Metastatic Malignant Mesothelioma Presenting With Cardiogenic Shock
Bibliographic record
Abstract
Metastatic tumor progression to the pericardium is generally characterized by pericardial effusion with or without tamponade. It is extremely rare for tumor to metastasize to the pericardium and cause constrictive pericarditis and tamponade physiology. We report a case of metastatic malignant mesothelioma admitted to our facility for acute hypoxic respiratory failure and cardiogenic shock due to extensive pericardial metastasis and trapped heart. This was confirmed during post-mortem evaluation, which showed malignant mesothelioma involving the anterior mediastinum and partially encasing the heart and the root of the aorta in addition to fibrous pericarditis and pericardial adhesion. J Med Cases. 2017;8(2):58-60 doi: https://doi.org/10.14740/jmc2739w
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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 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 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".