dataset/test_cleaned.csv

file_name,transcription
data/test/audio_03807.wav,chronic lacunar infract seen in left corona radiata extending to external capsule.
data/test/audio_01093.wav,"segment of the left anterior tibial artery. distal opacification of the vessel is maintained. bones there are multiple lytic lesions involving the bilateral iliac bones and lower lumbar vertebrae, raising suspicion for metastatic deposits / neoplastic etiology in the appropriate clinical setting. there is fracture involving the femoral neck"
data/test/audio_03740.wav,bilateral mild inferior turbinate hypertrophy noted. mild mucosal thickening involving bilateral nasal cavities. bilateral mild ethmoid sinusitis. normal anatomical variants as mentioned.
data/test/audio_00995.wav,no intrinsic cord signal abnormality there is evidence of collection extending into left psoas muscle measuring approximately 3.3 x 2.7 cm x 5.4 cm showing diffusion restriction. another t2 hyperintense fluid collection measuring 3.5 x 4.4 x 7 cm noted in right psoas muscle.
data/test/audio_02042.wav,"impression: ill-defined diffusion-restricting hilar soft tissue lesion at the confluence of right and left hepatic ducts causing bilateral intrahepatic biliary radicle dilatation, consistent with a hilar obstructive pathology. the lesion shows local invasion into gallbladder fossa with encasement of gallbladder, and extrahepatic extension into subhepatic region abutting adjacent bowel structures."
data/test/audio_04567.wav,with resultant mild back pressure changes as mentioned. bilateral renal non-obstructive calculi. omentum umbilical hernia. suggested urine analysis correlation. investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly.
data/test/audio_00412.wav,visualized skeletal structures appears unremarkable. no significant abnormality detected. differential diagnosis na recommendation suggested clinical correlation.
data/test/audio_03806.wav,"there is no blooming on gradient echo images to suggest remote bleed or calcification. there is no intracranial hemorrhage or mass effect. the ventricles, basal cisterns and sulci are slightly prominent, suggestive of volume loss. normal intracranial flow voids are noted."
data/test/audio_04244.wav,"altered marrow signal intensity involving l4 and l5 vertebral body with extension of soft tissue in l4-5 intervertebral disc, suggestive of infective/inflammatory aetiology. advice: clinical and pathological correlation to rule out koch's aetiology."
data/test/audio_01441.wav,"no focal area of restricted diffusion is seen in the brain. the ventricles, cerebral sulci and the basal cisterns are normal. there is no shift of the midline structures or herniation. sella, parasellar structures and orbits reveal no significant abnormality. note is made of mucosal thickening in bilateral maxillary sinuses."
data/test/audio_01793.wav,"not reaching the articular surface, suggestive of grade ii signal. the body and anterior horn of the medial meniscus is intact. the lateral meniscus is intact. minimal synovial effusion is seen. mild fluid is seen in suprapatellar bursa."
data/test/audio_03483.wav,inflammatory or adhesive changes.
data/test/audio_00874.wav,observations: fibro atelectatic bands are seen in the posterobasal segment of the both the lower lobes. fibro atelectatic changes are seen in the lingular segment. calcified nodule is seen in the superior segment of the right lower lobe. rest of the both lung fields are clear without any evidence of parenchymal infiltration or cavitation.
data/test/audio_00046.wav,"other visualized bones (as included in the scan range): no acute osseous abnormality identified. musculature: diffuse atrophy of the muscles of the leg involving the anterior compartment, posterior compartment, and peroneal compartment. no intramuscular collection is identified on this non-contrast study."
data/test/audio_01209.wav,no significant osseous spinal canal stenosis. lumbosacral spine there is loss of normal lumbar lordosis. grade i anterolisthesis of l4 over l5 is present. degenerative changes include: small anterior and lateral marginal osteophytes from l2 to l5
data/test/audio_01999.wav,no aggressive osseous lesion or avascular necrosis identified. suggested clinical and laboratory correlation. investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly.
data/test/audio_03274.wav,"liver appears normal in size, contour, attenuation and shows no focal lesion. gallbladder appears normal with no evidence of calculi or wall thickening. pancreas appears normal in size and attenuation with no focal lesion. spleen appears normal in size and attenuation."
data/test/audio_04050.wav,a 2.2 x 2.1 cm sized fairly well-dened heterogeneously hyperechoic area noted in the right lobe of liver ? hemangioma. portal vein: normal. gall bladder: normal distended and wall thickness. there is no calculus or mass. cbd: normal.
data/test/audio_03146.wav,"gallbladder: gallbladder is adequately distended with intraluminal fluid density contents and shows no calculi or sludge. wall is smooth in contour with normal thickness and attenuation. cbd is not dilated. no peri-cholecystic collection / fluid or fat stranding seen. pancreas: recprding 3- pancreas is normal in size, shape, density and contrast enhancement. mpd is not dilated. peripancreatic fat planes are preserved. no parenchymal lesion or intraductal calcifications seen. spleen: spleen is normal in size and shows homogeneous contrast enhancement. no focal lesion in spleen is seen."
data/test/audio_01593.wav,"mild ligamentum flavum thickening is seen at l3-4, l4-5 and l5-s1 levels. the facet joints appear normal. posterior osseous structures and soft tissue structures are normal. no pre / paraspinal soft tissue collection is seen."
data/test/audio_04716.wav,"moderate subcutaneous edema is seen in the lumbar region, posteriorly. mild to moderate edema is seen in bilateral paraspinal muscles at l1 vertebral level. the lower end of the spinal cord, cauda equina and filum terminale do not reveal any abnormality. no abnormality is detected in the prevertebral region."
data/test/audio_03396.wav,bilateral lateral recess narrowing and abutting bilateral s1 traversing nerve roots.
data/test/audio_03731.wav,: a 4.1 x 3.1 x 3.8 mm sized hyperdense (hu 800) obstructive calculus in the right terminal ureter (2.5 mm from the right vesicoureteric junction) with resultant mild to moderate back pressure changes as mentioned. left renal non-obstructive calculi as mentioned.
data/test/audio_00597.wav,: no significant abnormality in plain radiograph adv - usg abdomen if clinically indicated.
data/test/audio_05008.wav,peg-shape like appearence of left cerebellar tonsil is seen. recommended mri of brain with cvj protocol if indicated. no obvious evidence of definite tonsillar herniation. differential diagnosis na recommendation suggested clinical correlation.
data/test/audio_03893.wav,"meniscus: grade ii tear involving body and posterior horn of medial meniscus reaching up to the posterior root. it is reaching up to the inferior articular surface. mild extrusion of body by 2-3 mm. few small subcentimetre sized adjacent parameniscal cysts noted, largest measuring 2.1 mm."
data/test/audio_05621.wav,of segmental or sub segmental bronchi noted. mediastinal window does not show any mediastinal or hilar lymphadenopathy. no evidence of obvious mediastinal mass lesion seen. no evidence of fluid collection noted in pleural cavity on either side. no evidence of pleural nodule or mass lesion noted.
data/test/audio_00379.wav,"the visualized hepatic ducts and cystic duct is normal in its course and caliber. the common bile duct is 10 mm at porta with smooth luminal narrowing at distal most end. there are no intrinsic lesions in the cystic and common bile ducts. the visualized pancreatic duct shows smooth, mild prominence in head region with max. calibre of 3.2 mm."
data/test/audio_00201.wav,"findings - uterus is anteverted and anteflexed. measures 9 cm in long axis, 4.4 cm in antero-posterior and 5.2 cm in transverse dimension. junctional zone is mildly thickened and measure 10 mm in maximum thickness."
data/test/audio_01208.wav,thoracic (dorsal) spine mild multilevel degenerative spondylotic change with anterior osteophyte formation at multiple thoracic levels. thoracic vertebral body heights and alignment are maintained. no acute compression fracture or traumatic subluxation identified in the thoracic spine.
data/test/audio_01632.wav,bilateral fronto-nasal recess appear unremarkable. the nasolacrimal duct on either side is normal. bilateral maxillary ostia are normal. the sinus lateralison either side show no abnormality. the lamina papyracea on either side is normal. left middle turbinate exhibit normal curvature.
data/test/audio_05495.wav,there is no focal arterial phase enhancing lesion is seen which shows washout on the venous phase images. left portal vein is mildly attenuated and there is mild atrophy of left lateral lobe of liver. there is mild dilatation of left hepatic duct and its intra segmental branches and there is prominence of right hepatic duct and its intra segmental branches.
data/test/audio_02543.wav,"image quality: good findings: there is no focal area of abnormal signal intensity in the cerebral or cerebellar hemispheres. the grey-white matter differentiation is well maintained. hippocampus (head, body and tail) appears normal in thickness and signal intensity."
data/test/audio_01925.wav,"multiple long segment areas of circumferential asymmetrical thickening noted involving the mid and distal ileal loops with mild adjacent fat stranding abdominal lymphadenopathy as mentioned. above findings are suggestive of infective/inflammatory aetiology. suggested clinical and endoscopy correlation. investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly. rohan sawant mbbs, m.d. radiodiagnosis diploma in msk (spain) fellow advanced ultrasonography & fetal medicine consultant radiologist all modern machines/procedures have their own limitation. if there is any clinical discrepancy ,this investigation may be repeated or reassessed by other tests. patients identification in online reporting is not established, so in no way this report can be utilized for any medico legal purpose. in case of any discrepancy due to typing error or machinery error please get it rectified immediately."
data/test/audio_00766.wav,thickening of right major and minor fissures is noted. multiple fibrotic bands are seen in right lung. additional fibrotic bands are noted in left lower lobe and lingular segments. calcified subpleural pulmonary nodule is seen in right upper lobe. few prominent mediastinal lymph nodes are noted.
data/test/audio_02746.wav,"the real time, b mode, gray scale sonography of the abdominal organs was performed."
data/test/audio_05073.wav,visualized bones appear unremarkable. right lung within the limits of mri study appears unremarkable. few prominent right paratracheal and subcarinal lymph nodes are seen the largest measures 7 mm in short axis dimension.
data/test/audio_04223.wav,hyperintensity of the popliteofibular and lateral meniscocapsular fibers s/o sprain osseous structures: high t2 signal intensity involving the bone marrow of posterior medial/lateral tibial condyles is in keeping with bone bruising.
data/test/audio_02325.wav,"findings: bones & marrow: distal humerus, proximal radius, and ulna show normal alignment and morphology. bone marrow signal is normal without evidence of edema, contusion, or focal lesion. no fracture or cortical irregularity identified."
data/test/audio_00695.wav,": large complex cystic lesion in right adnexa (10.3 x 8.5 cm) with t1 hyperintensity, t2 shading, and peripheral/septal enhancement - most suggestive of endometriotic cyst."
data/test/audio_01391.wav,"soft tissue periarticular soft tissues are normal. no significant abnormality noted. differential diagnosis na recommendation suggested clinical correlation. patient's identification in online reporting is not established, so this report cannot be utilized for any medico legal purpose/ certifications. all modern machines/procedures have their own limitation. if there is any clinical discrepancy, this investigation may be repeated or reassessed by other tests"
data/test/audio_03877.wav,recommendations: correlate with: sputum afb / cbnaat bronchoscopy if indicated
data/test/audio_04188.wav,"left vertebral artery is hypoplastic. right vertebral artery is normal. vertebrobasilar junction, basilar artery and its branches including the posterior cerebral arteries are normal. there is no evidence of arterial stenosis or aneurysm on this study. :- mr scan reveals,"
data/test/audio_01751.wav,"evidence of local invasion - absent, however, there is abutment with the wall of trachea, < 90 degrees contact with the thoracic aorta, it is abutting the pericardium. nodal metastasis absent distant metastasis absent no evidence of liver lung bone adrenal or peritoneal metastasis"
data/test/audio_03623.wav,multiple dilated and tortuous vessels involving bilateral adnexa with mild fluid in pouch of douglas suggestive of pelvic congestion. suggested liver function tests correlation. investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly.
data/test/audio_05304.wav,"(up to 5.8 cm). o large bowel collapse consistent with mechanical small bowel obstruction. o no ct evidence of bowel ischemia, vascular compromise, or mesenteric thrombosis at present. 2. mild inter-bowel free fluid, likely reactive. 3. left direct inguinal hernia containing omentum. 4. bilateral renal cysts, including a large left renal cyst"
data/test/audio_03810.wav,"perilesional t2 hyperintense collection / inflammatory focus (2.5 x 3.8 cm) around midshaft of left humerus, with adjacent myositis involving surrounding muscles. - possibility of postoperative infective collection / osteomyelitis with soft tissue involvement should be considered in appropriate clinical setting."
data/test/audio_02640.wav,"there is no shift of the midline structures or herniation. no evidence of any intracranial space occupying lesion or hemorrhage. sella, parasellar structures and orbits reveal no significant abnormality. impression: chronic lacunar infarct in left basal ganglia. microangiopathic foci in bilateral periventricular white matter."
data/test/audio_05510.wav,"spleen is mildly enlarged in size ( 14.2 cm in antero-posterior axis) with tiny foci of capsular calcification. splenic vein is normal in size (7-8 mm) and shows normal enhancement. both kidneys are normal in size, shape and position. both kidneys show prompt excretion of the contrast. no evidence of calculus or hydronephrosis."
data/test/audio_04752.wav,broad based posterior protrusion of l1-l2 disc causing mild narrowing of spinal canal. broad based posterior protrusion of l2-l3 disc causing mild narrowing of central canal broad based posterior herniation of l4-l5 disc causing mild to moderate narrowing of spinal canal. broad based posterior protrusion of l5-s1 disc causing mild narrowing of spinal canal.
data/test/audio_03522.wav,sella and parasellar structures appear grossly unremarkable. skull bones appear normal. no e/o any fracture noted ct face report is attached separately. : no significant intracranial abnormality detected. suggested clinical correlation. investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly.
data/test/audio_01722.wav,"clinical history: history of trauma with prior surgical fixation. evaluation for ligamentous and osseous injuries. ct screening available for correlation. postoperative changes are noted in the distal femur consistent with intramedullary nail fixation, resulting in significant metallic susceptibility artefacts that limit evaluation of adjacent structures."
data/test/audio_02351.wav,"tendinosis changes without discrete tear. biceps tendon long head of biceps tendon is seen within the bicipital groove and appears intact. labrum there is tear involving the anterosuperior portion of the glenoid labrum extending from approximately 2-4 o'clock position, suggestive of labral injury."
data/test/audio_02490.wav,"suggestive of tendinosis. other rotator tendons appear unremarkable. altered marrow signal intensity changes are seen on humeral head, suggestive of degenerative / traumatic marrow edema. mild changes of osteoarthritis are seen involving the glenohumeral joint. small lesions, appearing hypointense on t1 and hyperintense on t2 weighted images are seen in the humeral head."
data/test/audio_00004.wav,both kidneys show prompt excretion of the contrast. no evidence of calculus or hydronephrosis on right side. right ureter is normal in course and caliber. approximately 8.0 x 5.7 x 5.5 mm sized radiodense calculus (hu 1295) noted at left vuj with resultant mild hydroureteronephrosis.
data/test/audio_04489.wav,"there is collapse of the right upper lobe with associated fibrobronchiectatic changes. there is volume loss of the right lung with tracheomediastinal shift towards the right side. diffuse pleural thickening is noted in the right lower zone with calcific foci, suggestive of chronic fibrothorax."
data/test/audio_03327.wav,"no evidence of serosal breach or extrauterine extension. cervix: appears normal. vagina: a well-defined t2 hyperintense lesion with internal shading, measuring approximately 2.0 x 1.9 cm, is noted along the left lateral vaginal wall below the level of pubic symphysis, likely representing a gartner duct cyst."
data/test/audio_02466.wav,"no obvious retroperitoneal mass. no significant retroperitoneal lymphadenopathy. visualized major retroperitoneal vessels are normal. retroperitoneal fat planes appear unremarkable. prostate and seminal vesicles: prostate is normal in shape, size and enhancement pattern. prostatic capsule is intact. seminal vesicles and"
data/test/audio_04663.wav,findings alignment / curvature straightening with loss of normal lumbar lordosis. grade i anterolisthesis of l4 over l5. vertebral bodies / endplates lumbar vertebral body heights are maintained. no evidence of acute compression deformity. endplate sclerosis at l2l3.
data/test/audio_05043.wav,"pancreas: normal size and echotexture. no focal diffuse lesion. kidneys: right kidney measures 10.3 x 5.0 cm left kidney measures 10.9 x 5.4 cm both kidneys appear normal in size, shape & echotexture."
data/test/audio_01426.wav,"right kidney is otherwise normal in size, shape and position. the left kidney measures 10.9 x 5.4 cms. left kidney is normal in size, shape and position. no hydronephrosis, hydroureter or calculus is seen. the urinary bladder is distended with smooth outlines. prostate is normal in size and attenuation pattern."
data/test/audio_03106.wav,others bilateral cp angles are clear. both domes of diaphragm are normally placed. bony thoracic cage is normal. no soft tissue abnormality seen. homogeneous opacity involving right upper zone likely suggestive of of collapse consolidation. recommendation suggested clinical correlation.
data/test/audio_03445.wav,"findings: multiple haemorrhagic contusions with mild adjacent oedema involving bilateral fronto-parietal and right temporal lobes, largest measuring approximately 5.2 x 3.2 cm in the left frontal lobe. mild mass effect noted on adjacent lateral ventricles in the form of its compression and displacement. midline shift to the right by 4.9 mm."
data/test/audio_01572.wav,displaced fracture noted in distal shaft of right ulna. diffuse subcutaneous oedema noted. minimal joint effusion noted. rest of the bones forming the right wrist joint are normal in density and trabecular pattern. no focal sclerotic or lytic lesion seen.
data/test/audio_01043.wav,articular cartilage: no focal full-thickness chondral defect identified. capsule/igl complex: no gross capsular abnormality identified. coracoclavicular ligaments: appear intact. soft tissues: no focal soft-tissue mass or collection.
data/test/audio_04542.wav,no significant abdominopelvic lymphadenopathy noted. bilateral moderate pleural effusion noted with adjacent basal subsegmental atelectatic changes. no acute osseous abnormality identified in the visualised bones.
data/test/audio_02423.wav,incidental right-sided partial cervical rib is noted. mild rotation of the film is present. impression: no acute cardiopulmonary abnormality. old healed fracture of right clavicle and right sixth rib. incidental right-sided cervical rib. recommendations: hrct thorax if clinically indicated.
data/test/audio_03297.wav,"no obvious lump formation or signs of perforation. mild adjacent fat stranding noted. few subcentimeter sized non-necrotic lymph nodes are seen in mesentery and right iliac fossa, largest measuring 9 x 9 mm. liver is mildly enlarged and measures approximately 16 cm. it is otherwise normal. no evidence of focal lesion."
data/test/audio_02673.wav,both the frontal sinuses are well pneumatised and appear normal. frontal recesses on the both sides drains into the middle meatus. bilateral anterior and posterior ethmoidal air cells reveals mild mucosal thickening. sphenoid sinus is well pneumatised. pneumatisation of the lateral masses of the sphenoid is seen on both sides.
data/test/audio_03346.wav,"possibly lipoma - for hpe correlation. disc desiccation noted at multiple thoracic and lumbar levels. diffuse disc bulge noted at l2-l3 level causing anterior thecal sac indentation, bilateral lateral recess narrowing and abutting bilateral l3 traversing nerve roots."
data/test/audio_02534.wav,findings: cruciate ligaments: anterior cruciate ligament appears bulky and reveals increased t2 and pdfs signal intensity suggestive of mucoid degeneration. mild sprain involving the posterior cruciate ligament. no evidence of tear. collateral ligaments: mild sprain involving the medial collateral ligament. no evidence of laxity or tear. lateral collateral ligament appears normal.
data/test/audio_04155.wav,"medial flexor tendons: fluid along the flexor hallucis longus, tibialis posterior and flexor digitorum longus tendon sheaths, in keeping with tenosynovitis. no tendon discontinuity. anterior extensor tendons: intact without tenosynovitis."
data/test/audio_02461.wav,with multiple wedge shaped areas in keeping with multiple renal cortical scars and shows heterogeneous enhancement left kidneys are mildly enlarged in size and edematous with perinephric fat stranding and shows heterogeneous enhancement. few sub centimetric lymph node in left para nephric region (9mm).
data/test/audio_01021.wav,no biliary ductal dilatation. pancreas: unremarkable. no focal lesion or ductal dilatation. spleen: unremarkable. no focal lesion. adrenal glands: unremarkable bilaterally. kidneys and ureters: duplex collecting system on the left with fusion at the upper ureter.
data/test/audio_02572.wav,"spleen is normal in size, outline & attenuation. no focal lesion seen. both kidneys are normal in size, outline, position & attenuation. pelvicalyceal systems of both the kidneys appear normal. no obvious calculi /calcifications seen. moderate (50%) osteal stenosis is seen in right renal artery."
data/test/audio_05105.wav,"findings: both cerebral hemispheres reveal no abnormality. no evidence of any parenchymal lesion noted. no evidence of mass effect, midline shift or hemorrhage. both lateral & third ventricles appear normal. no evidence of hydrocephalus. mild bilateral basal ganglia calcification noted. otherwise,"
data/test/audio_02705.wav,right premaxillary infraorbital soft tissue haematoma noted. right parietal scalp contusion with haematoma and air pocket noted. visualized vertebrae show no fracture or dislocation. soft tissue thickening noted in bilateral mastoid air cells - possibly mastoiditis differential diagnosis na recommendation suggested clinical correlation.
data/test/audio_00574.wav,lungs bilateral lungs fields are clear. airways trachea is central. tracheo-bronchial tree is normal. heart cardiac silhouette is enlarged others bilateral cp angles are clear.
data/test/audio_03534.wav,"likely secondary to adjacent pleural effusion. no evidence of suspicious pulmonary nodules or cavitary lesions. trachea and main bronchi appear patent. pleura: bilateral pleural effusion is noted, more on the right side. the right-sided effusion shows fissural extension."
data/test/audio_02984.wav,atlanto-occipital and atlanto-axial articulations are maintained. odontoid process appears intact. intervertebral discs and facet joints visualized intervertebral disc spaces are maintained. facet joints appear aligned and unremarkable. no significant degenerative disc disease identified.
data/test/audio_01615.wav,lungs: 5.8 x 2.6 x 5.4 cm consolidation noted in the right lung lower lobe. 6.2 x 2.5 x 7.2 cm consolidation noted in the left lung lower lobe. mosaic perfusion noted in the bilateral lungs.
data/test/audio_04411.wav,"suboptimal study due to excessive motion artifacts. cerebral hemispheres show normal mr morphology, signal intensity and gray - white matter differentiation. the basal nuclei, thalami and corpus callosum are showing normal signal intensity pattern. both lateral ventricles and third ventricle are normal in size shape and outline."
data/test/audio_04260.wav,cervical and vaginal canal appears unremarkable. the ovaries also appear normal. the retroperitoneal soft tissues and vascular structures in-view appear unremarkable. the pelvic bones and ischiorectal fossa also appear normal. there is no evidence of cystic/soft tissue intensity mass lesion. moderate ascites noted in visualised abdomen.
data/test/audio_00014.wav,further correlation with serum pancreatic enzymes marker is recommended. there is no intra pancreatic or extrapancreatic focal lesion or collection seen. splenic vein flow void is maintained.
data/test/audio_03573.wav,"(mild reduced in size from 4/3/2026) as compared to previous ct scan areas of hemorrhage, subdural collection and the midline shif decreased. suggested clinical correlation."
data/test/audio_00364.wav,"bilateral periventricular hypodensities are noted, suggestive of chronic ischemic changes. both cerebral hemispheres reveal no other abnormality. no evidence of mass effect, midline shift or haemorrhage. both basal ganglia & thalami appear normal. cerebellum, brain stem and posterior fossa structures reveal no abnormality. bony skull vault appears normal."
data/test/audio_02087.wav,cerebellar hemispheres and brain stem are showing normal attenuation values. no obvious fracture noted. note is made of bilateral basal ganglia calcification. :-
data/test/audio_01558.wav,"visualized occipital bone & base of the skull is normal. : fluid / soft tissue density contents in right mastoid air cells and middle ear cavity with sclerosis of right mastoid air cells. contents abutting the lateral wall of facial canal with its mild thinning.s/o acute on chronic mastoiditis. please correlate clinically. the radiologist has not personally examined the patient and not aware of id and other details. all modern machines/ procedures have their own limitation. if there is any clinical discrepancy, this investigation may be repeated or reassessed .this report bears no implication for radiologist to witness in the court for the medicolegal cases. hence report is considered null for the medicolegal cases."
data/test/audio_04724.wav,biceps tendon is seen in the bicipital groove and appears normal. mild fluid in the bicipital groove likely reactive. no significant or fatty degeneration of muscles of rotator cuff. joint:- minimal shoulder joint and sub-coracoid bursal effusion is noted.
data/test/audio_03156.wav,"appears intact with no ct evidence of contrast extravasation or active enteric leak. no intra-abdominal abscess, localized collection, or pneumoperitoneum is identified. mild linear omental/peritoneal inflammatory stranding in the right paracolic gutter likely represents post-operative"
data/test/audio_00948.wav,"other structures: visualized muscles, prevertebral space, and soft tissues are unremarkable. no abnormal fluid collection or inflammatory changes. impression: 1. non-visualized / atrophic right lobe of thyroid, likely representing thyroid hemi-atrophy / post-inflammatory involution."
data/test/audio_04190.wav,"no evidence of acute infarct or hemorrhage is seen. few t2 flair hyperintense foci are seen in bilateral frontoparietotemporo occipital white matter, these are hypointense on t1wt images, these are suggestive of chronic lacunar infarcts. mild chronic periventricular ischemic changes are seen."
data/test/audio_04967.wav,impression diffuse adenomyosis with posterior myometrial predominance. no adenoma or fibroid. deep infiltrating endometriosis at the torus uterinus with focal anterior rectal wall involvement (~3 mm depth) located 13 cm from the anal verge (10-1 o'clock position).
data/test/audio_03575.wav,above findings are suggestive of mild osteoarthritic changes involving both hip joints and sacro-iliac joints. no obvious fracture.
data/test/audio_05401.wav,findings: ill-defined area of dense consolidation noted in right lower lobe and right middle lobe with cut off of subsegmental bronchus. approximate size measures 12.6 x 6.1 x 9.7 cm (ap x tr x cc). no evidence of any underlying bony erosion.
data/test/audio_02832.wav,ncct elbow technique: non-contrast ct scan of the elbow joint performed with axial sections and multiplanar reformations. findings: there is a comminuted fracture involving the head of the radius with multiple displaced fracture fragments and articular surface involvement.
data/test/audio_03560.wav,"findings: a 1.9 x 3.6 x 2.8 cm (approximate volume 10 cc) sized hyperdense collection of blood attenuation is noted in the left ganglio-capsular region extending to superficial temporal lobe and corona radiata with mild perilesional edema. it is causing mass effect is noted in the form of effacement of the overlying cortical sulci,"
data/test/audio_04888.wav,no significant hypertrophy of turbinates is seen. nasal septum is deviated to right :above x-ray findings are suggestive of- bilateral maxillary sinusitis. nasal septum is deviated to right adv ct pns if clinically indicated.
data/test/audio_00889.wav,"with faecal matter and otherwise appear unremarkable. appendix appears normal. increased attenuation noted in the central root of mesentery, predominantly on left side. multiple subcentimetre sized discrete homogeneously enhancing lymph nodes noted within it. no e/o free fluid in abdomen and pelvis."
data/test/audio_00314.wav,mr scan reveals mild prostatomegaly with features of benign prostatic hyperplasia. imaging features suggestive of sequelae to prostatitis in the peripheral zone of prostate gland.
data/test/audio_02175.wav,"bilateral external carotid arteries and its major branches are normal in course and caliber. bilateral vertebral arteries are normal in course, caliber and reveal normal flow signal intensity. normal study differential diagnosis na recommendation suggested clinical correlation."
data/test/audio_04757.wav,"preserved articular margins. no labral or osseous abnormality detected peri-articular structures muscles: normal signal intensity & well-preserved intermuscular fat planes no focal muscle tear or collection sacroiliac joints: appear unremarkable lymph nodes few mildly enlarged t2 and stir hyperintense left inguinal lymph nodes,"
data/test/audio_01463.wav,"visualized vertebrae, sternum and ribs appear normal. soft tissues and muscles of chest wall are normal. multifocal areas of consolidation with surrounding ground-glass densities noted in right upper lobe apical, anterior and posterior segments."
data/test/audio_02140.wav,"loss of fat planes with liver (segments v and ivb) - suggestive of direct hepatic invasion multiple hepatic metastases, including a dominant lesion in segment vii/vi with vascular (right hepatic vein and right portal vein branch) involvement"
data/test/audio_00945.wav,o medially abutting the left lobe of thyroid o anterior to the left common carotid artery and internal jugular vein o laterally abutting the sternocleidomastoid muscle no evidence of calcification or necrosis within the lesion. no obvious vascular encasement or luminal narrowing of adjacent vessels.
data/test/audio_00227.wav,"findings: a well-defined peripherally enhancing hypodense collection is noted in the prevertebral space at c3c4 vertebral level, measuring approximately 2.2 x 1.6 cm. the collection causes anterior displacement with narrowing of the oropharyngeal airway. posteriorly, it is seen abutting the anterior aspect of the cervical vertebral bodies."
data/test/audio_02713.wav,these nodes cause extrinsic compression over bilateral ureters at l4-l5 levels resulting in mild bilateral hydroureteronephrosis. a heterogeneously enhancing soft tissue density lesion measuring approximately 7.9 x 6.8 cm is noted involving the right iliac bone with associated cortical destruction and osteolysis.
data/test/audio_05658.wav,"the bilateral common iliac arteries, internal iliac arteries, and external iliac arteries appear normal in calibre and contrast opacification without evidence of significant stenosis or occlusion. femoral arteries the bilateral common femoral arteries, superficial femoral arteries, and profunda femoris arteries appear normal in calibre with normal contrast opacification. rexording 3 popliteal and leg arteries right lower limb: the right popliteal artery, anterior tibial artery, posterior tibial artery, and peroneal artery appear normal in calibre and contrast opacification. no significant stenosis or occlusion is noted."
data/test/audio_03275.wav,adrenal glands appear normal bilaterally. bowel loops appear normal with no evidence of obstruction or focal wall thickening. right kidney measures approximately 8.6 x 4.6 cm. left kidney measures approximately 8.4 x 4.9 cm. there is evidence of bilateral minimal perinephric fat stranding.
data/test/audio_04174.wav,"there is no evidence of tenosynovitis. the contents of the carpal tunnel appear normal. the median nerve shows normal signal intensities and contour. the ulnar nerve in the region of guyons canal shows no obvious abnormality. no evidence of fluid collection, ganglion or mass lesion is seen."
data/test/audio_02877.wav,"the abdominal aorta, bilateral common iliac arteries, bilateral external and internal iliac arteries appear normal in calibre and opacification. there is no significant luminal compromise in the abdominal aorta which measures of maximum diameter 1.6 cm in ap diameter."
data/test/audio_02287.wav,"subgaleal hematoma with soft tissue edema in the left frontal and periorbital region. associated periorbital soft tissue swelling noted on the left side. ventricular system, basal cisterns ,foliae and sulci are prominent ill defined hypodensities are noted in bilateral periventricular and subcortical white matter sulcal and gyral pattern appears normal."
data/test/audio_00569.wav,"multiple areas of subarachnoid hemorrhage involving bilateral fronto-temporo-parietal lobes, interhemispheric fissure and visualised bilateral basal cisterns. mild generalized cerebral atrophy suggested clinical correlation."
data/test/audio_02283.wav,"appearing conglomerated. this node mildly compresses the adjacent right internal jugular vein, however the vein shows normal post-contrast opacification without evidence of thrombosis. another enlarged lymph node with similar morphology is seen in the left upper cervical region (level ii/iii) measuring approximately 26 x 16 mm, also abutting and mildly"
data/test/audio_02690.wav,: nild haziness noted at bilateral maxillary sinuses suggestive of sinusitis. no air fluid levels are seen. no localized or generalized mucosal thickening is seen. the frontal and anterior ethmoidal sinuses are clear. no evidence of mucosal polyp or bone destruction. no significant hypertrophy of turbinates is seen.
data/test/audio_03265.wav,"no evidence of pre / para aortic / para caval lymphadenopathy. urinary bladder: appear normal in contour and wall thickness. no evidence of calculi. prostate: appear normal in size and density. right minimal pleural effusion noted. impression: visualised head, body and tail of pancreas appear bulky with surrounding diffuse fat stranding -"
data/test/audio_01583.wav,adnexa: no adnexal masses or abnormalities detected. pelvic vasculature: normal course and caliber with preserved flow voids. lymph nodes: no evidence of pelvic lymphadenopathy. free fluid: no free fluid seen in the pelvis.
data/test/audio_00194.wav,plantar fascia: intact. no plantar fasciitis. achilles tendon: intact. no tendinosis or tear. peroneal tendons: peroneus longus and brevis intact without tear or significant tenosynovitis.
data/test/audio_01827.wav,central canal measures approximately 18.3 mm with no significant neural compromise. bilateral sacroiliac joints appear normal. cervical spine screening: cervical curvature and alignment appear normal.
data/test/audio_01865.wav,:- ct brain (plain + contrast) technique: axial sections of the brain were obtained from the base of skull to the vertex with administration of intravenous contrast on a ct scanner.
data/test/audio_02501.wav,at l4-l5 level: mild reduction of disc space. diffuse disc bulge indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots narrowing bilateral neural foramina indenting bilateral exiting nerve roots (left more than right). ligamentum flavum hypertrophy and facetal joint arthropathy noted. at l5-s1 level: diffuse disc bulge indenting
data/test/audio_02865.wav,"3# they show normal respiratory variations, and appear normal on valsalva, compression and augmentation tests. saphano-popliteal junction appears normal. 4# the visualized portion of supercial venous system appears normal in course and calibre."
data/test/audio_03771.wav,visualized eye globes and lens show normal signal intensity. paranasal sinuses are well pneumatized without any fluid collection/mucosal thickening. : no obvious neuroparenchymal abnormality noted. differential diagnosis na recommendation
data/test/audio_01635.wav,bony thoracic cage is normal. no soft tissue abnormality seen. no abnormality detected recommendation suggested clinical correlation.
data/test/audio_01823.wav,lumbar spine: lumbar lordotic curvature and alignment appear maintained. multilevel modic endplate changes are seen. multilevel osteophytes and partial disc desiccation are noted. posterior annular tears are seen at l4-l5 and l5-s1 levels.
data/test/audio_03856.wav,high-grade partial thickness tear involving ~ 50% fibres noted in humeral attachment site of superior and mid fibres of subscapularis tendon. mild acromio-clavicular joint arthrosis. fraying of superior free margin of glenoid labrum - slap 1 tear. minimal joint effusion.
data/test/audio_00318.wav,"o multilevel marginal osteophytosis (l3-l5) o mild multilevel posterior disc bulges, most prominent at l5-s1 o facet arthropathy from l3 to l5 levels"
data/test/audio_03134.wav,no evidence of fracture. : calcaneal spur seen in plantar aspect and in posterior aspect no evidence of bony injury
data/test/audio_00886.wav,degenerative changes in the lumbosacral spine as described above. needs further evaluation with mri if clinically indicated
data/test/audio_01305.wav,mild soft tissue density contents in nasopharynx. please correlate clinically.
data/test/audio_05560.wav,"atelectatic bands noted involving medial segment of right middle lobe, lingular segment and bilateral lower lobes. rest of the lungs appear normal in volume, attenuation and enhancement. no ground glass opacification seen. the pleuro-parenchymal interfaces are smooth. no evidence of air trapping seen."
data/test/audio_02033.wav,"loss of cervical lordosis is noted. small anterior osteophytes are seen from c5 and c6 vertebral levels. no atlantoaxial dislocation is seen. the cervical cord is normal in course, caliber and signal intensity."
data/test/audio_03373.wav,of supraspinatus with hyperintense signal alteration - possibly calcific tendinitis changes. low grade partial thickness tear (involving <25% fibers) noted in articular surface of anterior fibers of supraspinatus footprint. fraying of superior free margin of glenoid labrum - slap 1 tear.
data/test/audio_02722.wav,mild hypertrophy of right inferior and middle turbinates with right concha bullosa. reduced pneumatization with partial septations in bilateral maxillary sinuses. sphenoid sinuses clear with patent sphenoid ostia.
data/test/audio_00204.wav,an ill-defined t2 hypointense area measuring 3.2 x 3.6 x 2.4 cm in dimension seen at the lateral aspect of the rectus sheath in the suprapubic location with adjoining transverse abdominis muscle in the showing minimal fluid and the lesion is seen extending into the part of lateral wall of canal of nuck with moderate degree of post-contrast enhancement likely to represent anterior lower abdominal wall endometriotic deposit.
data/test/audio_03378.wav,no abnormality detected recommendation suggested clinical correlation.
data/test/audio_01451.wav,"spinal cord and subarachnoid space appear normal. no evidence of focal lesion in the cord. : diffuse bulge of c5-6 disc, causing indentation over bilateral exiting c6 nerve roots. no focal abnormal signal in the spinal cord."
data/test/audio_01332.wav,mri of right thigh technique:- mri scan of right thigh was performed using t1 and t2wt sequences in multiple planes. :-
data/test/audio_01940.wav,ms~4.6x5cm is seen in left adnexa not separately defined from left ovary. no focus of calcification seen. umbilical hernia (defect ms~7.5mm) is seen with herniation of omental fat. visualised osseous structures appear unremarkable. no lytic or sclerotic bony lesion.
data/test/audio_01267.wav,"focal canal stenosis. diffuse bulge superimposed with dorsocentral and bilateral paracentral protrusion, compressing the thecal sac and encroaching the neural foramina. there is compression of bilateral traversing s1 and indentation over right exiting l5 nerve roots."
data/test/audio_05085.wav,"pancreas: normal size and echotexture. no focal diffuse lesion. kidneys: right kidney measures 9.0 x 5.2 cm left kidney measures 9.7 x 5.1 cm both kidneys appear normal in size, shape & echotexture."
data/test/audio_05425.wav,x-ray foot: left views left foot - ap / oblique bones no fracture or dislocation is present. no focal lytic or sclerotic lesion is seen. visualized bones show normal mineralization. plantar calcaneal spur noted.
data/test/audio_04587.wav,liver shows early chronic liver parenchymal disease changes without any arterial phase enhancing lesion which shows washout on the venous phase images. main portal vein is replaced by tiny collateral as well as a large collateral seen at the hepatic hilum which is seen arising from the spleno mesenteric axis.
data/test/audio_02898.wav,"lymphadenopathy seen. peritoneal cavity: no ascites noted. bones: visualized osseous structures appear unremarkable. impression 1. enhancing soft tissue lesion in the right inguinal region measuring approximately 5.8 x 5.3 cm, likely representing"
data/test/audio_00843.wav,"findings kidneys, ureters, bladder: moderate hydroureteronephrosis noted on the right side due to obstructive mid ureteric calculus measuring 10.3 x 5.8 mm showing hu value of 900. cortical cyst noted in the upper pole of right kidney measuring 45 x 50 mm."
data/test/audio_02045.wav,"suboptimal study due to motion artefact. recommendation: contrast-enhanced mri/ct abdomen for further characterization, vascular assessment, staging, and evaluation of portal vein thrombus. ercp / tissue diagnosis advised. keyimages"
data/test/audio_01721.wav,the visualized bones are normal in signal and intensity. no cortical breach is observed. the joint spaces appear normal with intact articular surfaces. para-articular fat planes are maintained. the visualized soft tissues are normal.
data/test/audio_02932.wav,"no active contrast extravasation is seen. no pseudoaneurysm is identified. rest of the right lobe shows mild transient hyperenhancement compared to the left lobe, suggestive of transient hepatic attenuation difference (thad). a band-like hypodense area extending into segment"
data/test/audio_00327.wav,"atherosclerotic calcification of the visualized aorta and branch vessels. divarication of recti. focal area of increased attenuation in the left central mesentery with multiple subcentimetric lymph nodes, likely representing mesenteric panniculitis. mild cardiomegaly. impression"
data/test/audio_02988.wav,"there is loss of normal low t2 stromal signal with extension into the right parametrium, consistent with parametrial infiltration. the lesion encases the distal right ureter, resulting in upstream moderate hydroureteronephrosis."
data/test/audio_02526.wav,the joint spaces appear normal with intact articular surfaces. para-articular fat planes are maintained. the visualized soft tissues are normal. linear undisplaced fracture noted in hook of hamate. minimal joint effusion noted. differential diagnosis na recommendation suggested clinical correlation.
data/test/audio_00343.wav,there is dilatation of common bile duct and common hepatic duct with overdistention of the gallbladder minimal adjoining fat stranding is seen this is secondary to distal narrowing at the terminal portion of common bile duct due to the main pancreatic duct intraductal calculus.
data/test/audio_01045.wav,"supratentorial: both cerebral hemispheres show normal cerebral sulci, fissures and basal cisterns. grey white matter differentiation is maintained. no evidence of focal parenchymal lesion. no shift of midline structures seen. both lateral ventricles and the 3rd ventricles are normal basal ganglia and thalami are normal."
data/test/audio_03521.wav,"displaced comminuted fracture noted in distal shaft of femur, fracture line extending up to the intercondylar fossa. lipohaemarthrosis noted. subcutaneous oedema noted at knee joint. few subchondral cysts noted in medial and lateral tibial plateau& patellar facet."
data/test/audio_01214.wav,"rest of the cortical sulci, basal cisterns and ventricular system are normal. sella and parasellar structures appear grossly unremarkable. the skull bones appear normal. bilateral mild ethmoid, bilateral maxillary and right sphenoid sinusitis. rest of the visualized paranasal sinuses are unremarkable."
data/test/audio_04527.wav,"ct brain (plain) clinical history: 2-year-old female child with history of seizures and neonatal hypoxia. history of fall 4 days back. observation: diffuse hypodensities noted in bilateral periventricular white matter with associated paucity/reduction in periventricular white matter volume,"
data/test/audio_04772.wav,"left external auditory canal and scutum appear unremarkable. no obvious ossicular dislocation is seen on either side. impression: extensive right otomastoiditis/cholesteatomatous pathology with complete opacification of right middle ear cavity,"
data/test/audio_03025.wav,horizontal tear of posterior horn of medial meniscus is seen. anterior root tear of medial meniscus is seen with mild extrusion of its body segment. lateral meniscus is normal. medial collateral ligament shows periligamentous fluid signal outlining the ligament. this is suggestive of grade i medial collateral ligament injury.
data/test/audio_00296.wav,"appears normal. no focal lesion. ovaries: bilateral ovaries are not separately visualized distinctly extrauterine gestation: a well-defined gestational sac containing a single fetus is noted in the central peritoneal cavity, located posterior to the uterus."
data/test/audio_04470.wav,minimal peripancreatic fat stranding is also seen. the main pancreatic duct is normal in caliber. no evidence of any pancreatic divisum noted. there is no parenchymal calcification seen on the corresponding ct images. these imaging findings are likely to represent changes related to acute interstitial pancreatitis.
data/test/audio_01222.wav,"the ulnar nerve in the region of guyons canal shows no obvious abnormality. no evidence of fluid collection, ganglion or mass lesion is seen. the radiocarpal joint appears normal."
data/test/audio_00617.wav,"l2-3 disc reveals diffuse bulge. it indents the thecal sac, without any significant central canal or neural foraminal narrowing. l3-4 disc reveals broad based posterior protrusion. it indents the thecal sac, both l4 nerve roots and causes mild narrowing of central canal."
data/test/audio_05530.wav,"no definite pancreatic necrosis, focal pancreatic collection, or walled-off fluid collection is identified. the pancreatic duct is not dilated. liver: liver appears normal in size, contour, and attenuation. no focal hepatic lesion is identified. gallbladder and biliary tree: gallbladder appears unremarkable. no obvious biliary dilatation is seen. recoridng 3- spleen: normal in size and attenuation. adrenal glands: both adrenal glands appear normal. kidneys: both kidneys are normal in size and show preserved corticomedullary differentiation. multiple simple cortical cysts are noted in both kidneys, the largest measuring approximately 15 mm in the lower pole of the right kidney."
data/test/audio_00080.wav,no evidence of bony erosion / expansion / fluid level. lamina papyracea appear normal. cribriform plate appears normal. crista gali appear normal. osteo-meatal unit appear normal. no evidence of obstruction of maxillary sinus ostia. retro maxillary fat appear normal.
data/test/audio_04595.wav,"at this level. degenerative changes involving the visualised spine in the form of marginal osteophytes. rest of the visualized bones appear unremarkable. small hiatus hernia noted. small umbilical hernia measuring approximately 5 mm with herniation of omentum within noted. : cect abdomen reveals,"
data/test/audio_03504.wav,"observation: ventricles and cisterns appear prominent. bilateral periventricular white matter shows areas of t2/flair hyperintensities. the thalami, basal ganglia and internal capsules are normal on both sides. the pituitary gland, infundibulum and hypothalamus are normal for the age. the posterior fossa shows normal cerebellum. the medulla, and mid brain shows normal signals in all the sequences."
data/test/audio_04520.wav,"visualised bones appear unremarkable. : large solid-cystic abdominopelvic mass (15.5 x 22.1 x 18.6 cm) with enhancing solid components and calcifications, causing significant mass effect compression of bilateral ureters"
data/test/audio_03620.wav,"aorta its major branches, ivc and its tributaries are well opacified with contrast and appear normal. bilateral lung bases appear normal. no pleural effusion is seen on either side. degenerative changes involving the visualised spine in the form of marginal osteophytes. rest of the visualized skeletal structures appears unremarkable. small hiatus hernia noted. impression:"
data/test/audio_05538.wav,"markedly thinned cortex. the mesial temporal lobes are less severely involved but there is slight asymmetrical involvement of the left greater than right anterior temporal pole. dilated frontal horns of the lateral ventricles and temporal horns. in the posterior third of the substantia nigra of the midbrain, there is loss of the normal swallow tail sign s/o parkinson disease."
data/test/audio_02146.wav,"multilevel lumbar spondylosis with disc bulges, facet arthropathy and ligamentum flavum hypertrophy. significant foraminal narrowing at l4-l5 and l1-l2 levels with nerve root involvement. sacral canal lesion at s2 level causing posterior scalloping, likely benign cystic lesion (perineural cyst/tarlov cyst)."
data/test/audio_05220.wav,"surrounding the foreign body, there is hyperintense signal on t2/stir sequences within the adjacent soft tissues, suggestive of peri-lesional edema and inflammatory changes. the flexor hallucis brevis tendon shows increased intrasubstance signal intensity with mild thickening, consistent with tendinous edema/strain."
data/test/audio_01072.wav,"the brain parenchyma is normal in attenuation. basal ganglia and thalami are normal. the cortical sulci, basal cisterns and ventricular system are normal. the posterior fossa structures are normal. no evidence of intracranial bleed / infarct / sol."
data/test/audio_02733.wav,"3# kidneys: right kidney appears normal in size and measures 10.9 x 5.4 cm left kidney appears mildly bulky in sized and measures 12.5 x 6.4 cm 4# both kidneys shows mildly increase cortical echogenicity with maintained corticomedullary differentiation. no hydronephrosis or hydroureter is noted. retroperitoneum: no obvious retroperitoneum lymphadenopathy. the aorta & ivc appears normal. 5# free fluid: no evidence of free uid. urinary bladder: partially distended and shows mildly irregular wall thickness. there is no obvious evidence of calculus or mass. foley's bulb seen in situ. #6 prostate: appears grossly normal in size, shape and echotexture. minimal bilateral pleural effusion (left > right). : mild hepatomegaly with grade i fatty liver. #7 mildly bulky left renal. bilateral kidneys show mildly increase cortical echogenicity with maintained corticomedullary differentiation. advice rft correlation. mildly irregular urinary bladder wall - advice urine routine correlation. #8 minimal bilateral pleural effusion (left > right). suggest - clinical and biochemical correlation/ further imaging if indicated. ms. manisha mandar adhav"
data/test/audio_00030.wav,uterus and ovaries are normal in shape and size. no obvious lesion detected. no adnexal mass is seen. miscellaneous: gut loops reveal no significant abnormality. visualized skeletal structures appears unremarkable.
data/test/audio_00362.wav,findings: chronic lacunar infarct is seen in left basal ganglia. few t2/flair hyperintense foci are seen in bilateral periventricular white matter. impression: chronic lacunar infarct in left basal ganglia. microangiopathic foci in bilateral periventricular white matter.
data/test/audio_02267.wav,multiple fibrobronchiectatic and fibroatelectatic changes are noted involving bilateral upper and lower lobes. few fibrocalcific changes are seen in the right middle lobe. adjacent pleural thickening noted near rib lesions. mediastinum and hilar regions multiple fairly well-defined heterogeneously hypoenhancing lymph nodal masses are noted involving:
data/test/audio_05458.wav,x-ray cervical spine ap & lateral view * loss of normal cervical lordosis. * vertebral bodies show multiple anterior osteophytes with maintained vertebral body heights. * intervertebral disc space narrowing noted (more prominent at c5-c6 & c6-c7 ) * multilevel endplate sclerosis noted.
data/test/audio_05197.wav,multiplanar mr imaging of the cervical spine was performed using a phased-array spine coil and large fov. there is loss of normal cervical lordosis seen. the alignment of the vertebrae is normal. visualized vertebrae appear mildly osteoporotic. few marginal osteophytes are seen from c4 to c7 levels. no focal bony lesion is seen.
data/test/audio_00757.wav,"appear normal in shape, position and density. left renal pelvis appears prominent.no evidence of calculus. renal sinus appears normal. perirenal and pararenal spaces appear normal. gerota's fascia appears normal. peritoneum: no evidence of free fluid in the peritoneal cavity."
data/test/audio_00417.wav,peri-nephric fat regions appear unremarkable bilaterally. ureters: both ureters appear normal in course and calibre. no evidence of ureteric calculus / obstruction seen. urinary bladder: urinary bladder is adequately distended with smooth outline and appears normal.
data/test/audio_02058.wav,"peripancreatic fat planes appear normal. no evidence of peripancreatic collection noted. spleen is normal in size and enhancement. splenic vein is normal in size and enhancement. both kidneys are normal in size, shape and position."
data/test/audio_05532.wav,"(pancreatic enlargement with mild peripancreatic inflammatory changes) 2 points pancreatic necrosis: none identified 0 points total ctsi score: 2/10, consistent with mild acute pancreatitis., amylase lipase and clinical correlation is suggested"
data/test/audio_04141.wav,"no e/o gall bladder wall thickening or pericholecystic fluid noted. (ct is not the ideal modality for detecting gall stones; correlate with usg) pancreas is normal in size, outline & attenuation. no focal lesion seen."
data/test/audio_02163.wav,"bilateral lateral recess narrowing and abutting bilateral s1 traversing nerve roots. : fracture involving the antero-inferior corner of c5 vertebral body, associated with disruption of the anterior longitudinal ligament at c5-c6 level suggestive of hyperextension-type injury"
data/test/audio_05196.wav,"posterior fossa: cerebellum and brainstem are normal in attenuation pattern. cerebellar folia are normal. no focal sol seen. basal cisterns and cp angle cisterns are normal. fourth ventricle is central and normal in shape. bone, scalp and sinuses: bony calvarium is normal. no evidence of fracture or sol is seen. visualized part of orbits is unremarkable. overlying scalp is normal."
data/test/audio_01668.wav,early plantar fasciitis (mild thickening at calcaneal attachment ~5 mm) normal achilles tendon no evidence of osseous abnormality or collection suggestion: clinical correlation for local inflammation / pressure-related changes / early infection
data/test/audio_01726.wav,"however, on the current mri, the tibiofemoral alignment appears restored and maintained. this discrepancy may be positional, related to prior reduction, or secondary to imaging artefact; clinical correlation is recommended. the articular cartilage of the visualized compartments appears preserved."
data/test/audio_04955.wav,"the basal nuclei, thalami and corpus callosum are showing normal signal intensity pattern. both lateral ventricles and third ventricle are normal in size shape and outline. septum pellucidum and falx cerebri are in midline. no mass effect or midline shift is seen. supratentorial sulcal and cisternal spaces are normally visualized."
data/test/audio_02309.wav,on screening of bilateral hip joints: small synovial cyst noted involving the left femoral neck. no other significant abnormality detected. heterogeneous signal intensity of visualised uterus. few subcentimetre sized nabothian cysts involving the visualised cervix. suggested usg correlation.
data/test/audio_02232.wav,calcification - ? reactive - for clinical correlation mucosal thickening noted in right ethmoid and maxillary sinuses - sinusitis. differential diagnosis na recommendation suggested clinical correlation.
data/test/audio_05671.wav,x-ray report - abdomen erect observation: the soft tissue outlines of solid abdominal organs are normal. no radio opaque shadow seen. the bowel gas pattern is normal. lumbar spine appears normal. psoas shadows are normal. : * no significant abnormality detected in plain radiograph of abdomen adv - ct abdomen with contrast if clinically indicated.
data/test/audio_05564.wav,": a well-defined radiopacity measuring 17 mm is noted at left renal region. visualized renal outlines are normal in size, shape, position and axis. both psoas shadows are normal and bilaterally symmetrical. no abnormal soft tissue mass seen. lumbosacral spine is normal."
data/test/audio_00877.wav,the axillae and supraclavicular regions are normal. conclusion: fibro atelectatic changes as described suggestive of sequelae to prior infection. post operative changes in right breast as described. thanks for the reference.
data/test/audio_00946.wav,"mild mass effect without infiltration of adjacent structures. carotid and jugular vessels: bilateral common carotid arteries, internal carotid arteries, and internal jugular veins appear normal in course, calibre, and contrast opacification. lymph nodes: multiple subcentimetric bilateral level iii, iv nodes noted"
data/test/audio_05661.wav,"normal opacification of the abdominal aorta, bilateral iliac, femoral, popliteal, and right leg arteries. mild narrowing of the proximal left anterior tibial artery with preserved distal flow - ? secondarry to soft tissue swelling"
data/test/audio_01101.wav,interval increase in number and size of lesions compared to previous study - suggestive of progressive intracranial metastatic disease. no significant midline shift or obstructive hydrocephalus. incidental partial empty sella. right maxillary sinus mucosal thickening. compared to the prior mri brain:
data/test/audio_00849.wav,"brain parenchyma: parenchymal bleed is noted in the left frontal and parietal lobes, associated with minimal perilesional edema. gliotic area is noted in the left basal frontal and temporal lobe. impression post left fronto-temporal parietal craniotomy status with bony defect and drainage tube in situ."
data/test/audio_02453.wav,"no significant hilar lymphadenopathy is observed. pleural surfaces: no pleural / fissural thickening seen in the sections evaluated. no evidence of pleural effusion present. mediastinum: thoracic oesophagus and other mediastinal structures appears normal. multiple subcentimetre sized discrete lymph nodes noted involving prevascular, pretracheal, paratracheal and subcarinal regions."
data/test/audio_04544.wav,": diffuse dilatation of large bowel loops with fluid-filled rectum, associated mild mural thickening involving descending colon, sigmoid colon and rectum with loss of haustrations - possibilities include inflammatory/infective colitis with associated colonic ileus/toxic megacolon-like dilatation."
data/test/audio_00065.wav,"the gallbladder is partrially distended with multiple internal septae (pseudomultiseptate, likely post inflammatory) and shows multiple t2 hypointense calculi largest measures 6.5 mm in neck. wt of 1.9 mm and no pericholeycystic free fluid or stranding seen."
data/test/audio_04334.wav,"anteriorly, the lesion extends into the alveolar processes of the maxilla and mandible, with associated loss of teeth in the involved regions. maximum depth of invasion is approximately 20 mm. diffuse subcutaneous edema is noted in the right submandibular region."
data/test/audio_05011.wav,"observations:- liver is mildly enlarged in size (17cm), normal in outline and attenuation. there is no evidence of any dilatation of intrahepatic biliary radicles/cbd. the portal veins & hepatic veins appear normal."
data/test/audio_02479.wav,"cect urogram serial pre and post contrast axial images were acquired from the pelvis, up to the lung bases at 1.25mm slices. urographic series were acquired at 15mins post contrast administration. reformatted images were also derived."
data/test/audio_04451.wav,findings: the uterus measures approximately 7.7 x 3.9 cm and appears normal in overall size and contour. the endometrial thickness measures approximately 9 mm and appears unremarkable. there is evidence of a well-defined t1 hyperintense and t2 hypointense lesion measuring approximately 2.7 x 1.5 cm
data/test/audio_03590.wav,findings: liver: normal in size. intrahepatic biliary radicles appear normal. portal vein appears normal. porta hepatis appear normal. no evidence of periportal lymphadenopathy. gall bladder: appear normal in contour and wall thickness. no evidence of mass lesion. spleen: appear normal in size and density. no evidence of mass lesion. pancreas:
data/test/audio_01293.wav,portal vein is normal in caliber. no evidence of any intraluminal filling defect. gallbladder: gallbladder is adequately distended with intraluminal fluid density contents and shows no calculi or sludge. wall is smooth in contour with normal thickness and attenuation. cbd is not dilated. no peri-cholecystic collection / fluid or fat stranding seen.
data/test/audio_02335.wav,"l4-5 disc reveals diffuse bulge. it indents the thecal sac, without any significant central canal or neural foraminal narrowing. mild facetal arthropathy and ligamentum flavumthickening are detected at this level. l5-s1 disc reveals diffuse bulge. it indents the anterior epidural fat, without any significant central canal or neural foraminal narrowing."
data/test/audio_03028.wav,mild sprain of anterior cruciate segment. horizontal tear of posterior horn of medial meniscus. anterior root tear of medial meniscus with mild extrusion of its body segment. grade i medial collateral ligament injury. mild sprain of medial patellar retinaculum. mild effusion in knee joint. mild edema in the hoffa's fat pad.
data/test/audio_02002.wav,ct lumbosacral spine technique: ct scan of lumbosacral spine was done without administration of contrast. clinical profile: road traffic accident.
data/test/audio_00564.wav,"third and fourth ventricle with blood - csf levels in the occipital horns of bilateral lateral ventricles suggestive of intraventricular extension. linear hyperdensities of blood attenuation are noted in the cortical sulci over the bilateral fronto-temporo-parietal lobes,"
data/test/audio_02860.wav,"a well defined calcified area of size 4.5 x 4 mm is seen in the right parietal cortex. no perilesional edema or gliosis is seen. multiple hypodensities are noted in bilateral fronto-parietal and periventricular white matter s/o chronic ischemic changes. mild generalized prominence of the cortical sulci,"
data/test/audio_01086.wav,partial tear involving the medial collateral ligament. grade ii tear involving the anterior horn of lateral meniscus. mild to moderate knee joint and suprapatellar bursal effusion with mild edema in adjacent soft tissues. suggested clinical correlation.
data/test/audio_05415.wav,"findings: supratentorial: both cerebral hemispheres appear normal in architecture and attenuation. grey white matter differentiation is maintained. no evidence of focal parenchymal lesion. no shift of midline structures seen. both lateral ventricles and the 3rd ventricle are normal. ventricular system is not dilated. csf spaces, sulci and fissures are maintained. basal ganglia and thalami are normal."
data/test/audio_04145.wav,no trauma related abdominal injury. communited fracture of l1 is seen. fracture of coccyx is seen. fracture of right ischial bone and right inferior pubic rami. fracture of bilateral l1 transverse process. fracture of left l2 transverse process.
data/test/audio_01747.wav,both kidneys are normal in size shape and location. few small cortical cysts are seen in both the kidneys. few cortical scarring are identified in both the kidneys in upper and lower pole region. there is no hydronephrosis seen. there is no focal lesions seen. urinary bladder is partially distended.
data/test/audio_04405.wav,"mri report - brain technique: dwi - b1000, adc, gre,flair axial t2w axial observation: left fronto-temporo-parietal craniectomy is seen."
data/test/audio_00601.wav,"multiple areas of subarachnoid hemorrhage involving the right fronto-temporo-parietal lobes, right sylvian fissure and left fronto-parietal lobes. multiple hypodensities are noted in bilateral fronto-parietal and periventricular white matter s/o chronic ischemic changes."
data/test/audio_00820.wav,mild dextroscoliosis of the lumbar spine with convexity to the right noted. hemangiomas noted in the lumbar spine. l3-l4- diffuse annular disc bulge with left paracentral disc protrusion causing mild thecal and significant left lateral recess/foraminal nerve root compressions.
data/test/audio_04613.wav,"grade ii signal change involving body and posterior horn of medial meniscus. muscles: popliteal muscle and tendon appear normal. the quadriceps tendon and ligamentum patellae reveals mild sprain. the hoffa`s fat pad reveals edema. osseous structure: lower shaft of femur, medial and lateral femoral condyles"
data/test/audio_05089.wav,"prostate: measures 2.9 x 2.3 x 3.9 cm (approx. vol: 14.3 cc), appears normal in size, shape and echotexture. a 3.9 mm sized small anterior abdominal wall defect is seen at the umbilical region with fat as its content."
data/test/audio_03755.wav,alignment: lumbar alignment is maintained. no significant scoliosis or listhesis. vertebral bodies & marrow: old wedge compression fracture of d12 vertebral body with approximately 50% reduction of vertebral height. schmorl's node noted in the inferior endplate. no evidence of bone marrow edema.
data/test/audio_00077.wav,minimal mucosal thickening in left ethmoid and maxillary sinuses- mild sinusitis.
data/test/audio_00595.wav,"the ischioanal and ischiorectal fossae appear normal bilaterally . no evidence of fistula or abscess noted in the anal or perianal region. visualised sections of pelvis show bulky uterus with multiple fibroids in intramural and subserosal location, largest measuring 8.5 x 5.9 cm in subserosal location"
data/test/audio_02591.wav,"increased scapholunate angle (>70 degrees), consistent with dorsal intercalated segment instability (disi). joints: mild narrowing of: radioulnar joint space intercarpal joint spaces"
data/test/audio_03746.wav,tm joints shows preserved articulation. normal x-ray of mastoid. feature are suggestive of chroic mastoiditis differential diagnosis n/a recommendation hrct temporal bone and clinical correlation.
data/test/audio_02458.wav,"kidneys: both kidneys are normal in size, position, shape and cortical outline. right kidney measures ~8.2x3.2cm, left kidney measures ~11.0x5.5cm in craniocaudal span. no evidence of calculus or hydronephrosis on right. in the right kidney, the outline is irregular"
data/test/audio_05288.wav,few eccentric calcific plaques noted in proximal segment of d2 branch of left anterior cerebral artery causing 50%-60% luminal compromise. the left anterior descending artery is normal in calibre and have no significant stenosis. diagonal branches have no stenosis. the lad is seen reaching up to the apex - type iii .
data/test/audio_03243.wav,"the gray white differentiation is maintained. the basal ganglia, thalami and capsular tracts appear normal. ventricular system and sulci are normal for age. the basal cisterns show normal csf density. cerebello-pontine angles and internal auditory meatus appear normal."
data/test/audio_02176.wav,"mri - brain (plain+contrast). protocol: t2 axial, sagittal and coronal; flair axial, t1 axial, dwi and gre of the brain. findings:"
data/test/audio_01956.wav,common hepatic duct: normal caliber. no intraductal filling defect identified. common bile duct: normal in caliber. no choledocholithiasis. no distal cbd obstruction. cystic duct: patent. no calculus identified within the cystic duct. pancreatic duct: normal caliber. no ductal dilatation or abrupt cutoff.
data/test/audio_02574.wav,"sigmoid colon and rectum is thick-walled with wall thickening, submucosal edema, mucosal hyperemia, enhancing mucosa, and serosal enhancement. the rest of small and large bowel loops are normal. no free fluid is seen in the peritoneal cavity. no enlarged retroperitoneal lymph nodes are seen."
data/test/audio_01674.wav,chronic partial thickness tear of acl at tibial attachment minimal joint effusion chondral thinning along medial patellar facet
data/test/audio_02137.wav,radiodense stent is seen in the cbd with its tip in the rhd and lower end in the duodenum. there is no pneumobilia seen. possibility of stent blockage needs to be ruled out. resultant proximal biliary obstruction with mild intrahepatic biliary dilatation
data/test/audio_02592.wav,"no gross articular surface collapse. remaining joint spaces and articular margins are preserved. soft tissues: mild wrist joint effusion. mild periarticular soft tissue edema. mild fluid surrounding the extensor tendon compartments, suggestive of low-grade tenosynovitis."
data/test/audio_04283.wav,"airway and hilum: trachea, lobar bronchi, bronchus intermedius and rest of the segmental bronchi are normal. no intraluminal filling defects present. both hilar regions appear normal. no significant hilar lymphadenopathy is observed."
data/test/audio_04631.wav,"there is loss of cervical lordosis with straightening of spine. all cervical intervertebral discs exhibit signal changes - s/o partial desiccation. diffuse bulge of c5-6 discs, indenting the thecal sac and encroaching the neural foramina. there is indentation over bilateral exiting c6 nerve roots."
data/test/audio_04782.wav,the study shows straightening of curvature of the lumbo-sacral spine. marginal osteophytes are seen. modic type ii changes are seen at upper endplate of l3 and l4 vertebrae. anterior wedging of l1 vertebra is seen with t1/t2 hypointense line along superior endplate and mild marrow edema.
data/test/audio_03435.wav,"there is 33x35x35mm sized a large predominantly solid multilobulated mass is centered in an expanded sella, with no separate pituitary gland identified. extends into the sphenoid and the suprasellar cisterns. the mass surrounds the cavernous carotids within the cavernous sinuses without narrowing."
data/test/audio_00672.wav,"impression - mr scan reveals, no obvious abnormality seen in brain parenchyma. there is loss of flow void is seen in mid and posterior portion of superior sagittal sinus. this is suggestive of slow flow or possibility of venous sinus thrombosis. suggest clinical correlation and further evaluation with mrv."
data/test/audio_05074.wav,"is seen abutting the pericardium at the left lateral ventricle with indistinct fat planes same as seen on the prior ct imaging. however, there is no infiltration into the pericardial space noted."
data/test/audio_00326.wav,"no abnormal calcification. no evidence of fracture or dislocation. incidental extraspinal findings multiple gallbladder calculi, measuring approximately 4-5 mm, without ct evidence of acute cholecystitis. small hiatus hernia."
data/test/audio_04871.wav,"urinary bladder reveals normal lumen and walls. no vesical calculi, wall thickening or mass lesion. prostate appears mildly enlarged in size impression hepatomegaly with fat infiltration. mild prostatomegaly. suggested : clinical correlation and further evaluation, if clinically indicated."
data/test/audio_04743.wav,"causing moderate narrowing of central canal. moderate facetal arthropathy and ligamentum flavum thickening are detected at this level, adding spinal canal stenosis. 3. broad based posterior protrusion of l2-3 disc, causing mild narrowing of central canal. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. bilateral facetal effusion seen at this level."
data/test/audio_02017.wav,the articular cartilage is uniform in thickness and shows normal signal intensity. the collateral ligaments appear normal. the muscles and tendons around the knee joint and the intermuscular planes are normal. the neurovascular bundles are intact. : mr scan reveals:
data/test/audio_04667.wav,spinal canal / neural foraminal assessment mild multilevel posterior disc bulges without significant central canal stenosis. no gross high-grade neural foraminal compromise appreciable on ct. mri correlation recommended for detailed neural element evaluation if radicular symptoms are present.
data/test/audio_00983.wav,"both kidneys reveal prompt and simultaneous excretion of contrast. both kidneys are normal in size, shape position and axis. left pelvicalyceal systems are normal. no intraluminal filling defects are seen. bilateral ureters are normal in course. urinary bladder is well distended and normal in position, shape and outline."
data/test/audio_03308.wav,"mild fluid noted in the pouch of douglas. uterus and ovaries are normal in shape, size and enhancement pattern. no focal or solid cystic lesion seen. no adnexal mass is seen. pelvic fat planes are maintained. miscellaneous: minimal amount of free fluid noted in the abdomen and pelvis. no significant mesenteric or retroperitoneal lymphadenopathy detected."
data/test/audio_01927.wav,involving the mid and distal ileal loops. largest involved segment measures approximately 7-8 cm and maximum thickness thickness measures approximately 6-7 mm. mild adjacent fat stranding noted. no obvious dilatation to suggest obstruction. rest of the small bowel loops appear normal. large bowel loops show variable faecal loading and otherwise appear unremarkable.
data/test/audio_00557.wav,"popliteal muscle and tendon appear normal. the quadriceps tendon and ligamentum patellae reveals mild sprain. the hoffa`s fat pad reveals edema. osseous structure: lower shaft of femur, medial and lateral femoral condyles,"
data/test/audio_04875.wav,: haziness noted at bilateral maxillary sinuses suggestive of sinusitis. mild dns is seen towards right side the frontal and anterior ethmoidal sinuses are clear. no evidence of mucosal polyp or bone destruction. no significant hypertrophy of turbinates is seen.
data/test/audio_00562.wav,"findings: a 5.2 x 7.1 x 4.7 cm (approximate volume 90 cc) sized hyperdense collection of blood attenuation is noted in the right ganglio-capsular region, superficial temporal lobe, corona radiata and right half of midbrain with mild perilesional edema."
data/test/audio_01523.wav,lipohaemangioma noted in d5 vertebral level. schmorl's node noted at multiple dorsal levels. no focal abnormal signal noted in the dorsal spinal cord.
data/test/audio_00657.wav,calvarium: both zygomatic arches appear normal without any fracture. displaced fracture of both nasal bones seen. both orbital walls appear normal in configuration with intact globes. mandible: linear undisplaced fracture of body of mandible seen on left side with internal fixator in situ.
data/test/audio_04161.wav,others bilateral cp angles are clear. both domes of diaphragm are normally placed. bony thoracic cage is normal. no soft tissue abnormality seen. no abnormality detected
data/test/audio_00466.wav,note is made of aortic valve calcification. : borderline small right kidney. adv: kft correlation partially distended urinary bladder with foley's bulb in situ & few air foci in urinary bladder. please correlate clinically.
data/test/audio_01290.wav,"liver: liver is normal in shape, size (measures ~_14_ cms in craniocaudal span), parenchymal density, attenuation and contrast enhancement. no focal or diffuse liver lesion seen. no evidence of ihbr dilatation is seen."
data/test/audio_04351.wav,no disc bulge or cord signal abnormality seen. no significant abnormality seen. differential diagnosis na recommendation suggested clinical correlation.
data/test/audio_04120.wav,mild bilateral cerebral edema noted. rest of the cerebral parenchyma appears normal. no evidence of acute infarct in cerebral parenchyma. rest of the brain stem and cerebellum appears normal. visualized orbits appear normal. sella and skull base are unremarkable.
data/test/audio_03906.wav,"consistent with a meningioma. inferiorly, it extends into the right cribriform plate of the ethmoid bone, suggestive of local osseous involvement. postoperative changes are noted in the right frontal region in the form of encephalomalacia and gliotic changes, with associated swi blooming"
data/test/audio_04786.wav,"lumbar discs are dessicated to variable degrees. the vertebrae appear normal in height, signal intensity and show normal alignment. no osseous destruction noted. the signal from the rest of marrow of the visualized vertebrae is normal. the visualized spinal cord shows normal mr morphology and signal characteristics. disc spaces: l1-l2: there is no evidence of disc disease"
data/test/audio_00411.wav,"no significant mesenteric or retroperitoneal lymphadenopathy detected. aorta its major branches, ivc and its tributaries are well opacified with contrast and appear normal. bilateral lung bases appear normal. no pleural effusion is seen on either side."
data/test/audio_00469.wav,technique multiplanar mr imaging of the lumbar spine was performed using a phased-array spine coil and large fov. findings there is loss of normal lumbar lordosis seen. the alignment of the vertebrae is normal.
data/test/audio_02570.wav,visualised basal lung fields appear normal. no pleural effusion is seen. bony island is seen in right iliac bone. no lytic/sclerotic lesion is seen in the visualised bones. conclusion: mild stenotic/mild embolic occlusions of mesenteric branches of sma with early ischemic changes in small bowel loops.
data/test/audio_00500.wav,supratentorial: resiolving haemorrhage with surrounding hypodensity noted in left ganglio-capsular region measuring approximately 3.2 x 2.3 cm. there is mass effect in the form of effacement of left lateral ventricle and midline shift of 1 mm towards the right side. posterior fossa:
data/test/audio_04442.wav,visualised tendons and neurovascular structures appear unremarkable. no significant joint effusion or additional focal soft tissue lesion seen. impression: well-defined enhancing soft tissue lesion in the plantar aspect of the right foot at the level of the bases of the first and second metatarsals with extension beneath the plantar fascia into the flexor digitorum brevis muscle.
data/test/audio_04745.wav,the retropulsed fragment indents on the thecal sac. associated marrow edema is seen on stir weighted images. no associated soft tissue component is seen. l1-l2 intervertebral disc reveals broad based posterior protrusion. it indents thecal sac. it causes mild narrowing of spinal canal.
data/test/audio_00480.wav,"findings: supratentorial: both cerebral hemispheres appear normal in architecture and attenuation. grey white matter differentiation is maintained. no evidence of focal parenchymal lesion. no shift of midline structures seen. both lateral ventricles and the 3rd ventricle are normal. ventricular system is not dilated. csf spaces, sulci and fissures are maintained."
data/test/audio_01784.wav,endplate erosive changes noted at d12-l1 and l3-l4 level with grade i wedging in l4 vertebral body and grade ii/iii wedging noted in l1 vertebral body - ? old infective sequelae.
data/test/audio_02431.wav,"and mild disc desiccative changes. the rest of the vertebrae appear normal in height, signal intensity and show normal alignment. no osseous destruction noted. the signal from the marrow of the rest of the visualized vertebrae is normal. the visualized spinal cord shows normal mr morphology and signal characteristics. disc spaces: l1-l2: there is no evidence of disc disease or protrusion,"
data/test/audio_01556.wav,"kidneys: normal. lower cord, cauda-equina: cord ends at l1 level. s.i. joints: normal. :"
data/test/audio_01269.wav,"dependant areas of atelectasis involving bilateral lung parenchyma. rest of the lungs appear normal in volume and attenuation. no evidence of air trapping seen. airway and hilum: trachea, lobar bronchi, bronchus intermedius and rest of the segmental bronchi are normal."
data/test/audio_03987.wav,ct chest without contrast technique the study was done by taking helical sections from lung apices to domes of diaphragm without administration of intravenous contrast medium on a ct scanner. lungs: * lungs appear normal in volume and attenuation.
data/test/audio_04553.wav,"mediastinum: * thoracic oesophagus and other mediastinal structures appears normal. * enlarged lymph nodes noted involving subcarinal regions and right hilar region, largest measuring 24 x 17 mm in right hilar region. * multiple other subcentimetre sized discrete lymph nodes noted involving prevascular, pretracheal, paratracheal and left hilar regions."
data/test/audio_03466.wav,right posterolateral branches have no significant stenosis. cardiac morphology: all four chambers of heart grossly appear normal. the pericardium is of normal thickness. no pericardial effusion is seen. the aortic valve is tricuspid.
data/test/audio_02337.wav,"small hemangiomata are seen involving the t6, t9 and t12 vertebral bodies. : 1. broad based posterior and left foraminal protrusion of l2-3 disc, causing mild to moderate narrowing of central canal and neural foramina, bilaterally. mild facetal arthropathy and ligamentum flavumthickening are detected at this level."
data/test/audio_03728.wav,"spleen appears normal in attenuation, no e/o focal lesion. gall bladder is distended and appears normal. cbd is non dilated. pancreas appears normal in attenuation pattern. small bowel loops appear normal. large bowel loops are distended with fecal matter anterolateral unremarkable. appendix appears normal."
data/test/audio_02173.wav,mra neck protocol multiplanar and multi-echo mri angiography of the neck was performed. the aortic arch appears normal. the origin of great vessels from the arch appears normal and does not show any significant narrowing/stenosis.
data/test/audio_03199.wav,findings: mild straightening of the lumbar spine is seen with no scoliosis. heterogeneous marrow signal intensity. mild anterolisthesis of l3 over l4 and l4 over l5 noted. t1w and t2w hyperintense hemangioma is noted in l3 vertebral body. schmorl's nodes are seen at the endplates of l2-s1 vertebral bodies.
data/test/audio_00018.wav,liver is enlarged in size and measures 19.9 cm long axis dimension. liver parenchyma shows normal signal intensity. liver capsule appears normal. there is no volume redistribution seen. minimal periportal cuffing is seen along the portobiliary radicles. spleen is normal in size without any focal lesion.
data/test/audio_03105.wav,lungs et tube and ng tube noted in situ. homogeneous opacity involving right upper zone likely suggestive of of collapse consolidation. rest of the lungs fields are clear. airways trachea is central. tracheo-bronchial tree is normal. heart cardiac silhouette is normal.
data/test/audio_01349.wav,"urinary bladder: the urinary bladder is adequately distended and appears normal in wall thickness and signal intensity. uterus: the uterus is normal in size, measuring approximately 5 x 4 x 6.5 cm. it demonstrates normal contour and signal intensity."
data/test/audio_00481.wav,basal ganglia and thalami are normal. no intra-axial or extra-axial collections seen. posterior fossa: cerebellum and brainstem are normal in attenuation pattern. cerebellar folia are normal. no focal sol seen. basal cisterns and cp angle cisterns are normal.
data/test/audio_03286.wav,= the right kidney shows an extra- renal pelvis measuring 13 mm (ap) with kinking at the right pelvi-ureteric junction. recommendation suggested clinical correlation.
data/test/audio_01752.wav,no focal lesion in the liver both adrenal glands. no ascites or significant lymphadenopathy seen. a small well defined hypodense 8.5 x 9.5 mm size cystic lesion seen arising from the posterior aspect of the body of pancreas with thin peripheral enhancement and minimally enhancing internal septae without any solid component.
data/test/audio_03944.wav,the vascular structures appear normal. bilateral posterior paraspinal muscles are normal in size and reveal normal signal intensity. impression - mr scan reveals: broad based posterior protrusion of l3-l4 disc causing mild narrowing of spinal canal
data/test/audio_03979.wav,rest of the visualized paranasal sinuses are unremarkable. rest of the skull bones appear normal. soft tissue hematoma over left temporal region with adjacent subcutaneous soft tissue edema. hematoma measures approximately 19 x 9 mm. :
data/test/audio_03330.wav,subpleural linear fibrotic changes noted in left lower lobe medial basal segment. well defined soft tissue density nodule noted 3.8 x 2.3 cm in right lower lobe lateral basal segment. no evidence of spiculated margins. airway and hilum:
data/test/audio_01937.wav,findings: agatston score: the total (aggregate) calcium score using the aj-130 method is 2 lm = zero. lad = zero lcx = zero. rca = 2 coronary artery angiogram findings: dominance of the coronary artery system: right dominant circulation.
data/test/audio_00765.wav,moderate right pleural effusion is seen with maximum thickness measuring approximately 34 mm. underlying collapse/consolidation is noted predominantly involving right lower lobe. patchy areas of consolidation with air bronchograms are seen in right middle lobe.
data/test/audio_00121.wav,"hysterosalpingography protocol: under all aseptic precautions contrast medium was instilled in the uterine cavity. findings: there is a single uterus, normal in size and shape. both tubes are well visualized till fimbrial end and are normal in caliber."
data/test/audio_04429.wav,"associated mediastinal lymphadenopathy noted. no pleural effusion or pneumothorax. recommendation suggested clinical correlation, sputum evaluation, cbnaat"
data/test/audio_05343.wav,there is loss of normal cervical lordosis seen. few marginal osteophytes are seen from c3 to c7 vertebral levels. vertebrae appear osteoporotic. all cervical intervertebral discs are degenerated. c3-4 intervertebral disc reveals broad based posterior protrusion.
data/test/audio_00415.wav,no parenchymal lesion or intraductal calcifications seen. spleen: spleen is normal in size and shows homogeneous contrast enhancement. no focal lesion in spleen is seen. adrenals: both adrenal glands are defined and appear normal and show homogeneous contrast enhancement.
data/test/audio_00803.wav,undisplaced fracture at the base of the fourth metacarpal. features suggestive of complex fracture-dislocation pattern involving the wrist and carpometacarpal region. orthopedic surgical evaluation is recommended.
data/test/audio_04509.wav,"the basal ganglia and thalami are unremarkable. the brainstem and cerebellum appear normal. the ventricles, sulci and basal cisterns are mildly prominent, indicating volume loss. the lateral ventricles are disproportionately prominent as compared to the enlargement of the sulci and basal cisterns."
data/test/audio_03631.wav,lobulated soft tissue shadow in right upper zone and right paratracheal stripe causing deviation of trachea to left side- ?mediastinal mass. adv cect chest for further evaluation.
data/test/audio_00618.wav,". mild facetal arthropathy and ligamentum flavum thickening are detected at this level. left facetal effusion seen at this level. l4-5 disc reveals broad based posterior herniation with slight inferior migration. it indents the anterior epidural fat, both l5 nerve roots and causes moderate narrowing of central canal and lateral recesses, bilaterally."
data/test/audio_02047.wav,old non-united fracture noted in intertrochanteric region of left femur with periosteal reaction. adjacent myositis ossificans noted. post orthopaedic screw removal status noted in head and neck of left femur.
data/test/audio_03790.wav,: posterior fossa: cerebellum and brainstem are normal. cerebellar folia are normal. no evidence of tonsillar herniation. pons and medulla show normal signal intensity. no focal sol is seen. basal and cp angle cisterns are normal. fourth ventricle is central and is normal in shape. both the iams are normal and symmetrical.
data/test/audio_05475.wav,no significant subcutaneous oedema or focal fluid collection seen. neurovascular bundles appear unremarkable on the provided images. impression: stress fracture / insufficiency fracture involving the posterior cortex of the distal tibia with surrounding marrow oedema and solid periosteal reaction.
data/test/audio_01504.wav,both domes of diaphragm are normally placed. bony thoracic cage is normal. no soft tissue abnormality seen. cardiomegaly witb prominent bronchovascular markings recommendation suggested clinical correlation.
data/test/audio_05694.wav,"descending artery is normal in calibre and have no significant stenosis. diagonal branches have no stenosis. the lad is seen reaching up to the apex. left circumflex artery: lcx is patent and show normal lumen. it gives rise to om1, om2 and terminates av groove. right coronary artery: the right coronary artery is dominant and appears normal."
data/test/audio_01149.wav,cruciate ligaments: mild sprain involving anterior cruciate ligament. no evidence of tear. posterior cruciate ligament appears intact with normal tibial and femoral attachments and reveal normal signal intensity. no evidence of tear. collateral ligaments: mild sprain noted involving lateral collateral ligament.
data/test/audio_03676.wav,"mri brain plain technique:- mri brain was performed using t1-t2wt sequences in multiple planes, using a quadrature head coil. :-"
data/test/audio_04394.wav,"lower shaft of femur, medial and lateral femoral condyles, tibial plateau and upper tibia and fibula reveal normal marrow signal. no evidence of marrow edema. focal bony contusions involving rest of the visualised bones. undisplaced fracture with marrow edema involving the medial and lateral tibial condyles. patella appears normal in position."
data/test/audio_01559.wav,"internal auditory canals are normal in size, shape and outline. internal auditory meati are bilaterally symmetrical. petrous apices are displaying normal ct morphology. visualized brain parenchyma especially posterior fossa contents including c-p angles is normal. no focal lesion is seen. no mass effect or midline shift."
data/test/audio_02037.wav,"liver is normal in size and contour. a well-defined t2 hyperintense lesion measuring 15 x 14 mm is noted in segment iii of the left lobe, likely representing a simple hepatic cyst. there is a diffusion-restricting t2 hypointense soft tissue lesion measuring approximately 6.2 x 4.8 x 3.5 cm"
data/test/audio_00896.wav,": mildly prominent central intrahepatic biliary radicles. rest of the liver appears normal in attenuation and enhancement pattern, no e/o focal lesion. common bile duct measures approximately 4.5 mm. no obvious calculus. portal vein appears normal in course and caliber."
data/test/audio_02780.wav,with intralesional haemorrhagic components and surrounding inflammatory changes. differentials diagnosis - pheochromocytoma with haemorrhage adrenal neoplasm with internal haemorrhage left renal cortical cyst (benign). mild diffuse urinary bladder wall thickening - likely inflammatory; correlate clinically.
data/test/audio_03299.wav,: appendix is dilated with maximum diameter of 10-11 mm and shows thickened enhancing walls with minimal periappendiceal fluid. it is filled with fluid. no obvious appendicolith. it is arising from medial wall of cecum and coursing posterosuperiorly with tip at 11 o'clock to 12 o'clock position.
data/test/audio_00497.wav,"moderate facetal arthropathy and ligamentum flavum thickening at this level, adding to spinal canal stenosis. 3. right paracentral and foraminal protrusion of l1-2 disc, causing mild narrowing of central canal and right neural foramen. 4. broad based posterior protrusion of l5-s1 disc,"
data/test/audio_00807.wav,impression: mild oedematous wall thickening of the stomach- likely possibility of gastritis. no obvious hyperdense renal or ureteric calculus seen at present. suggest clinical correlation and sos cect abdomen. thanks for the reference with regards
data/test/audio_05294.wav,multiple eccentric calcified plaques noted in the proximal segment of left circumflex artery causing 70%-80% luminal compromise. few eccentric calcified plaques in proximal and distal segment of right coronary arteries causing maximum of 50% luminal compromise. cadrads 4b p4. suggested further evaluation with digital subtraction angiography and usg carotid doppler.
data/test/audio_05354.wav,"large prevertebral and paravertebral abscess extending from d9 to l1 levels with peripheral enhancement. posterior epidural extension at d11-d12 causing spinal canal narrowing and mild compression of the thoracic spinal cord without cord signal abnormality. large bilateral psoas abscesses, larger on the left side (11 x 4.5 cm). associated focal kyphotic deformity at"
data/test/audio_00444.wav,c4-c5: diffuse disc bulge causing mild thecal sac indentation without significant neural foraminal narrowing or nerve root compression. c5-c6: diffuse disc bulge causing mild thecal sac indentation without significant neural foraminal narrowing or nerve root compression.
data/test/audio_03826.wav,"diffuse annular disc bulge causing mild thecal sac compression and mild bilateral lateral recess/foraminal nerve root indentations. l4-l5: modic type 2 end plate degenerative changes.diffuse annular disc bulge with posterior central, bilateral paracentral disc protrusions causing moderate thecal sac and significant bilateral lateral recess/for[aminal nerve root compressions."
data/test/audio_03368.wav,"early marrow infiltrative pathology (less likely in absence of cortical breach/soft tissue mass- leukemia/lymphoma) no aggressive imaging features such as cortical destruction, periosteal reaction, or extraosseous extension to suggest primary malignant bone tumor."
data/test/audio_03470.wav,ganglio-capsular regions and corona radiata. mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-parietal and periventricular white matter. suggested clinical and laboratory correlation. investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly.
data/test/audio_02903.wav,overall features are highly suggestive of metastatic disease involving lungs and pleura in a known case of dfsp.
data/test/audio_03532.wav,"associated underlying lung consolidation and atelectasis, likely compressive in nature. smooth interlobular septal thickening, predominantly in bilateral upper lobes - represent interstitial edema. mild bilateral apical paraseptal emphysematous changes."
data/test/audio_05399.wav,observation: ptbd cathters in situ right dome of diaphragm appears elevated the soft tissue outlines of solid abdominal organs are normal. no radio opaque shadow seen. the bowel gas pattern is normal. lumbar spine appears normal.
data/test/audio_00795.wav,"the mamillary bodies and fornices appear normal. bilateral basal ganglia, thalami and internal capsules appear normal. sellaandsuprasellar region appear normal. ventricular system is normal with the septum in midline. brainstem and cerebellum reveal normal signal intensity. both cerebellopontine angle cisterns appear normal."
data/test/audio_00773.wav,(lcl): grade i sprain noted. iliotibial band: grade i periligamentous signal intensity changes noted along lateral column. extensor mechanism: patella appears normal in alignment and signal.
data/test/audio_01560.wav,fluid / soft tissue density contents are seen in right mastoid air cells and middle ear cavity with sclerosis of right mastoid air cells. contents are abutting the lateral wall of facial canal with its mild thinning.s/o acute on chronic mastoiditis.
data/test/audio_03335.wav,"well-defined soft tissue density nodule in right lower lobe (3.8 x 2.3 cm) without spiculated margins - likely benign etiology (e.g., granuloma/infective mass); however, neoplastic etiology to be ruled out."
data/test/audio_03875.wav,"lungs & airways: multiple cavitary lesions of varying sizes are noted scattered in both lungs, predominantly involving the bilateral upper lobes. the largest cavity measures approximately 31 x 23 mm. in right upper lobe. associated peribronchial scarring and fibro-atelectatic bands are seen in the involved regions."
data/test/audio_01991.wav,likely representing benign chronic degenerative/subcortical cystic change or vascular channel. no evidence of avascular necrosis or aggressive osseous lesion.
data/test/audio_03873.wav,great vessels: appear unremarkable. visualized upper abdomen: a hypodense lesion measuring ~15 x 16 mm is seen in the upper pole of the spleen. remaining visualized abdominal structures are unremarkable. impression:
data/test/audio_04721.wav,"4. broad based posterior protrusion of l5-s1 disc, causing mild narrowing of central canal. moderate facetal arthropathy and ligamentum flavum thickening at this level. 5. desiccated and diffuse bulge of l4-5 disc, without any significant central canal or neural foraminal narrowing."
data/test/audio_04678.wav,grade i injury involving medial and lateral patellar retinaculum. no evidence of laxity or tear. meniscus: high grade complex tear involving the body and posterior horn of medial meniscus reaching up to the superior and inferior articular surfaces.
data/test/audio_01084.wav,small articular cartilage defect measuring approximately 2 mm noted involving the medial femoral condyle. few subchondral cysts involving the intercondylar region of tibia and femur. rest of the tibiofemoral and patello-femoral joints reveal intact articular cartilage. no obvious intraarticular loose bodies are seen.
data/test/audio_05507.wav,measures 15-16 mm. it shows normal post-contrast enhancement. gall bladder is normally distended. no evidence of radio-opaque calculus seen. cbd is normal in size. pancreas is normal in size. no evidence of abnormal area of enhancement noted. peripancreatic fat planes appear normal. no evidence of peripancreatic collection noted.
data/test/audio_01756.wav,"reactive appearing up to 6 mm sized mediastinal lymph nodes are seen. lungs and pleura- no evidence of consolidation, ground-glass opacities or pulmonary nodules are seen. there is no evidence of honeycombing, emphysema, bronchiectasis seen in both the lungs."
data/test/audio_03977.wav,"rest of the cortical sulci, basal cisterns and ventricular system are normal. the posterior fossa structures are normal. no evidence of infarct / sol. no midline shift is seen. sella and parasellar structures appear grossly unremarkable."
data/test/audio_02282.wav,suspicious for nodal metastases. internal jugular veins remain patent with preserved contrast opacification. no evidence of hyoid bone destruction. mild cervical spondylotic changes with reduction of cervical lordosis. recommendation: histopathological correlation with biopsy of the primary lesion and nodal evaluation is advised.
data/test/audio_01950.wav,"there is loss of normal lumbar lordosis. mild changes of spondylosis are seen. l4-5 and l5-s1 discs reveal posterior protrusions, indenting thecal sac. : mr scan reveals: no evidence of acute infarct or hemorrhage. few t2 / flair hyperintense foci in bilateral fronto-parietal white matter, as described above."
data/test/audio_04212.wav,"pterygoid, ethmoid and sphenoid: * body and plates of pterygoidappears normal in configuration and attenuation bilaterally. * pterygopalatine fissures appear normal bilaterally. * ethmoid appears normal bilaterally with preserved air-cells. * body and greater wing of sphenoid appear normal."
data/test/audio_00581.wav,": 1. desiccated and broad based posterior herniation of c4-5 disc, causing mild narrowing of the central canal and neural foramina, bilaterally. mild facetal arthropathy is detected at this level. 2. desiccated and broad based posterior herniation of c5-6 disc, causing mild narrowing of the central canal"
data/test/audio_02707.wav,"trachea, lobar bronchi, bronchus intermedius and segmental bronchi are normal. no intraluminal filling defects present. no dilated bronchi seen. both hilar regions appear normal. no significant hilar lymphadenopathy is observed. pleural surfaces: no pleural / fissural thickening seen in the sections evaluated. no evidence of pleural effusion present."
data/test/audio_00258.wav,"no obvious intra / extra-axial space occupying lesion is observed. major intracranial dural venous sinuses are showing normal outline and flow void. sella, supra-sellar and para-sellar structures are normally visualized."
data/test/audio_00553.wav,findings: cruciate ligaments: mild sprain involving the proximal fibers of anterior cruciate ligament. no evidence of tear. posterior cruciate ligament appears intact with normal tibial and femoral attachments and reveal normal signal intensity. no evidence of tear. collateral ligaments:
data/test/audio_01876.wav,":- body of scapula, acromion process and coracoid process of scapula appear normal. no evidence of distension of capsule, periarticular collection or abscess formation noted."
data/test/audio_00483.wav,impression: no significant intracranial abnormality seen. suggested clinical and laboratory correlation
data/test/audio_05170.wav,borderline small right kidney. adv: kft correlation partially distended urinary bladder with foleys bulb in situ & few air foci in urinary bladder. please correlate clinically.
data/test/audio_00582.wav,both frontal sinuses are normal. mucosal thickening in both maxillary sinuses (right>left) right concha bullosa. ethmoid / sphenoid sinuses appear normal. bilateral fronto-nasal recess appear unremarkable.
data/test/audio_00059.wav,visualized bones appear unremarkable. impression - known case of ehpvo liver shows early chronic liver parenchymal disease changes without any arterial phase enhancing lesion which shows washout on the venous phase images.
data/test/audio_01805.wav,no ascites is seen. appendix noted in right iliac fossa. base of appendix appears thickened measuring approximately 8 mm. few prominent nodes noted adjacent to appendix largest measuring 12 x 10 mm. the visualised lung bases are clear. conclusion
data/test/audio_04821.wav,"and delayed phases, becoming isodense to the adjacent hepatic parenchyma, consistent with flash-filling hemangioma. cervix appear bulky with hypodense foci seen - cervicitis. no evidence of renal calculi / hydroureteronephrosis. no evidence of acute appendicitis."
data/test/audio_01886.wav,there is no other focal area of abnormal signal intensity in the cerebral or cerebellar hemispheres. the grey-white matter differentiation is well maintained. the brainstem and cerebellum are normal.
data/test/audio_04538.wav,"technique: contrast-enhanced ct scan of abdomen and pelvis performed following intravenous contrast administration. multiplanar reformatted images were evaluated. observation: liver appears normal in size, contour and attenuation. no focal enhancing hepatic lesion noted."
data/test/audio_04820.wav,hypodense foci seen. : there is evidence of a well-defined lesion measuring approximately 18 x 12 mm noted in segment vii of the right lobe of the liver. the lesion appears hypodense on non-contrast images and demonstrates homogeneous intense enhancement during the arterial phase with persistent enhancement on portal venous
data/test/audio_00173.wav,clinical profile: history of trauma. : undisplaced fracture involving the distal pole and waist of scaphoid. it is involving the intercarpal articular surface.
data/test/audio_02770.wav,there is no focal area of abnormal signal intensity in the cerebral or cerebellar hemispheres. the grey-white matter differentiation is well maintained.
data/test/audio_01841.wav,proximal lcx: eccentric mixed plaque causing maximum 10%-20% luminal narrowing (mild stenosis). mid and distal lcx are normal. om1 and om2 branches are identified. proximal om1: eccentric mixed plaque causing maximum 70%-80% luminal narrowing
data/test/audio_02031.wav,"mri scan of cervical spine technique: mri of the cervical spine was obtained with the following sequences: axial gre, sagittal t1, t2, and stir. clinical profile: headache and giddiness."
data/test/audio_00992.wav,"no focal bony abnormality. paranasal sinuses & mastoid air cells: appear clear. impression: normal contrast-enhanced ct study of the brain and cerebellopontine angles. no evidence of intracranial mass lesion, hemorrhage, infarct, or abnormal enhancement."
data/test/audio_03699.wav,"the visible parts of the bowel loops show no obvious mass lesions or wall thickening. fecal loaded colon and rectum- likely constipation. urinary bladder reveals normal lumen and walls. no vesical calculi, wall thickening or mass lesion. lung bases are clear. no basal pleural effusion."
data/test/audio_04240.wav,"i.v. discs: l1-2: no significant disc bulge or protrusion. l2-3: no significant disc bulge or protrusion. l3-4: desiccation. mild bulge, indenting the thecal sac. no significant nerve root compression. neural foramina appear normal."
data/test/audio_03589.wav,features are suggestive of acute interstitial pancreatitis. in view of poor delineation of pancreatic head due to active inflammation possibility of underlying neoplastic etiology cannot be completely ruled out. needs follow up imaging. hypodense area anterior to the head of pancreas causing compression of main pancreatic duct - possibility of acute peripancreatic collection. right minimal pleural effusion.
data/test/audio_03060.wav,"= stir hyperintensity around tendons of the gluteus medius and minimus muscles, most prominent at the insertion on the greater trochanter on both sides. - suggestive of trochanteric pain syndrome no evidence of avn or femoro acetabular impingement."
data/test/audio_05683.wav,"median glosso-epiglottic folds, ary-epiglottic fold; epiglottis and pre-epiglottis space appear normal. both valeculla and pyriform fossa appear normal. no evidence of any space-occupying lesion noted. false and true vocal cords appear normal in thickness."
data/test/audio_05503.wav,l3-l4 intervertebral disc reveals broad based posterior protrusion. it indents thecal sac and both l4 nerve roots. it causes mild narrowing of spinal canal. mild facetal arthropathy and ligamentum flavum thickening is seen at this level.
data/test/audio_03269.wav,bony thoracic cage is normal. no soft tissue abnormality seen. prominent broncho-vascular markings - decreased as compared to previous radiograph. suggested clinical correlation
data/test/audio_02554.wav,left pulmonary trunk: (19) mm. the segmental branches are normal in caliber and show good contrast opacification with no evidence of filling defect / thrombosis. no evidence of any focal filling defect seen. the aortic arch and visualized ascending aorta and descending aorta are normal.
data/test/audio_01648.wav,the posterior elements are normal. the alignment is normal. para vertebral soft tissues are normal. both sacro iliac joints are normal. no abnormal radio opaque shadow is seen. : changes suggestive of degenerative lumbar spondylosis. grade i anterolisthesis of l4 over l5. adv : ct spine if clinically indicated.
data/test/audio_04418.wav,ct right foot technique axial sections of the right foot were taken without administration of intravenous contrast on a multi-slice spiral scanner. evidence of intra-articular severely comminuted fractures of calcaneus.
data/test/audio_01736.wav,rest of brain parenchyma demonstrates normal morphology & signal intensity patterns. gray-white matter differentiation is well maintained with normal myelination pattern for age. posterior fossa structures appear normal. mid brain appears normal. no evidence of any blooming or depositions noted in the region of substantia nigra.
data/test/audio_03467.wav,observation: degenerative changes are noted in the form of anterior marginal osteophytes and straightening of lumbar curvature. no lytic or sclerotic lesion is seen. para vertebral soft tissues appear normal. visualized parts of the ribs appear normal. : mild degenerative changes in dorsolumbar spine
data/test/audio_04970.wav,this corresponds to mild-moderate deep infiltrating endometriosis with: * posterior compartment involvement (torus uterinus + rectal wall) * bilateral ovarian disease * right hematosalpinx * pelvic adhesions
data/test/audio_04323.wav,"superiorly, the lesion closely abuts the soft palate. inferiorly, there is infiltration of bilateral genioglossus muscles and right hyoglossus muscle. no definite mandibular marrow infiltration identified on the present study."
data/test/audio_02172.wav,"femorotibial bony alignment with joint spaces and articular cartilage are normal. visualized bones are showing normal articulation, alignment, cortical outline and bone marrow signal intensity. quadriceps tendon and patellar ligament are normal. periarticular musculotendinous attachments and vascular flow voids are unremarkable."
data/test/audio_04504.wav,no e/o bony canal stenosis is seen. rest of the visualized soft tissue appear normal. impression: postoperative changes as mentioned. no other significant abnormality detected. needs further evaluation with mri if clinically indicated investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly.
data/test/audio_03894.wav,osseous structure: rest of the visualised bones reveal normal signal intensity. no evidence of marrow edema. patella appears normal in position. joints: no evidence of osteoarthritic changes.
data/test/audio_05405.wav,approximately 3.1 x 2.0 cm size hypodense soft tissue noted in right anterior chest wall at the level of seventh and eighth rib. mild volume loss noted in right lung field. peribronchial cuffing noted in right lung field. interstitial septal thickening noted in right lung field. few tiny subpleural nodules noted in left lung field.
data/test/audio_01052.wav,"roof and posterolateral wall of right orbit. displaced fracture of right zygomatic arch is seen. scalp hematoma with thickness ~13.5mm is seen overlying right frontoparietotemporal convexity. right maxillary, bilateral ethmoid and bilateral sphenoid sinusitis is seen with hyperdense contents in right maxillary sinus"
data/test/audio_01031.wav,"mild synovial effusion is seen. mild fluid is seen in subacromial - subdeltoid and subcoracoid bursae and also along the biceps tendon. mild hypertrophic changes are seen in the acromio-clavicular joint, with subacromial spur. there is lateral downsloping of the acromion seen."
data/test/audio_04364.wav,"lower dorsal spinal cord and conus medullaris are showing normal morphology, outline and signal intensity. cord csf interface and cauda equina nerve roots are normally visualised. no evidence of primary canal stenosis. facet joints and ligamentum flavum are normal. pre and para vertebral soft tissues are normal."
data/test/audio_00567.wav,"burr hole craniotomy defects with overlying fixations involving left fronto-parietal bones. rest of the skull bones appear normal. no e/o any fracture noted impression: large acute intraparenchymal hemorrhage (approximate volume 90 cc) in the right ganglio-capsular region,"
data/test/audio_03982.wav,x-ray left wrist (ap & lat.): fracture noted in distal end of radius and ulnar styloid process. soft tissue swelling noted at wrist joint. carpal and metacarpal bones appear normal.
data/test/audio_00702.wav,"(trxapxcc) (approximately volume is 12 cc). it appears isointense on t1w, hyperintense on t2w and stir. t2w and stir hyperintensities are seen in the adjacent muscle suggestive of edema."
data/test/audio_05655.wav,bones no fracture or dislocation is present. no focal bony lesion present. visualized bones show normal mineralization. joints joint spaces are normal. no signs of osteoarthritis is appreciated. soft tissue soft tissues are normal
data/test/audio_04648.wav,: haziness involving right lower zone suggestive of consolidation. mild cardiomegaly noted. unfolding of arch of aorta and aortic knuckle calcification noted. both domes of diaphragm are normal in shape and outline. both cardiophrenic and costophrenic angles are clear. tracheal lucency is central. soft tissue shadows and bony thorax appear to be normal.
data/test/audio_01974.wav,supraspinatus tendinosis with low-grade partial thickness tear involving < 25% fibres noted at myotendinous junction involving articular surface of anterior fibres of supraspinatus . mild acromioclavicular joint arthrosis. minimal subcoracoid
data/test/audio_00475.wav,"l4-5 disc reveals broad based posterior protrusion. it indents the thecal sac, both l5 nerve roots and causes mild narrowing of central canal. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. l5-s1 disc reveals diffuse bulge."
data/test/audio_01962.wav,"l3-l4: asymmetrical disc bulge causing thecal sac indentation, narrowing of left neural foramen with exiting nerve root indentation.moderate spinal canal narrowing. l4-l5: right paracentral disc bulge causing thecal sac indentation,effacement of right and narrowing of left neural foramen with exiting nerve root compression.moderate spinal canal narrowing."
data/test/audio_02520.wav,suggested clinical correlation. ncct wrist if indicated.
data/test/audio_02974.wav,distended with t2 hyperintense fluid signal intensity areas. no obvious sol. both ovaries appear normal in size and signal intensity. no adnexal mass lesion seen minimal fluid noted in the pouch of douglas. bilateral parametrial vessels appear prominent suggestive of pelvic congestion. pelvic vasculature otherwise reveal normal flow voids.
data/test/audio_00917.wav,"findings: right upper limb arterial system: there is near-complete luminal stenosis (~80-90%) involving the proximal segment of the right subclavian artery, likely due to intraluminal thrombus. the thrombus is seen extending distally into the right axillary"
data/test/audio_00160.wav,the lamina papyracea on either side is normal. both middle turbinates exhibit normal curvature. deviation of nasal septum to right. the left inferior turbinate appears hypertrophied.
data/test/audio_04003.wav,"* the nasopharynx, oropharynx and hypopharynxappears normal. * no pharyngeal wall thickening or intraluminal lesion noted. no evidence of diffuse or focal narrowing seen. * visualized part of hard palate, soft palate and uvula appears normal."
data/test/audio_02656.wav,"intersphincteric fistulous tract with internal opening at ~6 o'clock (approximately 1.8 cm from the anal verge) and external opening at ~7 o'clock; tract length approximately 1.9 cm, with central stir hyperintensity."
data/test/audio_04907.wav,"a1 segment of right anterior cerebral artery appears hypoplastic. the right internal carotid artery, appear left anterior cerebral artery, both middle cerebral arteries appear normal. left vertebral artery is hypoplastic."
data/test/audio_00005.wav,"pancreas is normal in size. no evidence of abnormal area of enhancement noted. peripancreatic fat planes appear normal. no evidence of peripancreatic collection noted. spleen is normal in size and enhancement. splenic vein is normal in size and enhancement. both kidneys are normal in size, shape and position."
data/test/audio_04345.wav,no e/o any focal bony lesion. rest of the joint spaces and articular margins are intact. rest of the visualized soft tissues are unremarkable. : undisplaced fracture involving the distal pole and waist of scaphoid.
data/test/audio_04419.wav,the rest of visualized bones are normal in density and trabecular pattern. bone density is normal. there is diffuse soft tissue edema. severely comminuted fracture of the calcaneus - sanders type 4 classification. recommendation suggested clinical correlation.
data/test/audio_01324.wav,lumbar spine: a chronic anterior wedge compression fracture is noted at l1 with approximately 25% reduction in vertebral height. another chronic anterior wedge compression fracture is seen at l3 with approximately 25% height reduction. both lesions cause mild indentation of the anterior thecal sac.
data/test/audio_03064.wav,"level causing anterior thecal sac indentation, bilateral lateral recess narrowing and abutting bilateral s1 traversing nerve roots. : mild posterior annular bulge seen at c4-c5 level causing anterior thecal sac indentation. diffuse disc bulge noted at c5-c6 level causing anterior thecal sac indentation,bilateral neural foraminal narrowing and abutting bilateral c6 exiting nerve roots."
data/test/audio_05576.wav,"luminal compromise. it gives rise to om1, om2 and terminates av groove. right coronary artery: the right coronary artery is dominant and appears normal. acute marginal, right posterior descending artery and right posterolateral branches have no significant stenosis. cardiac morphology: all four chambers of heart grossly appear normal."
data/test/audio_01630.wav,"a 4.3 mm sized hyperdense (hu 550) obstructive calculus noted in the right lower ureter (1.5 cm inferior to the right iliac crossing, at l5-s1 level) with resultant mild back pressure changes. suggested clinical correlation. investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly."
data/test/audio_04989.wav,"these findings are most suggestive of inflammatory sacroiliitis, such as that seen in seronegative spondyloarthropathies (e.g., ankylosing spondylitis) in the appropriate clinical setting. correlation with clinical findings, inflammatory markers and hla-b27 status is recommended. investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly."
data/test/audio_05548.wav,findings: agatston score: the total (aggregate) calcium score using the aj-130 method is zero lm = zero. lad = zero lcx = zero. rca = zero. coronary artery angiogram findings: dominance of the coronary artery system: right dominant circulation.
data/test/audio_05235.wav,"findings: few patchy ground-glass opacities involving right lower lobe likely lung contusions. right sided minimal hemothorax with atelectasis of underlying lung parenchyma noted. mildly displaced fractures involving the right 1st, 5th, 10th and 11th ribs. mild anterior wedge compression involving d3 vertebral body with loss of approximately 10% vertebral body height."
data/test/audio_02445.wav,"there is compression of bilateral exiting l4 & traversing l5 nerve roots. l5-s1: desiccation. diffuse bulge, indenting the thecal sac and encroaching the neural foramina. there is indentation over bilateral traversing s1 and exiting l5 nerve roots. posterior elements : ligamentum flavum: thickening noted at l3-4 & l4-5 levels."
data/test/audio_05123.wav,x-ray chest views pa view of chest lungs bilateral lungs fields are clear. airways trachea is central. tracheo-bronchial tree is normal. heart cardiac silhouette is normal. others
data/test/audio_00872.wav,multiple tiny calcifications noted in the bilateral basal ganglia. left parietal subgaleal haematoma noted. : no significant neuro-parenchymal abnormality seen. left parietal subgaleal haematoma noted. (kindly correlate clinically)
data/test/audio_04159.wav,recommendation suggested clinical correlation.
data/test/audio_01464.wav,"thoracic oesophagus and other mediastinal structures appears normal. no significant mediastinaladenopathy is observed. heart and major vessels: heart outline and size appears normal. major pulmonary artery, right pulmonary artery and left pulmonary artery show no abnormality. others:"
data/test/audio_04101.wav,"both lateral ventricles and the 3rd ventricle are normal. ventricular system is not dilated. csf spaces, sulci and fissures are maintained. rest of the basal ganglia and thalami are normal. no intra-axial or extra-axial collections seen."
data/test/audio_02158.wav,"multiple degenerative osteophytes noted in c2, c3, c4, c5 and c6 vertebral levels. there is evidence of fracture noted involving antero-inferior corner of c5 vertebra with disruption of anterior longitudinal ligament at c5-c6 level."
data/test/audio_00027.wav,ureters: both ureters appear normal in course and calibre. no evidence of ureteric calculus / obstruction seen. urinary bladder: urinary bladder is adequately distended with smooth outline and appears normal. no evidence of papillary growth or any intravesical abnormalities.
data/test/audio_03717.wav,visualized large bowel segment appear within normal limits. 2.5 cm maximum diameter abdominal wall laceration noted in the left lumbar region with herniation of the small bowel loops. mild mesenteric fat stranding noted in the left lumbar region. mild free fluid noted in the abdomen. pelvis:
data/test/audio_01296.wav,both kidneys shows good uptake and excretion of contrast material into collecting system. corticomedullary differentiation is maintained. renal pelvis appears normal. peri-nephric fat regions appear unremarkable bilaterally. ureters: both ureters appear normal in course and calibre.
data/test/audio_03562.wav,no contrast extravasation into adjacent soft tissues or loculated collection is identified. no secondary tracts or horseshoe extension demonstrated on this study.
data/test/audio_02405.wav,suggestion: correlate with symptoms of peptic ulcer disease / gastritis consider upper gi endoscopy for further evaluation of pyloric thickening if clinically indicated.
data/test/audio_00914.wav,"upper abdomen (limited visualization): a 4 x 5 mm non-obstructive calculus noted in the mid-pole of the left kidney. bones: degenerative changes noted in the visualized spine. : multifocal patchy consolidations with centrilobular nodules and cavitation,"
data/test/audio_02787.wav,"ct angiograms were obtained for craniocervical vessels. the visualised aca's, mca's & pca's are normal bilaterally. the vertebrobasilar system is normal. mild to moderate atherosclerotic thickening and calcifications involving cavernous and supraclinoid segments of bilateral internal carotid arteries."
data/test/audio_05251.wav,collateral ligament: medial collateral: normal. lateral collateral: normal. patellar & quadriceps tendons: normal. ilio-tibial tract: normal. retinaculum & plicae: normal.
data/test/audio_02186.wav,no evidence of an abnormal paravertebral shadow or calcification is noticed. opinion: 1. mild retrolisthesis of l3 over l4 noted. 2. reduction of disc space at l3-l4 vertebral level. 3. marginal osteophytes at multiple dorsolumbar levels. above findings are suggestive of mild degenerative changes.
data/test/audio_04399.wav,"mediastinum: thoracic oesophagus and other mediastinal structures appears normal few subcentmetric mediastinal lymph nodes are seen heart and major vessels: heart outline and size appears normal. others: visualized vertebrae, sternum and ribs appear normal."
data/test/audio_00939.wav,both hilar regions appear normal. no significant hilar lymphadenopathy is observed. pleural surfaces: left minimal pleural effusion. left mild pneumothorax. mediastinum: thoracic oesophagus and other mediastinal structures appears normal. no significant mediastinal adenopathy is observed.
data/test/audio_00095.wav,"anterior cruciate ligament (acl) and posterior cruciate ligament (pcl) appear intact. medial collateral ligament (mcl) is intact. menisci: medial and lateral menisci appear normal in morphology and signal intensity, with no definite tear."
data/test/audio_04533.wav,"soft tissue shadows and bony thorax appear to be normal. opinion: mild cardiomegaly. haziness involving bilateral lower zones suggestive of consolidations, likely koch's. suggested hrct chest correlation. investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly."
data/test/audio_02060.wav,both ureters are normal in course and caliber. no definite evidence of bowel wall thickening noted. no evidence of thickening of the mesentery or mesenteric lymphadenopathy. no evidence of the retroperitoneal lymphadenopathy. urinary bladder is normally distended. no evidence of stone or s.o.l.
data/test/audio_04335.wav,"t1 hypointense signal alteration is seen in the visualized residual portion of the left mandible - suspicious for neoplastic involvement. a diffusion-restricting t2 hyperintense lesion measuring approximately 3.7 x 2.9 x 2.4 cm is noted involving the lateral aspect of both anterior and posterior thirds of the tongue,"
data/test/audio_03835.wav,"both adrenal glands appear unremarkable. both kidneys are otherwise normal in size, shape, attenuation pattern. urinary bladder is minimally distended and foley's bulb is noted in situ. small bowel loops otherwise appears normal. large colon is distended with fecal matter and otherwise appear unremarkable. no e/o pleural effusion noted. :"
data/test/audio_04882.wav,"fourth ventricle is central and normal in shape. bone, scalp and sinuses: bony calvarium is normal. no evidence of fracture or sol is seen. visualized part of orbits is unremarkable. overlying scalp is normal. visualized paranasal sinuses are normal."
data/test/audio_03127.wav,lungs prominence of bronchovascular markings. airways trachea is central. tracheo-bronchial tree is normal. heart cardiac silhouette is normal. others bilateral cp angles are clear. both domes of diaphragm are normally placed. bony thoracic cage is normal. no soft tissue abnormality seen.
data/test/audio_03153.wav,"along the surgical tract appear intact, without evidence of sinus tract, subcutaneous collection, or fistulous communication, and there is no contrast extravasation adjacent to the surgical stoma rectum appears normal in the scan. the peri-rectal fat planes are intact. prostate and seminal vesicles:"
data/test/audio_00521.wav,"medially suspicious intracranial soft tissue extension noted into left posterior fossa measuring and closely related to left sigmoid sinus. multiple enlarged left level iv and v cervical lymph nodes noted, largest measuring 12 x 10 mm. right side:"
data/test/audio_04886.wav,"haziness noted in bilateral frontal and maxillary sinuses, possibility of changes of sinusitis. no evidence of bony erosion. nasal septum is mild deviated to left side. : haziness noted in bilateral frontal and maxillary sinuses, possibility of changes of sinusitis. nasal septum is mild deviated to left side."
data/test/audio_03459.wav,lungs prominent broncho-vascular markings are noted bilaterally. homogeneous opacity involving left lower zone at the cp angle likely pericardial fat. rest of the bilateral lungs fields are clear. airways trachea is central. tracheo-bronchial tree is normal. heart cardiac silhouette is normal.
data/test/audio_01311.wav,"1. post-reduction status of posterior dislocation of the left hip, with congruent femoroacetabular alignment. 2. displaced intra-articular fracture of the inferomedial aspect of the left femoral head, consistent with a pipkin type i fracture."
data/test/audio_05141.wav,"liver appears normal in attenuation and enhancement pattern, no e/o focal lesion. portal vein and cbd appears normal in course and caliber. spleen appears normal in attenuation and enhancement, no e/o focal lesion. gall bladder is distended and appears normal."
data/test/audio_01253.wav,"suspicious metastatic pelvic lymphadenopathy involving the right pelvic sidewall and bilateral external iliac nodes. 4. diffuse bladder wall thickening suggestive of cystitis, with foley's catheter in situ. 5. right inguinal hernia containing omental fat. 6. right moderate hydrocele. recommendations:"
data/test/audio_00899.wav,the carotid canal and jugular foramen are normal. the temporomandibular joint is normal. left: the left temporal bone has a normal appearance. the middle ear cleft is normal. the prussac's space and scutum appear unremarkable. pyramidal eminence and sinus tympani are normal.
data/test/audio_00386.wav,early tricompartmental osteoarthritic changes. mild to moderate joint effusion. grade i sprain of the lcl at its femoral attachment. mild anterior subcutaneous edema.
data/test/audio_00745.wav,defect measuring approximately 4.5 mm noted in the right lamina papyracea with dehiscence of orbital fat. overlying scalp is normal. mild mucosal thickening involving bilateral maxillary and ethmoid sinuses. rest of the visualized paranasal sinuses are normal.
data/test/audio_04043.wav,"another well-dened hypoechoic area seen in left lobe liver, measuring 3.5 x 2.5 x 3.0 cm (14-15 cc) - ? partially liqueed abscess. portal vein appears mildly prominent and measures 12.5 mm."
data/test/audio_04175.wav,minimal radiocarpal joint effusion noted. distal end of ulna appears 2.5mm shorter than radius - possibility of mild negative ulnar variance to be ruled out. both the intrinsic and extrinsic carpal ligaments appear normal. the tendons of the flexor and extensor compartment appear normal.
data/test/audio_01134.wav,x-ray left knee joint ap and lateral view bony surfaces and articular margins of bones of knee joint are normal. there is minimal reduction medial knee joint space. lateral knee joint space is normal. there is no evidence of fracture or loose bodies. no abnormal soft tissue calcification seen. bones show normal architecture.
data/test/audio_01797.wav,minimal synovial effusion. mild fluid in suprapatellar bursa. subtle altered marrow signal intensity changes in anteromedial femoral condyle. this is suggestive of traumatic marrow edema. altered marrow signal intensity changes in anteromedial patella.
data/test/audio_02966.wav,"supratentorial: extensive area with attenuation of csf in the left occipital lobe, in the left pca territory with ex- vacuo dilatation of the ipsilateral occipital horn of the lateral ventricle. cortical coarse calcifications within the encephalomalacia area in the left occipital lobe measuring 12x14 mm, no definite enhancement seen within."
data/test/audio_03272.wav,minimal free fluid in the pelvis. differential diagnosis na recommendation suggested clinical correlation.
data/test/audio_04781.wav,findings: paranasal sinuses appear unremarkable. no evidence of any mucosal thickening. bilateral fronto-nasal recesses and spheno-ethmoidal recesses appear unremarkable. bilateral osteomeatal complexes appear normal. nasal septum is mild deviated to right side. hypertrophied right inferior turbinate noted.
data/test/audio_03510.wav,small anterior and lateral marginal osteophytes are seen from l1 to l5 vertebral levels. modic type ii changes are seen involving the endplates of l1-l5 vertebrae. desiccation of all the lumbar intervertebral discs is noted. the pre and paravertebral soft tissues appear normal. the visualized lower conus and cord appears normal.
data/test/audio_04789.wav,"the vertebrae shows normal alignment. the cervical lordosis is well maintained. vertebral bodies, pedicles, laminae, transverse and spinous processes are normal. the intervertebral disc spaces are normal. spino-laminar line is well maintained."
data/test/audio_02153.wav,tibiofemoral and patello-femoral joints appear normal with intact articular cartilage. no obvious intraarticular loose bodies are seen. moderate knee joint and suprapatellar bursal effusion with fat fluid levels suggestive of lipohaemarthrosis with diffuse soft tissue edema around knee joint.
data/test/audio_04416.wav,normal study of orbits. differential diagnosis na recommendation suggested clinical correlation.
data/test/audio_04599.wav,"cervix: appears normal. no focal lesion. ovaries: bilateral ovaries are not separately visualized distinctly extrauterine gestation: a well-defined gestational sac containing a single fetus is noted in the central peritoneal cavity, located posterior to the uterus."
data/test/audio_02021.wav,disc spaces are relatively maintained. prevertebral soft tissue is normal. no obvious bony destruction is seen. please correlate clinically
data/test/audio_05700.wav,"main pancreatic duct is not dilated. well defined t1 hypointense t2 hyperintense lesion measuring 14 x 16 x 18 mm noted in the region of tail of pancreas. both kidneys are normal in shape, size, signal intensity and contrast enhancement. bilateral adrenal show normal shape, size and signal intensity with no evidence of any focal lesion."
data/test/audio_02170.wav,mri: left knee joint mild joint effusion is seen. mild linear pdfs hyperintensity is seen in posterior horn of medial meniscus.? grade i signal changes. mild pdfs hyperintensity is seen in tibial insertion of acl.? mild sprain.
data/test/audio_01171.wav,mild posterior disc bulge abutting thecal sac narrowing bilateral neural foramina abutting bilateral exiting nerve roots. annular tear at l4-l5 level.
data/test/audio_03759.wav,ligamentum flavum: no significant thickening. conus medullaris & cauda equina: conus is normal in signal and morphology and terminates at an expected level. cauda equina nerve roots are unremarkable. paraspinal soft tissues: no abnormal paraspinal collection or mass identified.
data/test/audio_05267.wav,lungs fibrocalcific changes involving right upper and midzones with adjacent pleural thickening. rest of the lungs fields are clear. airways trachea is central. tracheo-bronchial tree is normal. heart cardiac silhouette is normal. others bilateral cp angles are clear.
data/test/audio_03242.wav,"observations: bilateral cerebral and cerebellar hemispheres are normal. the brainstem appears normal. no evidence of mass lesion, infarct or hemorrhage is visualized. no evidence of contusion, edema or intracranial hemorrhage is visualized."
data/test/audio_04090.wav,"diffuse disc bulge causing grade i anterior thecal sac indentation and narrowing of left lateral recess and left neural foramina causing resultant compression of traversing and exiting nerve roots. early pondylodegenerative changes in lumbar spine. *note for referring doctors regarding the above report: if not satisfied/unhappy/not meeting your requirements/clarifications, you can contact concerned radiologist for further discussion & give your valuable feedback. thank you*."
data/test/audio_05370.wav,"with internal calcifications and non-enhancing components, inseparable from the right ovary - imaging features suggestive of a mature cystic teratoma (dermoid cyst). 2. few calcific specks noted in the left ovary without definite associated mass lesion. 3. no other significant abnormality detected in the abdomen and pelvis."
data/test/audio_01742.wav,left ostiomeatal units and frontal recess is blocked. right uncinate process is attached to lamina papyracea. the infundibulum and ostium of the right maxillary sinus appear clear. the right omu is normal. right maxillary sinus is clear. right frontal sinus appears normal. right frontal recess is patent.
data/test/audio_02578.wav,recommendation suggested hrct chest correlation to rule out bronchiolitis.
data/test/audio_04647.wav,"opinion: haziness involving right lower zone suggestive of consolidation, likely koch's. mild cardiomegaly. suggested hrct chest correlation. investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly."
data/test/audio_01729.wav,chronic low-grade partial thickness tear of the lateral collateral ligament (lcl) with fibrosis. minimal joint effusion. keyimages
data/test/audio_00543.wav,findings: supratentorial: both cerebral hemispheres appear normal in architecture and attenuation and enhancement. grey white matter differentiation is maintained. no evidence of focal parenchymal lesion. no shift of midline structures seen. both lateral ventricles and the 3rd ventricle are normal. ventricular system is not dilated.
data/test/audio_02194.wav,"findings: pleura moderate to gross left pleural effusion noted, with an estimated volume of approximately 1400 cc. extensive diffuse nodular pleural thickening/pleural-based nodular lesions involving the entire left hemithoracic pleura, including costal, mediastinal, and diaphragmatic pleural surfaces."
data/test/audio_03287.wav,miscellaneous: gut loops reveal no significant abnormality. no free fluid in peritoneum visualized. few phleboliths noted in the pelvis. degenerative changes noted in the lumbar spine. the right kidney shows mild hydroureteronephrosis. however. no radiodense calculus seen in pelvis/ureter--? passed out.
data/test/audio_02585.wav,multiplanar mr imaging of the lumbar spine was performed using a phased-array spine coil and large fov. there is loss of normal lumbar lordosis seen. the alignment of the vertebrae is normal. marginal osteophytes are seen from l2 to l5 levels. the marrow within the vertebrae reveals normal signal intensity. no focal bony lesion is detected.
data/test/audio_00263.wav,mri: lumbo-sacral spine disc desiccation changes are seen at few levels. anterior and posterior marginal osteophytes are seen at few levels. schmorl's node noted at multiple levels.
data/test/audio_01877.wav,:- visualised left lung field shows : increased area of attenuation noted in apicoposterior segment of left upper lobe and visualised left lower lobe - suggestive of pulmonary contusions in view of history of trauma.
data/test/audio_00459.wav,no intraluminal filling defects present. no dilated bronchi seen. both hilar regions appear normal. no significant hilar lymphadenopathy is observed. pleural surfaces: no pleural / fissural thickening seen in the sections evaluated. no evidence of pleural effusion present.
data/test/audio_02657.wav,"findings: there is a single uterus, normal in size and shape. both tubes are well visualized till fimbrial end and are normal in caliber. good peritoneal spillage of contrast seen on both sides : both fallopian tubes are patent."
data/test/audio_05609.wav,: the right kidney measures 10.8 x 5.7 cms. a 7.4 x 7.2 x 9.9 mm (tr x ap x cc) hyperdense (hu 1100) obstructive calculus noted in the right terminal ureter
data/test/audio_01800.wav,"there is no pelvicalyceal or ureteric dilatation bilaterally. the calyceal system shows normal cupping bilaterally. the ureters are normal in calibre, and seen intermittently down into their insertions. no renal calculus is seen. the urinary bladder is fairly distended,"
data/test/audio_04563.wav,"right kidney is otherwise normal in size, shape and position. the left kidney measures 8.5 x 4.2 cms. few tiny non-obstructive microliths noted in left kidney. few non-obstructive calculi noted in left kidney as mentioned below. left kidney size (mm) attenuation (hu) upper pole 3.8 900 mid pole 6.1 950 lower pole -- -- left kidney is otherwise normal in size,"
data/test/audio_05243.wav,"few hypodensities are noted in bilateral periventricular white matter suggestive of chronic ischemic changes. mild generalized prominence of the cortical sulci, basal cisterns and ventricular system is noted suggestive of cerebral atrophy rest of the brain parenchyma is normal in attenuation."
data/test/audio_02212.wav,: comminuted displaced fracture involving the distal shaft of radius involving the radiocarpal and distal radioulnar articular surfaces. displaced fracture involving the ulnar styloid process. small chip fracture involving the distal pole of scaphoid bone. no obvious articular surface extension. undisplaced fracture involving the base of fourth
data/test/audio_03109.wav,x-ray left leg (ap & lat.): old non-united fracture noted in midshaft of tibia and fibula. another old fracture noted in distal shaft of tibia and fibula. generalized osteopenia noted. no evidence of lytic or sclerotic lesion is seen. no evidence of bony erosion or sequestrum formation is seen.
data/test/audio_03787.wav,"the pituitary gland shows a normal shape, appearance and signal intensity pattern. no intra sellar or supra sellar mass seen. stalk is in the midline. sellar structures are normal. no evidence of abnormal sol or calcification is seen. clinoid processes and sella floor are normal. cavernous sinuses are normal in size. sellar margins are well maintained."
data/test/audio_01339.wav,with inflammatory change in adjacent fat. internal opening: it is placed just above external anal orifice and opening at 6- 7 'o clock position. side tracts: blind ending short side tract noted for a length of 8 mm in right intersphincteric plane near the internal opening
data/test/audio_02006.wav,"right transverse process of l2 vertebra, both transverse process of l3 vertebra and both transverse process of l4 vertebra. rest of the lumbar vertebral bodies & their alignment appear normal. rest of the intervertebral disc spaces and spinous processes appear normal."
data/test/audio_04376.wav,minimally displaced fracture involving anterior and posterior margins of right neural foramina of c6 vertebra. diffuse soft tissue edema with multiple air foci noted involving prevertebral and paravertebral neck spaces. needs further evaluation with mri /ct angiogram if clinically indicated investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly.
data/test/audio_01402.wav,"no evidence of air trapping seen. airway and hilum: trachea, lobar bronchi, bronchus intermedius and segmental bronchi are normal. no intraluminal filling defects present. no dilated bronchi seen. both hilar regions appear normal. no significant hilar lymphadenopathy is observed. pleural surfaces:"
data/test/audio_05202.wav,"of c6-7 disc, causing moderate narrowing of the central canal and neural foramina, bilaterally. mild facetal arthropathy is detected at this level. 2. broad based posterior protrusion of c4-5 disc, causing mild narrowing of the central canal. mild facetal arthropathy is detected at this level."
data/test/audio_04991.wav,findings: mild straightening of the lumbar spine is seen with no scoliosis. t1 and t2 hypointense heterogeneous marrow signal intensity noted. small anterior and lateral marginal osteophytes are seen from l3 to l5 vertebral levels. the pre and paravertebral soft tissues appear normal. the visualized lower conus and cord appears normal. at l1-l2 level:
data/test/audio_00585.wav,"findings: there are multiple well defined flair/t2 hyperintense signal lesions are seen in the left cerebral hemispheres cortical and subcortical regions, left corona radiata and right frontal lobe, largest in left frontal lobe measures 1.5 x 1 cms. which show restricted diffusion and no areas of blooming on swi."
data/test/audio_05309.wav,straightening of the normal curvature of the lumbar spine noted. disc desiccation changes noted at multiple levels with upper endplate irregularities noted at l5-l3 level. grade 1 anterolisthesis of l5 noted. l4 upper endplate schmorl's node noted with subchondral marrow oedema.
data/test/audio_05600.wav,findings: cruciate ligaments: mild sprain involving the anterior cruciate ligament. posterior cruciate ligament appears intact with normal tibial and femoral attachments and reveal normal signal intensity. no evidence of tear. collateral ligaments: partial tear involving the medial collateral ligament.
data/test/audio_02188.wav,"findings - there is evidence of large circumscribed fat intensity lesion measuring about 9.3 x 3.1 x 10.4 cm in transverse ,antero-posterior and craniocaudal dimensions in subcutaneous plane in the left scapular region. no evidence of differential intensity seen. no connection with underlying muscles or bones noted."
data/test/audio_05491.wav,as sonography is borderline enlarged in size and measure 11.9 cm in long axis dimension. there is no focal lesion or infarcts seen in the splenic parenchyma. both adrenal glands appear normal in size without any focal lesion. both kidneys are normal in size shape and location. there is no hydronephrosis seen. there is normal post-contrast enhancement noted.
data/test/audio_01717.wav,"left external auditory canal is spacious, normal in size and symmetrical. left middle ear cavity is adequately pneumatized. no soft tissue is seen with in the left middle ear cavity. ossicular chain is intact. ossicles are normal in size, shape, outline and density."
data/test/audio_02911.wav,left ovarian cyst (4 x 4 cm) - likely benign; clinical/usg correlation recommended. differential considerations: peritoneal carcinomatosis encapsulating peritoneal sclerosis (idiopathic/secondary)
data/test/audio_03033.wav,"visualized muscles of the thigh appear normal in bulk and signal intensity. no focal collection or soft tissue mass identified. : diffuse marrow signal alteration involving the distal femoral shaft with similar changes in proximal tibia, without cortical destruction or soft tissue component."
data/test/audio_01333.wav,"there is no evidence of osteomyelitis. visualized portion of the femur and knee joint are normal. no solid /cystic space occupying lesion is seen. :- mr scan reveals,"
data/test/audio_02989.wav,the uterus measures approximately 7.8 x 3.9 cm in size. endometrial thickness measures approximately 4 mm. a diffusion restricting t2 hyperintense lesion measuring approximately 3.5 x 2.5 cm is noted in the right lateral aspect of the cervix.
data/test/audio_05208.wav,"impression: bilateral optic nerve sheath dilatation with csf signal characteristics and associated optic nerve thinning, findings probably represent sequelae of chronic raised intracranial pressure with secondary optic atrophy. mild prominence of the optic chiasma, without focal lesion, likely related to csf prominence / pressure-related changes."
data/test/audio_03715.wav,"both kidneys show normal nephographic pattern after contrast injection. the peri-renal and para-renal spaces appear normal. no evident retroperitoneal lymphadenopathy. bowel loops: contrast opacified stomach, duodenum and bowel loops are normally oriented and show normal wall thickness."
data/test/audio_02278.wav,"the lesion crosses the midline by approximately 1 cm and involves the adjacent right pharyngeal mucosal space. there is mild narrowing of the oropharyngeal airway at the level of the lesion. lymph nodes: a heterogeneously enhancing enlarged lymph node is seen in the right upper cervical region (level ii) measuring approximately 34 x 19 mm,"
data/test/audio_03114.wav,"changes of mild generalised cerebral atrophy and cerebellar atrophy are noted suggested by mild prominence ventricular system and prominent basal cisterns, sulcal spaces, and sylvian fissures and foliae. hypodensities noted in the bilateral periventricular region."
data/test/audio_00828.wav,prominence of bronchovascular markings. haziness involving bilateral upper zones (left more than right) likely pneumonitis. suggested hrct chest correlation.
data/test/audio_01908.wav,others bilateral mild pleural effusion. both domes of diaphragm are normally placed. bony thoracic cage is normal. no soft tissue abnormality seen.
data/test/audio_00654.wav,bones visualized vertebrae show marginal osteophytes suggestive of degenerative changes. lung bases basal atelectatic changes noted. impression 1. hepatomegaly with multiple hypodense low-enhancing lesions as detailed - likely hepatic metastases in the given clinical context (elevated cea: 6.22).
data/test/audio_02371.wav,"ncct brain protocol: plain ct scan of brain has been done. 2.5 mm thin axial sections have been obtained. observations: ventricular system, basal cisterns and sulci are prominent"
data/test/audio_01867.wav,:- no evidence of focal parenchymal lesion. no shift of midline structures seen. both lateral ventricles and the 3rd ventricle are normal. ventricular system is not dilated.
data/test/audio_05418.wav,impression: a well defined extra axial isointense mass lesion along falx cerebri abutting bilateral high parietal lobes.- likely meningioma. suggested contrast enhanced study diffuse cerebral atrophy with microangiopathic changes
data/test/audio_00376.wav,"impression bony ankylosis of the patella with the femur with extensive osteoarthritic changes in the left knee, including marked subarticular sclerosis predominantly in the medial joint space. no ct evidence of cortical defect or periosteal reaction in the tibia and fibula to suggest chronic osteomyelitis."
data/test/audio_00570.wav,"it is causing mass effect is noted in the form of effacement of the overlying cortical sulci, compression and displacement of the adjacent lateral and third ventricles. there is resultant dilatation of bilateral lateral ventricles suggestive of non-communicating hydrocephalus. mild periventricular ooze noted."
data/test/audio_01576.wav,"mild edema within the inner bipennate component of rectus femoris muscle, surrounding the indirect tendons and a band of fluids separating this muscle and outer unipennate muscle of rectus femoris. the inner rectus femoris muscle is proximally retracted by 1 cm and fluid separates it anteriorly, distally and posteriorly from outer muscle. this is likely suggestive of intramuscular degloving injury of rectus femoris muscle. please correlate clinically."
data/test/audio_04730.wav,visualized part of orbits is unremarkable. overlying scalp is normal. visualized paranasal sinuses are normal. : resiolving haemorrhage with surrounding hypodensity noted in left ganglio-capsular region measuring approximately 3.2 x 2.3 cm.
data/test/audio_02963.wav,lungs bilateral lungs fields - diffusely prominent bilateral bronchovascular markings airways trachea is central. tracheo-bronchial tree is normal. heart cardiac silhouette is enlarged others bilateral cp angles are clear. both domes of diaphragm are normally placed. bony thoracic cage is normal.
data/test/audio_05067.wav,"prostate: measures 3.8 x 2.2 x 4.0 cm (approx. vol: 18.3 cc), appears normal in size, shape and echotexture. : signicant post-void residue. no other signicant abnormality seen."
data/test/audio_05150.wav,"no evidence of mass effect, midline shift or hemorrhage. both lateral & third ventricles appear normal. no evidence of hydrocephalus. both basal ganglia & thalami appear normal. cerebellum, brain stem and posterior fossa structures reveal no abnormality."
data/test/audio_02402.wav,"bowel & mesentery: stomach: the pyloric region shows wall thickening measuring up to ~9 mm. findings may represent inflammatory changes (e.g., gastritis/pyloritis). clinical correlation is advised."
data/test/audio_04523.wav,mild knee joint effusion with surrounding soft tissue edema. needs further evaluation with mri if clinically indicated.
data/test/audio_00646.wav,both ureters are normal in course and caliber. no definite evidence of bowel wall thickening noted. no evidence of the enlarged abdominal lymphadenopathy urinary bladder is normally distended. no evidence of stone or s.o.l. prostate appears normal. mild ascites noted.
data/test/audio_03101.wav,orbits with resultant bilateral pneumo-orbit. there is extension to anterior and posterior walls of frontal sinus and left frontal bone with resultant frontal haemosinus. minimally displaced fracture involving the anterior nasal spine of fracture. rest of the skull bones appear normal. rest of the visualized paranasal sinuses are unremarkable. :
data/test/audio_01023.wav,uterus and adnexa: post-operative status. 28 x 32 mm lesion in the pouch of douglas in the left adnexa abutting the bladder base as described. bowel: no bowel obstruction. no focal bowel wall thickening identified. peritoneum / mesentery / omentum:
data/test/audio_04393.wav,muscles:- popliteal muscle and tendon appear normal. the quadriceps tendon and ligamentum patellae reveals sprain. the hoffa`s fat pad reveals edema. osseous structure:- comminuted mildly displaced fracture involving the fibular head and neck with marrow edema. undisplaced fracture with marrow edema involving the lateral aspect of lateral femoral condyle.
data/test/audio_03764.wav,supratentorial: both the cerebral hemispheres are normal in signal intensity and grey and white interface is well maintained. grey and white matter differentiation is maintained. basal ganglia and thalamus appear normal. bilateral insular cortex and sylvian fissures appear normal.
data/test/audio_00356.wav,muscles: edema noted in: brachioradialis & anconeus o - suggestive of muscle contusion/strain soft tissues: diffuse subcutaneous edema around the elbow joint. neurovascular structures: no obvious abnormality impression:
data/test/audio_02167.wav,"diffuse disc bulge noted at l5-s1 level causing anterior thecal sac indentation, bilateral lateral recess narrowing and abutting bilateral s1 traversing nerve roots. keyimages"
data/test/audio_04946.wav,exam junctional zone is normal in thickness. there is an ill-defined t2 and t1 hypointense in cm measuring 2.5 x 2.5 cm in dimension seen in the posterior wall in the mid segment with loss of interface with the junctional zone and few t2 hyperintense foci within and mild myometrium like enhancement noted. this most likely represent focal adenomyoma.
data/test/audio_02818.wav,contrast filled small and large bowel loops appear normal in calibre. appendix and surrounding soft tissue in right iliac fossa appears unremarkable. ileocecal junction appears defined. colon is predominantly faecal loaded and is unremarkable. rectum appears normal in the scan. the peri-rectal fat planes are intact. prostate and seminal vesicles:
data/test/audio_02941.wav,tracking along the right paracolic gutter into the pelvis up to the level of the prostate. * no evidence of active contrast extravasation or hepatic pseudoaneurysm on the present study. * attenuated right portal vein and stretched segmental branches secondary to mass effect from the hematoma.( grade iii -iv asst injury)
data/test/audio_00793.wav,narrowing of petrocavernous segment of right internal carotid artery. hypoplastic a1 segment of right anterior cerebral artery.
data/test/audio_03113.wav,"changes of mild generalised cerebral and cerebellar atrophy age related. chronic small vessel disease. advice: mri brain. ( please note- hyperacute/small acute ischemic lesions may not be well seen on ct, in such cases mri with diffusion weighted images would be worthwhile) please correlate with clinical findings. investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly."
data/test/audio_00760.wav,ill-defined hypodense lesion measuring 3.9 x 2.4 cm noted in left adnexa - left adnexal cyst. : left renal pelvis appears prominent -? extra renal pelvis.
data/test/audio_00838.wav,recommendation suggested clinical correlation. no interval changes as compared to the previous scan.
data/test/audio_02758.wav,m.d.c.t. scan of whole abdomen: plain & contrast ct scan of the whole abdomen is performed after non ionic i.v. contrast with axial spiral sections from diaphragm to pubic symphysis. findings: liver is normal in size and density.
data/test/audio_01764.wav,sella : normal. : no significant abnormality detected in the brain parenchyma.
data/test/audio_01274.wav,mild cardiomegaly. suggested pulmonary function tests and 2d echo correlation. investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly.
data/test/audio_02277.wav,"superiorly, it reaches the right aryepiglottic fold and abuts the epiglottis, with obliteration of the right pyriform sinus. the lesion also involves the median and right lateral glossoepiglottic folds. inferiorly, the lesion extends up to the level of the hyoid bone. the hyoid bone appears intact without cortical destruction."
data/test/audio_02788.wav,"mild to moderate atherosclerotic thickening and calcifications involving cavernous and supraclinoid segments of bilateral internal carotid arteries. bilateral maxillary, bilateral ethmoid, left sphenoid and left frontal sinusitis. suggested clinical correlation. investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly."
data/test/audio_03463.wav,left main: the left main is a normal caliber vessel which gives rise to the lad and circumflex arteries as well as a ramus intermedius artery. the left main has no stenosis. left anterior descending artery: the left anterior descending artery is normal in calibre and have no significant stenosis. diagonal branches have no stenosis. the lad is seen reaching up to the apex -
data/test/audio_01308.wav,"the left gluteal muscles appear bulky and hypodense, suggestive of muscle edema or hematoma secondary to trauma. right hip an undisplaced fracture is noted involving the inferior wall of the right acetabulum. the right femoral head is normally aligned with the acetabulum. no additional fractures are identified."
data/test/audio_00054.wav,there is no focal arterial phase enhancing lesion seen in the liver parenchyma which shows washout on the venous phase images. note is made of common hepatic artery is replaced and it is seen arising from the superior mesenteric artery. further divides into gastroduodenal artery is seen hepatic artery proper. hepatic artery proper further divides into left and right hepatic arteries.
data/test/audio_02279.wav,"compressing the left internal jugular vein. additionally, few smaller subcentimetric lymph nodes are seen bilaterally in the cervical region. airway: mild narrowing of the oropharyngeal airway at the level of the primary lesion. bones: visualized cervical vertebrae show mild degenerative changes in the form of multilevel osteophytes. reduction of cervical lordotic curvature is noted. no destructive bony lesion identified."
data/test/audio_04828.wav,differentials may include a chronic demyelinating plaque or sequelae of prior insult. clinical correlation is advised. t2/flair hyperintense lesions in the right frontal lobe and bilateral periventricular/deep white matter without diffusion restriction likely representing chronic small vessel ischemic changes.
data/test/audio_03680.wav,"hepatobiliary system: gallbladder is overdistended (long axis ~8.6 cm). multiple intraluminal calculi are noted, largest measuring ~14.6 mm."
data/test/audio_01806.wav,appendix noted in right iliac fossa. base of appendix appears thickened measuring approximately 8 mm. few prominent nodes noted adjacent to appendix largest measuring 12 x 10 mm - possibility of subacute appendicitis to be ruled out suggested clinical correlation no evidence of renal calculus/hydroureteronephrosis.
data/test/audio_03437.wav,moderately deviated nasal septum and bony spur towards right side. bilateral inferior turbinate hypertrophy is seen. bilateral concha is seen on both sides. giant invasive pituitary adenoma extending into sphenoid sinus moderately deviated nasal septum and bony spur towards right side.
data/test/audio_04465.wav,"cbd is normal in size (6 mm). no evidence of any calculus seen within it. right hepatic duct, left hepatic duct and cystic duct and pancreatic duct are normal in course and caliber."
data/test/audio_05324.wav,"it shows variable restriction on diffusion weighted images. there is extension in adjacent third ventricle and left lateral ventricle. few areas of gliosis involving right frontal, right parietal periventricular white matter and left lateral frontal lobe. few chronic lacunar infarcts involving pons, bilateral thalami, right corona radiata, right centrum semiovale and right medial cerebellar hemisphere."
data/test/audio_01629.wav,small and large bowel loops appear normal. there is no abdominal lymphadenopathy seen. no e/o free fluid in abdomen and pelvis. no e/o pleural effusion noted. visualized bones are unremarkable. :
data/test/audio_04598.wav,"findings: liver: liver is normal in size, contour, and signal intensity. no focal lesion. no intrahepatic biliary radicle dilatation. gallbladder & biliary system: gallbladder is normal in distension and wall thickness."
data/test/audio_00218.wav,"and posterior walls of left frontal sinus involving the frontal bones. rest of the skull bones appear normal. ct pns report is attached separately. : mild pneumocephalus along the frontal region. multiple areas of subarachnoid haemorrhage noted involving basal cisterns, left frontal, right fronto-parietal lobes and right sylvian fissure."
data/test/audio_04932.wav,mri of whole spine screening sagittal t2wt screening of whole spine was performed. findings - sagittal t2wt screening of cervical spine reveals loss of cervical lordosis. sagittal t2wt screening of dorsal spine reveals no significant abnormality.
data/test/audio_04140.wav,small and large loops are normal. no free fluid is seen in the peritoneal cavity. the aorta and ivc appear normal. visualised basal lung fields appear normal. no pleural effusion is seen. no significant mesenteric or retroperitoneal lymphadenopathy detected.
data/test/audio_01906.wav,x-ray chest views:pa view of chest lungs prominence of bronchovascular markings predominantly in central distribution with bilateral hilar prominence.
data/test/audio_01792.wav,"mild hyperintense signal is seen involving the anterior cruciate ligament. this can represent sprain. the posterior cruciate ligament is intact. the posterior cruciate ligament is intact. a linear hyperintense signal is seen in the posterior horn of the medial meniscus,"
data/test/audio_00768.wav,"moderate right pleural effusion with underlying collapse/consolidation in right lower lobe and patchy consolidation in right middle lobe, likely infective etiology. fibrotic bands in right lung, left lower lobe and lingular segments. calcified subpleural nodule in right upper lobe."
data/test/audio_00245.wav,"both adrenal glands appear normal in size without any focal lesion. both kidneys are normal in size shape and location. there is no hydronephrosis seen. there is normal post-contrast enhancement noted. there is no evidence of any focal lesion seen. prominent periportal, portacaval and left para-aortic lymph nodes are seen."
data/test/audio_03457.wav,cerebral parenchyma : there is no focal area of abnormal signal intensity in the cerebral hemispheres. the grey-white matter differentiation is well maintained. ventricular system : normal in size and morphology for the age. midline shift : none
data/test/audio_04838.wav,"findings: the right kidney is normal in size, shape, and position. it demonstrates normal contrast uptake and prompt excretion, with well-opacified pelvicalyceal system. the right ureter is visualized and appears normal in course and caliber, with no evidence of obstruction."
data/test/audio_00713.wav,grade i injury of medial collateral ligament. mild quadriceps tendinosis. mild synovial effusion. mild fluid in suprapatellar bursa. a loculated baker's cyst. mild subcutaneous edema around the knee joint predominantly anteriorly. mild edema in hoffa's fat pad.
data/test/audio_04468.wav,"further correlation with serum pancreatic enzymes marker is recommended. there is no intra pancreatic or extrapancreatic focal lesion or collection seen. splenic vein flow void is maintained. common bile duct is mildly narrowed at the terminal portion of distal common bile duct region with mild dilatation of common bile duct, common hepatic duct and intrahepatic biliary radicals."
data/test/audio_05544.wav,"mild posterior disc protrusion seen at c3-4, c4-5, c5-6 and c6-7 with mild spinal canal stenosis. thoracic spine :- vertebral bodies, posterior elements and rest of the intervertebral discs height show normal mr morphology and signal intensity. the visualized spinal cord is normal in bulk and signal intensity."
data/test/audio_00840.wav,lungs: diffuse centriacinar and paraseptal emphyseamtous changes are seen in bilateral lungs predominantly in bilateral upper lobes. few micronodular infiltrates and early patches of consolidation are seen in bilateral lower lobes. minimal subpleural septal thickening with superimposed ggos are seen in right middle lobe and lingula.
data/test/audio_01144.wav,mild peritendinous fluid in first compartment no soft tissue mass 1. de quervain's tenosynovitis involving: o abductor pollicis longus o extensor pollicis brevis
data/test/audio_01829.wav,thoracic spine screening: thoracic curvature and alignment appear normal. vertebral hemangiomas are seen in t7 and t11 vertebral bodies. thoracic cord appears normal. no significant neural compromise. impression:
data/test/audio_02007.wav,both transverse process of l3 vertebra and both transverse process of l4 vertebra. needs further evaluation with mri if clinically indicated investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly.
data/test/audio_02254.wav,"calculi in the dependant portions of urinary bladder, largest measuring approximately 8 mm (hu 330). foley's bulb is noted in situ. prostate is normal in size and attenuation pattern. liver appears normal in attenuation pattern, no e/o focal lesion. spleen appears normal in attenuation, no e/o focal lesion."
data/test/audio_00205.wav,vagina appears normal. bones appear normal. small and large bowel loops appear unremarkable. impression - mr scan reveals a small fairly well defined focal lesion seen in the anterior wall in the lower segment with t2 hyperintense focus likely to represent focal adenomyoma.
data/test/audio_00913.wav,"few subcentimetric mediastinal lymph nodes noted, likely reactive. pleura: no pleural effusion or pneumothorax. cardiovascular: atherosclerotic changes noted in the thoracic aorta. cardiac size within normal limits."
data/test/audio_05239.wav,soft tissue shadows and bony thorax appear to be normal. opinion: no significant abnormality detected. suggested clinical correlation. investigations have their limitations. solitary pathological/radiological and other investigations never confirm the final diagnosis. they only help in diagnosing the disease in correlation to clinical symptoms and other related tests. please interpret accordingly.