claude-code - 💡(How to fix) Fix [Bug] Claude Code fails to correlate detected fractures with anatomical structures in radiology analysis [1 participants]

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anthropics/claude-code#55593Fetched 2026-05-03 04:49:23
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Error Message

[{"error":"Error: Plugin MCP server error - mcp-config-invalid: MCP server github invalid: Missing environment variables: GITHUB_PERSONAL_ACCESS_TOKEN\n at wGH (B:/~BUN/root/src/entrypoints/cli.js:2825:34881)\n at processTicksAndRejections (native:7:39)","timestamp":"2026-05-02T08:25:47.645Z"},{"error":"Error: Plugin MCP server error - mcp-config-invalid: MCP server github invalid: Missing environment variables: GITHUB_PERSONAL_ACCESS_TOKEN\n at wGH (B:/~BUN/root/src/entrypoints/cli.js:2825:34881)\n at async v (B:/~BUN/root/src/entrypoints/cli.js:6388:11810)\n at processTicksAndRejections (native:7:39)","timestamp":"2026-05-02T08:25:48.816Z"},{"error":"Error: Plugin MCP server error - mcp-config-invalid: MCP server github invalid: Missing environment variables: GITHUB_PERSONAL_ACCESS_TOKEN\n at wGH (B:/~BUN/root/src/entrypoints/cli.js:2825:34881)\n at async N (B:/~BUN/root/src/entrypoints/cli.js:6388:12696)\n at processTicksAndRejections (native:7:39)","timestamp":"2026-05-02T08:25:48.817Z"},{"error":"Error: File does not exist. Note: your current working directory is C:\Cloude\Medical.\n at call (B:/~BUN/root/src/entrypoints/cli.js:4922:11399)\n at processTicksAndRejections (native:7:39)","timestamp":"2026-05-02T08:26:15.154Z"},{"error":"Error: ENOENT: no such file or directory, unlink 'C:\Users\illes\AppData\Local\Temp\claude\C--Cloude-Medical\feac27b1-01e4-4a6f-b56d-2fa8a4f8cda6\tasks\aad8e416fbc2d43f2.output'\n at async <anonymous> (B:/~BUN/root/src/entrypoints/cli.js:8754:299)","timestamp":"2026-05-02T14:01:10.930Z"},{"error":"Error: ECONNREFUSED\n at from (B:/~BUN/root/src/entrypoints/cli.js:112:7862)\n at <anonymous> (B:/~BUN/root/src/entrypoints/cli.js:120:12889)\n at emitError (node:events:43:23)\n at <anonymous> (node:_http_client:253:22)\n at processTicksAndRejections (native:7:39)\n at request (B:/~BUN/root/src/entrypoints/cli.js:122:2467)\n at processTicksAndRejections (native:7:39)","timestamp":"2026-05-02T14:14:24.001Z"}]

Code Example

[{"error":"Error: Plugin MCP server error - mcp-config-invalid: MCP server github invalid: Missing environment variables: GITHUB_PERSONAL_ACCESS_TOKEN\n    at wGH (B:/~BUN/root/src/entrypoints/cli.js:2825:34881)\n    at processTicksAndRejections (native:7:39)","timestamp":"2026-05-02T08:25:47.645Z"},{"error":"Error: Plugin MCP server error - mcp-config-invalid: MCP server github invalid: Missing environment variables: GITHUB_PERSONAL_ACCESS_TOKEN\n    at wGH (B:/~BUN/root/src/entrypoints/cli.js:2825:34881)\n    at async v (B:/~BUN/root/src/entrypoints/cli.js:6388:11810)\n    at processTicksAndRejections (native:7:39)","timestamp":"2026-05-02T08:25:48.816Z"},{"error":"Error: Plugin MCP server error - mcp-config-invalid: MCP server github invalid: Missing environment variables: GITHUB_PERSONAL_ACCESS_TOKEN\n    at wGH (B:/~BUN/root/src/entrypoints/cli.js:2825:34881)\n    at async N (B:/~BUN/root/src/entrypoints/cli.js:6388:12696)\n    at processTicksAndRejections (native:7:39)","timestamp":"2026-05-02T08:25:48.817Z"},{"error":"Error: File does not exist. Note: your current working directory is C:\\Cloude\\Medical.\n    at call (B:/~BUN/root/src/entrypoints/cli.js:4922:11399)\n    at processTicksAndRejections (native:7:39)","timestamp":"2026-05-02T08:26:15.154Z"},{"error":"Error: ENOENT: no such file or directory, unlink 'C:\\Users\\illes\\AppData\\Local\\Temp\\claude\\C--Cloude-Medical\\feac27b1-01e4-4a6f-b56d-2fa8a4f8cda6\\tasks\\aad8e416fbc2d43f2.output'\n    at async <anonymous> (B:/~BUN/root/src/entrypoints/cli.js:8754:299)","timestamp":"2026-05-02T14:01:10.930Z"},{"error":"Error: ECONNREFUSED\n    at from (B:/~BUN/root/src/entrypoints/cli.js:112:7862)\n    at <anonymous> (B:/~BUN/root/src/entrypoints/cli.js:120:12889)\n    at emitError (node:events:43:23)\n    at <anonymous> (node:_http_client:253:22)\n    at processTicksAndRejections (native:7:39)\n    at request (B:/~BUN/root/src/entrypoints/cli.js:122:2467)\n    at processTicksAndRejections (native:7:39)","timestamp":"2026-05-02T14:14:24.001Z"}]
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Bug Description Claude Desktop rileva visivamente discontinuità compatibili con fratture su radiografie ma non riesce a identificare le strutture ossee coinvolte — conosce l'anomalia ma non l'anatomia. Questo dissocia le due competenze necessarie per una diagnosi utile.

Environment Info

  • Platform: win32
  • Terminal: null
  • Version: 2.1.126
  • Feedback ID: f950de13-8c51-438f-b0e6-49232b9eec16

Errors

[{"error":"Error: Plugin MCP server error - mcp-config-invalid: MCP server github invalid: Missing environment variables: GITHUB_PERSONAL_ACCESS_TOKEN\n    at wGH (B:/~BUN/root/src/entrypoints/cli.js:2825:34881)\n    at processTicksAndRejections (native:7:39)","timestamp":"2026-05-02T08:25:47.645Z"},{"error":"Error: Plugin MCP server error - mcp-config-invalid: MCP server github invalid: Missing environment variables: GITHUB_PERSONAL_ACCESS_TOKEN\n    at wGH (B:/~BUN/root/src/entrypoints/cli.js:2825:34881)\n    at async v (B:/~BUN/root/src/entrypoints/cli.js:6388:11810)\n    at processTicksAndRejections (native:7:39)","timestamp":"2026-05-02T08:25:48.816Z"},{"error":"Error: Plugin MCP server error - mcp-config-invalid: MCP server github invalid: Missing environment variables: GITHUB_PERSONAL_ACCESS_TOKEN\n    at wGH (B:/~BUN/root/src/entrypoints/cli.js:2825:34881)\n    at async N (B:/~BUN/root/src/entrypoints/cli.js:6388:12696)\n    at processTicksAndRejections (native:7:39)","timestamp":"2026-05-02T08:25:48.817Z"},{"error":"Error: File does not exist. Note: your current working directory is C:\\Cloude\\Medical.\n    at call (B:/~BUN/root/src/entrypoints/cli.js:4922:11399)\n    at processTicksAndRejections (native:7:39)","timestamp":"2026-05-02T08:26:15.154Z"},{"error":"Error: ENOENT: no such file or directory, unlink 'C:\\Users\\illes\\AppData\\Local\\Temp\\claude\\C--Cloude-Medical\\feac27b1-01e4-4a6f-b56d-2fa8a4f8cda6\\tasks\\aad8e416fbc2d43f2.output'\n    at async <anonymous> (B:/~BUN/root/src/entrypoints/cli.js:8754:299)","timestamp":"2026-05-02T14:01:10.930Z"},{"error":"Error: ECONNREFUSED\n    at from (B:/~BUN/root/src/entrypoints/cli.js:112:7862)\n    at <anonymous> (B:/~BUN/root/src/entrypoints/cli.js:120:12889)\n    at emitError (node:events:43:23)\n    at <anonymous> (node:_http_client:253:22)\n    at processTicksAndRejections (native:7:39)\n    at request (B:/~BUN/root/src/entrypoints/cli.js:122:2467)\n    at processTicksAndRejections (native:7:39)","timestamp":"2026-05-02T14:14:24.001Z"}]

extent analysis

TL;DR

Set the GITHUB_PERSONAL_ACCESS_TOKEN environment variable to resolve the mcp-config-invalid error.

Guidance

  • The error messages indicate a missing GITHUB_PERSONAL_ACCESS_TOKEN environment variable, which is required for the MCP server to function correctly.
  • Verify that the environment variable is set by checking the system settings or command line configuration.
  • To mitigate the issue, set the GITHUB_PERSONAL_ACCESS_TOKEN environment variable with a valid token.
  • Additionally, check the file paths and directories mentioned in the error messages to ensure they exist and are accessible.

Example

No code snippet is provided as it is not directly related to the issue.

Notes

The issue seems to be related to the MCP server configuration and environment variables. Setting the GITHUB_PERSONAL_ACCESS_TOKEN environment variable should resolve the mcp-config-invalid error. However, the other errors mentioned in the log may require further investigation.

Recommendation

Apply workaround: Set the GITHUB_PERSONAL_ACCESS_TOKEN environment variable to resolve the immediate issue, and then investigate the other errors to ensure the system is fully functional.

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claude-code - 💡(How to fix) Fix [Bug] Claude Code fails to correlate detected fractures with anatomical structures in radiology analysis [1 participants]