id": "46983_qa_rubric",
    "question": "What are the main abnormalities shown in this eye image set, and what important features can you identify? Include a visible cytoplasmic/pigment feature in the high-power field.",
    "images": [
      "images/496_figure1.jpg"
    ]
  },
  {
    "id": "43507_qa_rubric",
    "question": "What does this image show in the femur, and what important orthopedic hardware or procedural step is depicted?",
    "images": [
      "images/497_figure1.jpg"
    ]
  },
  {
    "id": "5141_qa_rubric",
    "question": "What does this abdominal MRI show, and what are the most important visible findings? Describe mass effect on adjacent abdominal structures and distinguish displacement from proven invasion.",
    "images": [
      "images/498_figure1.jpg"
    ]
  },
  {
    "id": "15000_qa_rubric",
    "question": "What does this ECG show, and what are the most important visible abnormalities?",
    "images": [
      "images/499_figure1.jpg"
    ]
  }
]