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+++ b/processing/MACCROBAT/25759562.ann
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+T1	Age 2 13	65-year-old
+T2	Sex 14 19	woman
+T3	Clinical_event 20 29	presented
+E1	Clinical_event:T3 
+T4	Sign_symptom 71 75	pain
+E2	Sign_symptom:T4 
+T5	Biological_structure 50 70	right upper quadrant
+R1	MODIFY Arg1:T5 Arg2:E2	
+T6	Date 77 94	Three years prior
+E3	Date:T6 
+T7	Disease_disorder 151 154	BCS
+E4	Disease_disorder:T7 
+#1	AnnotatorNotes E4	Budd-Chiari syndrome
+T8	Detailed_description 140 150	idiopathic
+R2	MODIFY Arg1:T8 Arg2:E4	
+T9	Clinical_event 169 176	checkup
+E5	Clinical_event:T9 
+T10	Diagnostic_procedure 186 196	ultrasound
+E6	Diagnostic_procedure:T10 
+T11	Detailed_description 178 185	Doppler
+R3	MODIFY Arg1:T11 Arg2:E6	
+T12	Diagnostic_procedure 198 200	US
+E7	Diagnostic_procedure:T12 
+R4	IDENTICAL Arg1:E7 Arg2:E6	
+T13	Sign_symptom 221 232	obstruction
+E8	Sign_symptom:T13 
+T14	Biological_structure 240 269	middle and left hepatic veins
+R5	MODIFY Arg1:T14 Arg2:E8	
+T15	Disease_disorder 305 318	thrombophilia
+E9	Disease_disorder:T15 
+A1	POLARITY E9 UNCERTAIN
+T16	Medication 359 367	warfarin
+E10	Medication:T16 
+T17	Diagnostic_procedure 383 413	international normalized ratio
+E11	Diagnostic_procedure:T17 
+T18	Lab_value 414 429	between 2 and 3
+E12	Lab_value:T18 
+R6	MODIFY Arg1:E12 Arg2:E11	
+T19	Clinical_event 513 520	consult
+E13	Clinical_event:T19 
+A2	POLARITY E13 NEG
+T20	Duration 542 549	2 years
+E14	Duration:T20 
+T21	Date 448 469	after at least 1 year
+E15	Date:T21 
+T22	Detailed_description 477 491	non-compliance
+R7	MODIFY Arg1:T22 Arg2:E10	
+T23	Other_event 435 447	discontinued
+E16	Other_event:T23 
+#2	AnnotatorNotes E16	discontinued warfarin
+T24	Sign_symptom 568 580	asymptomatic
+E17	Sign_symptom:T24 
+T25	Duration 589 601	past 3 years
+E18	Duration:T25 
+T26	Sign_symptom 675 679	pain
+E19	Sign_symptom:T26 
+T27	Frequency 662 674	intermittent
+T28	Detailed_description 651 660	worsening
+R8	MODIFY Arg1:T28 Arg2:E19	
+R9	MODIFY Arg1:T27 Arg2:E19	
+T29	Biological_structure 687 707	right upper quadrant
+R10	MODIFY Arg1:T29 Arg2:E19	
+T30	Diagnostic_procedure 767 787	Physical examination
+E20	Diagnostic_procedure:T30 
+T31	Sign_symptom 835 845	tenderness
+E21	Sign_symptom:T31 
+T32	Biological_structure 814 834	right upper quadrant
+R11	MODIFY Arg1:T32 Arg2:E21	
+T33	Sign_symptom 3262 3274	asymptomatic
+E22	Sign_symptom:T33 
+T34	Duration 3281 3287	1 year
+E23	Duration:T34 
+T35	Clinical_event 3291 3300	follow-up
+E24	Clinical_event:T35 
+T36	Medication 3240 3248	warfarin
+E25	Medication:T36 
+T37	Clinical_event 3216 3226	discharged
+E26	Clinical_event:T37 
+T38	Diagnostic_procedure 847 863	Laboratory tests
+E27	Diagnostic_procedure:T38 
+T39	Lab_value 873 888	mildly elevated
+E28	Lab_value:T39 
+T40	Diagnostic_procedure 889 898	bilirubin
+E29	Diagnostic_procedure:T40 
+T41	Lab_value 900 909	2.2 mg/dL
+E30	Lab_value:T41 
+T42	Diagnostic_procedure 915 922	albumin
+E31	Diagnostic_procedure:T42 
+T43	Lab_value 923 930	deficit
+E32	Lab_value:T43 
+T44	Lab_value 932 941	2.38 g/dL
+E33	Lab_value:T44 
+R12	MODIFY Arg1:E32 Arg2:E31	
+R13	MODIFY Arg1:E33 Arg2:E31	
+R14	MODIFY Arg1:E30 Arg2:E29	
+R15	MODIFY Arg1:E28 Arg2:E29	
+T45	Diagnostic_procedure 948 958	Child-Pugh
+E34	Diagnostic_procedure:T45 
+T46	Diagnostic_procedure 960 962	CP
+E35	Diagnostic_procedure:T46 
+R16	IDENTICAL Arg1:E35 Arg2:E34	
+T47	Lab_value 974 975	8
+E36	Lab_value:T47 
+R17	MODIFY Arg1:E36 Arg2:E34	
+T48	Diagnostic_procedure 977 1010	Model for End-Stage Liver Disease
+E37	Diagnostic_procedure:T48 
+T49	Diagnostic_procedure 1012 1016	MELD
+E38	Diagnostic_procedure:T49 
+R18	IDENTICAL Arg1:E38 Arg2:E37	
+T50	Lab_value 1028 1030	11
+E39	Lab_value:T50 
+R19	MODIFY Arg1:E39 Arg2:E37	
+T51	Diagnostic_procedure 1032 1041	Rotterdam
+E40	Diagnostic_procedure:T51 
+T52	Lab_value 1052 1056	0.15
+E41	Lab_value:T52 
+R20	MODIFY Arg1:E41 Arg2:E40	
+T53	Diagnostic_procedure 1062 1087	BCS-TIPS prognostic index
+E42	Diagnostic_procedure:T53 
+T54	Diagnostic_procedure 1089 1100	BCS-TIPS PI
+E43	Diagnostic_procedure:T54 
+R21	IDENTICAL Arg1:E43 Arg2:E42	
+T55	Lab_value 1112 1115	6.3
+E44	Lab_value:T55 
+R22	MODIFY Arg1:E44 Arg2:E42	
+T56	Diagnostic_procedure 1137 1156	computed tomography
+E45	Diagnostic_procedure:T56 
+T57	Detailed_description 1119 1136	contrast-enhanced
+R23	MODIFY Arg1:T57 Arg2:E45	
+T58	Diagnostic_procedure 1158 1160	CT
+E46	Diagnostic_procedure:T58 
+R24	IDENTICAL Arg1:E46 Arg2:E45	
+T59	Sign_symptom 1220 1232	hepatomegaly
+E47	Sign_symptom:T59 
+T60	Sign_symptom 1238 1249	hypertrophy
+E48	Sign_symptom:T60 
+T61	Diagnostic_procedure 3314 3330	laboratory tests
+E49	Diagnostic_procedure:T61 
+T62	Medication 2296 2314	conscious sedation
+E50	Medication:T62 
+T63	Diagnostic_procedure 3127 3136	recovered
+E51	Diagnostic_procedure:T63 
+T64	Lab_value 3137 3149	uneventfully
+E52	Lab_value:T64 
+T65	Sign_symptom 3195 3199	pain
+E53	Sign_symptom:T65 
+A3	POLARITY E53 NEG
+T66	Biological_structure 3185 3194	abdominal
+R25	MODIFY Arg1:T66 Arg2:E53	
+T67	Date 3203 3206	2 d
+E54	Date:T67 
+R26	MODIFY Arg1:E52 Arg2:E51	
+T68	Diagnostic_procedure 3347 3361	liver function
+E55	Diagnostic_procedure:T68 
+T69	Lab_value 3340 3346	normal
+E56	Lab_value:T69 
+R27	MODIFY Arg1:E56 Arg2:E55	
+T70	Diagnostic_procedure 3375 3377	US
+E57	Diagnostic_procedure:T70 
+T71	Detailed_description 3367 3374	Doppler
+R28	MODIFY Arg1:T71 Arg2:E57	
+T72	Date 3403 3435	1, 3, 6, and 12 mo postprocedure
+E58	Date:T72 
+T73	Sign_symptom 3448 3460	patent shunt
+E59	Sign_symptom:T73 
+T74	Diagnostic_procedure 3466 3468	CP
+E60	Diagnostic_procedure:T74 
+T75	Diagnostic_procedure 3482 3486	MELD
+E61	Diagnostic_procedure:T75 
+T76	Diagnostic_procedure 3500 3509	Rotterdam
+E62	Diagnostic_procedure:T76 
+T77	Diagnostic_procedure 3530 3541	TIPS-BCS PI
+E63	Diagnostic_procedure:T77 
+T78	Lab_value 3479 3480	5
+E64	Lab_value:T78 
+T79	Lab_value 3497 3498	8
+E65	Lab_value:T79 
+T80	Lab_value 3520 3524	0.12
+E66	Lab_value:T80 
+T81	Lab_value 3552 3555	6.1
+E67	Lab_value:T81 
+R29	MODIFY Arg1:E64 Arg2:E60	
+R30	MODIFY Arg1:E65 Arg2:E61	
+R31	MODIFY Arg1:E66 Arg2:E62	
+R32	MODIFY Arg1:E67 Arg2:E63	
+T82	Diagnostic_procedure 3557 3559	CT
+E68	Diagnostic_procedure:T82 
+T83	History 1526 1556	no preceding history of trauma
+T84	Clinical_event 2198 2205	brought
+E69	Clinical_event:T84 
+T85	Nonbiological_location 2213 2243	interventional radiology suite
+R33	MODIFY Arg1:T85 Arg2:E69	
+T86	Therapeutic_procedure 2316 2334	Portal vein access
+E70	Therapeutic_procedure:T86 
+T87	Date 1621 1639	3 years previously
+E71	Date:T87 
+T88	Sign_symptom 1174 1188	non-visualized
+E72	Sign_symptom:T88 
+T89	Biological_structure 1189 1218	middle and left hepatic veins
+R34	MODIFY Arg1:T89 Arg2:E72	
+T90	Diagnostic_procedure 3039 3070	portosystemic pressure gradient
+E73	Diagnostic_procedure:T90 
+T91	Diagnostic_procedure 3072 3075	PPG
+E74	Diagnostic_procedure:T91 
+R35	IDENTICAL Arg1:E74 Arg2:E73	
+T92	Lab_value 3081 3090	decreased
+E75	Lab_value:T92 
+T93	Lab_value 3096 3103	19 mmHg
+E76	Lab_value:T93 
+T94	Lab_value 3107 3113	8 mmHg
+E77	Lab_value:T94 
+R36	MODIFY Arg1:E75 Arg2:E73	
+R37	MODIFY Arg1:E76 Arg2:E73	
+R38	MODIFY Arg1:E77 Arg2:E73	
+A4	TREND E19 INC
+T95	Sign_symptom 732 765	associated or alleviating factors
+E78	Sign_symptom:T95 
+A5	POLARITY E78 NEG
+T96	Biological_structure 1257 1269	caudate lobe
+T97	Sign_symptom 1271 1283	splenomegaly
+E79	Sign_symptom:T97 
+T98	Sign_symptom 1293 1311	venous collaterals
+E80	Sign_symptom:T98 
+T99	Biological_structure 1285 1292	hepatic
+R39	MODIFY Arg1:T99 Arg2:E80	
+T100	Sign_symptom 1328 1336	aneurysm
+E81	Sign_symptom:T100 
+T101	Detailed_description 1319 1327	saccular
+R40	MODIFY Arg1:T101 Arg2:E81	
+T102	Biological_structure 1352 1388	extrahepatic portal vein main branch
+T103	Distance 1399 1415	3.2 cm in height
+T104	Area 1420 1447	2.5 cm × 2.4 cm in diameter
+R41	MODIFY Arg1:T102 Arg2:E81	
+R42	MODIFY Arg1:T103 Arg2:E81	
+R43	MODIFY Arg1:T104 Arg2:E81	
+T105	Sign_symptom 1466 1474	aneurysm
+E82	Sign_symptom:T105 
+T106	Disease_disorder 1509 1512	BCS
+E83	Disease_disorder:T106 
+T107	Disease_disorder 1550 1556	trauma
+E84	Disease_disorder:T107 
+A6	POLARITY E84 NEG
+T108	Diagnostic_procedure 1596 1598	US
+E85	Diagnostic_procedure:T108 
+T109	Detailed_description 1588 1595	Doppler
+R44	MODIFY Arg1:T109 Arg2:E85	
+T110	Sign_symptom 1669 1676	ascites
+E86	Sign_symptom:T110 
+A7	POLARITY E86 NEG
+T111	Sign_symptom 1689 1697	bleeding
+E87	Sign_symptom:T111 
+A8	POLARITY E87 NEG
+T112	Biological_structure 1680 1688	variceal
+R45	MODIFY Arg1:T112 Arg2:E87	
+T113	Therapeutic_procedure 1733 1737	TIPS
+E88	Therapeutic_procedure:T113 
+#3	AnnotatorNotes E88	Transjugular intrahepatic portosystemic shunt
+T114	Sign_symptom 1772 1783	obstruction
+E89	Sign_symptom:T114 
+T115	Biological_structure 1749 1763	hepatic venous
+R46	MODIFY Arg1:T115 Arg2:E89	
+T116	Detailed_description 1764 1771	outflow
+R47	MODIFY Arg1:T116 Arg2:E89	
+T117	Sign_symptom 1806 1810	pain
+E90	Sign_symptom:T117 
+A9	TREND E90 INC
+T118	Disease_disorder 1827 1840	complications
+E91	Disease_disorder:T118 
+A10	POLARITY E91 MAYBE_POS
+T119	Sign_symptom 1848 1856	aneurysm
+E92	Sign_symptom:T119 
+T120	Sign_symptom 1886 1894	aneurysm
+E93	Sign_symptom:T120 
+T121	Therapeutic_procedure 1863 1878	direct approach
+E94	Therapeutic_procedure:T121 
+A11	POLARITY E94 NEG
+T122	Sign_symptom 1979 1991	hypertension
+E95	Sign_symptom:T122 
+T123	Biological_structure 1972 1978	portal
+R48	MODIFY Arg1:T123 Arg2:E95	
+T124	Therapeutic_procedure 1997 2011	stent-grafting
+E96	Therapeutic_procedure:T124 
+A12	POLARITY E96 UNCERTAIN
+T125	Sign_symptom 2103 2114	obstruction
+E97	Sign_symptom:T125 
+T126	Sign_symptom 2130 2143	thrombophilia
+E98	Sign_symptom:T126 
+T127	Biological_structure 2080 2094	hepatic venous
+T128	Detailed_description 2095 2102	outflow
+R49	MODIFY Arg1:T128 Arg2:E97	
+R50	MODIFY Arg1:T127 Arg2:E97	
+T129	Diagnostic_procedure 2381 2392	fluoroscopy
+E99	Diagnostic_procedure:T129 
+T130	Diagnostic_procedure 2398 2409	portography
+E100	Diagnostic_procedure:T130 
+T131	Biological_structure 2356 2374	right hepatic vein
+R51	MODIFY Arg1:T131 Arg2:E70	
+T132	Sign_symptom 2428 2436	aneurysm
+E101	Sign_symptom:T132 
+T133	Detailed_description 2419 2427	saccular
+R52	MODIFY Arg1:T133 Arg2:E101	
+T134	Biological_structure 2452 2468	main portal vein
+R53	MODIFY Arg1:T134 Arg2:E101	
+T135	Sign_symptom 2505 2515	thrombosis
+E102	Sign_symptom:T135 
+T136	Biological_structure 2480 2504	intrahepatic portal vein
+R54	MODIFY Arg1:T136 Arg2:E102	
+T137	Severity 2470 2479	extensive
+R55	MODIFY Arg1:T137 Arg2:E102	
+T138	Sign_symptom 2539 2546	varices
+E103	Sign_symptom:T138 
+T139	Biological_structure 2527 2538	splenorenal
+T140	Severity 2521 2526	small
+R56	MODIFY Arg1:T139 Arg2:E103	
+R57	MODIFY Arg1:T140 Arg2:E103	
+T141	Therapeutic_procedure 2627 2638	stent-graft
+E104	Therapeutic_procedure:T141 
+T142	Detailed_description 2587 2610	polytetrafluoroethylene
+T143	Detailed_description 2612 2617	ePTFE
+R58	IDENTICAL Arg1:T143 Arg2:T142	
+R59	MODIFY Arg1:T142 Arg2:E104	
+T144	Detailed_description 2619 2626	covered
+R60	MODIFY Arg1:T144 Arg2:E104	
+T145	Detailed_description 2578 2586	expanded
+T146	Detailed_description 2563 2577	10-mm diameter
+R61	MODIFY Arg1:T145 Arg2:E104	
+R62	MODIFY Arg1:T146 Arg2:E104	
+T147	Detailed_description 2640 2652	Fluency Plus
+T148	Detailed_description 2654 2709	Bard Peripheral Vascular, Tempe, Arizona, United States
+R63	MODIFY Arg1:T147 Arg2:E104	
+R64	MODIFY Arg1:T148 Arg2:E104	
+T149	Biological_structure 2735 2758	liver parenchymal tract
+R65	MODIFY Arg1:T149 Arg2:E104	
+T150	Therapeutic_procedure 2774 2785	stent-graft
+E105	Therapeutic_procedure:T150 
+T151	Biological_structure 2795 2817	main portal vein trunk
+R66	MODIFY Arg1:T151 Arg2:E105	
+T152	Sign_symptom 2831 2839	aneurysm
+E106	Sign_symptom:T152 
+A13	POLARITY E105 NEG
+T153	Sign_symptom 2881 2889	obstruct
+E107	Sign_symptom:T153 
+A14	POLARITY E107 NEG
+T154	Biological_structure 2908 2928	portal vein branches
+R67	MODIFY Arg1:T154 Arg2:E107	
+T155	Diagnostic_procedure 2941 2952	portography
+E108	Diagnostic_procedure:T155 
+T156	Sign_symptom 3005 3013	aneurysm
+E109	Sign_symptom:T156 
+A15	TREND E109 DEC
+T159	Sign_symptom 3582 3590	aneurysm
+E111	Sign_symptom:T159 
+A16	TREND E111 DEC
+T160	Distance 3616 3632	2.4 cm in height
+T161	Area 3637 3664	2.0 cm × 1.9 cm in diameter
+R69	MODIFY Arg1:T160 Arg2:E111	
+R70	MODIFY Arg1:T161 Arg2:E111	
+T162	Date 3668 3678	3 mo after
+E112	Date:T162 
+T163	Therapeutic_procedure 3679 3683	TIPS
+E113	Therapeutic_procedure:T163 
+T164	Distance 3726 3742	1.9 cm in height
+T165	Area 3747 3774	1.6 cm × 1.5 cm in diameter
+T166	Date 3778 3784	1 year
+E114	Date:T166 
+R71	MODIFY Arg1:T164 Arg2:E111	
+R72	MODIFY Arg1:T165 Arg2:E111	
+*	OVERLAP E1 E2
+R73	AFTER Arg1:E2 Arg2:E3	
+*	OVERLAP E3 E4 E5 E6 E8 E9 E10 E11
+R74	BEFORE Arg1:E11 Arg2:E16	
+*	OVERLAP E16 E15
+R75	BEFORE Arg1:E15 Arg2:E13	
+*	OVERLAP E13 E14
+R76	BEFORE Arg1:E14 Arg2:E17	
+*	OVERLAP E17 E18
+R77	BEFORE Arg1:E18 Arg2:E19	
+*	OVERLAP E19 E78 E20 E21 E27 E34 E37 E40 E42 E45 E72 E47 E48 E79 E80 E81 E82 E83
+R78	SUB_PROCEDURE Arg1:E29 Arg2:E27	
+R79	SUB_PROCEDURE Arg1:E31 Arg2:E27	
+R80	MODIFY Arg1:T96 Arg2:E48	
+R81	AFTER Arg1:E83 Arg2:E84	
+*	OVERLAP E84 E85 E71
+R82	BEFORE Arg1:E71 Arg2:E86	
+*	OVERLAP E86 E87 E88 E89 E90 E91 E92 E94 E95 E96 E97 E98 E69 E50 E70 E99 E100 E101 E102 E103 E104 E105 E106 E107
+#4	AnnotatorNotes E96	this was not considered but was later performed anyway
+R83	BEFORE Arg1:E107 Arg2:E108	
+R84	BEFORE Arg1:E73 Arg2:E51	
+R85	BEFORE Arg1:E51 Arg2:E53	
+*	OVERLAP E53 E54
+R86	BEFORE Arg1:E54 Arg2:E26	
+*	OVERLAP E26 E25
+R87	BEFORE Arg1:E25 Arg2:E22	
+*	OVERLAP E22 E23 E24 E49 E55 E57 E58 E59 E60 E61 E62 E63 E68 E111
+T157	Sign_symptom 2969 2981	patent shunt
+E110	Sign_symptom:T157 
+*	OVERLAP E108 E110 E109 E73
+R68	AFTER Arg1:E111 Arg2:E112	
+*	OVERLAP E112 E113
+R88	BEFORE Arg1:E113 Arg2:E114