Bilateral bronchial stenosis in a patient presenting with stridor secondary to granulomatosis with polyangiitis: A case report
Bibliographic record
Abstract
ABSTRACT A 56-year-old male presented to the outpatient otolaryngology clinic for worsening stridor and exercise intolerance. Recently, the patient had been diagnosed with granulomatosis with polyangiitis, previously known as Wegner’s granulomatosis, and had been started on immunotherapy. On examination, the patient had pronounced audible stridor. Flexible laryngoscopy relieved thick glottic secretions, but normal vocal cord approximation and no obvious stenosis or webbing of the subglottic or proximal trachea. A computed tomography scan did not show any obstructive airway lesions, and the patient was consequently scheduled for direct laryngoscopy, bronchoscopy, and potential balloon dilation in the operating room (OR). On initial inspection in the OR, there was no evidence of subglottic or proximal tracheal stenosis. Distally, thick stenotic rings were noted in both mainstem bronchi. In collaboration with a cardiothoracic surgeon, balloon dilatation was performed. Over the next 2 weeks, the patient’s stridor improved.
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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 | 0.003 |
| Meta-epidemiology (narrow) | 0.002 | 0.002 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.006 | 0.003 |
| Insufficient payload (model declined to judge) | 0.004 | 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".