Bilateral Leukemic Pulmonary Infiltrate: A Rare Manifestation of Acute Myeloid Leukemia
Bibliographic record
Abstract
Acute myeloid leukemia (AML) often presents with nonspecific symptoms of fatigue, anemia or infection. Pulmonary involvement is common in AML during the course of the disease and is usually caused by infection, hemorrhage, leukemic pulmonary infiltrates and leukostasis. Symptomatic leukemic pulmonary infiltrates as a first manifestation of AML is very uncommon but potentially life threatening if not diagnosed and treated in a timely manner. Here we present a rare case of AML with symptomatic bilateral leukemic infiltrates as a first manifestation with peripheral blasts 77%. Common infectious etiologies were ruled out. The pulmonary infiltrates dramatically improved with standard induction chemotherapy. Even though leukemic pulmonary infiltrates in AML is a diagnosis of exclusion but must be considered in the differential diagnosis when a patient present with pulmonary symptoms with blast cell > 40% and suspected acute leukemia. J Med Cases. 2014;5(3):137-139 doi: http://dx.doi.org/10.14740/jmc1651w
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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 | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| 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".