Case report of a giant hepatic cyst observed during routine dissection in gross anatomy lab (916.3)
Bibliographic record
Abstract
Introduction: Most hepatic cysts are asymptomatic and found incidentally. Giant cysts (>= 6cm across) are likely to be symptomatic and lead to complications such as hemorrhage, rupture, infection, and biliary tree obstruction. Liver cysts are found in 1% of autopsies, but there are currently no cited reports of giant hepatic cysts in cadavers. Case report: The hepatic cyst was found during routine abdominal dissection for an undergraduate medical class. The donor was an 83 year old Caucasian female with failure of respiratory, renal, and cardiac systems. On inspection, the liver was markedly enlarged with the inferior border of the right lobe surpassing the costal margin. The consistency of the left lobe was spongy, while the right lobe was unremarkable. Removal of the liver resulted in rupture of the cyst and release of its viscous, purulent, and malodorous contents. Measurements: On gross examination, the liver was measured to be about 20cm at the mid‐clavicular line (normal averages 7cm), while the cyst is approximately 13cm in diameter. We will present a reconstruction of the cyst. Conclusion: It can be hypothesized that the cyst was previously detected but treatment was withheld due to the patient’s various comorbidities.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.002 | 0.002 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.004 | 0.002 |
| Science and technology studies | 0.004 | 0.003 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.008 | 0.005 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".