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    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
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    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "小児画像か未確認。画面上に明示。"
  },
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    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "小児画像か未確認。画面上に明示。"
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    "licenseUrl": "https://creativecommons.org/licenses/by-sa/4.0",
    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "小児画像（原典の年齢根拠あり）"
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    "licenseName": "CC0",
    "licenseUrl": "https://creativecommons.org/publicdomain/zero/1.0/",
    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "小児画像（原典の年齢根拠あり）"
  },
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    "caseSlug": "meconium-aspiration",
    "imageId": "mas-xray",
    "fileName": "meconium-aspiration-xray.jpg",
    "sourcePageUrl": "https://commons.wikimedia.org/wiki/File:Mekoniumaspiration_bei_Neugeborenen_im_Roentgenbild_0W_-_CR_ap_-_001.jpg",
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    "doi": null,
    "licenseName": "CC BY-SA 4.0",
    "licenseUrl": "https://creativecommons.org/licenses/by-sa/4.0",
    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "小児画像（原典の年齢根拠あり）"
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    "caseSlug": "transient-tachypnea-newborn",
    "imageId": "ttn-source",
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    "sourcePageUrl": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4533247/",
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    "redistributionAllowed": false,
    "modificationAllowed": false,
    "commercialUseAllowed": null,
    "useMode": "external-link-only",
    "modificationDescription": "なし",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（原典内の具体的図表照合）",
    "checkMethod": "figureUrlまたは図番号を原典ページと照合",
    "verificationStatus": "verified",
    "notes": "小児画像か未確認。画面上に明示。"
  },
  {
    "caseId": 7,
    "caseSlug": "congenital-diaphragmatic-hernia",
    "imageId": "cdh-xray",
    "fileName": "congenital-diaphragmatic-hernia-xray.jpg",
    "sourcePageUrl": "https://commons.wikimedia.org/wiki/File:Kongenitale_Zwerchfellhernie_links_-_Roe_ap_001.jpg",
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    "licenseName": "CC BY-SA 3.0",
    "licenseUrl": "https://creativecommons.org/licenses/by-sa/3.0",
    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "小児画像（原典の年齢根拠あり）"
  },
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    "caseSlug": "tetralogy-fallot-boot-heart",
    "imageId": "tof-xray",
    "fileName": "tetralogy-boot-shaped-heart.jpg",
    "sourcePageUrl": "https://commons.wikimedia.org/wiki/File:Boot-shaped_heart.jpg",
    "originalImageUrl": "https://upload.wikimedia.org/wikipedia/commons/e/ea/Boot-shaped_heart.jpg",
    "doi": null,
    "licenseName": "CC BY-SA 4.0",
    "licenseUrl": "https://creativecommons.org/licenses/by-sa/4.0",
    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "成人参考画像。画面上に明示。"
  },
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    "caseSlug": "tga-egg-on-string",
    "imageId": "tga-xray",
    "fileName": "tga-egg-on-side.jpg",
    "sourcePageUrl": "https://commons.wikimedia.org/wiki/File:Transposition-of-great-vessels.jpg",
    "originalImageUrl": "https://upload.wikimedia.org/wikipedia/commons/f/fd/Transposition-of-great-vessels.jpg",
    "doi": null,
    "licenseName": "CC BY-SA 3.0",
    "licenseUrl": "https://creativecommons.org/licenses/by-sa/3.0",
    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "成人参考画像。画面上に明示。"
  },
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    "caseSlug": "tapvr-snowman-sign",
    "imageId": "tapvr-source",
    "fileName": null,
    "sourcePageUrl": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11665673/",
    "originalImageUrl": null,
    "doi": null,
    "licenseName": "転載条件未確認（原典リンクのみ）",
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    "redistributionAllowed": false,
    "modificationAllowed": false,
    "commercialUseAllowed": null,
    "useMode": "external-link-only",
    "modificationDescription": "なし",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（原典内の具体的図表照合）",
    "checkMethod": "figureUrlまたは図番号を原典ページと照合",
    "verificationStatus": "verified",
    "notes": "小児画像か未確認。画面上に明示。"
  },
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    "caseId": 11,
    "caseSlug": "atrial-septal-defect",
    "imageId": "asd-echo",
    "fileName": "asd-echocardiogram.jpg",
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    "originalImageUrl": "https://upload.wikimedia.org/wikipedia/commons/2/25/Echokardiogram_von_Atriumseptumdefekt_%28Ostium_secundum%29.jpg",
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    "licenseName": "Public domain",
    "licenseUrl": null,
    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "画像上端の検査日時をプライバシー保護のためトリミング。診断所見の改変なし。",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "成人参考画像。画面上に明示。"
  },
  {
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    "caseSlug": "supraventricular-tachycardia",
    "imageId": "svt-ecg",
    "fileName": "svt-lead-ii.jpg",
    "sourcePageUrl": "https://commons.wikimedia.org/wiki/File:SVT_Lead_II-2.JPG",
    "originalImageUrl": "https://upload.wikimedia.org/wikipedia/commons/b/bc/SVT_Lead_II-2.JPG",
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    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "成人参考画像。画面上に明示。"
  },
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    "caseSlug": "wpw-delta-wave",
    "imageId": "wpw-ecg",
    "fileName": "wpw-short-pr-delta-wave.jpg",
    "sourcePageUrl": "https://commons.wikimedia.org/wiki/File:Electrocardiogram_showed_a_short_PR_interval.jpg",
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    "licenseUrl": "https://creativecommons.org/licenses/by/4.0",
    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "成人参考画像。画面上に明示。"
  },
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    "caseSlug": "intussusception-target-sign",
    "imageId": "intussusception-us",
    "fileName": "intussusception-target-sign.png",
    "sourcePageUrl": "https://commons.wikimedia.org/wiki/File:Ultrasound_of_target_sign_in_intussusception_of_the_right_bowel.png",
    "originalImageUrl": "https://upload.wikimedia.org/wikipedia/commons/5/5d/Ultrasound_of_target_sign_in_intussusception_of_the_right_bowel.png",
    "doi": null,
    "licenseName": "CC BY-SA 4.0",
    "licenseUrl": "https://creativecommons.org/licenses/by-sa/4.0",
    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "成人参考画像。画面上に明示。"
  },
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    "caseSlug": "hypertrophic-pyloric-stenosis",
    "imageId": "pyloric-us",
    "fileName": "pyloric-stenosis-ultrasound.jpg",
    "sourcePageUrl": "https://commons.wikimedia.org/wiki/File:Pyloric-stenosis.jpg",
    "originalImageUrl": "https://upload.wikimedia.org/wikipedia/commons/b/b7/Pyloric-stenosis.jpg",
    "doi": null,
    "licenseName": "CC BY-SA 4.0",
    "licenseUrl": "https://creativecommons.org/licenses/by-sa/4.0",
    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "小児画像（原典の年齢根拠あり）"
  },
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    "imageId": "volvulus-source",
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    "sourcePageUrl": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8991126/",
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    "doi": null,
    "licenseName": "転載条件未確認（原典リンクのみ）",
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    "redistributionAllowed": false,
    "modificationAllowed": false,
    "commercialUseAllowed": null,
    "useMode": "external-link-only",
    "modificationDescription": "なし",
    "accessedAt": "2026-07-30",
    "checkedBy": "未確認",
    "checkMethod": "原典候補URLのみ。具体的図表の特定は未完了",
    "verificationStatus": "needs-research",
    "notes": "小児画像か未確認。画面上に明示。"
  },
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    "caseSlug": "nec-pneumatosis",
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    "fileName": "nec-pneumatosis-xray.jpg",
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    "licenseName": "CC BY-SA 4.0",
    "licenseUrl": "https://creativecommons.org/licenses/by-sa/4.0",
    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "小児画像（原典の年齢根拠あり）"
  },
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    "imageId": "duodenal-xray",
    "fileName": "duodenal-atresia-double-bubble.png",
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    "licenseName": "CC BY-SA 3.0",
    "licenseUrl": "https://creativecommons.org/licenses/by-sa/3.0",
    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "小児画像（原典の年齢根拠あり）"
  },
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    "caseSlug": "rickets-metaphysis",
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    "fileName": "rickets-wrist-xray.jpg",
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    "licenseUrl": "https://creativecommons.org/licenses/by-sa/4.0",
    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "小児画像か未確認。画面上に明示。"
  },
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    "caseSlug": "iga-vasculitis-purpura",
    "imageId": "iga-photo",
    "fileName": "iga-vasculitis-purpura.jpg",
    "sourcePageUrl": "https://commons.wikimedia.org/wiki/File:Purpura_Schonlein_Henoch.JPG",
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    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
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    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "成人参考画像。画面上に明示。"
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    "caseSlug": "wilms-tumor-histology",
    "imageId": "wilms-he",
    "fileName": "wilms-tumor-histology.jpg",
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    "licenseUrl": "https://creativecommons.org/licenses/by/2.0",
    "redistributionAllowed": true,
    "modificationAllowed": true,
    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
    "accessedAt": "2026-07-30",
    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
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    "notes": "成人参考画像。画面上に明示。"
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    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "成人参考画像。画面上に明示。"
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    "useMode": "local",
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    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
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    "notes": "成人参考画像。画面上に明示。"
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    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
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    "notes": "成人参考画像。画面上に明示。"
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    "modificationDescription": "原画像を改変せず収載",
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    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "成人参考画像。画面上に明示。"
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    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "成人参考画像。画面上に明示。"
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    "useMode": "local",
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    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "成人参考画像。画面上に明示。"
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    "licenseUrl": "https://creativecommons.org/licenses/by/2.0",
    "redistributionAllowed": true,
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    "commercialUseAllowed": true,
    "useMode": "local",
    "modificationDescription": "原画像を改変せず収載",
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    "checkedBy": "Codex（Wikimedia Commons個別ファイル・ライセンス照合）",
    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
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    "notes": "成人参考画像。画面上に明示。"
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    "imageId": "all-low",
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    "useMode": "local",
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    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
    "verificationStatus": "verified",
    "notes": "成人参考画像。画面上に明示。"
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    "modificationDescription": "縦横比と画素寸法を維持してJPEG品質85で再圧縮。医学的内容の改変なし。",
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    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
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    "notes": "成人参考画像。画面上に明示。"
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    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
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    "notes": "成人参考画像。画面上に明示。"
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    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
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    "notes": "成人参考画像。画面上に明示。"
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    "notes": "成人参考画像。画面上に明示。"
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    "notes": "小児画像か未確認。画面上に明示。"
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    "notes": "成人参考画像。画面上に明示。"
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    "checkMethod": "Commons個別ファイルページ、原画像URL、ライセンス、ローカルファイルを照合",
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    "notes": "小児画像か未確認。画面上に明示。"
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    "notes": "小児画像か未確認。画面上に明示。"
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    "notes": "小児画像か未確認。画面上に明示。"
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    "notes": "小児画像か未確認。画面上に明示。"
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    "notes": "小児画像か未確認。画面上に明示。"
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    "notes": "小児画像か未確認。画面上に明示。"
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    "notes": "成人参考画像。画面上に明示。"
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    "notes": "小児画像か未確認。画面上に明示。"
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    "modificationDescription": "なし",
    "accessedAt": "2026-07-30",
    "checkedBy": "未確認",
    "checkMethod": "原典候補URLのみ。具体的図表の特定は未完了",
    "verificationStatus": "needs-research",
    "notes": "小児画像か未確認。画面上に明示。"
  },
  {
    "caseId": 221,
    "caseSlug": "acute-appendicitis-ultrasound-child",
    "imageId": "acute-appendicitis-ultrasound-child-image",
    "fileName": null,
    "sourcePageUrl": "https://www.ncbi.nlm.nih.gov/books/?term=pediatric+appendicitis+ultrasound",
    "originalImageUrl": null,
    "doi": null,
    "licenseName": "転載条件未確認（原典リンクのみ）",
    "licenseUrl": null,
    "redistributionAllowed": false,
    "modificationAllowed": false,
    "commercialUseAllowed": null,
    "useMode": "external-link-only",
    "modificationDescription": "なし",
    "accessedAt": "2026-07-30",
    "checkedBy": "未確認",
    "checkMethod": "原典候補URLのみ。具体的図表の特定は未完了",
    "verificationStatus": "needs-research",
    "notes": "小児画像か未確認。画面上に明示。"
  },
  {
    "caseId": 222,
    "caseSlug": "otitis-media-with-effusion-otoscopy",
    "imageId": "otitis-media-with-effusion-otoscopy-image",
    "fileName": null,
    "sourcePageUrl": "https://www.ncbi.nlm.nih.gov/books/?term=otitis+media+with+effusion+otoscopy",
    "originalImageUrl": null,
    "doi": null,
    "licenseName": "転載条件未確認（原典リンクのみ）",
    "licenseUrl": null,
    "redistributionAllowed": false,
    "modificationAllowed": false,
    "commercialUseAllowed": null,
    "useMode": "external-link-only",
    "modificationDescription": "なし",
    "accessedAt": "2026-07-30",
    "checkedBy": "未確認",
    "checkMethod": "原典候補URLのみ。具体的図表の特定は未完了",
    "verificationStatus": "needs-research",
    "notes": "小児画像か未確認。画面上に明示。"
  }
]
