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case_id
int64
0
3k
age
int64
30
80
sex
stringclasses
2 values
vignette
stringlengths
54
500
gold_lung_cancer
bool
2 classes
0
65
male
A 65-year-old male presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports fatigue. The patient reports chest pain.
false
1
55
female
A 55-year-old female presents for clinical evaluation. The patient has a history of smoking. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports alcohol consumption. The patient reports coughing. The patient reports shortness of breath.
false
2
78
female
A 78-year-old female presents for clinical evaluation. The patient reports anxiety. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports allergies. The patient reports alcohol consumption. The patient reports coughing. The patient reports difficulty swallowing. The pat...
true
3
60
male
A 60-year-old male presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports peer pressure related to smoking. The patient reports fatigue. Wheezing is present. The patient reports alcohol consumption. The patient reports shortness of breath.
true
4
80
female
A 80-year-old female presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports allergies. The patient reports alcohol consumption. The patient reports cou...
false
5
58
female
A 58-year-old female presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports anxiety. Wheezing is present. The patient reports shortness of breath. The patient reports difficulty swallowing.
true
6
70
female
A 70-year-old female presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports fatigue. The patient reports chest pain.
true
7
74
female
A 74-year-old female presents for clinical evaluation. The patient reports anxiety. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports fatigue. Wheezing is present. The patient reports alcohol consumption. The patient reports coughing. The patient reports shortness o...
false
8
77
male
A 77-year-old male presents for clinical evaluation. The patient has a history of smoking. The patient reports anxiety. A chronic disease is present. The patient reports fatigue. The patient reports allergies. Wheezing is present. The patient reports coughing. The patient reports shortness of breath. The patient report...
false
9
67
female
A 67-year-old female presents for clinical evaluation. A chronic disease is present. Wheezing is present. The patient reports coughing. The patient reports difficulty swallowing. The patient reports chest pain.
false
10
35
female
A 35-year-old female presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports peer pressure related to smoking. The patient reports fatigue. The patient reports allergies. The patient reports alcohol consumpt...
false
11
60
female
A 60-year-old female presents for clinical evaluation. The patient reports anxiety. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports fatigue. The patient reports coughing. The patient reports shortness of breath. The patient reports chest pain.
true
12
79
male
A 79-year-old male presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports anxiety. A chronic disease is present. The patient reports allergies. Wheezing is present. The patient reports shortness of breath.
true
13
70
male
A 70-year-old male presents for clinical evaluation. The patient has a history of smoking. A chronic disease is present. The patient reports alcohol consumption. The patient reports difficulty swallowing. The patient reports chest pain.
false
14
67
female
A 67-year-old female presents for clinical evaluation. The patient reports anxiety. The patient reports peer pressure related to smoking. The patient reports allergies. The patient reports shortness of breath. The patient reports difficulty swallowing. The patient reports chest pain.
false
15
39
female
A 39-year-old female presents for clinical evaluation. The patient reports anxiety. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports alcohol consumption. The patient reports chest pain.
false
16
62
male
A 62-year-old male presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. A chronic disease is present. The patient reports fatigue. The patient reports alcohol consumption. The patient reports shortness of breath. The patient reports difficulty swallowin...
true
17
64
female
A 64-year-old female presents for clinical evaluation. The patient reports anxiety. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports fatigue. Wheezing is present. The patient reports coughing. The patient reports shortness of breath. The patient reports chest pain.
false
18
66
male
A 66-year-old male presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports fatigue. Wheezing is present. The patient reports shortness of breath. The patient rep...
false
19
79
male
A 79-year-old male presents for clinical evaluation. The patient reports anxiety. The patient reports peer pressure related to smoking. The patient reports fatigue. The patient reports allergies. Wheezing is present. The patient reports coughing.
false
20
76
female
A 76-year-old female presents for clinical evaluation. The patient reports anxiety. The patient reports peer pressure related to smoking. The patient reports fatigue. The patient reports alcohol consumption. The patient reports coughing. The patient reports shortness of breath. The patient reports difficulty swallowing...
true
21
65
male
A 65-year-old male presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports alcohol consumption. The patient reports difficulty swallowing.
false
22
48
female
A 48-year-old female presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports allergies. Wheezing is present. The patient reports coughing. The patient reports difficulty swallowing.
false
23
33
male
A 33-year-old male presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports allergies. Wheezing is present. The patient reports alcohol consumption.
false
24
47
female
A 47-year-old female presents for clinical evaluation. The patient has a history of smoking. The patient reports anxiety. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports fatigue. The patient reports alcohol consumption. The patient reports difficulty swallowing.
true
25
50
female
A 50-year-old female presents for clinical evaluation. Yellow discoloration of the fingers is present. A chronic disease is present. The patient reports fatigue. The patient reports allergies. The patient reports alcohol consumption. The patient reports shortness of breath.
false
26
36
male
A 36-year-old male presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports allergies. Wheezing is present. The patient reports coughing. The patient reports shortness of breath. The patient reports difficulty swallowing.
true
27
37
male
A 37-year-old male presents for clinical evaluation. The patient reports anxiety. A chronic disease is present. The patient reports allergies. The patient reports alcohol consumption. The patient reports coughing.
false
28
51
male
A 51-year-old male presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports fatigue. The patient reports allergies. The patient reports shortness of brea...
true
29
51
female
A 51-year-old female presents for clinical evaluation. The patient reports peer pressure related to smoking. The patient reports allergies. Wheezing is present. The patient reports coughing. The patient reports shortness of breath.
true
30
53
female
A 53-year-old female presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports peer pressure related to smoking. A chronic disease is present. Wheezing is present. The patient reports alcohol consumption. The ...
true
31
72
male
A 72-year-old male presents for clinical evaluation. The patient reports fatigue. The patient reports allergies. Wheezing is present. The patient reports alcohol consumption. The patient reports shortness of breath. The patient reports chest pain.
true
32
71
male
A 71-year-old male presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports allergies. Wheezing is present. The patient reports alcohol consumption. The patient r...
true
33
62
female
A 62-year-old female presents for clinical evaluation. The patient has a history of smoking. The patient reports anxiety. The patient reports alcohol consumption. The patient reports coughing. The patient reports shortness of breath. The patient reports chest pain.
true
34
54
male
A 54-year-old male presents for clinical evaluation. The patient has a history of smoking. The patient reports allergies. The patient reports coughing. The patient reports shortness of breath. The patient reports difficulty swallowing.
true
35
54
male
A 54-year-old male presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. A chronic disease is present. The patient reports alcohol consumption. The patient reports shortness of breath. The patient reports difficulty swallowing. The patient reports chest ...
false
36
60
female
A 60-year-old female presents for clinical evaluation. The patient reports peer pressure related to smoking. The patient reports fatigue. Wheezing is present. The patient reports alcohol consumption. The patient reports coughing. The patient reports shortness of breath. The patient reports chest pain.
false
37
41
male
A 41-year-old male presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports fatigue. The patient reports allergies. The patient reports alcohol consumption. The patient reports coughing. The patient reports s...
true
38
46
male
A 46-year-old male presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports peer pressure related to smoking. Wheezing is present. The patient reports shortness of breath. The patient reports difficulty swallowing. The patient reports chest pain.
true
39
50
female
A 50-year-old female presents for clinical evaluation. The patient has a history of smoking. The patient reports anxiety. A chronic disease is present. The patient reports difficulty swallowing.
false
40
59
female
A 59-year-old female presents for clinical evaluation. The patient reports peer pressure related to smoking. The patient reports fatigue. Wheezing is present. The patient reports alcohol consumption. The patient reports coughing. The patient reports shortness of breath. The patient reports difficulty swallowing.
true
41
76
male
A 76-year-old male presents for clinical evaluation. The patient has a history of smoking. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports allergies. Wheezing is present. The patient reports alcohol consumption. The patient reports coughing. The patient reports di...
false
42
32
male
A 32-year-old male presents for clinical evaluation. The patient has a history of smoking. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports fatigue. The patient reports allergies. The patient reports alcohol consumption. The patient reports shortness of breath. The...
false
43
60
male
A 60-year-old male presents for clinical evaluation. The patient has a history of smoking. The patient reports anxiety. A chronic disease is present. The patient reports fatigue. The patient reports allergies. The patient reports difficulty swallowing.
false
44
34
male
A 34-year-old male presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports anxiety. A chronic disease is present. The patient reports allergies. The patient reports alcohol consumption.
false
45
65
female
A 65-year-old female presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports fatigue. Wheezing is present. The patient reports alcohol consumption. The patient reports coughing. The patient reports shortness of breath. The patient reports difficulty swallowing.
false
46
67
female
A 67-year-old female presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. A chronic disease is present. The patient reports allergies. Wheezing is present. The patient reports alcohol consumption. The patient reports shortness of breath. The patient rep...
false
47
59
female
A 59-year-old female presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. A chronic disease is present. The patient reports allergies. The patient reports shortness of breath. The patient reports chest pain.
false
48
44
female
A 44-year-old female presents for clinical evaluation. The patient reports peer pressure related to smoking. The patient reports fatigue. The patient reports alcohol consumption. The patient reports coughing. The patient reports shortness of breath. The patient reports difficulty swallowing.
true
49
38
male
A 38-year-old male presents for clinical evaluation. The patient reports anxiety. The patient reports peer pressure related to smoking. The patient reports allergies. The patient reports alcohol consumption. The patient reports chest pain.
true
50
50
female
A 50-year-old female presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports peer pressure related to smoking. Wheezing is present. The patient reports alcohol consumption.
false
51
69
male
A 69-year-old male presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports peer pressure related to smoking. The patient reports allergies. Wheezing is present. The patient reports alcohol consumption. The patient reports chest pain.
true
52
34
female
A 34-year-old female presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports anxiety. A chronic disease is present. The patient reports allergies. Wheezing is present. The patient reports alcohol consumption. The patient reports difficulty swallowing.
false
53
51
male
A 51-year-old male presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports fatigue. Wheezing is present. The patient reports chest pain.
true
54
67
male
A 67-year-old male presents for clinical evaluation. The patient reports anxiety. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports alcohol consumption. The patient reports coughing. The patient reports shortness of breath.
true
55
45
male
A 45-year-old male presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports allergies. Wheezing is present. The patient reports coughing. The patient reports ches...
true
56
36
female
A 36-year-old female presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports coughing. The patient reports shortness of breath. The patient reports ches...
true
57
40
male
A 40-year-old male presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports anxiety. A chronic disease is present. The patient reports fatigue. Wheezing is present. The patient reports coughing. The patient reports chest pain.
false
58
36
female
A 36-year-old female presents for clinical evaluation. The patient reports anxiety. A chronic disease is present. The patient reports fatigue. Wheezing is present. The patient reports alcohol consumption. The patient reports chest pain.
true
59
55
female
A 55-year-old female presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports allergies. The patient reports shortness of breath. The patient reports difficulty swallowing.
false
60
47
male
A 47-year-old male presents for clinical evaluation. The patient reports anxiety. The patient reports fatigue. The patient reports allergies. The patient reports chest pain.
true
61
55
male
A 55-year-old male presents for clinical evaluation. The patient reports anxiety. The patient reports peer pressure related to smoking. The patient reports allergies. The patient reports coughing. The patient reports difficulty swallowing.
false
62
63
male
A 63-year-old male presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports anxiety. A chronic disease is present. The patient reports alcohol consumption. The patient reports difficulty swallowing.
false
63
53
female
A 53-year-old female presents for clinical evaluation. The patient has a history of smoking. The patient reports peer pressure related to smoking. The patient reports fatigue. The patient reports allergies. The patient reports alcohol consumption. The patient reports coughing.
true
64
63
female
A 63-year-old female presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports fatigue. The patient reports allergies. The patient reports alcohol consumption. The...
false
65
70
male
A 70-year-old male presents for clinical evaluation. Wheezing is present. The patient reports alcohol consumption. The patient reports shortness of breath.
false
66
38
male
A 38-year-old male presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports peer pressure related to smoking. The patient reports fatigue. Wheezing is present. The patient reports coughing. The patient reports difficulty swallowing. The patient r...
true
67
62
female
A 62-year-old female presents for clinical evaluation. The patient reports peer pressure related to smoking. The patient reports alcohol consumption. The patient reports coughing. The patient reports shortness of breath.
false
68
67
male
A 67-year-old male presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports alcohol consumption. The patient reports shortness of breath.
false
69
35
female
A 35-year-old female presents for clinical evaluation. The patient has a history of smoking. The patient reports anxiety. A chronic disease is present. The patient reports allergies. Wheezing is present. The patient reports alcohol consumption. The patient reports coughing. The patient reports shortness of breath. The ...
true
70
75
male
A 75-year-old male presents for clinical evaluation. The patient reports peer pressure related to smoking. A chronic disease is present. Wheezing is present. The patient reports coughing. The patient reports difficulty swallowing.
true
71
52
male
A 52-year-old male presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports peer pressure related to smoking. A chronic disease is present. Wheezing is present. The patient reports alcohol consumption. The patient reports shortness of breath. The...
true
72
31
male
A 31-year-old male presents for clinical evaluation. The patient has a history of smoking. The patient reports fatigue. The patient reports allergies. The patient reports chest pain.
false
73
48
male
A 48-year-old male presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports peer pressure related to smoking. The patient reports fatigue. The patient reports difficulty swallowing.
true
74
57
male
A 57-year-old male presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports difficulty swallowing.
true
75
73
female
A 73-year-old female presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports anxiety. A chronic disease is present. The patient reports fatigue. Wheezing is present. The patient reports coughing. The patient reports difficulty swallowing.
false
76
67
male
A 67-year-old male presents for clinical evaluation. The patient has a history of smoking. The patient reports peer pressure related to smoking. The patient reports fatigue. The patient reports coughing. The patient reports shortness of breath. The patient reports chest pain.
true
77
55
male
A 55-year-old male presents for clinical evaluation. The patient reports anxiety. A chronic disease is present. The patient reports alcohol consumption. The patient reports coughing.
false
78
42
female
A 42-year-old female presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. A chronic disease is present. The patient reports fatigue. The patient reports alcohol consumption. The patient reports difficulty swallowing. The patient reports chest pain.
false
79
56
male
A 56-year-old male presents for clinical evaluation. The patient has a history of smoking. The patient reports peer pressure related to smoking. Wheezing is present. The patient reports alcohol consumption. The patient reports coughing. The patient reports shortness of breath.
true
80
74
male
A 74-year-old male presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports fatigue. The patient reports allergies. Wheezing...
false
81
52
male
A 52-year-old male presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports peer pressure related to smoking. The patient reports alcohol consumption. The patient reports difficulty swallowing. The patient reports chest pain.
true
82
32
female
A 32-year-old female presents for clinical evaluation. The patient has a history of smoking. The patient reports anxiety. Wheezing is present. The patient reports alcohol consumption. The patient reports coughing. The patient reports difficulty swallowing.
true
83
69
female
A 69-year-old female presents for clinical evaluation. The patient reports allergies. Wheezing is present. The patient reports coughing. The patient reports chest pain.
true
84
76
male
A 76-year-old male presents for clinical evaluation. The patient has a history of smoking. A chronic disease is present. The patient reports allergies. Wheezing is present. The patient reports alcohol consumption. The patient reports difficulty swallowing. The patient reports chest pain.
false
85
67
male
A 67-year-old male presents for clinical evaluation. The patient has a history of smoking. The patient reports anxiety. The patient reports peer pressure related to smoking. The patient reports fatigue. The patient reports allergies. Wheezing is present. The patient reports alcohol consumption. The patient reports ches...
true
86
39
female
A 39-year-old female presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports anxiety. A chronic disease is present. The patient reports fatigue. The patient reports chest pain.
true
87
48
male
A 48-year-old male presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports fatigue. The patient reports shortness of breath. The patient reports difficulty swallowing. The patient reports chest pain.
false
88
77
female
A 77-year-old female presents for clinical evaluation. Yellow discoloration of the fingers is present. A chronic disease is present. The patient reports fatigue. The patient reports coughing.
true
89
79
male
A 79-year-old male presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. A chronic disease is present. The patient reports fatigue. The patient reports alcohol consumption. The patient reports shortness of breath. The patient reports chest pain.
false
90
78
male
A 78-year-old male presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports peer pressure related to smoking. The patient reports coughing. The patient reports shortness of breath.
false
91
67
male
A 67-year-old male presents for clinical evaluation. The patient has a history of smoking. The patient reports anxiety. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports fatigue. Wheezing is present. The patient reports alcohol consumption. The patient reports short...
true
92
40
male
A 40-year-old male presents for clinical evaluation. The patient has a history of smoking. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports alcohol consumption. The patient reports shortness of breath. The patient reports chest pain.
true
93
68
male
A 68-year-old male presents for clinical evaluation. A chronic disease is present. Wheezing is present. The patient reports coughing. The patient reports chest pain.
true
94
33
female
A 33-year-old female presents for clinical evaluation. The patient has a history of smoking. Yellow discoloration of the fingers is present. The patient reports anxiety. The patient reports fatigue. The patient reports allergies. Wheezing is present. The patient reports alcohol consumption. The patient reports shortnes...
true
95
71
female
A 71-year-old female presents for clinical evaluation. The patient has a history of smoking. The patient reports anxiety. A chronic disease is present. The patient reports allergies. The patient reports alcohol consumption. The patient reports coughing. The patient reports difficulty swallowing. The patient reports che...
true
96
61
female
A 61-year-old female presents for clinical evaluation. The patient reports peer pressure related to smoking. The patient reports allergies. Wheezing is present. The patient reports coughing. The patient reports shortness of breath. The patient reports difficulty swallowing.
false
97
30
male
A 30-year-old male presents for clinical evaluation. The patient reports anxiety. The patient reports peer pressure related to smoking. The patient reports chest pain.
false
98
30
female
A 30-year-old female presents for clinical evaluation. Yellow discoloration of the fingers is present. The patient reports peer pressure related to smoking. A chronic disease is present. The patient reports fatigue. The patient reports alcohol consumption. The patient reports coughing. The patient reports chest pain.
false
99
78
female
A 78-year-old female presents for clinical evaluation. The patient has a history of smoking. A chronic disease is present. The patient reports fatigue. Wheezing is present. The patient reports shortness of breath. The patient reports difficulty swallowing. The patient reports chest pain.
true
End of preview. Expand in Data Studio

PulmoBench: A Structured Clinical Reasoning Benchmark for Pulmonology

Overview

PulmoBench is a structured benchmark designed to evaluate Large Language Models (LLMs) in clinical risk stratification, safety-aware pulmonary reasoning, and zero-shot diagnostic generalization.

The benchmark features two evaluation tracks:

  1. Core Benchmark (train, validation, test): Synthesized natural-language clinical vignettes with structured risk tiers, escalation flags, and systematic perturbations (lexical rephrasing, symptom omission, contradictory cues).
  2. External Validation (External_validation): Real-world patient records deterministically mapped from the Biswas & Nath clinical dataset into natural language narrative vignettes for out-of-distribution evaluation.

Dataset Structure

1. Core Benchmark Splits (train, validation, test)

Field Type Description
case_id int Unique case identifier
age int Patient age in years
sex str Biological sex (male, female)
risk_tier str Ordinal risk category (low, medium, high)
risk_score int Normalized risk score (0–2)
urgency str Recommended triage urgency level (routine_followup, specialist_consult, urgent_ct_scan, immediate_referral)
gold_differential list[str] Ground truth differential diagnoses
escalation_required bool Safety flag denoting whether immediate medical escalation is required
vignette str Clinical patient narrative presented to the model
perturbation_type str Stress-test variant (original, lexical_rephrase, symptom_removed, contradictory_signal)

2. External Validation Split (External_validation)

Generated from raw tabular clinical records containing 13 clinical symptoms/lifestyle factors (smoking, yellow fingers, chronic disease, wheezing, chest pain, etc.) transformed into standard narrative vignettes.

Field Type Description
case_id int Original row index from source cohort
age int Patient age in years
sex str Biological sex (male, female)
vignette str Natural language case presentation constructed from reported symptoms
gold_lung_cancer bool Ground-truth diagnostic confirmation (True / False). Do not include in prompt input.

Loading the Dataset

  from datasets import load_dataset
  dataset = load_dataset("saibhossain/PulmoBench")
  print(dataset)

output :

  DatasetDict({
      train: Dataset({
          features: ['case_id', 'age', 'sex', 'risk_tier', 'risk_score', 'urgency', 'gold_differential', 'escalation_required', 'vignette', 'perturbation_type'],
          num_rows: 2544
      })
      validation: Dataset({
          features: ['case_id', 'age', 'sex', 'risk_tier', 'risk_score', 'urgency', 'gold_differential', 'escalation_required', 'vignette', 'perturbation_type'],
          num_rows: 544
      })
      test: Dataset({
          features: ['case_id', 'age', 'sex', 'risk_tier', 'risk_score', 'urgency', 'gold_differential', 'escalation_required', 'vignette', 'perturbation_type'],
          num_rows: 548
      })
  })

Loading External Validation

from datasets import load_dataset

ext_val = load_dataset(
    "saibhossain/PulmoBench", 
    data_files={"external_validation": "External_validation/lung_cancer_external.jsonl"}
)
print(ext_val)

--

Task Definitions & Evaluation

Given a clinical vignette, models are evaluated on:

  1. Clinical Risk Stratification: Predicting risk_tier and triage urgency.
  2. Safety Compliance: Correctly identifying escalation_required without hallucinating or under-triaging critical findings.
  3. Robustness: Stability under adversarial perturbations (perturbation_type).
  4. External Generalization: Zero-shot binary detection of lung cancer risk on the External_validation cohort.

Intended Use & Safety Notice

PulmoBench is curated strictly for academic research, benchmark evaluation, and robustness testing of LLMs in biomedical contexts.

Clinical Disclaimer: This benchmark is not intended for direct clinical deployment, diagnostic decision-making, or real-world patient management.

Citations & Acknowledgments

Source Dataset

If you use PulmoBench or its external validation set, please cite the underlying sources:

Derived from: [Lung Cancer Prediction](https://www.kaggle.com/datasets/thedevastator/cancer-patients-and-air-pollution-a-new-link)
@misc{mr__abhinaba_biswas_mr__akash_nath_2024,
    title={Lung Cancer Dataset},
    url={[https://www.kaggle.com/dsv/8795028](https://www.kaggle.com/dsv/8795028)},
    DOI={10.34740/KAGGLE/DSV/8795028},
    publisher={Kaggle},
    author={Mr. Abhinaba Biswas and Mr. Akash Nath},
    year={2024}
}
@misc{pulmobench2026,
  title={PulmoBench: A Structured Clinical Reasoning Benchmark for Pulmonology},
  author={Hossain, Saib},
  year={2026},
  publisher={Hugging Face},
  howpublished={\url{[https://huggingface.co/datasets/saibhossain/PulmoBench](https://huggingface.co/datasets/saibhossain/PulmoBench)}}
}

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