file_name,transcription
data/train/audio_05547.wav,left main: the left main is a normal caliber vessel which gives rise to the lad and circumflex arteries. 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. left circumflex artery:
data/train/audio_05311.wav,"with compression over the thecal sac and cauda equina. bilateral mild neural foraminal narrowing with no compression on the nerve roots. l3-l4: there is evidence of grade-i central disc protrusion, with compression over the thecal sac. bilateral mild neural foraminal narrowing with mild compression on the bilateral exiting nerve roots."
data/train/audio_01640.wav,"x ray : lumbo-sacral spine (ap & lat views) anterior and posterior marginal osteophytes are seen at few levels. lumbar spinal curvature is maintained. vertebrae are showing normal height, alignment, outline and density."
data/train/audio_02473.wav,no focal fluid collection or soft tissue hematoma identified. tendons visualized flexor and extensor tendons are intact and demonstrate normal signal intensity. impression undisplaced fracture involving the lateral aspect of the base of the fifth metacarpal bone with associated marrow edema.
data/train/audio_05125.wav,"diffuse pseudo bulge, indenting the thecal sac and encroaching the neural foramina. there is compression over bilateral traversing s1 and exiting l5 nerve roots (right> left). posterior elements : ligamentum flavum: thickening noted at l5-s1 level. facetal joint: arthropathy noted at l5-s1 level."
data/train/audio_04657.wav,rest of the visualized skeletal structures appears unremarkable. few soft tissue granulomas noted in the subcutaneous plane of bilateral gluteal regions. : gallbladder sludge. increased submucosal fat involving the ileocaecal junction suggestive of chronic infective/inflammatory etiology.
data/train/audio_01975.wav,both lungs are normal in aeration & volume. ct attenuation with bronchovascular divisions is normal. no obvious focal parenchymal lesions are noted. no interstitial pathology is observed. no pleural effusion or thickening is noted. trachea is central. bifurcation is normally seen with normal bronchial segmental divisions.
data/train/audio_00677.wav,mild to moderate mucosal thickening is seen in bilateral maxillary and sphenoid sinuses. severe mucosal thickening with near complete opacification is noted in bilateral frontal and ethmoid sinuses. obstruction of the ostiomeatal complexes and sinus drainage pathways is seen.
data/train/audio_00491.wav,coursing posteriorly and inferiorly piercing the internal anal sphincter at 6 o'clock position and opening in the intergluteal cleft in the midline. length of the tract/collection measures approximately 18 mm and maximum thickness measures approximately 5 mm. distance of the internal opening from the anal verge is approximately 10 mm.
data/train/audio_04232.wav,"mild to moderate prominence of cerebral and cerebellar sulci, cisterns and ventricles is seen, suggesting mild to moderate cerebral and cerebellar atrophy. there is no shift of midline structures. no mass lesion is detected."
data/train/audio_02312.wav,the visualized lower conus and cord appears normal. at l1-l2 level: no significant disc bulge. at l2-l3 level: mild posterior disc bulge abutting thecal sac without any nerve root compression. at l3-l4 level: no significant disc bulge. at l4-l5 level: mild posterior disc bulge abutting thecal sac without any nerve root compression.
data/train/audio_04330.wav,"largest lymph node is noted in right level iii region measuring approximately 1.3 x 1.1 cm. no definite nodal necrosis identified in the visualised nodes. epiglottis, valleculae, aryepiglottic folds and pyriform fossae appear normal."
data/train/audio_01947.wav,incidental note is made of partial empty sella. incidental note is made of polypoid mucosal thickening in right maxillary sinus and mild mucosal thickening in left maxillary sinus and right frontal sinus. sagittal t2 weighted screening of cervical spine reveals: there is loss of normal cervical lordosis. mild spondylotic changes are seen.
data/train/audio_04577.wav,main portal vein is not well identified and it is replaced by multiple tiny collaterals. there is good sized portovenous collateral noted at the hepatic hilum measuring 1 cm in diameter seen arising from the spleno mesenteric axis recordinng 5: in addition to there are small periepicholedochal and periportal collaterals are seen surrounding the hepatic duct and proximal common bile duct causing its prominence. splenic vein is prominent and measures 8.4 mm in diameter. superior mesenteric vein measures 7 mm in diameter. smv tributaries are patent.
data/train/audio_02647.wav,"bony skull vault appears normal. extracalvarial soft tissue swelling noted in right frontal region. mucosal thickening noted in bilateral frontal, ethmoid and left maxillary sinuses. fracture noted in anterior wall of right maxillary sinus with haemosinus region."
data/train/audio_00225.wav,"there is associated bulky appearance of bilateral longus capitis muscles, suggestive of inflammatory involvement. the laryngopharynx appears normal. bilateral vocal cords are normal in morphology and position, with no focal lesion or abnormal enhancement."
data/train/audio_03389.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/train/audio_03384.wav,findings: agatston score: the total (aggregate) calcium score using the aj-130 method is 16 lm = zero. lad = 16 lcx = zero. rca = zero. coronary artery angiogram findings: dominance of the coronary artery system: right dominant circulation.
data/train/audio_01456.wav,"mild bulge of c4-c5 and c6-c7 discs, indenting the thecal sac. no significant nerve root compression. neural foramina appear normal. few peridiscal osteophytes noted in cervical spine. otherwise, the vertebral bodies reveal normal morphology and signal characteristics."
data/train/audio_01521.wav,bilateral sacroiliac joints within normal limits. no evidence of edema/erosions noted. : l5-s1 level: grade i disc dessication changes with diffuse disc bulge causing grade i anterior thecal sac indentation. there is bilateral grade i neural foramina narrowing with resultant impingement of bilateral exiting l5 nerve roots.
data/train/audio_00240.wav,there is a chunky intraductal calcification seen in the proximal main pancreatic duct at the uncinate process as well as head region with distal dilatation of main pancreatic duct with maximum diameter of 9 mm. multiple side branch dilatation is also noted. few small parenchymal calcifications are also seen in the rest of the pancreas.
data/train/audio_01294.wav,"pancreas: 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 (measures ~ 11.1__ cm)"
data/train/audio_03171.wav,"there is t2 hyperintense fluid signal surrounding the peroneus longus and brevis tendons, suggestive of peroneal tenosynovitis. no definite tendon tear is identified. there is diffuse subcutaneous edema involving the dorsal and plantar aspects of the foot."
data/train/audio_04976.wav,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). right tubo-ovarian endometriotic complex with hematosalpinx and multiple small endometriotic cysts.
data/train/audio_00742.wav,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.
data/train/audio_03128.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/train/audio_05612.wav,another 3.1 x 2.3 x 4.5 mm (tr x ap x cc) hyperdense (hu 800) calculus noted in the right terminal ureter (adjacent to the above-mentioned calculus).
data/train/audio_05444.wav,"external capsule, lentiform nucleus, internal capsule, caudate nucleus and thalamus appear normal. corona radiata and centrum semiovale appear normal. no evidence of haemorrhage/ infarct. no evidence of icsol. third and lateral ventricles appear normal. no evidence of midline shift."
data/train/audio_05017.wav,conclusion: right ovarian complex cyst- ? hemorrhagic or endometrioma. adv: mri pelvis. mild hepatomegaly.
data/train/audio_01091.wav,"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. popliteal and leg arteries right lower limb: the right popliteal artery,"
data/train/audio_03315.wav,at c4-c5 level: mild posterior disc bulge abutting the anterior thecal sac narrowing bilateral neural foramina abutting bilateral exiting nerve root. mild facet joint arthropathy noted. at c5-c6 level: mild posterior disc bulge abutting anterior thecal sac without any nerve root compression. at c6-c7 level: mild posterior disc bulge abutting the anterior thecal sac
data/train/audio_05104.wav,"both basal ganglia & thalami appear normal. cerebellum, brain stem and posterior fossa structures reveal no abnormality. bony skull vault appears normal. : no significant c.t. abnormality detected."
data/train/audio_02332.wav,"no focal bony lesion is detected. l1-2 disc reveals diffuse bulge. it indents the thecal sac, without any significant central canal or neural foraminal narrowing. mild facetal arthropathy is detected at this level. l2-3 disc reveals broad based posterior and left foraminalprotrusion. it indents the thecal sac, both l3 and left l2 nerve roots"
data/train/audio_01117.wav,"the thalami, basal ganglia and internal capsules are normal on both sides. the ventricles and sulci are normal for the age. the pituitary gland, infundibulum and hypothalamus are normal for the age. the posterior fossa shows normal cerebellum. the medulla, pons and mid brain shows normal signals in all the sequences."
data/train/audio_01740.wav,nasal septum: cartilagenous and bony nasal septum is deviated to the right. nasal cavity: visualised turbinates appear unremarkable. normal variations: optic nerve canal: type ii . keros type 2 olfactory fossa is seen. sinuses:
data/train/audio_04227.wav,"medial and lateral patellar retinaculum appear normal. quadriceps tendon, patella and infrapatellar tendon appear normal. the visualized muscles and neurovascular structures appear normal. popliteous tendon appear unremarkable. no evidence of baker's cyst."
data/train/audio_01604.wav,"frontal and nasal cavity as described. bilateral maxillary ostia, bilateral fronto-nasal and spheno-ethmoid recess appears blocked. concha bullosa is seen on left side. both inferior turbinate hypertrophy is seen. moderate nasal septum deviation is noted towards right side. recommendation suggested clinical correlation."
data/train/audio_05295.wav,few eccentric calcified plaques noted in the proximal segment of om1 branch of left circumflex artery causing 60%-70% luminal compromise. right coronary artery: the right coronary artery is dominant. few eccentric calcified plaques noted in proximal and distal segment of right coronary arteries causing maximum of 50% luminal compromise.
data/train/audio_02380.wav,"arthropathy is noted in the form of subchondral changes, capsular hypertrophy and marginal osteophytes. glenohumeral joint appears normal with intact articular surfaces. mild fraying of anterosuperior labrum from 12 o'clock to 1 o'clock position suggestive of degeneration. rest of the glenoid labrum appears intact and shows normal signal intensity."
data/train/audio_03338.wav,lungs prominent broncho-vascular markings are noted bilaterally. rest of the bilateral lungs fields are clear. 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.
data/train/audio_03535.wav,lungs & parenchyma a soft tissue attenuation lesion (hu ~30-50) measuring approximately 45 x 25 mm is noted: involving the posterior segment of the right upper lobe extending to the superior segment of the right lower lobe
data/train/audio_04715.wav,"the vascular structures appear normal. spinal canal measurements are within normal limits. sagittal t2 weighted screening of cervical spine reveals loss of cervical lordosis. mild changes of spondylolysis are seen. posterior protrusion are seen at c2-3, c3-4 and c4-5 levels, indenting the anterior subarachnoid spaces."
data/train/audio_01188.wav,"the posterior fossa shows normal cerebellum. the fourth ventricle shows normal size, shape and position. both the c.p angles are clear. the medulla, pons and midbrain show normal signals in both the sequences. the third and lateral ventricles are of normal in size, shape and position. no midline shift is noted."
data/train/audio_03436.wav,"maxillary, ethmoid and frontal sinuses appear normal. bilateral fronto-nasal recess and sphenoethmoidal recesses appear unremarkable. the nasolacrimal duct on either side is normal. bilateral frontal sinuses appears normal the nasolacrimal duct on either side is normal. the lamina papyracea on either side is normal."
data/train/audio_03226.wav,"the visible parts of the bowel loops show no obvious mass lesions or wall thickening. urinary bladder is minimally distended. no vesical calculi, wall thickening or mass lesion. uterus appear normal. evidence of soft tissue attenuation mass lesion ~65x50mm in the right adnexa."
data/train/audio_05090.wav,: grade i fatty liver. cholelithiasis without changes of cholecystitis. mildly thickened and irregular urinary bladder wall - advice: urine routine correlation. small omental umbilical hernia as described above. suggest - clinical and biochemical correlation/further imaging if indicated.
data/train/audio_03857.wav,mild acromio-clavicular joint arthrosis. fraying of superior free margin of glenoid labrum - slap 1 tear. minimal joint effusion. the glenohumeral joint appears normal. the glenoid labrum appears normal. no evidence of labral tear. the middle and inferior glenohumeral ligaments appears normal
data/train/audio_04660.wav,no obvious fracture noted in bony ribcage. no evidence of pneumothorax or pneumomediastinum. comments: no active areas of consolidation. old infective aetiology in form of fibrocalcific changes as mentioned above.
data/train/audio_03261.wav,visualised head body and tail of pancreas appear bulky with surrounding diffuse fat stranding. main pancreatic duct appears dilated measuring 5 mm. no evidence of calculus / calcification. hypodense area measuring 3.1cm x 2.8 cm seen anterior to the head of pancreas. the lesion causes compression of main pancreatic duct.
data/train/audio_03814.wav,larynx & pharynx: larynx appears normal in morphology and calibre. oropharynx and hypopharynx appear unremarkable. vascular structures: major neck vessels appear normal in course and calibre. no vascular encasement or thrombosis. other structures:
data/train/audio_05441.wav,"diffuse bulge of l2-3 disc, without any significant central canal or neural foraminal narrowing. diffuse bulge of l5-s1 disc, without any significant central canal or neural foraminal narrowing. mild facetal arthropathy is detected at this level."
data/train/audio_03878.wav,suggestive of small airway involvement / air trapping cardiomegaly with mild pericardial effusion small hypodense splenic lesion (~15 x 16 mm) requires clinical correlation and further evaluation (usg/cect if indicated)
data/train/audio_04192.wav,findings - ill-defined diffuse altered marrow signal intensity changes are seen involving upper and mid diaphysis of right femur. it is hypointense on t1wt images and hyperintense on t2 and stir weighted images. on post-contrast images it shows heterogeneous contrast enhancement.
data/train/audio_03019.wav,rest of the changes of lumbar spondylosis as described above. degenerative changes involving the cervical and dorsal spine as mentioned. 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/train/audio_03748.wav,"csf spaces, sulci and fissures are maintained. 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/train/audio_05678.wav,"early myositis ossificans (pre-calcific stage) exertional / overuse muscle injury drug-related or metabolic myopathy clinical correlation and laboratory evaluation (cpk, inflammatory markers) are recommended. repeat mri with complete"
data/train/audio_00609.wav,supratentorial: resolving intraparenchymal haemorrhagic contusions with surrounding oedema noted in left fronto-parietal lobe causing mass effect in the form of effacement of left lateral ventricle and midline shift of 2 mm towards right side.
data/train/audio_03519.wav,no evidence of reduction of joint space noted medial compartment. no evidence of articular surface erosion is seen in tibia. right knee joint space appears normal. femoro-patellar space appears normal. visualized muscles appear normal.
data/train/audio_02681.wav,": a well-defined radiopacity measuring 3 mm is noted at right renal regions suggestive of calculus. 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/train/audio_02929.wav,: bilateral renal non-obstructive calculi as mentioned. no obvious obstructive uropathy in the present scan. fatty liver. small omental umbilical hernia. suggested urine analysis and usg elastography correlation. 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/train/audio_00319.wav,2. degenerative changes involving bilateral sacroiliac joints and mild bilateral hip osteoarthrosis. needs further evaluation with mri if clinically indicated
data/train/audio_04282.wav,with the tip located within the right lateral ventricle. the ventricular system appears dilated with dilatation of bilateral temporal horns. vp shunt in situ - compared with the previous ct there is development of hydrocephalus
data/train/audio_03206.wav,diffuse soft tissue hematoma involving the chin and left maxillary regions. rest of the soft tissues are unremarkable. visualised vertebrae show no fracture or dislocation. impression: multiple craniofacial fractures as mentioned above. 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/train/audio_03741.wav,both orbits appear grossly normal. the cribriform plate and lamina papyracea are intact. optic nerve canals and carotid canals are well corticated.
data/train/audio_01970.wav,"well-defined t1 hypointense and t2 hypointense lesion (12 x 8 mm) adjacent to the superior glenoid labrum, likely representing a calcified labral fragment / chronic labral degeneration or calcified intra-articular loose body. correlation with clinical findings advised."
data/train/audio_02654.wav,"additional small stir hyperintense focus at approximately 5 o'clock, measuring about 2 mm."
data/train/audio_05299.wav,"left kidney: multiple cysts; the largest measuring 50 x 44 mm with thin calcified septae. liver, spleen, pancreas, adrenal glands no focal abnormality detected on the provided description. vascular structures atherosclerotic changes involving the aorta and its branches with wall thickening and intimal calcifications. bones"
data/train/audio_03107.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/train/audio_00506.wav,"no evidence of blooming or susceptibility on swi in the above-mentioned areas. no evidence of acute intracranial hemorrhage. ventricular system & csf spaces: prominent lateral ventricles, third ventricle, cortical sulci, and sylvian fissures. basal cisterns are prominent."
data/train/audio_02144.wav,"measuring approximately 20 x 11 mm, more towards the right side, causing posterior scalloping of s2 vertebral body. multilevel osteophytes, disc desiccation, endplate irregularities and modic changes are noted. multilevel ligamentum flavum hypertrophy and facet joint arthropathy are seen."
data/train/audio_01599.wav,"middle and inferior turbinates are not separately visualised from these soft tissue lesions (left>>right). left nasal cavity is blocked. partial inhomogeneous opacification with hyperdense material located centrally surrounded by hypodense mucosa is also seen involving bilateral ethmoidal complexes,"
data/train/audio_05648.wav,at c4-c5 level: mild diffuse disc bulge indenting anterior thecal sac encroaching bilateral neural foramina (right > left) without any nerve root compression. at c5-c6 level:
data/train/audio_00317.wav,"1. multilevel degenerative spondylotic changes of the lumbosacral spine, characterized by: o loss of lumbar lordosis o grade i l4 over l5 anterolisthesis o l2-l3 degenerative disc disease with disc space narrowing, vacuum disc phenomenon, and endplate sclerosis"
data/train/audio_03141.wav,: haziness noted at bilateral maxillary sinuses suggestive of sinusitis. the frontal and anterior ethmoidal sinuses are clear. no evidence of mucosal polyp or bone destruction. no significant hypertrophy of turbinates is seen. nasal septum is slightly deviated to left side. :
data/train/audio_00381.wav,differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_04206.wav,posterior fossa: * cerebellum and brainstem are normal in attenuation pattern. * cerebellar folia are normal. * no focal sol seen. * cp angle cisterns are normal. * fourth ventricle is central and normal in shape.
data/train/audio_01331.wav,"there is evidence of edema in midthigh region, within the inner bipennate component of rectus femoris muscle, surrounding the indirect tendon and a band of fluid separating this muscle and the 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."
data/train/audio_05632.wav,"supratentorial: hypodensity in the left temporal lobe. rest of both cerebral hemispheres show normal cerebral sulci, fissures and basal cisterns. grey white matter differentiation is maintained. no shift of midline structures seen. both lateral ventricles and the 3rd ventricles are normal"
data/train/audio_05028.wav,"liver: measures 13.2 cm, appears normal in size and shape. it shows raised parenchymal echogenicity. there is no evidence of solid or cystic lesion. there is no intra or extra hepatic biliary radicle dilatation. portal vein: normal. gall bladder: minimally distended."
data/train/audio_04581.wav,few tiny pericholecystic collaterals are also seen. gallbladder is partially distended without any wall thickening or calculi. all 3 hepatic veins are patent and normally opacified. ivc appears patent. there is no veno venous collaterals are seen.
data/train/audio_01789.wav,"mild free fluid is seen in lower abdomen, pelvis and pouch of douglas. moderate fecal loading is seen in large bowel loops. visualized small bowel loops appear normal. no significant lymphadenopathy. no free air is seen. impression:"
data/train/audio_04664.wav,"posterior elements / facet joints facet arthropathy involving l3l4, l4l5, and l5s1 levels (reported as l3l5 vertebral levels). transverse and spinous processes are intact. no pars defect identified."
data/train/audio_05152.wav,: bilateral hilar prominence - ? lymphadenopathy. reticular opacities involving bilateral lung fields. the cardiac shadow is within normal limits of size and shape. unfolding of arch of aorta and aortic knuckle calcifications. both domes of diaphragm are normal in shape and outline. both cardiophrenic and costophrenic angles are clear. tracheal lucency is central.
data/train/audio_02582.wav,"bilateral facetal effusion is seen at this 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. the vascular structures appear normal. spinal canal measurements are within normal limits. moderate subcutaneous edema is seen in the lumbar region, posteriorly. :"
data/train/audio_01723.wav,"additional postoperative changes are noted in the proximal tibia and fibula, also producing metallic artefacts that partially obscure the regional anatomy. a fracture is identified involving the medial tibial plateau, associated with patchy marrow oedema in the proximal tibia, suggestive of a subacute injury."
data/train/audio_02703.wav,pterygopalatine fissures appear normal bilaterally. ethmoid appears normal bilaterally with preserved air-cells. body and greater wing of sphenoid appear normal. miscellaneous: right premaxillary infraorbital soft tissue haematoma noted.
data/train/audio_04239.wav,"m.r.i. lumbo-sacral spine: imaging sequences: se t1w axials & sagittal, fse t2w sagittal & axials, stir coronals findings: curvature: loss of lumbar lordosis with straightening of spine."
data/train/audio_00365.wav,"mild soft tissue thickening noted in right mastoid air cells. mucosal thickening noted in left sphenoid sinus. : abnormal area of hypodensity noted in right parietal lobe, possibility of chronic infarct /gliosis. age related changes of cerebral cortical atrophy with chronic small vessels ischemic changes."
data/train/audio_02529.wav,mucoid degeneration of anterior cruciate ligament. mild osteoarthritic changes involving knee joint as mentioned above. grade ii signal change involving posterior horn of medial meniscus and anterior horn of lateral meniscus. linear t2w and stir hyperintense signal is seen involving the anterior horn of lateral meniscus not extending to the articular surface suggestive of grade ii signal change.
data/train/audio_03719.wav,6 mm maximum diameter umbilical wall defect with mild herniation of the omental fat suggestive of small umbilical hernia.
data/train/audio_01772.wav,medial epicondyle lateral epicondylar/condylar region trochlea capitellum multiple displaced intra-articular fracture fragments. tiny chip fracture from the lateral aspect of the proximal ulna.
data/train/audio_02413.wav,the pericardium is of normal thickness. no pericardial effusion is seen. the aortic valve is tricuspid.
data/train/audio_03316.wav,narrowing bilateral neural foramina indenting bilateral exiting nerve roots. rest of the degenerative changes in the cervical spine as described above. suggested clinical and emg-ncs 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/train/audio_00959.wav,osseous structure: minimally displaced fracture with marrow edema involving the posterior aspect of lateral tibial condyle. undisplaced fracture with marrow edema involving the lateral aspect of lateral femoral condyle. undisplaced fracture with marrow edema involving posterior aspect of lateral tibial condyle.
data/train/audio_02684.wav,impression: minimal to mild right pneumothorax. bilateral pleural effusions in the setting of trauma - possibility of hemothorax. subsegmental collapse / consolidation in posterior basal and superior segments of bilateral lower lobes. comminuted fracture of the body of left scapula. fracture of medial part of left clavicle. fractures of left 4th-6th ribs
data/train/audio_01122.wav,"findings - right parietooccipital craniotomy seen. postoperative change is seen in the form of t2 hyperintense cystic area is seen in right temporo occipital region, with t2 hypointense rim. it measures approximately 4.6 x 3.3 x 2.2 cm in dimension. this is suggestive of porencephalic cyst with hemosiderin staining."
data/train/audio_00416.wav,"kidneys: both kidneys are normal in size, position, shape and cortical outline. no evidence of calculus or hydronephrosis. both kidneys shows good uptake and excretion of contrast material into collecting system. corticomedullary differentiation is maintained. renal pelvis appears normal."
data/train/audio_03907.wav,"a well-defined extra-axial lesion is seen in the right basifrontal region measuring approximately 2.5 x 2.6 x 3.0 cm, appearing t2 hypointense with homogeneous post-contrast enhancement. the lesion demonstrates a broad-based dural attachment along the anterior falx cerebri and adjacent dura,"
data/train/audio_04007.wav,* the visualized vertebrae are normal in density and trabecular pattern. * multiple subcentimetric sized level ii and iii cervical lymph nodes noted. no significant abnormality seen. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_01028.wav,displaced fracture of the distal 1/3rd of the shaft of the tibia. no intra-articular extension. mild subcutaneous edema noted in the distal leg and around ankle joint. the rest of the visualized bones are normal in density and trabecular pattern. bone density is normal.
data/train/audio_00519.wav,erosion noted involving both medial and lateral mastoid walls. inferiorly there is tip of mastoid erosion. extension of soft tissue component seen laterally into subcutaneous plane and adjacent musculature. ill-defined hypodense collection measuring approximately 3.2 x
data/train/audio_05068.wav,"left kidney: measures 10.4 x 4.8 cm, appears normal in size and shape. cortico medullary differentiation is well maintained. there is no evidence of calculi or hydronephrosis."
data/train/audio_05042.wav,"gall bladder: partially distended. pseudo thickening of the wall is noted. spleen: measures 11.1 cm, appears normal in size & echogenicity. no focal lesion seen."
data/train/audio_00147.wav,"lymph nodes few subcentimeter reactive pelvic lymph nodes, largest 8 mm in the left external iliac region. urinary bladder: partially distended with preserved fat plane with the uterus. no bladder endometriotic deposit."
data/train/audio_04005.wav,"* true and false vocal cords are normal in attenuation. * hyoid bone and laryngeal cartilages i.e. thyroid, cricoid and arytenoid appear normal. * the sternocleidomastoid and digastric muscles on either side are normal."
data/train/audio_02210.wav,metacarpal bone involving the articular surface. rest of the visualized bones are unremarkable. mild wrist joint effusion with soft tissue oedema noted. 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. : comminuted displaced fracture involving the distal shaft of radius involving the radiocarpal and distal
data/train/audio_05149.wav,bony skull vault appears normal. : no c.t. abnormality detected.
data/train/audio_04278.wav,"there are postoperative changes following suboccipital craniotomy. there is hypodensity noted in the bilateral cerebellar hemispheres around the fourth ventricle, with few hyperdense foci within, suggestive of postoperative changes with areas of hemorrhage. there is evidence of mild increase in size of the hypodensity causing compression of fourth ventricle."
data/train/audio_00861.wav,"multiple enlarged mesenteric lymph nodes are seen, the largest measuring 14 x 12 mm. appendix is visualized in retrocaecal position, measuring 5 mm in diameter, with no periappendiceal fat stranding or inflammatory changes."
data/train/audio_03883.wav,"the liver is normal in size and attenuation. spleen is mildly enlarged and measures approximately 12.5 cm. no obvious focal lesion. the pancreas, and both adrenal glands appear unremarkable. the gallbladder is distended with minimal sludge within the lumen. the common bile duct is normal in caliber."
data/train/audio_03462.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/train/audio_00155.wav,pancreas: normal in size and echotexture. no focal diffuse lesion. kidneys: right kidney measures 10.0 x 4.0 cm left kidney measures 9.7 x 4.6 cm
data/train/audio_04408.wav,there is 80x38mm sized old infract with encephalomalacic changes and adjacent gliosis seen in left frontal temporal parietal lobe with secondary sign of volume loss in the form of prominence of adjacent cortical sulci and ventricle. no areas of blooming seen in it s/o old blood product.
data/train/audio_00393.wav,"findings previously mentioned radiodense foreign body not seen in present scan. bowel loops appear normal. impression previously mentioned radiodense foreign body in the gastric pylorus region not seen in present scan. suggested : clinical correlation and further evaluation, if clinically indicated."
data/train/audio_01483.wav,"mri heel clinical history: heel pain : there is focal skin puckering noted along the posterior aspect of the heel, with underlying pdfs hyperintense signal alteration in the subcutaneous tissues, suggestive of soft tissue edema/inflammatory changes."
data/train/audio_02904.wav,on the left side measuring approximately 8.5 x 9 cm. pleura: there is bilateral moderate pleural effusion. associated compressive atelectasis of the bilateral lower lobes is noted. mediastinum and hila: trachea and main bronchi appear patent. no obvious mediastinal mass lesion identified.
data/train/audio_01563.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/train/audio_04980.wav,"endometriotic cyst measuring 1.7 x 1.2 x 1.7 cm, appearing t2 hypointense and t1 hyperintense, with thin internal septations and minimal peripheral enhancement. small hemorrhagic cyst (~7 mm) showing t1 and t2 hypointensity. few small simple cysts are also seen."
data/train/audio_02011.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."
data/train/audio_03656.wav,"the pedicles, laminae spinous process and transverse process of the lumbar vertebrae show normal morphology. no evidence of spondylolysis. the bony spinal canal diameter measures the spinal cord, conus medullaris and the sub arachnoid space are normal. the nerve roots of the cauda equina appear normal."
data/train/audio_03099.wav,"few areas of subarachnoid haemorrhage involving bilateral frontal lobes. few areas of pneumocephalus along left frontal region. diffuse soft tissue oedema with multiple air foci over bilateral maxillary, bilateral orbital, bilateral fronto-temporal and right parietal regions. rest of the brain parenchyma is normal in attenuation. basal ganglia and thalami are normal."
data/train/audio_05247.wav,both maxillary sinuses and both frontal sinuses are normal. ethmoid sinuses appear normal. both sphenoid sinuses shows mild content within cavity. bilateral fronto-nasal recess appear unremarkable. the nasolacrimal duct on either side is normal.
data/train/audio_01836.wav,critical - high-risk lesions) pda: 30%-40% stenosis (mild-moderate) calcium score: 205 (moderate calcified plaque burden) trifurcation of left main coronary artery (anatomical variant)
data/train/audio_03675.wav,"the paranasal sinuses, orbits and calvarium appear unremarkable. :- mr scan reveals, well defined nodular lesion in left high parietal parasagittal region."
data/train/audio_01923.wav,"both adrenal glands appear unremarkable. both kidneys are normal in size, shape, attenuation and enhancement pattern and excretory function. both ureters are normal in course and caliber. urinary bladder is distended and reveal normal walls. no obvious calculus or mass lesion. prostate and seminal vesicles are normal. multiple long segment areas of circumferential asymmetrical thickening noted"
data/train/audio_02374.wav,"disc degenerative changes l3-4 to l5-s1 , with neural compromise as described differential diagnosis na recommendation suggested clinical correlation."
data/train/audio_00537.wav,no parenchymal lesion or intraductal calcifications seen. spleen: spleen is enlarged and measures approximately 15.5 cm. it is otherwise normal in parenchymal density. no focal lesion in spleen is seen. adrenals:
data/train/audio_04673.wav,"mild multilevel posterior disc bulges, most prominent at l5s1 facet arthropathy from l3 to l5 levels degenerative changes involving bilateral sacroiliac joints and mild bilateral hip osteoarthrosis. 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/train/audio_01385.wav,there is circumferential mild mucosal thickening with hyperdense material seen involving bilateral maxillary sinus causing widening and obliteration of bilateral osteomeatal units (left>right). soft tissue opacification is also noted involving bilateral nasal cavity.
data/train/audio_01748.wav,there is no focal lesions seen. prostate gland appears normal in size without any focal lesion. bilateral seminal vesicles appear normal. small and large bowel loops are normal in caliber. there is no abnormal wall enhancement seen. there are no features of bowel obstruction.
data/train/audio_03916.wav,atherosclerotic calcifications also noted at the arch of aorta.
data/train/audio_02714.wav,"spleen is enlarged measuring approximately 15.5 cm. multiple enlarged lymph nodes are noted in para-aortic, aortocaval, paracaval, common iliac, internal and external iliac regions, largest measuring approximately 4.3 x 3.2 cm in the right common iliac region."
data/train/audio_00114.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 c3-c4 disc, indenting the thecal sac and encroaching the neural foramina. there is compression over left exiting c4 and indentation over right exiting c4 nerve root."
data/train/audio_02908.wav,"multiple enlarged mesenteric lymph nodes are noted (mesenteric lymphadenopathy). ovaries: a well-defined cystic lesion measuring approximately 4 x 4 cm is seen in the left ovary, likely representing an ovarian cyst."
data/train/audio_05128.wav,findings: curvature: lumbar lordosis is preserved. vertebral body: few peridiscal osteophytes. grade i anterolistheis of l5 over s1 vertebra noted. there are defects in bilateral l5 pars interarticularis with hypertrophic callus at the site of defect - s/o chronic spondylolysis.
data/train/audio_00285.wav,"observations: bilateral cerebral and cerebellar hemispheres are normal. the brainstem appears normal. no evidence of mass lesion, infarct or hemorrhage is visualized."
data/train/audio_05310.wav,"there is evidence of grade-i central disc protrusion with small peripheral annular tear, with compression over the thecal sac. no neural foraminal narrowing and no compression on the nerve roots. l2-l3: there is evidence of grade-i central disc protrusion with small peripheral annular tear,"
data/train/audio_04809.wav,both hilar regions appear normal. no significant hilar lymphadenopathy is observed. pleural surfaces: bilateral mild pleural thickening. no evidence of pleural effusion present. mediastinum: thoracic oesophagus and other mediastinal structures appears normal. no significant mediastinal adenopathy is observed.
data/train/audio_05131.wav,: few t2w and flair hyperintensities are noted in bilateral frontal white matter. no restriction on dwi or blooming on gradient images is noted. rest of the brain parenchyma is normal in signal intensity. bilateral basal ganglia and thalami appear normal. posterior fossa structures appear normal. intracranial vessels and venous sinuses show normal flow voids.
data/train/audio_01905.wav,adv: hrct thorax please correlate clinically
data/train/audio_01380.wav,bilateral type i optic nerve is seen. the lamina papyracea on either side is normal. both middle turbinates exhibit normal curvature. there is 15x9mm concha bullosa seen on left side. both inferior turbinate hypertrophy is seen.
data/train/audio_02659.wav,no midline shift is noted. the thalami and internal capsules are normal on both sides. the extra cerebral spaces are clear. the orbits and the visualized sinuses appear normal. the pituitary gland and optic chiasm are normal. : well defined t2/ flair hyperintensities are seen
data/train/audio_03506.wav,"no evidence of stenosis or occlusion noted. mr neck angiogram the common carotid arteries appear normal. the carotid bulb appears normal, except for normal turbulence. (hypointense). the cervical parts of the internal carotid arteries appear normal. the origins of vertebral arteries from subclavian arteries appear normal. :"
data/train/audio_02625.wav,"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. 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."
data/train/audio_01338.wav,there is no evidence of pelvic lymphadenopathy or free fluid. : grade - ii - linear intersphincteric fistula with short blind ending side tract . st james's university hospital mr imaging classification of perianal fistulas
data/train/audio_01215.wav,: small suspicious hypodensity in the right temporal lobe. needs further evaluation with mri brain to rule out infarct. no obvious intracranial haemorrhage. no other significant intracranial abnormality detected. suggested clinical and laboratory correlation.
data/train/audio_00470.wav,"postero-central protrusion of l1-2 disc, causing mild narrowing of central canal. mild facetal arthropathy is detected at this level. broad based posterior protrusions of l3-4 and l4-5 discs, causing mild narrowing of central canal."
data/train/audio_02743.wav,"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/train/audio_01851.wav,:- associated peribronchial scarring and fibro-atelectatic bands are seen in the involved regions. numerous small nodules are scattered throughout both lung fields; most are subcentimetric in size.
data/train/audio_02437.wav,rest of the brain parenchyma is normal in attenuation. rest of the basal ganglia and thalami are normal. the posterior fossa structures are normal. no evidence of sol. no intra axial collection is seen. no midline shift is seen. sella and parasellar structures appear grossly unremarkable. deviated nasal septum to the left with bony spur.
data/train/audio_04487.wav,"complex lateral elbow injury with lateral epicondylar fracture, near full-thickness common extensor tendon tear, and high-grade lcl injury with associated bone contusions and joint effusion."
data/train/audio_02368.wav,"the vertebrae show normal alignment and marrow signal. no vertebral focal lesions seen. the intervertebral discs appear normal with no significant bulges or herniation noted. the conus, the filumterminale and the roots of the cauda equine are normal. the pre and paravertebral soft tissues are normal. recommendation suggested clinical correlation."
data/train/audio_00900.wav,"the malleus, incus and stapes are normal with normal articulation. the round and oval windows are normal. aditus to antrum is normal. the cochlea, vestibule, vestibular and cochlear aqueduct are normal. the facial nerve canal is normal. the superior, posterior and horizontal semicircular canals are normal. the internal auditory canal is normal."
data/train/audio_01741.wav,"polypoidal mucosal soft tissue density heterogeneously enhancing area involving left maxillary sinus extending into left nasal cavity, left ethmoid air cells and left frontal sinus. areas of erosions and cortical thickening involving left maxillary sinus. hyperdensities also noted in left maxillary sinus. left sided turbinates are not well seen separately from it."
data/train/audio_04687.wav,lumbar canal diameters at disc levels are as follows: l1-2 11.0 mm. l2-3 12.0 mm. l3-4 8.0 mm. l4-5 4.4 mm. l5-s1 7.5 mm. para-spinal structures: muscles: normal.
data/train/audio_05583.wav,"confluence is normal. common bile duct is normal in caliber with no evidence of filling defect. spleen is enlarged in size (~13.5 cm) and reveals normal parenchymal signal intensity and contrast enhancement. no focal lesion seen. pancreas is normal in size, shape, signal intensity and contrast enhancement with preserved peripancreatic fat planes."
data/train/audio_02410.wav,clinical profile: chief complaints of palpitations. findings: agatston score: the total (aggregate) calcium score using the aj-130 method is zero lm = zero. lad = zero lcx = zero. rca = zero.
data/train/audio_00869.wav,no evidence of pericholecystic inflammatory changes. cbd appears normal.
data/train/audio_02846.wav,mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-parietal and periventricular white matter. right maxillary and bilateral ethmoidal 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/train/audio_00432.wav,"alignment no kyphosis, scoliosis there is no radiographic evidence of instability. soft tissue paravertebral soft tissues are normal. degenerative changes in cervical spine. differential diagnosis na recommendation suggested clinical correlation."
data/train/audio_00630.wav,"multiple degenerative osteophytes noted in distal femur, proximal tibia and patella. joints reduced joint space noted in both medial and lateral aspect. multiple loose bodies noted in joint cavity. features suggestive of advanced osteoarthritis changes of right knee. recommendation suggested clinical correlation."
data/train/audio_01433.wav,"the right kidney measures 9.8 x 4.9 cms. 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 back pressure changes in the form of mild hydroureter."
data/train/audio_02288.wav,"fracture of the squamous part of the left temporal bone, extending into the greater wing of sphenoid and sphenoid sinus, associated with sphenoid hemosinus. linear fracture of the left frontal bone extending into the superior orbital rim. fracture of the left zygomatic arch. small air foci (pneumocephalus) are seen adjacent to the cavernous sinus in the medial temporal region."
data/train/audio_01103.wav,lungs: multifocal patchy areas of ground-glass densities noted scattered in bilateral upper lobe segments. fibrotic strands in right middle lobe and left lingula. patchy ground-glass densities noted in bilateral lower lobe superior and basal segments.
data/train/audio_03112.wav,cvj & visualized upper cervical spine : normal sella : normal. : no significant abnormality detected in the brain parenchyma.
data/train/audio_03892.wav,grade ii signal is seen involving anterior horn of lateral meniscus. muscles: popliteal muscle and tendon appear normal. the quadriceps tendon and ligamentum patellae there is mild sprain. the hoffa`s fat pad reveals edema.
data/train/audio_01952.wav,liver: normal size and signal intensity. no focal hepatic lesion identified on the provided sequences. no intrahepatic biliary radicle dilatation. pancreas: normal size and signal. no focal lesion identified. no peripancreatic fluid collection. spleen: normal size and signal. adrenal glands: unremarkable.
data/train/audio_01598.wav,"the normal vertebral alignment is maintained. the vertebrae show normal marrow signal with no focal lesions. the cervical cord, cvj and the cervico-medullary junctions are normal. pre and para vertebral soft tissues are normal. dorsal spine: normal curvature and vertebral alignment is maintained."
data/train/audio_05250.wav,"findings: menisci: medial meniscus: transversely oriented, abnormal bright signal intensity focus is seen in the posterior horn of medial meniscus, extending till the lateral capsular surface. no extension to either articular surfaces."
data/train/audio_05169.wav,kidneys: (right kidney measuring ~ 78 x 32mm and left kidney measuring ~ 88 x 33mm) right kidney: is borderline small in size. margins are regular. no evidence of backpressure changes seen in the pelvicalyceal system.
data/train/audio_01728.wav,"fracture of the medial tibial plateau with associated marrow oedema. high-grade tear of the posterior cruciate ligament (pcl). low-grade partial thickness tear of the anterior cruciate ligament (acl) at its tibial attachment. horizontal oblique tear of the posterior horn of the medial meniscus, communicating with the inferior articular surface."
data/train/audio_01240.wav,"in bilateral lung fields, predominantly in the perihilar regions. interlobular septal thickening is also noted bilaterally. these findings favor pulmonary edema in the setting of congestive cardiac failure. few tiny calcified pulmonary nodules are seen in the superior segment of the right lower lobe, likely sequelae of prior"
data/train/audio_05262.wav,"there is focal skin puckering noted along the posterior aspect of the heel, with underlying pdfs hyperintense signal alteration in the subcutaneous tissues, suggestive of soft tissue edema/inflammatory changes. calcaneum appears normal in morphology and marrow signal intensity. no evidence of marrow edema or focal osseous lesion noted."
data/train/audio_05586.wav,"largest ~1.5 cm, causing mild hydronephrosis. hepatic contour irregularity with heterogeneous parenchymal signal, associated with splenomegaly (~13.5 cm) and gross ascites, suggestive of chronic liver disease with portal hypertension in the appropriate clinical setting. diffuse"
data/train/audio_00062.wav,prominent bilateral right and left intrahepatic biliary radicals and common hepatic duct secondary to portal cavernoma formation as described represent changes of early portal biliopathy. correlation with serum bilirubin is recommended. pericholecystic collaterals are also seen
data/train/audio_00639.wav,"it indents the anterior epidural fat, both s1 nerve root, abuts right l5 nerve roots and causes mild narrowing of the central canal and lateral recesses, bilaterally. moderate facetal arthropathy and ligamentum flavum thickening are detected at this level, adding to central canal stenosis. the lower end of the spinal cord, cauda equina and filum"
data/train/audio_01431.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/train/audio_03096.wav,no evidence of any surrounding abscess or collection is seen. comments: comminuted fracture noted in head of radius. chip fracture noted at coronoid process of ulna. mild joint effusion noted. subcutaneous oedema noted in lateral aspect of elbow joint.
data/train/audio_05406.wav,interstitial septal thickening noted in right lung field. above findings suggest possibility of infective aetiology/ neoplastic aetiology. advice: contrast study and histopathological correlation for better evaluation. few tiny subpleural nodules noted in left lung field. few subcentimetric right paracardiac lymph nodes.
data/train/audio_00730.wav,"both the iams are normal and symmetrical. vii and viii nerve complex appear normal. bilateral mastoid air cells are normal. sella: 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."
data/train/audio_01809.wav,there is no pericholecystic fat stranding seen. common bile duct is normal in caliber. there is no calculus seen. portal vein flow void is maintained. pancreas appear normal in size and signal intensity without any focal lesion or duct dilatation. spleen is normal in size.
data/train/audio_03733.wav,rest of the turbinates appear unremarkable. mild mucosal thickening involving bilateral nasal cavities. normal variations: haller cell: absent. onodi cell: absent. pneumatisation of crista galli noted.
data/train/audio_01169.wav,"loss of cervical lordosis is noted. mild posterior disc bulges are seen at c3-c4, c4-c5 and c5-c6 cervical levels abutting anterior thecal sac. anterior osteophytes are seen at multiple dorsal levels. mild posterior disc bulges are seen at few dorsal levels indenting thecal sac."
data/train/audio_04959.wav,"the right fallopian tube is mildly dilated (~6 mm) showing t2 iso- to hypointense signal and t1 hyperintensity with minimal peripheral wall enhancement, representing hematosalpinx. the right ovary is seen adherent to the posterolateral uterine wall, suggestive of pelvic adhesions."
data/train/audio_02487.wav,these are likely to represent non-specific cysts / geodes. mild degenerative changes are seen in the acromio-clavicular joint. minimal fluid is seen in subacromial - subdeltoid and subcoracoid bursae and also along the biceps tendon. visualized bones appear osteoporotic. there is blunting of the labrum seen.
data/train/audio_00670.wav,cervical canal diameters at disc levels are as follows: c2-3 - 10.9 mm. c3-4 - 10.8 mm. c4-5 - 10.5 mm. c5-6 - 9.8 mm.
data/train/audio_04902.wav,findings - motion artifacts are seen in few of the sequences reducing optimal evaluation. large wedge shaped area of diffusion restriction is seen in right hemipons . it is hyperintense on flair images. this is suggestive of acute infarct in basilar artery territory.
data/train/audio_03362.wav,"altered marrow signal intensity changes are seen along medial femoral condyle and anterior medial tibial plateau. this is suggestive of traumatic marrow contusions. mild t2 hyperintensity is seen along anterior cruciate ligament, suggestive of mild sprain of anterior cruciate ligament. the posterior cruciate ligament appears normal."
data/train/audio_03811.wav,assessment for cortical integrity and subtle marrow changes is suboptimal. soft tissues & muscles: there is abnormal t2/stir hyperintense signal involving adjacent muscles: brachialis biceps brachii medial and lateral heads of triceps
data/train/audio_03249.wav,: bones in view appear intact. small plantar calcaneal spur noted. joint spaces are normal. no e/o obvious xray abnormality. : small plantar calcaneal spur . no other significant abnormality. please correlate clinically.
data/train/audio_02854.wav,"areas of ground-glass opacities and fibroatelectasis involving rest of the right upper lobe suggestive of infective etiology and its sequelae. area of homogeneous airspace opacification involving right upper lobe - imaging features are likely suggestive of collapse/consolidation. however, further evaluation with contrast study is recommended for confirmation."
data/train/audio_02116.wav,bilateral mild ethmoid 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/train/audio_04529.wav,"visualised paranasal sinuses and mastoid air cells appear unremarkable. : bilateral periventricular white matter hypodensities with white matter volume loss/paucity, suggestive of periventricular leukomalacia secondary to prior hypoxic-ischaemic insult."
data/train/audio_05360.wav,"x-ray pns: haziness in bilateral frontal and maxillary sinuses, possible changes of sinusitis. no evidence of bony erosion. nasal septum is deviated to right side. : haziness in bilateral frontal and maxillary sinuses, possible changes of sinusitis. nasal septum is deviated to right side."
data/train/audio_03645.wav,"no evidence of pleural effusion present. mediastinum: multiple enlarged mediastinal nodes noted, largest measuring 13 x 10 mm in size. some of the nodes shows areas of calcification heart and major vessels: heart outline and size appears normal."
data/train/audio_04268.wav,lumbosacral spine is normal. : no significant abnormality. adv : usg abd - pelvis if cinically indicated.
data/train/audio_03085.wav,"type iii. 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. acute marginal, right posterior descending artery and right posterolateral branches have no significant stenosis. cardiac morphology:"
data/train/audio_03689.wav,musculoskeletal system: degenerative changes in visualized spine: marginal osteophytes (anterior and posterior) mild disc space reduction at: d12-l1 l3-l4 l4-l5
data/train/audio_00643.wav,"few schmorl's nodes are seen. changes of spondylolysis are seen. posterior protrusions are seen at t10-11 and t11-12 vertebrae, indenting the anterior subarachnoid spaces. osteoporotic vertebrae. : broad based posterior protrusion of l5-s1 disc"
data/train/audio_04279.wav,"with few hyperdense foci within, suggestive of postoperative changes with areas of hemorrhage. there is evidence of mild increase in size of the hypodensity causing compression of fourth ventricle. a ventriculoperitoneal (vp) shunt tube is seen in situ,"
data/train/audio_04440.wav,"mild adjacent fascial thickening noted. no evidence of cortical erosion, marrow oedema or osseous destruction noted in the adjacent metatarsal bones. the remaining visualised intrinsic foot muscles appear normal in bulk and signal intensity."
data/train/audio_01606.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/train/audio_05566.wav,ct left leg clinical details diffuse swelling of the left leg; query chronic osteomyelitis. technique non-contrast ct of the left leg including the knee region. multiplanar reformats were performed. findings
data/train/audio_03868.wav,cervical spinal cord shows normal mr morphology and signal characteristics. posterior osseous structures and soft tissue structures are normal. craniovertebral junction is normal. the cervico-medullary junction appears unremarkable. no pre / paraspinal soft tissue abnormality seen.
data/train/audio_00667.wav,"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. basal ganglia and thalami are normal. the posterior fossa structures are normal. no evidence of sol. no midline shift is seen."
data/train/audio_02159.wav,"the cervical spinal cord and the csf display normal signal intensity in all sequences. the cranio vertebral junction is normal. the atlanto-axial joints are normal. whole spine screening: dorsal spine diffuse disc bulge noted at d12-l1 level causing anterior thecal sac indentation,"
data/train/audio_04265.wav,"cerebellar folia are normal. no focal sol seen. 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."
data/train/audio_00156.wav,minimal free uid is noted in the abdominal and pelvic cavity ( non-tappable) . : a hyperechoic foci noted at lateral wall of gallbladder ? polyp/?calculus. minimal ascites ( non-tappable) . suggest - clinical and biochemical correlation/further imaging if indicated.
data/train/audio_01082.wav,seen involving the anterior horn of lateral meniscus not extending to the articular surface suggestive of grade ii meniscal tear grade ii signal change involving posterior horn of medial meniscus. muscles: popliteal muscle and tendon appear normal. the quadriceps tendon and ligamentum patellae reveals mild sprain.
data/train/audio_04274.wav,right hepatic duct measures approximately 7 mm. left hepatic duct measures approximately 9 mm. common hepatic duct measures approximately 11 mm. proximal common bile duct measures approximately 13 mm. mid common bile duct measures approximately 12 mm.
data/train/audio_02725.wav,"suggestive of mild ethmoid sinusitis. frontal sinuses: mild mucosal thickening is seen in the bilateral frontal sinuses, suggestive of mild frontal sinusitis. bilateral frontal sinus ostia appear blocked. sphenoid sinuses: sphenoid sinuses appear clear and bilateral sphenoid ostia are patent. nasal septum and turbinates:"
data/train/audio_02918.wav,mild edematous changes in the lateral condyle of femur.
data/train/audio_00017.wav,"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. this is likely secondary to edema at the terminal portion. there is no evidence of any calculus within."
data/train/audio_05198.wav,"c3-4 disc reveals diffuse bulge. it indents the anterior subarachnoid space, without any significant central canal or neural foraminal narrowing. c4-5 disc reveals broad based posterior protrusion. it indents the anterior subarachnoid space, and causes mild narrowing of the central canal. mild facetal arthropathy is detected at this level."
data/train/audio_02075.wav,"blooming foci (likely calcification), causing compression of the optic chiasm and obstructive hydrocephalus due to compression of the foramina of monro. the pituitary gland is separately visualized, suggesting a primarily suprasellar origin. overall imaging features raise strong suspicion for craniopharyngioma, most likely"
data/train/audio_01050.wav,", transfalcine herniation and midline shift of ~7.8mm to right side, mild uncal herniation. thin sdh is seen along falx. right lateral ventricle is normal basal ganglia and thalami are normal. posterior fossa: cerebellum and brainstem are normal in attenuation pattern."
data/train/audio_01869.wav,:- dural venous sinuses appear normal. posterior fossa: cerebellum and brainstem are normal in attenuation and enhancement pattern. cerebellar folia are normal.
data/train/audio_03005.wav,"cerebral volume loss mild generalized prominence of cortical sulci, basal cisterns, and ventricular system is noted, suggestive of mild generalized cerebral atrophy. remaining brain parenchyma rest of the brain parenchyma demonstrates preserved signal intensity. right basal ganglia and bilateral thalami appear normal."
data/train/audio_04306.wav,there is mild dilation of left lateral ventricle (15mm) s/o obstructive hydrocephalus. there is no subarachnoid hemorrhage. right cerebral oedema is seen. there is right uncal hernation is seen indenting over mid brain.
data/train/audio_02497.wav,joint:- minimal shoulder joint and subcoracoid bursal effusion noted. acromio-clavicular joint appears normal. glenohumeral joint appears normal with intact articular surfaces. glenoid labrum appears intact and shows normal signal intensity. lateral downsloping of acromion noted.
data/train/audio_05080.wav,overall bony alignment is maintained. joints visualized joint spaces are preserved. articular margins are maintained without erosive or destructive changes.
data/train/audio_00163.wav,the corticomedullary differentiation is maintained. free fluid: no evidence of free uid. urinary bladder: well distended and shows mildly thickened and irregular wall thickness. there is no obvious evidence of calculus or mass.
data/train/audio_04407.wav,there is t2w/flair hyperintense signal seen in left cerebral peduncle consistent with wallerian degeneration. no evidence of acute infarct or space occupying mass lesion noted. no evidence of abnormal signal intensity or volume loss in the hippocampii.
data/train/audio_00239.wav,gallbladder wall is normal in thickness. there is minimal pericholecystic fat stranding is noted this is due to the reactive change secondary to distal obstruction. pancreas shows diffuse parenchymal severe atrophy.
data/train/audio_02138.wav,"there is no ascites noted. impression gallbladder mass eccentric thickening involving the fundus with extension into the cystic duct and common hepatic duct up to the confluence, with involvement of the right hepatic duct. this is concerning for gall bladder carcinoma rather than cholangiocarcinoma."
data/train/audio_04346.wav,retroperitoneum: no significant retroperitoneal lymphadenopathy. retroperitoneal fat planes appear unremarkable. uterus and adnexa: uterus and right ovary are normal in shape and size. a hypodense cystic lesion ms~ 32x41mm is seen in left ovary
data/train/audio_00359.wav,"suboptimal study due to motion artefact, limiting detailed ligamentous and cartilage evaluation. - complex lateral elbow injury with lateral epicondylar fracture, near full-thickness common extensor tendon tear, and high-grade lcl injury with associated bone contusions and joint effusion."
data/train/audio_01522.wav,"l2-3: diffuse bulge, indenting the thecal sac and encroaching the neural foramina. there is mild compression over bilateral traversing l3 and exiting l2 nerve roots. l3-4: diffuse bulge, compressing the thecal sac and encroaching the neural foramina. there is compression of right exiting l3 & bilateral traversing l4 nerve roots."
data/train/audio_05041.wav,pseudo thickening of gallbladder wall. suggest - clinical and biochemical correlation/further imaging if indicated.
data/train/audio_02568.wav,"without downstream transition point to suggest mechanical obstruction, where this small bowel feces sign is likely secondary due to ileus/non-peristalsis. pneumatosis intestinalis is noted for the dilated small bowel loops. the terminal ileum and large colon as well as the rectum are mostly collapsed."
data/train/audio_00871.wav,no abnormality detected recommendation suggested clinical correlation.
data/train/audio_00087.wav,ct - brain (plain) technique: ct scan of brain was done without administration of contrast. findings: few areas of subarachnoid hemorrhage involving right temporo-parietal lobes. rest of the brain parenchyma is normal in attenuation.
data/train/audio_03542.wav,pleural-based neoplasm (solitary fibrous tumor) less likely infective etiology. fibrocalcific changes with traction bronchiectasis in bilateral lungs with calcified lymph nodes suggestive of sequelae of prior granulomatous infection (likely old pulmonary tuberculosis)
data/train/audio_05045.wav,no hydronephrosis or hydroureter is noted. the corticomedullary differentiation is maintained. free fluid: no evidence of free uid. urinary bladder: well distended and shows normal wall thickness. there is no evidence of calculus or mass.
data/train/audio_00438.wav,"o the medial ends of both clavicles and manubrium sterni show normal cortical outline and trabecular pattern. o no evidence of fracture, lytic/sclerotic lesion, or periosteal reaction. joint spaces: o preserved bilaterally with no intra-articular loose bodies. soft tissues:"
data/train/audio_04207.wav,: * no significant abnormality is seen. * no evidence of acute intraparenchymal hemorrhage. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_02771.wav,two tiny old petechial haemorrhages are noted in bilateral frontal lobes.
data/train/audio_02300.wav,"technique: mri abdomen performed using multiplanar t1-weighted, t2-weighted, and fat-suppressed sequences. mrcp sequences obtained for detailed evaluation of the biliary tree and pancreatic duct. findings liver liver appears enlarged measuring approximately 18.7 cm in craniocaudal dimension. hepatic parenchyma demonstrates preserved signal intensity without focal mass lesion. periportal cuffing is noted. minimal fluid signal is seen in the porta hepatis region. intrahepatic biliary radicles"
data/train/audio_02139.wav,"multiple t2 iso- to hypointense lesions with diffusion restriction are seen scattered throughout all segments of the liver. smaller lesions are better appreciated on diffusion-weighted imaging. one of the larger lesions in segment vii/vi, measuring approximately 5 x 4.5cm,"
data/train/audio_01250.wav,"diffuse bladder wall thickening measuring up to 8 mm is noted, suggestive of cystitis. lymph nodes: enlarged right pelvic sidewall lymph node measuring 10 x 8 mm. enlarged bilateral external iliac lymph nodes, largest measuring 12 x 10 mm on the left side."
data/train/audio_04746.wav,"the lower end of spinal cord, cauda equina and filum terminale do not reveal any abnormality. no abnormality is detected in the prevertebral region. the vascular structures appear normal. mild atrophy of posterior paraspinal muscles is seen"
data/train/audio_05035.wav,rest of the lungs appear normal in volume and attenuation. rest of the pleuro-parenchymal interfaces are smooth. no evidence of air trappi recording recording ng seen. airway and hilum:
data/train/audio_05433.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/train/audio_00031.wav,bilateral renal calculi obstructive left mid ureteric calculus causing mild hydroureteronephrosis left renal aml left complex (bosniak type ii) and left simple (bosniak type i) renal cortical cysts
data/train/audio_00966.wav,dominance of the coronary artery system: right dominant circulation. left main: the left main is a normal caliber vessel which gives rise to the lad and circumflex arteries. the left main has no stenosis. left anterior descending artery: small eccentric soft plaque measuring approximately 1.8 mm noted in the proximal segment
data/train/audio_01371.wav,"multilevel disc dehydrative changes. straightening of lumbar spine is seen. l5-s1 disc height is reduced with type ii endplate modic changes the study shows normal alignment of the lumbo-sacral spine. the rest of vertebrae appear normal in height, signal intensity and show normal alignment. no osseous destruction noted."
data/train/audio_00523.wav,internal auditory canal appears normal. facial nerve canal appears intact. right side: inner ear structures and internal auditory canal appear normal. intracranial structures focal intracranial soft tissue extension into left posterior fossa as described. no definite cerebellar abscess cavity identified on plain study. no gross midline shift.
data/train/audio_05338.wav,"lower end of the spinal cord, cauda equina and filum terminale appear normal. prevertebral soft tissues and vascular structures appear normal. spinal canal measurements are within normal limits. sagittal t2 weighted screening of dorsal spine reveals mild changes of spondylosis. few marginal anterior osteophytes are seen."
data/train/audio_03654.wav,t1-t2 hyperintense lesion measuring approximately 9.6 x 3.8 cm noted in subcutaneous plane of lower thoracic region. the lesion approximately measures 9.5 x 5.7 x 3.2 cm. lesion is seen towards the right of midline in subcutaneous plane.
data/train/audio_04619.wav,"tip of rt tube noted in lower thoracic cavity in midline. drain tube noted on left side. dj stent noted on left side. gaseous distension involving the colon, predominantly on left side. mild free air noted in left subdiaphragmatic region suggestive of pneumoperitoneum."
data/train/audio_03215.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/train/audio_02014.wav,lungs subtle haziness involving right lower zone suggestive of pneumonitis. 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/train/audio_04032.wav,sphenoid sinus is well pneumatised. pneumatisation of the lateral masses of the sphenoid is seen on both sides. both orbits appear grossly normal. the cribriform plate and lamina papyracea are intact. optic nerve canals and carotid canals are well corticated.
data/train/audio_02133.wav,"there is eccentric gallbladder wall thickening involving the fundus, predominantly along the anterior and posterior walls, measuring up to 9.7 mm in maximum thickness. there is loss of fat planes with adjacent hepatic segments v and ivb, suggesting hepatic infiltration."
data/train/audio_00651.wav,lesions are closely abutting the hepatic veins. no definite internal calcification noted. no evidence of intrahepatic biliary radicle dilatation (ihbrd). background liver parenchyma shows homogeneous enhancement.
data/train/audio_04926.wav,it indents thecal sac and both l4 nerve roots and causes mild narrowing of central canal. mild ligamentum flavum thickening is seen at this level. bilateral facetal effusion seen at this level. l4-l5 intervertebral disc reveals diffuse bulge indenting thecal sac without any significant central canal or neural foraminal narrowing.
data/train/audio_02055.wav,no intraspinal mass or pre/paravertebral collection is seen. no e/o extradural impression or block is seen. posterior fossa structures appear normal.
data/train/audio_04456.wav,pancreas appears diffusely atrophic. main pancreatic duct appears dilated with maximum diameter measures 13 mm in head region. no obvious evidence of signal void within main pancreatic duct. approximately 2.7 x 3.3 x 3.1 cm size cystic intrapancreatic collection noted in head and uncinate process of pancreas.
data/train/audio_03550.wav,mild free fluid in the pelvis. left renal cortical cysts. suggested :cemri pelvis. for clinical correlation.
data/train/audio_00777.wav,"focal fluid collections seen around knee joint, largest measuring approximately 16-20 mm - likely hematoma. : complex tears of acl and pcl (mid-portion and femoral attachments not well visualized). partial tear of mcl and grade i sprain of lcl."
data/train/audio_01821.wav,no evidence of pleural effusion present. mediastinum: thoracic oesophagus and other mediastinal structures appears normal. no significant mediastinaladenopathy is observed. heart and major vessels: heart outline and size appears normal. others:
data/train/audio_01552.wav,"l3-4: desiccation. diffuse bulge, compressing the thecal sac and encroaching the neural foramina. there is compression of right exiting l3 & bilateral traversing l4 nerve roots."
data/train/audio_03078.wav,"dilated cbd without calculus or obvious mass lesion. smooth narrowing noted at distal end of cbd, possibility of benign stricture / ? senile dilatation."
data/train/audio_01063.wav,lungs: small nodular nodular opacity with air bronchogram within and adjacent few tiny centrilobular nodules noted in the apical region of left upper lobe. mild adjacent pleural thickening noted. few centrilobular nodules noted involving lateral segment of right middle lobe.
data/train/audio_03178.wav,the left peroneal artery demonstrates mild to moderate narrowing (~30%). : long segment thrombus in infrarenal abdominal aorta extending up to bifurcation (>9.5 cm) causing significant luminal compromise
data/train/audio_05301.wav,"hernial neck lies medial to the inferior epigastric vessels, measuring approximately 8 mm, consistent with a direct inguinal hernia. no fat stranding or features of incarceration. small hiatus hernia noted. solid organs kidneys right kidney: multiple hypodense non-enhancing cysts, largest measuring 10 x 7 mm."
data/train/audio_03862.wav,"disc spaces: c2-c3: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing."
data/train/audio_03697.wav,"appendix is elongated and located in the subhepatic region (likely high-positioned variant).measures approximately 9 mm in maximum outer diameter.wall thickness measures ~3.8 mm.lumen appears patent, fluid filled ."
data/train/audio_02719.wav,multiple aggressive lytic skeletal metastases involving right pelvic bones with large associated soft tissue components. large soft tissue metastatic mass in right thigh with intramuscular extension and satellite lesions. bladder wall thickening - likely secondary to adjacent infiltration/compression; clinical correlation advised.
data/train/audio_04531.wav,"likely representing tiny petechial haemorrhagic focus/calcific focus. no evidence of large intraparenchymal haemorrhage, extra-axial collection, mass effect or midline shift. ventricular system and basal cisterns appear maintained. visualised calvarium appears intact. no evidence of acute skull fracture."
data/train/audio_03932.wav,"kidneys: both kidneys are normal in size, position, shape and cortical outline. evidence of a hypodense lesion ~17x16mm in the upper pole of left kidney. no evidence of calculus or hydronephrosis."
data/train/audio_00759.wav,: uterus appears enlarged measuring approximately 13.4 x 7.9 cm. soft tissue density lesion measuring approximately 5.8 x 4.3 cm noted in the region of fundus. hypodense lesion measuring 18 x 20 mm noted in cervix - ?nabothian cyst.
data/train/audio_05034.wav,"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/train/audio_04230.wav,mri scan of brain mri of the brain was performed using t1-t2wt sequences in multiple planes using a quadrature head coil. findings - no evidence of acute infarct or hemorrhage is seen.
data/train/audio_04338.wav,: postoperative status - left buccal mucosa carcinoma with fat-containing flap reconstruction. non-visualization of left mandibular ramus and condyle - consistent with postoperative resectional change.
data/train/audio_05514.wav,bony thoracic cage is normal. no soft tissue abnormality seen. no abnormality detected recommendation suggested clinical correlation.
data/train/audio_00744.wav,"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 sol is seen. visualized part of orbits is unremarkable."
data/train/audio_00716.wav,stir hyperintense grade ii signal change involving the anterior horn of lateral meniscus. no obvious articular surface extension. medial meniscus appears normal in configuration and signal intensity. no evidence of tear noted. muscles:- popliteal muscle and tendon appear normal. the quadriceps tendon and ligamentum patellae appear normal.
data/train/audio_00590.wav,few small well-defined flair hyperintensities are seen in bilateral corona radiata regions -- s/o old lacunar infarcts. multiple well-defined flair/t2 hyperintensities are seen in bilateral periventricular regions -- s/o chronic small vessel ischemic changes.
data/train/audio_01688.wav,the curvature of the lumbosacral spine is maintained. spinal cord ends at the level of l2 vertebral body. there is no evidence of vertebral destruction/ spondylolisthesis. facetal joints appear normal and ligamentum flavum appears normal.
data/train/audio_01857.wav,":- -------ct findings are may suggest possibility of post-primary pulmonary infection, most likely: post-primary pulmonary tuberculosis with endobronchial spread"
data/train/audio_00097.wav,"joint space & effusion: mild to moderate joint effusion is present. no intra-articular loose body is identified. ligaments: the lateral collateral ligament (lcl) shows increased signal intensity near its femoral attachment with mild thickening, consistent with a grade i sprain."
data/train/audio_02619.wav,"mri scan of pelvis with both hip joints was performed using t1 and t2 weighted sequences, in multiple planes. minimal synovial effusion is seen in both hip joints (left more than right). altered marrow signal intensity changes are seen in neck of left femur, suggestive of degenerative or traumatic marrow edema."
data/train/audio_03468.wav,above x-ray findings are suggestive of- bilateral maxillary sinusitis with dns to left. adv ct pns if clinically indicated.
data/train/audio_04196.wav,calvarium: bothzygomatic arches appear normal without any fracture. undisplaced fracture noted in bilateral nasal bones. both orbital walls appear normal in configuration with intact globes.
data/train/audio_04864.wav,"minimally displaced fracture involving the left inferior pubic ramus. no additional acute fracture identified involving the acetabula, femoral heads/necks, iliac bones, sacrum, or visualized proximal femora. no focal lytic or sclerotic osseous lesion identified."
data/train/audio_00594.wav,no evidence of communication with sacral bone. no signal alteration noted in sacrum / coccyx. the anal canal appears normal . the internal and external sphincters appear normal . the levator ani muscle appear normal on both sides .
data/train/audio_00810.wav,". it indents the thecal sac, both l4 nerve roots and causes mild narrowing of central canal. l4-5 disc reveals broad based posterior protrusion. it indents the thecal sac, and causes mild narrowing of central canal. l5-s1 disc reveals post-operative status. facet joints are normal. there is no thickening of ligamentum flavum."
data/train/audio_05692.wav,"acute marginal, right posterior descending artery and 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/train/audio_01343.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/train/audio_05526.wav,lymph nodes: no pathologically enlarged abdominal lymph nodes identified. peritoneum/ascites: no ascites. osseous structures: no focal marrow-replacing lesion identified on the provided sequences.
data/train/audio_04261.wav,"mild stir oedema noted in medial aspect of neck on either side with linear hypointensity noted in right neck region, possibility of stress fracture. conclusion: bulky uterus with multiple uterine fibroids. possibility of left sided ureterocele. moderate ascites in visualised abdomen."
data/train/audio_02142.wav,possibility of stent blockage needs to be ruled out. tissue sampling and histopathological correlation is recommended.
data/train/audio_02131.wav,"the abnormal thickening extends into the cystic duct and appears diffusion restricting. further extension of the lesion is noted into the common hepatic duct, reaching up to the biliary confluence. the involvement is near circumferential and extends into the right hepatic duct, with a maximum thickness of approximately 1.2 cm"
data/train/audio_04601.wav,"both adrenals appear normal. kidneys & ureters: both kidneys are normal in size, shape, and signal intensity. no hydronephrosis or focal lesion. visualized ureters appear normal. urinary bladder: well distended with normal wall thickness. no focal lesion."
data/train/audio_05331.wav,mild knee joint and suprapatellar bursal effusion with soft tissue edema around knee joint. 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/train/audio_04536.wav,"right kidney measures approximately 7.9 x 3.3 cm and appears relatively small in size. multiple cortical cysts noted in right kidney, largest measuring approximately 2.6 x 2.5 cm in lower pole."
data/train/audio_01392.wav,bones the bones of leg are normal. the bones forming ankle joint are normal. the articular surfaces are normal. no fracture or dislocation is present. visualized bones show normal mineralization. joints joint spaces are normal. no signs of osteoarthritis is appreciated.
data/train/audio_02452.wav,wall inflammation involving the segmental and subsegmental bronchi of bilateral lung parenchyma. above findings are suggestive of infective bronchiolitis. multiple patchy areas of mosaic attenuation involving bilateral lung parenchyma likely suggestive of air trapping - ? small airway disease. fibrobronchiectatic changes involving anterior segment of right upper lobe suggestive of sequelae of old infective etiology.
data/train/audio_01089.wav,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- mild mucosal thickening in bilateral maxillary sinuses. : hypodensity in the left temporal lobe. recommendation- mri brain for further evaluation. suggested clinical correlation.
data/train/audio_00442.wav,"technique: multiplanar, multisequence mri of the cervical spine performed. findings: alignment & vertebrae: there is anterolisthesis of c2 over c3. a fracture involving the right pars interarticularis of c2 is noted. there is associated loss of normal cervical lordosis. vertebral body heights are otherwise maintained."
data/train/audio_03821.wav,"/foraminal nerve root indentations. l4-l5: modic type 2 end plate degenerative changes noted. diffuse annular disc bulge with posterior central, bilateral paracentral disc protrusions causing moderate thecal sac and significant bilateral lateral recess/foraminal nerve root compressions. further being compounded by ligamentum flavum hypertrophy."
data/train/audio_03646.wav,with surrounding ground-glass opacities - suggestive of infective etiology (likely bronchopneumonia). multiple small nodular and centrilobular nodules in right lung (rul and rll) - likely infective/inflammatory bronchiolitis pattern.
data/train/audio_02535.wav,"few t2 flair hyperintense foci are seen in bilateral frontoparietotemporo occipital white matter, the are hypointense on images at these are suggestive of chronic lacunar infarct. mild chronic periventricular ischemic changes are seen."
data/train/audio_05195.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. no intra-axial or extra-axial collections seen."
data/train/audio_01033.wav,": full thickness tear of the supraspinatus tendon, with retraction of its fibers medial to mid humeral head. moderate tendinosis of the subscapularis tendon. mild synovial effusion. mild fluid in subacromial - subdeltoid and subcoracoid bursae and also along the biceps tendon."
data/train/audio_04916.wav,"gallbladder and biliary system: gallbladder is distended and shows multiple hyperdense calculi within the lumen, neck, and cystic duct region, largest measuring approximately 4.8 mm. mild diffuse gallbladder wall thickening (approximately 4.5 mm) with mild adjacent pericholecystic fat stranding is noted."
data/train/audio_02545.wav,the ventricles and the basal cisterns are normal. the brainstem and cerebellum are normal. there is no shift of the midline structures. no evidence of any intracranial space occupying lesion. paranasal sinuses appear normal.
data/train/audio_01737.wav,sellar and parasellar regions are unremarkable. no evidence of any extra axial collection / mass lesion or midline shift. normal major intracranial flow voids visualized. : - mr imaging of the brain reveals
data/train/audio_03187.wav,"multiple scattered bilateral fibrotic and atelectatic bands are seen no focal lung mass or large consolidation seen main pulmonary artery and branches are mildly dilated. main pulmonary artery measures approximately 31 mm, right pulmonary artery 29.5 mm and"
data/train/audio_00940.wav,"heart and major vessels: heart outline and size appears normal. major pulmonary artery, right pulmonary artery and left pulmonary artery show no abnormality. others: visualized vertebrae and sternum appear normal. comminuted mildly displaced fracture of the left clavicle shaft."
data/train/audio_05624.wav,likely of old inflammatory / infective etiology. pleura: no definite pleural effusion or pneumothorax is identified. mediastinum: no obvious mediastinal mass or grossly enlarged lymph nodes are seen on the available images. cardiac silhouette and great vessels: appear grossly unremarkable within the limitations of the non-contrast study.
data/train/audio_01410.wav,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/train/audio_00273.wav,left inferior pubic ramus fracture comminuted displaced fracture of the anterior column and medial wall of the left acetabulum 2. overall findings are consistent with complex pelvic ring injury with associated acetabular fracture. 3. background multilevel degenerative spondylotic changes involving cervical
data/train/audio_03966.wav,"right coronary artery: the right coronary artery is dominant. few eccentric calcified plaques noted in the proximal segment of right coronary artery causing maximum of 50% luminal compromise. soft plaque noted in the mid segment of right coronary artery causing 50% luminal compromise. acute marginal, right posterior descending artery and right posterolateral branches have no significant stenosis."
data/train/audio_02073.wav,normal signal intensity. cerebral hemispheres: normal. cerebellum and posterior fossa structures: normal. no evidence of acute infarct or intracranial hemorrhage. impression large heterogeneous suprasellar mass lesion centered along the pituitary stalk measuring approximately 4.7 x 3.3 x 4.2 cm with cystic components and internal
data/train/audio_00799.wav,"findings: there is a displaced fracture involving the midshaft of the radius and ulna, with cortical discontinuity and displacement of fracture fragments. an additional undisplaced fracture is noted at the distal end of the radius, without significant articular surface step-off. carpal bones show:"
data/train/audio_00091.wav,"small focal subdural hemorrhage along right parietal region. maximum thickness measures approximately 2 mm. no obvious mass effect. basal ganglia and thalami are normal. rest of the cortical sulci, basal cisterns and ventricular system are normal. the posterior fossa structures are normal. no evidence of infarct / sol."
data/train/audio_04747.wav,l2-l3 intervertebral disc reveals broad based posterior protrusion. it indents thecal sac and it causes mild narrowing of spinal canal. mild facetal arthropathy is seen at this level. l4-l5 intervertebral disc reveals broad based posterior herniation.
data/train/audio_03412.wav,"diffuse subcutaneous oedema with fluid noted in ankle joint and plantar aspect of foot. accessory navicular bone noted. comments: multiple bony fracture as mentioned above. patchy areas of sclerosis noted in tarsal bones , possibility of complex regional pain syndrome / diffuse"
data/train/audio_02779.wav,recommendations: correlation with biochemical evaluation for catecholamine excess (to rule out pheochromocytoma). follow-up imaging to assess interval change/resolution if adrenal hemorrhage is suspected. clinical and endocrinological correlation advised.
data/train/audio_00870.wav,"findings liver: normal size, shape, and parenchymal signal intensity. no focal lesions identified. intrahepatic biliary radicles are not dilated. gallbladder: a calculus measuring 16 x 15 mm, appearing hypointense on t2 and stir images, is noted in the neck of the gallbladder. common bile duct"
data/train/audio_04904.wav,gliotic changes with encephalomalacia is seen in right medial occipital region. this is suggestive of sequelae to old infarct. few t2 flair hyperintense foci are seen in bilateral frontoparieto occipital white matter. these are are hypointense on t1wt image.
data/train/audio_01785.wav,"liver appears normal in size, contour and attenuation. no focal lesion seen. gallbladder appears normal. no calculus or wall thickening. spleen appears normal. pancreas appears normal. bilateral adrenal glands appear normal."
data/train/audio_01044.wav,"axilla/lymph nodes: few benign axillary group of lymph nodes are noted, measuring up to 9.3 mm. impression: streak of fluid in the subacromial-subdeltoid bursa. few benign axillary group of lymph nodes noted, measuring up to 9.3 mm."
data/train/audio_01225.wav,"sequences, suggestive of hemorrhagic components within these lesions. additional blooming focus is seen in the right periventricular region. scattered areas of restricted diffusion are also seen in the right thalamus, suggestive of acute lacunar infarct. tiny chronic lacunar infarcts are seen in bilateral periventricular regions the corpus callosum appears unremarkable."
data/train/audio_03608.wav,"no obvious retroperitoneal mass. no significant retroperitoneal lymphadenopathy. visualized major retroperitoneal vessels are normal. retroperitoneal fat planes appear unremarkable. uterus and adnexa: 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."
data/train/audio_03714.wav,pancreas: appears normal in size configuration. its parenchyma displays homogenous attenuation pattern. no evident focal lesion. there is no dilatation of mpd. no evident parenchymal calcification or ductal calculi. no evidence of peripancreatic collections noted. adrenal:
data/train/audio_01008.wav,pleural thickening in bilateral lower zones. - features of fibrotic changes - possibly post infective etiology differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_04852.wav,bilateral lung bases appear normal. no pleural effusion is seen on either side. visualized skeletal structures appears unremarkable. no significant abnormality detected. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_00036.wav,"no pleural / fissural thickening seen in the sections evaluated. no evidence of pleural effusion present. 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."
data/train/audio_04400.wav,hrct chest 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: air trapping is noted bilaterally.
data/train/audio_05454.wav,"12 o'clock to 1 o'clock position slightly degeneration. rest of the glenoid labrum appears intact and shows normal signal intensity. coraco-acromial arch appears normal. type ii acromion noted. bones: head of humerus, rest of the glenoid, spine of scapula and coracoid reveal normal signal intensity."
data/train/audio_04039.wav,impression: loss of cervical lordosis. mild reduction of disc space at c5-c6 cervical level. small anterior and posterior osteophytes from c3 to c7 vertebral levels. schmorl's nodes at the endplates of c4-c6 vertebral bodies.
data/train/audio_02258.wav,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 faecal matter and otherwise appear unremarkable. appendix appears normal. there is no abdominal lymphadenopathy seen. no e/o free fluid in abdomen and pelvis. no e/o pleural effusion noted.
data/train/audio_04996.wav,suggested further evaluation with hematological workup and bmd. 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/train/audio_02823.wav,findings: liver: liver is mildly enlarged and measures approximately 18 cm. it otherwise normal enhancement pattern. no focal or diffuse liver lesion seen. no evidence of ihbr dilatation is seen. portal vein is normal in caliber. no evidence of any intraluminal filling defect. gallbladder and cbd:
data/train/audio_03898.wav,mild knee joint and suprapatellar bursal effusion with mild edema in adjacent soft tissues. 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/train/audio_00479.wav,"posterior protrusion are seen at t4-5 level, indenting the anterior subarachnoid space. posterior bulges are seen at t10-11 and t11-12 levels, indenting the anterior subarachnoid spaces. :"
data/train/audio_05498.wav,: haziness involving right upper zone. the cardiac shadow is within normal limits of size and shape. the aorta shows normal radiological features. 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/train/audio_01549.wav,fracture with grade i wedging noted in l1 vertebral body with marrow contusion/oedema. minimal retropulsion of posterior cortex. no evidence of spinal canal narrowing or abnormal cord signal. minimal ap diameter of spinal canal at this level is about 9.2 mm.
data/train/audio_01817.wav,the sinus lateralison either side show no abnormality. the lamina papyracea on either side is normal no bony erosion / destruction are seen. s shaped nasal septal deviation with convexity to right and nasal spur towards left side.
data/train/audio_05021.wav,"both kidneys appear normal in size, shape & echotexture. moderate pelvi-calyceal fullness seen in both kidneys. tiny bilateral renal concretions seen. the corticomedullary differentiation is maintained. free fluid: no evidence of free uid."
data/train/audio_05634.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. cp angle cisterns are normal.
data/train/audio_03394.wav,"the cervical spinal cord and the csf display normal signal intensity in all sequences. the cranio vertebral junction is normal. the atlanto-axial joints are normal. whole spine screening: dorsal spine hemangioma noted in d9 veretbral body. lumbar spine diffuse disc bulge noted at l3-l4 level causing anterior thecal sac indentation,"
data/train/audio_01892.wav,"parapharyngeal, carotid, pterygoid and buccal spaces show normal appearances. the pre-glottic, glottic and subglottic spaces of larynx appear normal."
data/train/audio_00588.wav,"the third and lateral ventricles are of normal in size, shape and position. no midline shift is noted. the extra cerebral spaces are clear. the orbits and the visualized sinuses appear normal. the pituitary gland and optic chiasm are normal. : there are multiple well defined flair/t2 hyperintense"
data/train/audio_02813.wav,7# retroperitoneum: no obvious retroperitoneum lymphadenopathy. free fluid: no evidence of free uid in present scan. urinary bladder: well distended and shows normal wall thickness. there is no evidence of calculus or mass.
data/train/audio_01158.wav,few chronic lacunar infarcts involving bilateral ganglio-capsular regions. confluent t2w and flair hyperintensities are noted in bilateral fronto-parietal and periventricular white matter. no restriction on dwi or blooming on gradient images is noted s/o chronic ischemic changes (fazekas grade ii).
data/train/audio_00311.wav,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. both right and left portal veins are not visualized and instead multiple collaterals are seen suggestive of collateralization.
data/train/audio_03309.wav,1. mild hepatomegaly with periportal edema. 2. gallbladder wall thickening with mild fluid in gb fossa. 3. minimal ascites. above finding raises the possibility of underlying hepatitis. needs further evaluation. simple hepatic cysts. bilateral renal simple cysts (bosniak 1).
data/train/audio_02905.wav,"findings lungs: multiple heterogeneously enhancing soft tissue density nodular lesions are noted diffusely scattered in bilateral upper lobes, involving the apical, anterior and posterior segments. additional similar nodular soft tissue lesions are seen along the bilateral pleural surfaces within the pleural cavities. the largest pleural-based lesion is seen"
data/train/audio_02580.wav,others bilateral cp angles are clear. both domes of diaphragm are normally placed. bony thoracic cage is normal. no soft tissue abnormality seen. prominence of bronchovascular markings likely congestion.
data/train/audio_02555.wav,pleural thicknning is seen in bilateral lower lobes. few calcified granuloma seen in both upper lobes-sequle to old inefction.
data/train/audio_03198.wav,at l4-l5 level: diffuse disc bulge indenting thecal sac and traversing nerve roots narrowing bilateral neural foramina indenting bilateral exiting nerve roots. multilevel ligamentum flavum hypertrophy and facetal joint arthropathy. annular tear at l3-l4 and l2-l3 levels. rest of the changes of lumbar spondylosis as described above. suggested clinical and bmd 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/train/audio_03450.wav,"multiple haemorrhagic contusions with mild adjacent oedema involving bilateral fronto-parietal and right temporal lobes as mentioned above - no significant change in size, however mild increase in adjacent oedema. midline shift to the right by 4.9 mm - no change. few areas of subarachnoid haemorrhage involving bilateral frontal lobes decreased. few areas of"
data/train/audio_01087.wav,"supratentorial: hypodensity in the left temporal lobe. rest of both cerebral hemispheres show normal cerebral sulci, fissures and basal cisterns. grey white matter differentiation is maintained. no shift of midline structures seen. both lateral ventricles and the 3rd ventricles are normal basal ganglia and thalami are normal."
data/train/audio_02638.wav,"no significant abnormality in the oropharynx, larynx, or upper oesophagus on the plain study. mild bilateral maxillary sinusitis. loss of cervical lordosis, likely secondary to muscle spasm recommendation: clinical correlation and ent evaluation if symptoms persist. keyimages"
data/train/audio_00881.wav,"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. the pericardium is of normal thickness. no pericardial effusion is seen."
data/train/audio_02364.wav,calcified opacities involving bilateral midzones - sequelae of old infective aetiology. recommendation suggested clinical correlation.
data/train/audio_04172.wav,"left common carotid and subclavian arteries) small hypodense nodules in the right thyroid lobe, likely benign. suggested further evaluation with contrast study fnac/biopsy. 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/train/audio_04836.wav,anterolisthesis of c2 over c3 with right-sided pars interarticularis fracture of c2 (type ii hangmans fracture). loss of cervical lordosis. posterocentral disc protrusion at c3c4 indenting the thecal sac and mildly abutting the cord without signal changes.
data/train/audio_00086.wav,"mild popliteus tendinosis. popliteal muscle appear unremarkable. 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, tibial plateau and upper tibia and fibula reveal normal marrow signal."
data/train/audio_05216.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/train/audio_01884.wav,image quality: good findings: small well circumscribed round-oval hyperintense areas are appreciated in bilateral corona radiata & centrum semiovale. no significant restriction of diffusion.
data/train/audio_00378.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/train/audio_00852.wav,the liver is 16.7 cm in c.c axis and shows fatty signal characteristics. there is no focal or diffuse area of altered signal intensity. there is no intrahepatic biliary radicle dilatation. the intrahepatic venous architecture is normal.
data/train/audio_05445.wav,"cerebellar hemisphere and vermis appear normal. fourth ventricle appears normal. basalcisterns: interpeduncular, prepontine, perimesencephalic, quadrigeminal, ambient and sylvian cisterns appear normal. both cerebral hemispheres: cerebral parenchyma shows no abnormal attenuation. cerebral sulci and gyri appear normal."
data/train/audio_04807.wav,lungs: multiple areas of mild bronchial wall inflammation noted involving the segmental and subsegmental bronchi of bilateral lung parenchyma. multiple low density centrilobular nodules noted involving bilateral upper and lower lobes. multiple patchy areas of mosaic attenuation noted involving bilateral lung parenchyma.
data/train/audio_01575.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/train/audio_01447.wav,"m.r.i. cervical spine: imaging sequences: se t1w axials & sagittal, fse t2w sagittal & axials, stir coronals findings: there is loss of cervical lordosis with straightening of spine."
data/train/audio_03553.wav,findings: mild straightening of the lumbar spine is seen with no scoliosis. schmorl's nodes are seen at the endplates of d11 to l5 vertebral bodies. 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.
data/train/audio_05026.wav,"spleen: measures 10.3 cm, appears normal in size & echogenicity. no focal lesion seen. pancreas: normal in size and echotexture. no focal diffuse lesion."
data/train/audio_00066.wav,f/s/o chronic calculous cholecystitis with dilated cbd and smooth luminal narrowing of the distal-most end? benign stricture.adv ercp correlation. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_00023.wav,"kidneys: both kidneys are normal in size, position, shape and cortical outline. calculus ms~ 3.6mm is seen at upper pole of right kidney and ~2.5mm at upper pole of left kidney."
data/train/audio_01564.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/train/audio_01783.wav,no evidence of any focal lytic or sclerotic lesion noted. (counting from lower side) : spondylotic changes in lumbar spine. postoperative status as mentioned above.
data/train/audio_01327.wav,paravertebral soft tissues: mild prevertebral soft tissue prominence is noted at the d8 level. no abnormal paravertebral collection is seen elsewhere. alignment and marrow: overall alignment is maintained. marrow signal changes are consistent with osteoporotic alterations and vertebral compression fractures.
data/train/audio_00332.wav,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. 2 subserosal fibroids are seen in the anterior wall.
data/train/audio_02022.wav,lungs bilateral lungs fields are clear. 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. no abnormality detected suggested clinical correlation.
data/train/audio_02243.wav,"large bowel loops show mild to moderate colonic fecal loading. appendix appears normal. few prominent mesenteric lymph nodes are seen, the largest measuring approximately 12 x 6 mm, likely reactive. no significant retroperitoneal lymphadenopathy. no free fluid in the abdomen or pelvis. pelvic organs: urinary bladder appears normal."
data/train/audio_02706.wav,no significant abnormality detected. 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/train/audio_02727.wav,usg abdomen & pelvis (portable)
data/train/audio_04466.wav,arbina pangarkar mr cholangio pancreaticography heavily t2wt images were acquired through the pancreatico biliary tree. mri scan of abdomen has been performed using t1 and t2wt sequences in multiple planes.
data/train/audio_01638.wav,impression: few foci of blooming in left parietal lobe- likely microhemorrhages. left parietal bone appears depressed. suggested ncct brain correlation
data/train/audio_03423.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 (delineated on ct)
data/train/audio_05486.wav,common bile duct measures 1 cm in diameter. common hepatic duct measures 1.1 cm in diameter. gallbladder is overdistended. gallbladder wall is normal in thickness. there is minimal pericholecystic fat stranding is noted this is due to the reactive change secondary to distal obstruction. pancreas shows diffuse parenchymal severe atrophy.
data/train/audio_00538.wav,"both adrenal glands are defined and appear normal in configuration. kidneys: bilateral mild perinephric fat stranding. few tiny non-obstructive calculi noted in the lower calyx of left kidney, largest measuring 4.4 mm. both kidneys are otherwise normal in size, position, shape and cortical outline."
data/train/audio_05357.wav,moderate joint effusion noted soft tissues: diffuse subcutaneous edema around the wrist carpal bones: appear normal in alignment and morphology no additional fractures identified impression: 1. intra-articular distal radius fracture
data/train/audio_03409.wav,subchondral cystic changes at head of fourth metatarsal bone with adjacent soft tissue swelling. advice mri to rule out infective aetiology. diffuse subcutaneous oedema with fluid noted in ankle joint and plantar aspect of foot. accessory navicular bone noted.
data/train/audio_04006.wav,"* parapharyngeal, carotid, pterygoid and buccalspaces show normal appearances. * the pre-glottic, glotticand subglottic spaces of larynx appear normal. * epiglottis, valleculae, ae folds, pyriform sinuses appear normal."
data/train/audio_02156.wav,: partial tear involving the lateral collateral ligament and medial patello-femoral ligament. focal grade ii signal change involving posterior horn of medial meniscus. mildly displaced fracture with marrow edema involving the lateral femoral condyle involving tibio-femoral articular surface.
data/train/audio_02486.wav,osteoporotic bones. blunting of the labrum. thank you for referring.
data/train/audio_04224.wav,complex tear of posterior horn of lateral meniscus with multiple small flaps and a predominant vertical component reaching tibial and femoral articular surface. cruciates & ligaments: the anterior cruciate ligaments appears bulky and shows t2 fs/stir abnormal increased signal in the acl in with near complete thickness tear near femoral attachment site.
data/train/audio_04427.wav,"larger right upper lobe cavity demonstrates intracavitary non-enhancing soft tissue/fungal ball-like component, likely representing aspergilloma/mycetoma within a tubercular cavity."
data/train/audio_04528.wav,"predominantly involving the periatrial and centrum semiovale regions, suggestive of periventricular leukomalacic changes related to prior hypoxic-ischaemic insult. tiny focus of hyperdensity measuring approximately hu +56 noted in right centrum semiovale,"
data/train/audio_04401.wav,airway and hilum: trachea and major bronchi are normal. no intraluminal filling defects present.no dilated bronchi seen. both hilar regions appear normal. no evidence of pleural effusion present.
data/train/audio_00096.wav,"an additional osteochondral defect is noted along the lateral facet of the patella with associated subchondral edema. features of early tricompartmental osteoarthritis are seen in the medial, lateral, and patellofemoral compartments in the form of mild cartilage thinning and early degenerative changes."
data/train/audio_01896.wav,no gross cervical lymphadenopathy is seen. cervical oesophagus and trachea appear normal. bilateral styloid processes are within normal limit. the visualized vertebrae are normal in density and trabecular pattern.
data/train/audio_03823.wav,l1-l2: diffuse annular disc bulge with posterior central disc protrusion causing mild thecal sac compression. l2-l3: diffuse annular disc bulge with posterior central circumferential annular tear causing mild thecal sac compression. l3-l4: modic type 2 end plate degenerative changes.
data/train/audio_05485.wav,left portal vein is attenuated it measures 6 mm in diameter there is severe attenuation of segment iii portal vein branch. segment ii portal vein branch shows mild attenuation. few tiny periportal collaterals are noted. there is dilatation of left hepatic duct and its segmental branches predominantly in the region of segment ii and 3 and segment iv hepatic duct is minimally dilated.
data/train/audio_00902.wav,a transverse fracture with mild displacement and slight angulation is seen in the surgical neck of the humerus without the involvement of greater and lesser tuberosity. the humeral head appears enlocated. surrounding soft tissue apprears bulky and stranded. the bones under review including right scapula and adjacent ribs are normal in density and trabecular pattern.
data/train/audio_04791.wav,"soft tissue shadows and bony thorax appear to be normal. opinion: blunting of left costophrenic angle suggestive of pleural effusion, likely koch's. 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/train/audio_05044.wav,"liver: measures 13.6 cm, appears normal in size and shape. it shows raised parenchymal echogenicity. there is no evidence of solid or cystic lesion. there is no intra or extra hepatic biliary radicle dilatation. portal vein: 10 mm, appears normal in caliber. mild peri-portal cufng is noted."
data/train/audio_01124.wav,"few t2 flair hyperintense foci are seen in bilateral fronto-parietal white matter, and both ganglio capsular region . these are suggestive of chronic lacunar infarcts. multiple chronic microhemorrhages are seen in bilateral parietotemporal regions, left thalamus, left ganglio-capsular region. mild prominence of cerebral sulci, cisterns and ventricles is seen, suggesting mild cerebral atrophy."
data/train/audio_05388.wav,"observations: ventricular system, basal cisterns and sulci are normal ill defined hypodensities are noted in bilateral periventricular and subcortical white matter sulcal and gyral pattern appears normal. grey and white matter differentiation maintained."
data/train/audio_00501.wav,"cerebellum and brainstem are normal in attenuation pattern. cerebellar folia are normal. no focal sol seen. cp angle cisterns are normal. fourth ventricle is central and normal in shape. bone, scalp and sinuses:"
data/train/audio_04371.wav,"rest of the skull bones appear normal. : bilateral diffuse cerebral edema with mild compression of midbrain. multiple areas of subarachnoid hemorrhage noted involving bilateral fronto-temporo-parietal lobes, bilateral sylvian fissures, bilateral basal cisterns and interhemispheric fissure. subdural hemorrhage along left cerebral convexity."
data/train/audio_02039.wav,"consistent with hilar biliary obstruction. the common bile duct is not well visualised proximally, likely collapsed, while the distal cbd is visualised measuring ~7 mm. a t2 hypointense filling defect measuring ~8 mm is noted in the distal cbd, suggestive of a calculus."
data/train/audio_02889.wav,"conclusion: 1. postoperative and post-radiotherapy changes with gliosis and hemosiderin staining in bilateral cerebral parenchyma. 2. residual lobulated heterogeneous enhancing lesion in the frontal region now measuring 3.3 x 4.1x 2.4 cm, showing mild interval increase in overall size compared to previous study of 11th sep 2025."
data/train/audio_02583.wav,"reveals broad based posterior and right paracentral as well as right foraminal protrusion, with inferior migration. it indents the anterior epidural fat, both s1 nerve roots (right more than left) and causes asymmetric mild to moderate narrowing of the central canal and moderate narrowing of the right lateral recess. mild facetal arthropathy and ligamentum flavum thickening are detected at this level."
data/train/audio_00931.wav,middle and inner ear structures are normal. base of skull appears normal. soft tissue appears normal. : no evidence of intracranial hemorrhage. no fracture seen. left parieto-occipital pericranial soft tissue contusion. right fronto-parietal pericranial soft tissue contusion. please correlate clinically and with other relevant investigations for confirmation and further evaluation.
data/train/audio_00177.wav,"mild multilevel endplate irregularities are also noted. impression: extensive consolidation and ground-glass opacities with air bronchograms involving right upper, middle and lower lobes with additional small consolidation in left lower lobe - likely infective/inflammatory etiology. mild right-sided pleural effusion."
data/train/audio_02717.wav,"a heterogeneously enhancing partially exophytic lesion measuring approximately 2.6 x 3.2 cm is noted in segment iii of the left lobe of liver, abutting the anterior abdominal wall. the liver shows diffuse surface nodularity with enlarged caudate lobe and gallbladder fossa widening, suggestive of chronic liver disease morphology."
data/train/audio_01191.wav,"there is evidence of thickening of the coracohumeral ligament, measuring approximately 8 mm. mild soft tissue thickening is noted in the rotator interval. the inferior glenohumeral ligament measures approximately 4 mm in thickness. minimal joint effusion is present. tiny subchondral cystic changes are noted in the humeral head."
data/train/audio_01358.wav,the lesion measures approximately 10 x 7 x 6 mm (tr x ap x cc). signal characteristics: isointense on t1-weighted images heterogeneously hypointense on t2 and stir sequences shows subtle diffusion restriction with corresponding adc drop
data/train/audio_02986.wav,"bony thoracic cage & soft tissues appear normal. : haziness in left upper zone suggestive of pneumonitis. suggested clinical correlation. many thanks for referral,"
data/train/audio_04654.wav,wall thickness of urinary bladder is normal. gastrointestinal tract stomach is distended with normal gastric wall thickness. c-loop of the duodenum is defined. visualized small and large bowel loops appear normal in calibre. appendix and surrounding soft tissue in right iliac fossa appears unremarkable.
data/train/audio_00436.wav,no obvious radio-opaque foreign body identified. visualized bony structures appear normal. impression: no radiographic evidence of bowel obstruction or perforation. no radio-opaque foreign body detected. essentially normal erect abdominal radiograph. recommendations: clinical correlation. consider further evaluation.
data/train/audio_00129.wav,a well defined t2 iso to hyperintense lesion measuring 2.9 x 2.6 x 2.7 cm in dimension which appears hypointense on t1wt images does not show diffusion restriction add on post-contrast study it shows minimal peripheral wall enhancement with thin non-enhancing internal septations representing mesh like network.
data/train/audio_02395.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. fourth ventricle is central and normal in shape. bone, scalp and sinuses:"
data/train/audio_02833.wav,"based on morphology, this is consistent with mason type iii radial head fracture. an avulsion/chip fracture of the lateral epicondyle of the humerus is noted. multiple small free bony fragments are seen in the adjacent periarticular/intra-articular region."
data/train/audio_00443.wav,"disc spaces: c2-c3: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing.loss of disc height is noted at c2-3 level c3-c4: posterocentral disc protrusion indenting the thecal sac and causing mild impression over the ventral aspect of the spinal cord. no cord signal abnormality."
data/train/audio_04681.wav,osseous structure: minimally displaced fracture with marrow edema involving the medial tibial condyle. it is involving the articular surface. rest of the visualised bones reveal normal signal intensity. no evidence of marrow edema. patella appears normal in position.
data/train/audio_05297.wav,"findings small bowel twisting of the central mesentery is noted with reversal of the superior mesenteric artery (sma) and superior mesenteric vein (smv) relationship, producing a whirlpool sign. associated dilatation of jejunal loops, measuring up to 3.5 cm in maximal calibre, with multiple air-fluid levels."
data/train/audio_02919.wav,parenchymal changes likely represent post-treatment / chronic sequelae.
data/train/audio_02463.wav,peri-prostatic region appears unremarkable. miscellaneous: gut loops reveal no significant abnormality. no free fluid in peritoneum visualized. visualized skeletal structures appears unremarkable. mild free fluid is seen in left para colic gutter. right side minimal and left side mild pleural effusion is seen. scrotal wall thick and edematous.
data/train/audio_01399.wav,x-ray - right knee joint {ap/lat} mild soft tissue edema around the lateral aspect of lower thigh. immature skeleton. joint space appears normal.
data/train/audio_03328.wav,lungs: patchy area of consolidation with air bronchogram noted in right middle lobe medial segment with surrounding ground-glass densities. tiny nodular opacities noted scattered in right lower lobe posterior segment and right upper lobe anterior segment. few centrilobular nodules noted in right upper lobe posterior segment and lower lower lobe posterior basal segment.
data/train/audio_03775.wav,ct head without contrast clinical history- trauma technique axial sections of the brain were obtained from the base of skull to the vertex without administration of intravenous contrast on a ct scanner. supratentorial:
data/train/audio_02269.wav,11.5 x 10 mm in the left lateral chest wall. osseous structures ill-defined hypodense lytic lesions involving: o posterior aspect of right 10th and 11th ribs o left ninth rib associated findings: adjacent pleural thickening evidence of old fractures additional findings:
data/train/audio_02871.wav,"the ureters appear normal in course and caliber. the urinary bladder is adequately distended and appears normal in wall thickness and contour. no intraluminal calculus is seen. uterus is not visualized, likely postoperative status."
data/train/audio_00770.wav,others bilateral cp angles are clear. both domes of diaphragm are normally placed. bony thoracic cage is normal. no soft tissue abnormality seen. extensive reticular opacities involving bilateral lung fields - interstitial lung abnormality.
data/train/audio_02388.wav,"acetabula acetabula and acetabular fossae appear preserved without focal erosive or destructive abnormality. articular margins are maintained. sacroiliac joints bilateral sacroiliac joints demonstrate: subchondral sclerosis, marginal osteophyte formation, and vacuum phenomenon,"
data/train/audio_00380.wav,f/s/o chronic calculous cholecystitis with dilated cbd and smooth luminal narrowing of the distal-most end? benign stricture.adv ercp correlation.
data/train/audio_04202.wav,* both lateral ventricles and the 3rd ventricles are normal * basal ganglia and thalami are normal. * no intra-axial or extra-axial collections seen.
data/train/audio_00141.wav,"the right ovary is seen adherent to the posterolateral uterine wall, suggestive of pelvic adhesions. left adnexa the left ovary is bulky, measuring 4 x 4.8 x 4.1 cm. lesions include:"
data/train/audio_04900.wav,maxilla appears normal on both sides. alveolus and palate appear normal. nasal bones are normal. nasal septum is normal. paranasal sinuses are normal. orbital rim and walls or orbit are normal on both sides.
data/train/audio_02105.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. vii and viii nerve complex appear normal.
data/train/audio_00620.wav,"sagittal t2 weighted screening of dorsal spine reveals posterior herniations at t7-8 and t8-9 levels, indenting the anterior subarachnoid spaces. : 1. broad based posterior herniation of l4-5 disc, with slight inferior migration, causing moderate narrowing of central canal and lateral recesses, bilaterally."
data/train/audio_00851.wav,the gallbladder is contracted. lumen is very poorly visualised. few doubtful 3-6 mm t2 hypointense calculi are seen. wt-3 mm. no pericholecystic free fluid seen. the visualized hepatic ducts and cystic duct is normal in its course and caliber.
data/train/audio_02624.wav,altered marrow signal intensity changes in left gluteus maximus muscle. this may suggest muscle edema / contusion. please correlate clinically
data/train/audio_01656.wav,calvarium and scalp: bony calvarium shows normal signal and diploic space. no mri evidence of fracture or sol is seen. no sclerotic or lytic skull lesion noted. skull base appears grossly normal. overlying scalp is normal. no focal lesion or swelling noted. orbits and paranasal sinuses:
data/train/audio_03917.wav,eccentric short segment mixed plaque at the origin of right subclavian artery causing complete luminal compromise. length of the involved segment measures approximately 13 mm. cadrads 2 p0 suggested further evaluation with usg carotid doppler and digital subtraction angiography.
data/train/audio_02538.wav,chronic periventricular ischemic changes as described. - mild cerebral atrophy. platelet grade i neurovascular conflict on right side.
data/train/audio_02268.wav,"o visualised cervical regions o bilateral axillary regions no size-significant lymphadenopathy noted in these regions. subcutaneous soft tissues multiple enhancing partially necrotic nodules scattered throughout the subcutaneous plane of the visualised chest, abdomen, and back. average size: 10-11 mm largest lesion:"
data/train/audio_00452.wav,gliotic changes with encephalomalacia is seen in right medial occipital region. this is suggestive of sequelae to old infarct. few t2 flair hyperintense foci are seen in bilateral frontoparieto occipital white matter. these are are hypointense on t1wt image
data/train/audio_00233.wav,"the vertebrae shows normal alignment. pedicles, laminae, transverse and spinous processes are normal. spino-laminar line is well maintained. cranio-vertebral region is normal. the prevertebral and pretracheal soft tissue spaces are normal. there is no cervical rib."
data/train/audio_00929.wav,no subluxation or dislocation noted. maxilla appears normal on both sides. alveolus and palate appear normal. nasal bones are normal. nasal septum is normal. mild bilateral ethmoid sinusitis. non-pneumatized bilateral frontal sinuses.
data/train/audio_04592.wav,"(4 mm). subtle pericholecystic fat stranding noted. liver appears normal in attenuation and enhancement pattern, no e/o focal lesion. portal vein appears normal in course and caliber. spleen appears normal in attenuation and enhancement, no e/o focal lesion. pancreas appears normal in attenuation and enhancement pattern."
data/train/audio_03614.wav,"both kidneys are otherwise normal in size, position, shape and cortical outline. no evidence of hydronephrosis. 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. no evidence of ureteric calculus / obstruction seen. urinary bladder:"
data/train/audio_01981.wav,small bowel loops appear normal. large bowel loops are distended with faecal matter and otherwise appear unremarkable. appendix appears normal. there is no abdominal lymphadenopathy seen. no e/o free fluid in abdomen and pelvis. no e/o pleural effusion noted. small atherosclerotic calcification in the right common iliac artery. visualized bones are unremarkable.
data/train/audio_04614.wav,findings: cruciate ligaments: small low-grade tear involving the proximal fibers of anterior cruciate ligament. mild sprain and buckling of posterior cruciate ligament. no evidence of tear. collateral ligaments: lateral and medial collateral ligaments appear normal. no evidence of laxity or tear.
data/train/audio_00106.wav,"findings: anterior urethra (penile and bulbar segments): appears well opacified and normal in caliber. no evidence of stricture, irregularity, or contrast extravasation. posterior urethra (membranous and prostatic segments):"
data/train/audio_02605.wav,"it indents the thecal sac, without any significant central canal or neural foraminal narrowing. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. bilateral facetal effusion seen at this level. l4-5 disc is desiccated and reveals broad based posterior herniation with inferior migration and annular tear. it compresses the thecal sac,"
data/train/audio_04463.wav,"liver, spleen and pancreas are normal in size, morphology and signal characteristics. portal and billiary radicals are normal. major abdominal blood vessels are normal in caliber. no evidence of abdominal lymphadenopathy. no evidence of free fluid in abdomen and pleural space."
data/train/audio_03613.wav,"multiple hypodense non-enhancing cysts are noted in both kidneys, largest measuring approximately 11 x 10 mm in the right kidney and 28 x 30 mm in the left kidney. tiny microliths noted in the upper calyx of left kidney."
data/train/audio_00190.wav,"mri - brain (plain & cont) imaging sequences: se t1w axials & coronals, fse t2w axials & coronals, flair coronals. 3d tof and phase contrast."
data/train/audio_00863.wav,"multiple enlarged mesenteric lymph nodes are seen, the largest measuring 14 x 12 mm. appendix is visualized in retrocaecal position, measuring 5 mm in diameter, with no periappendiceal fat stranding or inflammatory changes. this constellation of findings is highly suggestive of chronic peritoneal pathology."
data/train/audio_04177.wav,"the radiocarpal joint appears normal. : the lunate bone is collapsed, and displays low signal intensity in t1 sequences with few pd hyperintense focal areas noted. - features suggestive of kienbck disease - lichtman stage iiia"
data/train/audio_01775.wav,"both kidneys show normal size, contour and enhancement with optimal contrast excretion. mild right hydronephrosis with dilatation of proximal and mid right ureter is noted. distal ureter appears non-dilated. multiple non-obstructing renal calculi are seen in left kidney,"
data/train/audio_02601.wav,"impression: marginal osteophytes at c4-c6, in keeping with degenerative change. no significant disc space reduction is noted. suggested mri for proper evaluation of the disc."
data/train/audio_04726.wav,mild acromio-clavicular joint arthropathy is noted in the form of capsular hypertrophy and marginal osteophytes. glenohumeral joint appears normal with intact articular surfaces. glenoid labrum appears intact and shows normal signal intensity.
data/train/audio_00021.wav,impression - mr scan reveals imaging findings concerning for acute interstitial pancreatitis. further correlation with serum pancreatic enzymes markers is recommended. no evidence of intraparenchymal or extraparenchymal pancreatic lesion or collection. no evidence of any pancreatic divisum or calcification seen.
data/train/audio_02834.wav,surrounding soft tissue swelling with subcutaneous and muscular edema is present around the fracture site. elbow joint alignment appears maintained. no definite intra-articular air is seen. visualized proximal ulna appears intact.
data/train/audio_03581.wav,"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. fourth ventricle is central and normal in shape. bone, scalp and sinuses: bony calvarium is normal. no evidence of fracture or sol is seen."
data/train/audio_04315.wav,x-ray right wrist (ap & lat.): mild displaced fracture noted at distal end of radius with intra-articular extension. fracture noted in ulnar styloid process. mild soft tissue swelling noted at wrist joint.
data/train/audio_00774.wav,quadriceps and patellar tendons appear intact. intratendinous pd-fs hyperintense signal at patellar attachment of quadriceps tendon - suggestive of mild sprain. partial thickness tear of lateral patellar retinaculum. full thickness tear of medial patellar retinaculum.
data/train/audio_05371.wav,mri report - right shoulder technique: pd fs coronal and axial and sagittal t1w coronal t2w stir coronal observation: low-grade partial thickness tear involving < 10% fibres noted in articular surface of anterior fibres of supraspinatus footprint.
data/train/audio_03537.wav,"suggestive of chronic pressure effect rather than aggressive erosion) mediastinum & hila multiple calcified mediastinal and left hilar lymph nodes, likely sequelae of prior granulomatous disease cardiovascular system mild cardiomegaly no pericardial effusion"
data/train/audio_02382.wav,neurovascular structures are unremarkable. : comminuted mildly displaced fracture with marrow edema involving greater tubercle of humerus. partial articular surface avulsion tear involving the supraspinatus tendon near its insertion. low-grade partial tear involving the subscapularis tendon.
data/train/audio_01138.wav,"adrenal glands: unremarkable. visualized liver, spleen, pancreas: no gross abnormality on this non-contrast study within the scanned field. bowel: no acute abnormality identified within the scanned field. abdominal aorta and major vessels: normal calibre."
data/train/audio_01255.wav,"observations aorta and iliac arteries the abdominal aorta appears normal in calibre and course with normal contrast opacification. no evidence of aneurysm, dissection, or significant stenosis. the bilateral common iliac arteries, internal iliac arteries, and external iliac arteries appear normal in calibre and contrast opacification without evidence of significant"
data/train/audio_01587.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/train/audio_00082.wav,findings: cruciate ligaments: there is complete discontinuity of the mid fibers of the anterior cruciate ligament with retraction of the torn ends. mild buckling and sprain involving the posterior cruciate ligament. no evidence of tear. collateral ligaments: low-grade tear involving the medial collateral ligament near its femoral attachment.
data/train/audio_03888.wav,"no significant lymphadenopathy or ascites is seen. impression: contrast-filled blind-ending tract at the umbilicus extending into the deep subcutaneous plane without intraperitoneal communication - suggestive of umbilical sinus, likely urachal sinus. no contrast opacification beyond the umbilicus."
data/train/audio_04167.wav,"epiglottis, valleculae, pyriform fossae: normal. deep neck spaces: parapharyngeal, carotid, pterygoid, and buccal spaces: unremarkable. salivary glands: submandibular and parotid glands: normal in size and attenuation."
data/train/audio_03969.wav,suggested further evaluation with degenerative obstruction angiography and usg carotid doppler.
data/train/audio_00388.wav,haemosinus noted in bilateral sphenoid and ethmoid sinuses. fracture noted in roof of left ethmoid and sphenoid sinuses. suspicious fracture noted in posterior wall of right sphenoid sinus. suspicious fracture noted in right cribriform plate. pneumocranium noted.
data/train/audio_02018.wav,status post-anterior cruciate ligament reconstruction. complete tear of reconstructed anterior cruciate ligament from femoral attachment. mild buckling of the posterior cruciate ligament. minimal synovial effusion. complex tear of the posterior horn of the medial meniscus. mild edema in hoffa's fat pad. thank you for referring.
data/train/audio_04015.wav,"m.r.i. pelvis (p+c): protocol: t1w coronal, t2w axial, coronal & sagittal, dwibs and t2w fs axials. post contrast - se t1w axials, sagittal & coronal."
data/train/audio_04910.wav,"mild chronic periventricular ischemic changes. mild chronic lacunar infarcts as described. mild cerebral infarct mr angiography reveals,"
data/train/audio_04454.wav,"measures approximately 3.0 x 2.9 cm, and the left ovary measures approximately 3.2 x 2.5 cm. no abnormal ovarian cysts or adnexal masses are seen. no significant free fluid is seen in the pelvis. the cervix, vaginal canal, urinary bladder, and visualized bowel loops appear unremarkable. impression:"
data/train/audio_05623.wav,"findings lungs: evaluation is limited due to motion artefacts and thick section acquisition. within the limitations of the study, no definite focal consolidation, mass lesion, or suspicious pulmonary nodule is identified. fibrotic changes are noted in the bilateral apical regions, suggestive of apical pleuroparenchymal fibrosis,"
data/train/audio_03221.wav,left 4th rib fracture (lateral aspect)-appears old/healed degenerative changes in the visualized spine impression large soft tissue attenuation pleural/parenchymal-based lesion (45 x 25 mm)
data/train/audio_03427.wav,"multiple enlarged periportal, portocaval, and aortocaval lymph nodes are seen, the largest measuring 2.4 cm in short-axis diameter in the periportal region, suggestive of nodal metastases. there is no ascites noted."
data/train/audio_01133.wav,: few contusions in right frontal bone. chronic small vessel ischemia and volume loss. communited fracture of anterior and posterior wall of right frontal sinus. fracture of right frontal bone. fracture of anterior and posterior wall of right maxillary sinus. soft tissue swelling at right frontal region.
data/train/audio_04423.wav,another cavity noted in right upper lobe anterior segment measuring approximately 3.9 x 3.5 cm. there is evidence of non-enhancing intra cavitatory foci measuring 16 x 14 mm noted within the cavity within. the cavity has maximum wall thickness of 14 mm.
data/train/audio_01597.wav,"l5-s1: diffuse disc bulge with posterocentral disc protrusion causing thecal sac indentation and impingement of bilateral traversing nerve roots. mild ligamentum flavum thickening at l3-4, l4-5 and l5-s1 levels. differential diagnosis na recommendation suggested clinical correlation."
data/train/audio_05271.wav,medio-lateral oblique and cranio-caudal and lateromedial projections have been obtained. markers are placed in the axillary/lateral portions of the right breast. the architecture of the breast appears maintained. no obvious mass lesion is noted. no evidence of abnormal calcification.
data/train/audio_05003.wav,spinal canal diameter table: disc level spinal canal diameter (mm) l1-l2 17.5 l2-l3 16 l3-l4 13.8 l4-l5 15.4 l5-s1 9 impression
data/train/audio_03963.wav,lcx = 79. rca = 68. coronary artery angiogram findings: dominance of the coronary artery system: right dominant circulation. 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.
data/train/audio_03912.wav,dominance of the coronary artery system: right dominant circulation. left main: the left main is a normal caliber vessel which gives rise to the lad and circumflex arteries. the left main has no stenosis. left anterior descending artery: small eccentric soft plaque measuring approximately 8 mm noted in the proximal segment of left anterior descending artery causing 30%-40% luminal compromise.
data/train/audio_01607.wav,"pdfs hyperintense signal changes are seen involving bilateral femoral condyles and tibial plateaus, predominantly on the medial side, suggestive of marrow edema/bone contusions. small osteochondral defect is seen along the articular surface of medial femoral condyle measuring approximately 13.5 mm."
data/train/audio_00832.wav,comminuted displaced fractures of all the walls of the bilateral maxillary sinuses with hemosinus. comminuted displaced fractures of the bilateral medial and lateral pterygoid plates. comminuted displaced fracture of the right zygomatic arch. undisplaced fracture of the left zygomatic arch.
data/train/audio_02185.wav,"there is evidence of bilateral developmental dysplasia of the hip joints. the femoral heads are poorly formed and irregular in contour bilaterally, with associated deformity. the acetabula appear shallow and flattened, consistent with dysplastic changes."
data/train/audio_05646.wav,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 - type ii. left circumflex artery: lcx is patent and show normal lumen.
data/train/audio_04719.wav,"fluid signal intensity is seen within intervertebral disc at t12-l1 level. this is likely due to degenerative change. 2. desiccated and broad based posterior herniation of l3-4 disc, causing moderate narrowing of central canal."
data/train/audio_00697.wav,differential diagnosis 1. hemorrhagic ovarian cyst (complex) 2. cystic ovarian neoplasm (borderline lesion) 3. tubo-ovarian complex / chronic hemorrhagic collection - less likely
data/train/audio_05363.wav,lungs small calcified opacity in right midzone suggestive of sequelae of old infective aetiology. prominence of bronchovascular markings. airways trachea is central. tracheo-bronchial tree is normal. heart
data/train/audio_04362.wav,anterior and posterior marginal osteophytes at few levels. lumbo-sacral transitional vertebra in the form of sacralization of l5. tiny hemangioma at l4 vertebra. please correlate clinically.
data/train/audio_02615.wav,"t1-2. this may suggests possibility of sebacious cyst. please correlate clinically. : 1. right paracentral as well as foraminal herniation of c6-7 disc, causing moderate asymmetrical narrowing of the central canal and right neural foramen. mild facetal arthropathy at this level."
data/train/audio_02339.wav,"2. small broad based posterior protrusion of l3-4 disc, causing mild narrowing of central canal. mild facetalarthropathy and ligamentum flavum thickening are detected at this level. 3. diffuse bulge of l1-2 disc, without any significant central canal or neural foraminal narrowing. mild facetal arthropathy is detected at this level."
data/train/audio_03505.wav,age related diffuse cerebral atrophic changes. small vessel ischemic changes. the right veretbral artery appears hypoplastic. the left transverse and sigmoid sinus appears hypoplastic.
data/train/audio_03089.wav,"no orbital invasion. laterally, it is encasing the bilateral internal carotid artery at the cavernous sinus bilaterally. inferiorly, expanding the sellar cavity and protruding into the sphenoidal sinuses. superiorly, it is markedly compressing the optic chiasm and both optic tracts and floor of 3rd ventricle"
data/train/audio_00267.wav,cord csf interface and cauda equina nerve roots are normally visualised. facet joints and ligamentum flavum are normal. pre and para vertebral soft tissues are normal. screening rest of the spine reveals reduced cervical lordosis with osteophytic and disc desiccation changes at multiple levels.
data/train/audio_03120.wav,"circumferential mild mucosal thickening with hyperdense material seen involving bilateral maxillary sinus causing widening and obliteration of bilateral osteomeatal units. soft tissue opacification is also noted involving bilateral nasal cavity and middle, inferior turbinate's are not separately visualised from these soft tissue lesions. right nasal cavity is blocked."
data/train/audio_04963.wav,"left adnexa the left ovary is bulky, measuring 4 x 4.8 x 4.1 cm. lesions include: hemorrhagic cyst measuring 3.4 x 3.3 x 3.4 cm, appearing t2 hyperintense with t2 hypointense internal debris and t1 hypointense signal, with mild peripheral wall enhancement (~1.6 mm)."
data/train/audio_02439.wav,"findings: few chronic lacunar infarcts involving bilateral ganglio-capsular regions. multiple hypodensities are noted in bilateral fronto-parietal and periventricular white matter s/o chronic ischemic changes. mild generalized prominence of the cortical sulci, basal cisterns and ventricular system is noted s/o cerebral atrophy"
data/train/audio_02241.wav,"uptake and enhancement. on delayed phase images, there is prompt excretion of contrast into the pelvicalyceal systems, ureters and urinary bladder, indicating preserved renal function. urinary bladder: urinary bladder appears normal. no vesical calculus. vascular evaluation: on arterial phase images, the abdominal aorta and its"
data/train/audio_01110.wav,"indenting the thecal sac and encroaching the neural foramina. there is compression over bilateral exiting c4, c5, c6 and c7 nerve roots. reduced disc height at c5-c6 and c6-c7 levels. subtle cord oedema noted at c3-c4 level. few peridiscal osteophytes noted in cervical spine."
data/train/audio_05385.wav,imaging features raise the possibility of a giant cell tumour (gct) of bone. differentials include aneurysmal bone cyst with solid component and telangiectatic osteosarcoma. histopathological correlation and mri evaluation are recommended for further characterisation and local staging.
data/train/audio_00079.wav,nasal cavity: deviation of nasal septum towards right side with septal spur impinging on right inferior turbinate. right concha bullosa noted. type ii bilateral keros ethmoid roof noted. paranasal sinuses: minimal mucosal thickening in left ethmoid and maxillary sinuses. intersphenoid septum appears normal.
data/train/audio_05362.wav,cardiac silhouette is normal. unfolding of arch of aorta and aortic knuckle calcifications noted. others bilateral cp angles are clear. both domes of diaphragm are normally placed. bony thoracic cage is normal. no soft tissue abnormality seen.
data/train/audio_01040.wav,acromion/subacromial outlet: no significant subacromial outlet narrowing identified. subacromial-subdeltoid bursa: streak of fluid is noted. rotator cuff - supraspinatus: tendon fibers appear intact without full-thickness tear
data/train/audio_02921.wav,diffuse subcutaneous oedema is noted involving the left chest wall and left breast region. no significant mediastinal or hilar lymphadenopathy is identified. impression: post mastectomy status on the right side with no evidence of local recurrence. right pleural thickening with minimal pleural effusion and basal atelectasis.
data/train/audio_00288.wav,right parieto-occipital pericranial soft tissue contusion noted. : no evidence of intracranial hemorrhage. no fracture seen. right parieto-occipital pericranial soft tissue contusion.
data/train/audio_04940.wav,"ligamentum flavum hypertrophy is noted at same level. (ap canal diameter ~ 10.0mm). lumbar spinal curvature is maintained. rest of the vertebral bodies are showing normal height, alignment, curvature and marrow signal intensity pattern."
data/train/audio_01619.wav,no pleural / fissural thickening seen in the sections evaluated. no evidence of pleural effusion present. mediastinum: thoracic oesophagus and other mediastinal structures appears normal. no significant mediastinal adenopathy is observed. heart and major vessels: heart outline and size appears normal.
data/train/audio_05245.wav,"impression: no obvious acute infarct in the present scan. subtle hyperdense areas with adjacent hypodensities involving right temporal lobe - indeterminate, ? sequelae to old trauma. mild generalized cerebral atrophy with chronic ischemic changes in bilateral periventricular white matter."
data/train/audio_04106.wav,mri - whole spine screening: technique: mri scan of whole spine screening was done without administration of contrast. : cervical: mild loss of cervical lordosis. no other significant cervical abnormality.
data/train/audio_02991.wav,"the right kidney shows moderate hydroureteronephrosis with dilatation of the pelvicalyceal system and ureter. the left kidney appears normal in size, shape, and signal intensity with no evidence of hydronephrosis."
data/train/audio_01018.wav,comminuted displaced fracture of distal end of radius is seen reaching upto articular surface. the rest of bones forming the right wrist joint are normal in density and trabecular pattern. no focal sclerotic or lytic lesion seen. the visualized bones are normal in signal and intensity. no cortical breach is observed.
data/train/audio_00676.wav,"a 1.1 x 1.5 cm sized hyperdense calculus noted within bladder, which appears mobile on prone scan. average ct value 800 to 900 hu prostate appears enlarged measuring 50 cc grade ii prostatomegaly."
data/train/audio_05001.wav,neural foraminal and nerve roots: no significant neural foraminal narrowing except at levels described above. no nerve root edema or abnormal signal. paraspinal soft tissues: paraspinal soft tissues are normal. no abnormal mass or collection. conus medullaris and cauda equina: conus medullaris is normal in position and signal. cauda equina is unremarkable.
data/train/audio_04777.wav,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.
data/train/audio_04800.wav,"no mri evidence of fracture or sol is seen. no defect, sclerotic or lytic skull lesion noted. skull base appears grossly normal. overlying scalp is normal. no focal lesion or swelling noted. orbits and paranasal sinuses: visualized bony orbits appear normal. visualized intraorbital contents show no obvious abnormality. visualized eye globes and lens show normal"
data/train/audio_02857.wav,well defined hypodense area of near csf attenuation is noted involving both grey and white matter of the right frontal lobe with prominence of the adjacent cortical sulci and mild ex-vaccuo dilatation of the adjacent lateral ventricle suggestive of gliotic area. few chronic lacunar infarcts involving bilateral ganglio-capsular regions.
data/train/audio_02825.wav,"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: pancreas is normal in size, shape, density and contrast enhancement. mpd is not dilated."
data/train/audio_02284.wav,left frontal subgaleal hematoma with periorbital soft tissue edema. age related cerebral and cerebellar atrophy. chronic small vessel ischemic changes.
data/train/audio_04326.wav,visualised paranasal sinuses and mastoid air cells appear unremarkable. visualised intracranial structures appear normal. visualised upper lung fields do not show focal abnormality.
data/train/audio_04236.wav,"area of gliosis with encephalomalacia changes in left parietotemporal region likely sequelae to old infarct. gliotic small areas of gliosis is seen in bilateral ganglio-capsular regions, left thalamus and right cerebellar hemisphere."
data/train/audio_01279.wav,fazekas grade-i). generalized corticocerebral atrophy. no fresh infarct or intracranial s.o.l.
data/train/audio_03391.wav,"bilateral lateral recess narrowing and abutting bilateral l4 traversing nerve roots. grade 1 anterolisthesis of l4 over l5. psuedo disc bulge noted at l4-l5 level causing anterior thecal sac compression, spinal canal narrowing (10mm) with bilateral lateral recess narrowing and compressing l5 traversing nerve roots. diffuse disc bulge noted at l5-s1"
data/train/audio_02442.wav,findings: curvature: lumbar lordosis is preserved. vertebral body: multiple peridiscal osteophytes. fracture with grade i compression wedging of l1 vertebral body with marrow contusion/oedema. no evidence of retropulsion of posterior cortex or spinal canal narrowing. focal kyphotic deformity noted at this level. grade ii/iii
data/train/audio_04615.wav,partial tear involving the medial patello-femoral ligament. medial and lateral patellar retinaculum appear intact. no evidence of laxity or tear. meniscus: grade ii signal change involving the anterior horn of lateral meniscus. partial root tear involving the posterior root of medial meniscus. mild extrusion of body by 2-3 mm.
data/train/audio_00923.wav,mild nasopharyngeal adenoid hypertrophy impression: cemri brain reveals no significant abnormality .
data/train/audio_01053.wav,"inspissated secretions/ fungal sinusitis : left frontoparietotemporal sdh . multiple hemorrhagic contusions with mild perifocal edema and surrounding sah in left parietotemporal lobe. mass effect seen in the form of compression of left lateral and thrid ventricles,"
data/train/audio_05224.wav,deviation of nasal septum towards left side with bony septal spur impinging on left inferior turbinate. right inferior turbinate appears hypertrophied. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_04080.wav,"small cyst noted in segment v of right lobe of liver. otherwise, liver, spleen and pancreas are normal in size, morphology and signal characteristics. portal and billiary radicals are normal. major abdominal blood vessels are normal in caliber."
data/train/audio_01548.wav,findings: curvature: loss of lumbar lordosis with straightening of spine. vertebral body: multiple peridiscal osteophytes.
data/train/audio_04477.wav,"the medial ends of both clavicles and manubrium sterni show normal cortical outline and trabecular pattern. no evidence of fracture, lytic/sclerotic lesion, or periosteal reaction. joint spaces: preserved bilaterally with no intra-articular loose bodies."
data/train/audio_02795.wav,ncct: whole abdomen liver is normal in size & attenuation. margins are regular. no intrahepatic biliary radical dilatation is noted. no portal lymph nodes are seen. gall bladder is distended. no radio opaque calculus or mass seen. walls are regular & smooth.
data/train/audio_04609.wav,s/o edema. : mild osteoarthritic changes involving the knee joint as mentioned. partial tear involving the medial patello-femoral ligament. partial root tear involving the posterior root of medial meniscus. small low-grade tear involving anterior cruciate ligament.
data/train/audio_00726.wav,minimal bibasal atelectasis cardiomegaly with dilated ascending aorta. heavily calcified aortic valve with calcifications along coronary arteries. suggested cardiac evaluation recommendation suggested clinical correlation.
data/train/audio_01502.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/train/audio_02276.wav,", subcarinal, right hilar and paraoesophageal regions (largest 6.3 x 4.2 cm) causing: o encasement of the right pulmonary artery o complete encasement of the right main bronchus o partial encasement of lower trachea and left main bronchus o significant mass effect on pulmonary arteries, esophagus, svc and thoracic aorta"
data/train/audio_03887.wav,"a thin linear hypodense tract is seen in the infraumbilical region along the anterior abdominal wall. on administration of contrast through the umbilicus, contrast opacification is seen extending into the deep subcutaneous plane at the umbilicus without extension into the intraperitoneal cavity."
data/train/audio_02655.wav,osseous structures (visualized): no acute osseous abnormality identified. pelvic lymph nodes: no pathologically enlarged pelvic lymph nodes identified. impression
data/train/audio_03204.wav,"findings: 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. no intra axial / extra axial collection is seen. no midline shift is seen."
data/train/audio_01454.wav,c4-5 - 12.0 mm. c5-6 - 10.5 mm. c6-7 - 11.0 mm prevertebral soft tissue also appears normal.
data/train/audio_04139.wav,"peripancreatic fat planes appear well preserved. no evidence of pancreatic duct dilatation seen. spleen is normal in size, outline & attenuation. no focal lesion seen. splenoportal axis is normal. both kidneys are normal in size, outline, position & attenuation."
data/train/audio_05579.wav,largest lesion in anterior myometrium measures ~ 5x3.6 cm and largest in posterior myometerium measures ~ 5.1x3.7 cm in size. endometerial cavity is obliterated. uterine cervix is normal in size and reveals normal parenchymal signal intensity. junctional zone is normal with normal endometrium.
data/train/audio_04783.wav,"or protrusion, central canal stenosis, or neural foraminal narrowing. l2-l3: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. l3-l4: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. l4-l5: mild disc bulge"
data/train/audio_00203.wav,both ovaries appear normal in size and few ovarian follicles and dominant follicles are seen. minimal fluid is seen in the pouch of douglas. the endometrial cavity is normal in thickness and measures 8 mm in maximum dimension. there is no focal lesions seen. cervix appear normal. few nabothian cysts are seen within.
data/train/audio_05140.wav,with posterior disc bulge and right foraminal disc protrusion indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots (right > left) narrowing bilateral neural foramina indenting bilateral exiting nerve roots (right > left). mild facetal joint arthropathy at this level. residual spinal canal diameter at this level measures approximately 8.8 mm. :
data/train/audio_03002.wav,white matter changes few patchy t2/flair hyperintense foci are noted in bilateral frontoparietal and periventricular white matter regions. these lesions do not show diffusion restriction or blooming and are consistent with chronic microangiopathic ischemic changes (fazekas grade i).
data/train/audio_00867.wav,"(cbd): cbd appears normal in caliber and signal intensity. no evidence of choledocholithiasis or stricture. pancreas: normal size, shape, and signal intensity. main pancreatic duct is normal in caliber. pericholecystic region: no evidence of pericholecystic inflammatory changes."
data/train/audio_00622.wav,"diffuse bulge of l2-3 disc, without any significant central canal or neural foraminal narrowing. there is sacralisation of l5 vertebra."
data/train/audio_01777.wav,"no ureteric or vesical calculus is seen. urinary bladder shows mild diffuse wall thickening measuring up to approximately 5 mm, suggestive of cystitis. small physiological cyst is seen in right ovary with peripheral enhancement measuring approximately 20 x 10 mm."
data/train/audio_03052.wav,"basal cisterns and cp angle cisterns are normal. fourth ventricle is central and normal in shape. bone, scalp and sinuses: undisplaced fracture of the left ramus of mandible extending to the left alveolar arch. perinasal, perioral, left periorbital and maxillary subcutaneous haematoma noted."
data/train/audio_02914.wav,patellar tendon and quadriceps tendon: normal morphology and signal. no evidence of tear or tendinopathy. joint effusion and synovium: moderate to severe amount of joint effusion is noted with minimal thickening of the synovium. bursae: fluid is seen in the semimembranosus and medial head of
data/train/audio_01397.wav,no evidence of any fracture noted. no obvious evidence of any displacement is seen. articular margins are smooth and intact. rest of the soft tissues appear normal.
data/train/audio_03632.wav,x-ray chest pa view observation: prominent bronchovascular markings are seen. lobulated soft tissue shadow is seen in right upper zone and right paratracheal stripe causing deviation of trachea to left side. both hila are normal. cardiophrenic and costophrenic angles are normal.
data/train/audio_00883.wav,there is loss of lumbar lordosis multiple anterior and lateral marginal osteophytes are seen from l1 to l5 vertebral levels. small schmorl's node noted at the endplate of l3 vertebra. rest of the lumbar vertebral bodies & their alignment appear normal.
data/train/audio_04093.wav,"large heterogeneously enhancing intraventricular mass lesion involving the body of bilateral lateral ventricles (left > right) with intralesional fat components and no calcification, causing obstructive hydrocephalus and features of raised intracranial pressure. differential diagnosis:"
data/train/audio_00712.wav,: mr scan reveals: posterior root tear of the medial meniscus. myxoid degeneration of the posterior horn of the medial meniscus. grade ii signal of the posterior horn of the lateral meniscus. mild sprain of the anterior and posterior cruciate ligaments.
data/train/audio_00723.wav,mild fluid signal noted in the right mastoid air cells. : mild fluid signal noted in the right mastoid air cells. few small well-defined flair hyperintensities are seen in bilateral corona radiata regions -- s/o old lacunar infarcts.
data/train/audio_03259.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/train/audio_04873.wav,"gall bladder reveals normal lumen and walls with normal size and shape. no mass lesion, calcification or stone is seen within the lumen. both kidneys reveal normal in size, shape, position and attenuation. no mass lesion, calcification or stone is seen in the renal parenchyma or collecting systems on both sides. no signs of obstructive uropathy are detected."
data/train/audio_03572.wav,right lateral ventricle and the 3rd ventricles is effaced. bilateral basal ganglia calcifications noted. posterior fossa: cerebellum and brainstem are normal in attenuation pattern. cerebellar folia are normal. no focal sol seen. cp angle cisterns are normal. fourth ventricle is central and normal in shape. mild subdural hemorrhage along bilateral tentorium and falx.
data/train/audio_05339.wav,"c6-7 intervertebral discs reveals broad based posterior protrusion. it indents the anterior subarachnoid space. it causes mild-to-moderate narrowing of the central canal. mild facetal arthropathy is detected at this level. mild degenerative changes are seen at atlantoaxial joint. incidentally, partial empty sella state is seen."
data/train/audio_04845.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.
data/train/audio_05443.wav,vp shunt noted passing through body of lateral ventricles. cranial vault: post craniotomy changes noted in right parietal bone. extra cranial soft tissues: no extra cranial soft tissue swelling seen. : vp shunt noted passing through body of lateral ventricles. post craniotomy changes noted in right parietal bone.
data/train/audio_00313.wav,. correlation with serum bilirubin is recommended. pericholecystic collaterals are also seen mildly enlarged intra-abdominal lymph nodes probably reactive in nature. no evidence of ascites. splenomegaly is noted.
data/train/audio_01535.wav,"l4-5: desiccation. reduced disc height. vacuum phenomenon. diffuse bulge, broad based dorsal protrusion, compressing the thecal sac and encroaching the neural foramina. there is compression of left exiting l4 & bilateral traversing l5 nerve roots and indentation over right exiting l4 nerve root."
data/train/audio_00878.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:
data/train/audio_04938.wav,consultant radiologist
data/train/audio_02579.wav,x-ray chest views pa view of chest lungs prominence of bronchovascular markings noted. airways trachea is central. tracheo-bronchial tree is normal. heart cardiac silhouette is normal.
data/train/audio_01757.wav,there is no pleural effusion seen. cardia appears normal in size. coronary artery calcification is noted. there is no pericardial effusion seen. pulmonary artery appears normal in size. there is no pleural deposit identified.
data/train/audio_04341.wav,infiltration into right hyoglossus muscle anterior extension into alveolar processes of maxilla and mandible with tooth loss depth of invasion ~20 mm findings suggest progression of neoplastic disease
data/train/audio_00043.wav,findings knee joint and patellofemoral articulation: bony ankylosis of the patella with the femur is noted. extensive osteoarthritic changes are present in the left knee joint with significant subarticular sclerosis predominantly involving the medial joint space. no acute fracture is identified.
data/train/audio_05078.wav,osseous structures small plantar and posterior (dorsal/achilles insertional) calcaneal enthesophytes/spurs are noted. no evidence of acute fracture or dislocation. no focal lytic or sclerotic osseous lesion identified.
data/train/audio_02134.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 (delineated on ct) the liver is normal in size (measuring 15.6 cm).
data/train/audio_02685.wav,"(anterior and anterolateral aspects). fractures of right 2nd-4th ribs (anterior aspects). spinous process fractures involving c6, c7 and t1-t5 vertebrae with adjacent soft tissue swelling. left chest wall soft tissue swelling with soft tissue emphysema."
data/train/audio_04076.wav,impression rif homogeneous low attenuation soft tissue density area? appendicular phlegmon?? hematoma .needs ct angiography/lab correlation. anterior abdominal wall hernia.
data/train/audio_00012.wav,heart mild cardiomegaly noted. unfolding of arch of aorta and aortic knuckle calcifications noted. others bilateral mild pleural effusion. both domes of diaphragm are normally placed. bony thoracic cage is normal. no soft tissue abnormality seen.
data/train/audio_01132.wav,both orbits appear unremarkable. communited fracture of posterior wall of right frontal sinus and anterior wall of right frontal sinus. fracture of right frontal bone. fracture of anterior and posterior wall of right maxillary sinus. the visualized paranasal sinuses are clear. bilateral mastoid air cells are clear. soft tissue swelling at right frontal region.
data/train/audio_00148.wav,bones: visualized bones show normal marrow signal. incidental posterior disc bulge at l5-s1. impression diffuse adenomyosis with posterior myometrial predominance. no adenoma or fibroid.
data/train/audio_04361.wav,no obvious inflammatory or infective pathology is seen. rest of the intervertebral discs and neural foramina are showing normal mr morphology and signal intensity pattern. no significant disc bulge / herniation or compression over thecal sac / spinal cord is seen in lumbar region.
data/train/audio_00559.wav,there is mild reduction of the medial knee joint and patella-femoral joint spaces with small adjacent tibio-femoro-patellar osteophytes. small articular cartilage defects are seen involving the medial tibial and femoral condyles with t2w and stir hyperintensity is noted involving the
data/train/audio_02762.wav,no obvious evidence of bowel wall thickening. few subcentimetre sized homogeneously enhancing lymph nodes noted in central mesentery. urinary bladder is normally distended. no evidence of stone or s.o.l.
data/train/audio_00140.wav,the junctional zone appears diffusely thickened with loss of the normal interface with the outer myometrium. no focal fibroid or adenomyoma is seen. these findings are suggestive of adenomyosis. endometrium appears normal. it measures 4mm in thickness.
data/train/audio_00724.wav,: no obvious abnormality is noted in mra of the head (circle of willis). : unremarkable mr angiography of the neck.
data/train/audio_05450.wav,":- mr scan reveals, right intersphincteric perianal fistula with external opening at 9 o'clock position and partly obliterated internal opening at 10 o'clock position, located approximately 9.4 mm above the anal verge."
data/train/audio_04710.wav,"l4-5 disc is desiccated and reveals diffuse bulge. it indents the thecal sac, without any significant central canal or neural foraminal narrowing. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. l5-s1 disc reveals broad based posterior protrusion."
data/train/audio_03518.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/train/audio_00032.wav,": lungs: nodular soft tissue density areas noted along bilateral major fissures (right > left). 1 on right side and 3 on left side, largest measuring approximately 9 mm. centrilobular ground-glass opacities involving right upper lobe and right middle lobe."
data/train/audio_03372.wav,"the infraspinatus tendon, subscapularis tendon and teres minor tendon appear normal. the bursae around the shoulder joint appear normal. the coraco humeral ligament appears normal. no significant abnormality is seen in the muscles. : t1, t2 hypointense lesion measuring 6mm x 4mm noted in fibers"
data/train/audio_00830.wav,": 1. broad based posterior and bilateral foraminal herniation of l4-5 disc, with annular tear, causing moderate to severe narrowing of central canal and neural foramina, bilaterally. mild facetal arthropathy and ligamentum flavum thickening are detected at this level."
data/train/audio_01811.wav,few prominent preaortic and para-aortic lymph nodes are seen these are likely reactive in nature. there is asymmetric fatty infiltration in the posterior abdominal tarso on the left side in the deep subcutaneous plane at the level of iliac crest and lower abdomen region as compared to right side.
data/train/audio_05502.wav,"the lower end of the spinal cord, cauda equina and filum terminale do not reveal any abnormality. no abnormality detected in the prevertebral region. the vascular structures appear normal. bilateral posterior paraspinal muscles are normal in size and reveal normal signal intensity."
data/train/audio_00089.wav,no midline shift is seen. sella and parasellar structures appear grossly unremarkable. undisplaced fracture involving the left temporo-parietal bones involving the left mastoid air cells with resultant left sided haemomastoideum and haemotympanum.
data/train/audio_01106.wav,impression - osteoporotic vertebrae old traumatic /osteoporotic wedge compression fracture of l1 left paracentral and left foraminal protrusion of l1-l2 disc causing mild narrowing border left paracentral and left foraminal protrusion of l1-l2 disc causing mild narrowing of left neural foramen.
data/train/audio_00297.wav,the gestational sac is seen approximately at the l4-l5 vertebral level. the fetus is identifiable within the sac; orientation suggests relation to the right lateral aspect of the gestational sac. amniotic fluid (liquor) appears adequate.
data/train/audio_01486.wav,"mri left knee technique multiplanar, multisequence mri of the knee joint. bones & postoperative changes postoperative changes are noted involving the distal femur and proximal tibia, with associated marrow edema changes. no obvious acute fracture or aggressive osseous lesion is seen."
data/train/audio_00515.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."
data/train/audio_01620.wav,"achilles tendon appears normal. anterior talofibular, calcaneofibular and posterior talofibular ligaments appear normal. deltoid ligament appears normal. peroneus longus and brevis tendons appear normal."
data/train/audio_02872.wav,"findings: the right kidney is markedly enlarged measuring approximately 15.5 x 10.2 cm and the left kidney measures 16.1 x 11 cm. both kidneys are replaced by multiple variably sized well-defined hypodense cystic lesions involving cortex and medulla, consistent with polycystic morphology."
data/train/audio_01276.wav,no significant restriction of diffusion. there is generalized prominence of ventricular system with periventricular hyperintense halo with proportionate prominence of cortical sulci and basal cisterns which may represent normal age-related changes. there is no other focal area of abnormal signal intensity in the cerebral or cerebellar hemispheres.
data/train/audio_01416.wav,tibialis anterior and posterior tendons appear normal. remaining flexor and extensor tendons appear normal. ankle joint alignment appears maintained. no significant joint effusion noted. visualised bones show normal signal intensity except for calcaneal marrow oedema as described.
data/train/audio_04547.wav,bilateral moderate pleural effusion with adjacent basal subsegmental atelectatic changes. mild pericholecystic oedema around distended gallbladder - clinical correlation for early cholecystitis suggested.
data/train/audio_04024.wav,"mri - bilateral sacroiliac joints (plain) techniquel: axial t1w, t2w and stir sequences. clinical profile: low backache. : osteophytes involving bilateral sacro-iliac joints with subchondral sclerosis."
data/train/audio_03193.wav,"at l1-l2 level: mild diffuse disc bulge indenting thecal sac without any nerve root compression. mild ligamentum flavum hypertrophy noted. at l2-l3 level: diffuse disc bulge indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots narrowing bilateral neural foramina abutting bilateral exiting nerve roots. annular tear, mild ligamentum flavum hypertrophy and facetal joint arthropathy noted. at l3-l4 level: diffuse disc bulge with left paracentral disc protrusion and superior migration (by 10.7 mm) indenting thecal sac and compressing traversing nerve roots narrowing bilateral neural foramina indenting right and compressing left exiting nerve roots. annular tear, ligamentum"
data/train/audio_01794.wav,minimal edema is seen in hoffa's fat pad. subtle altered marrow signal intensity changes are seen in anteromedial femoral condyle. this is suggestive of traumatic marrow edema. altered marrow signal intensity changes are also seen in anteromedial patella. this is suggestive of traumatic marrow edema.
data/train/audio_01710.wav,"l5-s1: desiccation. diffuse bulge, indenting the thecal sac and encroaching the neural foramina. there is compression over bilateral traversing s1 and indentation of bilateral exiting l5 nerve roots. posterior elements : ligamentum flavum: thickening noted at l3-4, l4-5 & l5-s1 levels."
data/train/audio_04742.wav,"4. broad based posterior and left paracentral protrusion of l3-4 disc, causing mild narrowing of central canal and left lateral recess. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. bilateral facetal effusion seen at this level. 5. visualized vertebrae appear osteoporotic. 6. there is mild atrophy of the posterior paraspinal"
data/train/audio_02504.wav,"findings: mild straightening of the lumbar spine is seen with no scoliosis. heterogeneous marrow signal intensity. schmorl's nodes are noted at d11, d12, l1, l2, l4 and l5 vertebral endplates. 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."
data/train/audio_04604.wav,no evidence of hemoperitoneum lymph nodes: no significant abdominopelvic lymphadenopathy. impression: 1. extrauterine (abdominal) pregnancy
data/train/audio_05096.wav,mri scan of cervical spine technique:- multiplanar mr imaging of the cervical spine was performed using a phased-array spine coil and large fov. :- there is loss of cervical lordosis. the alignment of the vertebrae is normal.
data/train/audio_00398.wav,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. no intra-axial or extra-axial collections seen. no focal enhancing lesions seen.
data/train/audio_00418.wav,"lumen exhibits normal uniform opacification. wall thickness of urinary bladder is normal. gastrointestinal tract appendix measures 6 mm, normal wall thickness, no periappendiceal inflammatory changes, no abnormal fluid collection or lymphadenopathy noted."
data/train/audio_02406.wav,hepatomegaly with fatty liver (hepatic steatosis). simple cortical cyst in left kidney - benign (bosniak i). simple left ovarian cyst (~3.5 cm) - ( orads ii) likely functional.
data/train/audio_01099.wav,mild adjacent mass effect is noted without significant midline shift. numerous additional heterogeneous enhancing lesions are scattered in: bilateral frontal lobes bilateral parietal lobes bilateral cerebellar hemispheres the largest right-sided supratentorial lesion measures approximately 1.5 x 1.2 cm in the right parietal lobe. the largest posterior fossa lesion measures approximately 1.3 x 1.1 cm in the left cerebellar hemisphere.
data/train/audio_03625.wav,without any nerve root compression. at c7-t1 level: mild posterior disc bulge abutting the anterior thecal sac without any nerve root compression. measurements: disc level canal diameter (mm) c2-c3 11.2 c3-c4 7.6 c4-c5 10.1 c5-c6 10.1 c6-c7 11.5 c7-t1 11.9 other : no paraspinal soft tissue mass. : at c3-c4 level: mild reduction of disc space. diffuse disc bulge indenting anterior thecal sac and abutting spinal cord
data/train/audio_03323.wav,"within the endometrial cavity, there is a well-defined t2 hypointense lesion with t1 hyperintensity and blooming on gre, measuring approximately 2.3 x 2.4 cm, suggestive of haemorrhagic component."
data/train/audio_04702.wav,the optic chiasm and visualized optic tracts appear unremarkable. no orbital mass lesion is seen. no abnormal post-traumatic orbital changes are identified. impression: normal mri appearance of both orbits. no orbital structural abnormality identified.
data/train/audio_03935.wav,urinary bladder: urinary bladder is adequately distended with smooth outline and appears normal. no evidence of papillary growth or any intravesical abnormalities. wall thickness of urinary bladder is normal. perivesical fat planes are preserved.
data/train/audio_03923.wav,"a 6.5 x 4 x 8 mm sized hyperdense (hu 1500) obstructive calculus in the right midureter (approximately 3 cm above the right iliac crossing, at l3-l4 level) with resultant mild back pressure changes as mentioned."
data/train/audio_02104.wav,"csf spaces and fissures are well maintained. no evidence of extra-axial collection is seen. intracranial arteries and venous sinuses: flow voids of the major vessels viz; intracranial ica, basilar artery & their branches and of the venous sinuses are well seen. no evidence of aneurysm or sinus thrombosis. no arteriovenous malformation noted."
data/train/audio_00076.wav,"mild prostatomegaly with features of benign prostatic hyperplasia. imaging features suggestive of sequelae to prostatitis in the peripheral zone of prostate gland. no feature of ill-defined t2 hypointensity or diffusion restriction to suggest neoplastic process in the prostate gland, however, this is a non-contrast study. no significant lymphadenopathy or ascites."
data/train/audio_05214.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/train/audio_02293.wav,"no significant mediastinal or hilar lymphadenopathy identified. heart and great vessels: cardiac size appears within normal limits. visualized great vessels appear unremarkable. chest wall: mild hypertrophy changes at multiple costovertebral junctions, suggestive of? old inflammation visualized upper abdomen:"
data/train/audio_03950.wav,"severe narrowing causing approximately 75-80% luminal occlusion is noted along the course of the right peroneal artery. mild narrowing is noted in the right dorsalis pedis artery. on the left side, non-visualisation of the superficial femoral and popliteal arteries is noted, likely representing chronic occlusion."
data/train/audio_00471.wav,"mild facetal arthropathy and ligamentum flavum thickening are detected at these levels. diffuse bulge of l2-3 disc, without any significant central canal or neural foraminal narrowing. diffuse bulge of l5-s1 disc, without any significant central canal or neural foraminal narrowing. mild facetal arthropathy is detected at this level."
data/train/audio_01987.wav,patella appears normal in position. joints: there is mild reduction of the medial knee joint and patella-femoral joint spaces with small adjacent tibio-femoro-patellar osteophytes. t2w and stir hyperintensity is noted involving the intercondylar region of tibia and femur suggestive of marrow edema.
data/train/audio_04210.wav,sinuses: * both maxillary sinuses and both frontal sinuses show no abnormality. * no collections are seen in maxillary sinuses. * sphenoid sinuses appear normal in attenuation bilaterally.
data/train/audio_01024.wav,: no free fluid. no free air. no definite peritoneal/omental nodularity apart from the described pelvic lesion. lymph nodes: no pathologically enlarged abdominopelvic lymph nodes are identified. vessels: calcified atherosclerotic plaques are noted in the abdominal aorta and iliac arteries.
data/train/audio_00446.wav,"no significant central canal stenosis is seen. no definite cord compression or intramedullary signal abnormality identified. facets & posterior elements: apart from the noted pars interarticularis fracture at c2, the remaining posterior elements appear unremarkable. soft tissues: no significant prevertebral or paravertebral soft tissue abnormality."
data/train/audio_03694.wav,calvarium/skull base: no focal marrow signal abnormality identified. upper cervical spine/craniocervical junction: appears within normal limits on the provided sequences. impression: normal mri brain plain study.
data/train/audio_02917.wav,"gastrocnemius bursa in the popliteal region, consistent with a baker's cyst. muscles: normal muscle bulk and signal. no evidence of muscle tear or abnormality. soft tissues: no abnormal soft tissue masses. subcutaneous tissues are unremarkable. neurovascular structures: popliteal neurovascular bundle is intact. no evidence of compression or abnormality."
data/train/audio_03611.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/train/audio_04767.wav,focal erosion is also seen involving lateral bony wall of right carotid canal. patchy mixed sclerotic/reactive changes are seen involving right mastoid bone with partial loss of normal pneumatization. right cochlea and internal auditory canal appear grossly maintained.
data/train/audio_02150.wav,"mri of right knee technique: multiplanar, multiecho mr of the knee joint was performed. in addition to t1w, t2w, stir and gre images in sagittal, coronal and axial neutral positions. clinical profile: history of fall. chief complaints of pain and difficulty in movement."
data/train/audio_02122.wav,"of all the cervical intervertebral discs is noted. small anterior osteophytes are seen from c3 to c7 vertebral levels. posterior disc bulges are seen at c3-c4, c4-c5, c5-c6 and c6-c7 cervical levels indenting the anterior thecal sac. anterior osteophytes with modic changes are seen at multiple dorsal levels."
data/train/audio_03784.wav,"right kidney is otherwise normal in size, shape and position. the left kidney measures 9.2 x 4.9 cms. left kidney is normal in size, shape and position. no hydronephrosis, hydroureter or calculus is seen. the urinary bladder is partially distended. prostate is normal in size and attenuation pattern. visualised liver appears normal in attenuation pattern, no e/o focal lesion."
data/train/audio_03729.wav,there is no abdominal lymphadenopathy seen. no e/o free fluid in abdomen and pelvis. visualised lung parenchyma reveals multiple areas of fibroatelectasis and fibrocalcific changes. left sided mild pleural thickening. no e/o pleural effusion noted.
data/train/audio_04037.wav,"small anterior and posterior osteophytes are seen from c3 to c7 levels. posterior disc-osteophyte complex noted at c5-c6, causing mild indentation on the ventral aspect of the thecal sac (degree of canal compromise not fully assessed on ct)."
data/train/audio_03514.wav,c5-c6 and c6-c7 cervical levels indenting the anterior thecal sac. anterior osteophytes with modic changes are seen at multiple dorsal levels. mild posterior disc bulges are seen at few dorsal levels indenting thecal sac. on screening of bilateral sacro-iliac joints: no significant abnormality detected. on screening of bilateral hip joints:
data/train/audio_03220.wav,"appears broad-based, forming an angle <60 degrees with the pleural surface. no internal calcification or fat attenuation seen within the lesion no cavitation identified no pneumothorax adjacent to the lesion patchy ground-glass opacities (ggo) are seen in bilateral lung fields"
data/train/audio_04551.wav,"* nodular soft tissue density areas noted along bilateral major fissures (right > left). 1 on right side and 3 on left side, largest measuring approximately 9 mm. * centrilobular ground-glass opacities involving right upper lobe and right middle lobe. * few centrilobular nodules involving anterior segment of left upper lobe."
data/train/audio_03356.wav,postero-central protrusion with annular tear at l2-l3 disc causing mild narrowing of central canal. broad based posterior protrusion of l4-l5 disc causing mild narrowing of spinal canal. diffuse bulge of l1-l2 disc. mild facetal arthropathy at l2-l3 and l4-l5 level.
data/train/audio_00085.wav,: complete tear of anterior cruciate ligament. low-grade tear involving the medial collateral ligament and medial patello-femoral ligament. grade ii signal change involving the anterior horn of lateral meniscus and posterior horn of medial meniscus. mild to moderate knee joint and suprapatellar bursal effusion with diffuse soft tissue edema around knee joint. 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/train/audio_05185.wav,no evidence of active pulmonary mass lesion or suspicious enhancing lesion. recommendations: clinical correlation with past history of granulomatous infection
data/train/audio_04063.wav,"few subcentimetric sized simple cortical cysts seen within. left kidney measures 9.7 x 4.4 cm. a 1.7 x 1.6 cm sized simple cortical cyst seen in mid pole. both kidneys appear normal in size, shape & echotexture."
data/train/audio_00198.wav,lisfranc / midfoot ligaments (visualized): grossly intact within the field of view. muscles: normal bulk and signal. no muscle strain or tear. neurovascular structures: no focal abnormality identified. soft tissues: no focal fluid collection or mass.
data/train/audio_05534.wav,"the hippocampal complexes are symmetric. there is no evidence of mass or calcification. there is no evidence of restricted diffusion to suggest acute infarct. 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. the calvarium,"
data/train/audio_01749.wav,fecal loading is seen in the colon predominantly in the sigmoid colon and va ascending colon. appendix appear normal in size. ileocecal junction appears unremarkable. few diverticuli are seen in the transverse colon descending colon and sigmoid colon. no features of diverticulitis are seen.
data/train/audio_01192.wav,"the rotator cuff tendons, including the supraspinatus, infraspinatus, teres minor, and subscapularis, appear normal in thickness and signal intensity, with no evidence of tear or tendinosis. the long head of the biceps tendon is normally positioned within the bicipital groove and appears intact, with no evidence of tendinopathy or tenosynovitis."
data/train/audio_04431.wav,: lung fields appear clear. the cardiac shadow is within normal limits of size and shape. the aorta shows normal radiological features. 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/train/audio_03460.wav,others bilateral cp angles are clear. both domes of diaphragm are normally placed. bony thoracic cage is normal. no soft tissue abnormality seen. prominent broncho-vascular markings. recommendation suggested clinical correlation
data/train/audio_04475.wav,"findings: sternoclavicular joints (bilateral): joint alignment is normal and symmetric. articular surfaces are smooth and well maintained. no evidence of joint space narrowing, erosions, or subluxation/dislocation. bones:"
data/train/audio_00806.wav,"both adrenal glands are normal. the liver, gall bladder, spleen, pancreas, small bowel, large bowel are normal. there is mild oedematous wall thickening of the stomach- likely possibility of gastritis. degenerative changes are seen in the spine in the form of multiple anterior osteophytes and osteoporosis."
data/train/audio_01931.wav,"there is mild diffuse disc bulge indenting the anterior subarachnoid space and cervical cord, causing cord flattening at this level. no intrinsic cord signal change is seen. there is moderate bilateral neural foraminal narrowing with abutment of the exiting nerve roots. spinal canal ap diameter: ~8.6 mm (narrowed)."
data/train/audio_03377.wav,prominence of bronchovascular markings. recommendation suggested clinical correlation.
data/train/audio_04876.wav,bony skull vault appears normal. mild soft tissue thickening noted in right mastoid air cells. mucosal thickening noted in left sphenoid sinus. :
data/train/audio_00290.wav,"1. extrauterine (abdominal) pregnancy single live fetus within gestational sac located in central peritoneal cavity (l4-l5 level), posterior to uterus no intrauterine gestation identified"
data/train/audio_01882.wav,"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/train/audio_01300.wav,"uterus and adnexa: uterus and adnexa are normal in shape, size and enhancement pattern. pelvic fat planes are maintained. mild free fluid is seen in the pelvis. miscellaneous: no significant mesenteric or retroperitoneal lymphadenopathy detected."
data/train/audio_00396.wav,overlying scalp show posterior parietal hematoma with max. thickness of 7 mm. visualized paranasal sinuses are normal. : left acute sdh with mass effect as described. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_05529.wav,"mild pelvic ascites. multiple simple renal cortical cysts in both kidneys, largest 15 mm in the lower pole of the right kidney. ct severity index (ctsi - balthazar classification) pancreatic inflammation: balthazar grade c"
data/train/audio_05060.wav,"gall bladder: partially distended. spleen: measures 8.3 cm, appears normal in size & echogenicity. no focal lesion seen. pancreas: normal in size and echotexture. no focal diffuse lesion seen."
data/train/audio_02726.wav,"findings: maxillary sinuses: mild to moderate mucosal thickening is seen in the bilateral maxillary sinuses, suggestive of bilateral maxillary sinusitis. partial septations and reduced pneumatization are noted in the bilateral maxillary sinuses. bilateral maxillary ostia appear blocked. ethmoid sinuses: mild mucosal thickening is seen in the bilateral ethmoid sinuses,"
data/train/audio_04639.wav,"in the visualized upper abdominal sections, bilateral perinephric fat stranding is noted, suggesting possible renal inflammatory / medical renal changes. the left adrenal gland appears mildly bulky compared to the right, and further evaluation may be considered if clinically indicated."
data/train/audio_04221.wav,buckling of pcl with normal signal intensity and fiber continuity is seen. no tear is seen. high signal of the fibular attachment of lateral collateral ligament s/o sprain medial collateral ligaments are normal.
data/train/audio_01551.wav,"l2-3:desiccation. diffuse bulge, indenting the thecal sac and encroaching the neural foramina. there is mild compression over bilateral traversing l3 and exiting l2 nerve roots."
data/train/audio_04860.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/train/audio_04395.wav,: partial tear involving the anterior cruciate ligament with diffuse sprain. partial tear involving the medial and lateral patello-femoral ligaments. grade ii injury involving the lateral patellar retinaculum. grade ii signal change involving body and posterior horn of medial meniscus. comminuted mildly displaced fracture involving the
data/train/audio_01042.wav,rotator cuff musculature: no significant muscle atrophy or edema. long head of biceps tendon: maintained within the bicipital groove. no discontinuity identified. glenohumeral joint: no significant joint effusion. labrum: no displaced labral tear identified on this non-arthrographic study.
data/train/audio_05663.wav,myelomalacia.adv clinical correlation. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_00118.wav,"causing compression over left exiting c6 nerve root. subtle cord oedema at c5-c6 level, possibility of compressive myelopathy."
data/train/audio_01235.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/train/audio_00665.wav,subgaleal soft tissue hematoma in left frontal region. maximum thickness measures approximately 7 mm. impression: tiny hemorrhagic contusion measuring approximately 1.1 mm in the subcortical white matter of right lateral frontal lobe.
data/train/audio_01993.wav,"findings osseous structures visualized femur demonstrates preserved alignment and normal cortical contours. marrow signal intensity is maintained without focal marrow replacing lesion. no evidence of marrow edema, occult fracture, stress reaction, or periosteal abnormality."
data/train/audio_05591.wav,ankle joint: distal tibia and fibula appear intact. the ankle mortise appears maintained. no evidence of fracture involving the talus or calcaneum. joint spaces: tarsometatarsal and intertarsal joint alignments are preserved.
data/train/audio_02994.wav,"impression: diffusion restricting lesion in the right lateral cervix (3.5 x 2.5 cm) with parametrial infiltration, suggestive of carcinoma cervix. encasement of distal right ureter causing moderate right hydroureteronephrosis."
data/train/audio_03533.wav,"multiple small mediastinal lymph nodes, likely reactive. ct findings are suggestive of a cardiogenic etiology (likely congestive cardiac failure) in the given clinical context of dyspnea. clinical correlation is recommended."
data/train/audio_04714.wav,"it indents the thecal sac, both l5 and s1 nerve roots and causes mild narrowing of central canal. moderate facetal arthropathy and ligamentum flavum thickening are detected at this level. there is mild to moderate atrophy of the posterior paraspinal muscles seen in lower lumbar region."
data/train/audio_04759.wav,"largest measuring approximately 20 x 12 mm likely reactive lymphadenopathy loss of t2 flow void involving left external iliac vein, common femoral vein, visualised deep femoral vein and visualised left superficial femoral vein - these findings are likely suggestive of deep venous thrombosis."
data/train/audio_05487.wav,there is a chunky intraductal calcification seen in the proximal main pancreatic duct at the uncinate process as well as head region with distal dilatation of main pancreatic duct with maximum diameter of 9 mm. multiple side branch dilatation is also noted. few small parenchymal calcifications are also seen in the rest of the pancreas. there is no focal enhancing lesion seen in the pancreatic parenchyma.
data/train/audio_00996.wav,l4-l5 level persistent diffuse disc bulge causing: o thecal sac indentation o bilateral lateral recess narrowing findings appear stable whole spine screening cervical spine disc desiccation noted at multiple cervical levels. loss of cervical lordosis.
data/train/audio_04666.wav,multiple anterior and lateral marginal osteophytes involving l3 to l5 vertebral levels. no focal lytic or sclerotic destructive osseous lesion. intervertebral discs reduced intervertebral disc height at l2l3 with associated vacuum disc phenomenon.
data/train/audio_04102.wav,findings: supratentorial: subcentimeter sized hypodense areas of csf attenuation are seen in pons and bilateral ganglio-capsular regions. few hypodensities are noted in bilateral periventricular white matter suggestive of chronic ischemic changes.
data/train/audio_04497.wav,"approximate size of adjacent soft tissue mass is about 6.9 x 4.6 x 3.9 cm (cc x tr x ap) ( on ct correlation, the lesion shows ill-defined lytic appearance with wide zone of transition and codman triangle periosteal reaction.)"
data/train/audio_02859.wav,few chronic lacunar infarcts involving bilateral ganglio-capsular regions. small well defined calcified area in the right parietal cortex suggestive of calcified infective granuloma. mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-parietal and periventricular white matter. 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/train/audio_03224.wav,patchy bilateral ground-glass opacities likely superimposed inflammatory/infective changes (clinical correlation advised) mild cardiomegaly with atherosclerotic aortic changes mild dilatation of ascending aorta (40 mm)
data/train/audio_04683.wav,joints: there is mild reduction of the medial knee joint and patella-femoral joint spaces with small adjacent tibio-femoro-patellar osteophytes. focal partial articular cartilage loss involving the medial facet of patella.
data/train/audio_01104.wav,pleural surfaces: bilateral pleural effusion( right more than left) with basal atelectasis multifocal patchy areas of ground-glass densities noted scattered in bilateral upper lobe segments. fibrotic strands in right middle lobe and left lingula. patchy ground-glass densities noted in bilateral lower lobe superior and basal segments.
data/train/audio_01340.wav,"external opening: it is in gluteal cleft on right side, slightly posteriorly placed. shows focal puckering and scarring. main tract: it is linear intersphincteric tract for a length of 4.2 cm . it is traversing through right ischioanal fossa,"
data/train/audio_02508.wav,bilateral exiting nerve roots (left more than right). multilevel ligamentum flavum hypertrophy and facetal joint arthropathy. rest of the changes of lumbar spondylosis as described above. suggested bmd and emg-ncs 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/train/audio_02216.wav,chronic small vessel ischemic changes with age-related cerebral atrophy and mild ventricular dilatation. right frontal scalp soft tissue swelling. clinical correlation. no acute intracranial abnormality or fracture. left sphenoid sinusitis with minimal left maxillary sinusitis.
data/train/audio_03306.wav,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. uterus and adnexa: multiple dilated and tortuous vessels noted involving bilateral adnexa suggestive of pelvic congestion.
data/train/audio_00070.wav,"findings: small hypodensity measuring approximately 14 mm noted in the left corona radiata. few chronic lacunar infarcts involving bilateral ganglio-capsular regions. multiple hypodensities are noted in bilateral fronto-parietal and periventricular white matter s/o chronic ischemic changes. mild generalized prominence of the cortical sulci, basal cisterns and ventricular system"
data/train/audio_03845.wav,"showing conglomeration. these lesions appear hypointense on t1-weighted images and demonstrate t2/flair hyperintensity with surrounding vasogenic oedema. on post-contrast sequences, there is peripheral rim enhancement. gre blooming is noted within the lesions, suggestive of calcific or hemorrhagic components. minimal diffusion restriction is seen within few lesions."
data/train/audio_01958.wav,"lumbar scoliosis with convexity to the right side. multilevel marginal osteophytes ,disc dehydrative changes,facet joint arthopathy and schmorl nodes are seen. l3 vertebral body hemangioma. l5-s1 type ii modic end plate changes the rest of vertebrae appear normal in height, signal intensity and show normal alignment."
data/train/audio_04095.wav,a large intraventricular heterogeneous mass lesion is noted centered in the body of bilateral lateral ventricles (left > right). the lesion measures approximately 45 x 40 x 32 mm (ap x tr x cc). the lesion demonstrates heterogeneous attenuation
data/train/audio_01761.wav,a small well defined hypodense non-enhancing cyst is seen arising from the posterior margin of pancreas measuring 8.5 x 9.5 mm in dimension with thin peripheral wall enhancement. there is no exact communication with the main pancreatic duct. thin internal septae are seen in the above-mentioned cyst.
data/train/audio_02409.wav,ct coronary angiography protocol: ct coronary angiogram was performed ultrafast ct scanner. the coronary ct angiogram was performed with 75 ml of 400mg% nonionic contrast administered intravenously. imaging was performed from the level of the carina to the level of the hemidiaphragms.
data/train/audio_04295.wav,mri abdomen and pelvis technique: multiplanar multisequence mri of abdomen and pelvis was performed. observation: liver appears contracted in size measuring approximately 12.4 cm with diffuse surface irregularity
data/train/audio_00075.wav,urinary bladder is distended. there is mild urinary bladder wall thickening and trabeculations are seen. these changes are related to chronic cystitis. please correlate clinically. bones reveal normal signal intensity. there is no focal lesion seen. there is no significant lymphadenopathy. there is no evidence of any ascites.
data/train/audio_05345.wav,"mild facetal arthropathy is seen at this level. mild degenerative changes at atlantoaxial joint. osteoporotic vertebrae. incidentally, partial empty sella state. thank you for referring."
data/train/audio_03799.wav,"the vertebrae appear normal in height, signal intensity and show normal alignment. no osseous destruction noted. the signal from the marrow of the visualized vertebrae is normal. the visualized spinal cord shows normal mr morphology and signal characteristics."
data/train/audio_04329.wav,"highly suggestive of malignant neoplasm, likely squamous cell carcinoma. associated bilateral cervical lymphadenopathy involving level ib, ii and iii nodal stations. no definite mandibular invasion identified on the present study."
data/train/audio_05064.wav,advice: ct kub correlation. right renal cyst. suggest - clinical and biochemical correlation/further imaging if indicated.
data/train/audio_02500.wav,"coraco-acromial arch otherwise appears normal. type ii acromion noted. bones:- mild marrow oedema noted involving the anterior aspect of humeral head. rest of the head of humerus, rest of the glenoid, spine of scapula and coracoid reveal normal signal intensity. articular cartilage is intact with smooth margins."
data/train/audio_04288.wav,few fibronodular and centrilobular opacities in right upper lobe in adjacent pleural thickening and bronchial wall inflammation suggestive of infective aetiology and its sequelae. 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/train/audio_01325.wav,"diffuse disc bulge is noted at the l3-l4 level causing anterior thecal sac indentation, bilateral lateral recess narrowing, and abutment of the bilateral traversing l4 nerve roots. diffuse disc bulge is noted at the l4-l5 level causing anterior thecal sac indentation, bilateral lateral recess narrowing, and abutment of the bilateral traversing l5 nerve roots."
data/train/audio_04684.wav,: complete tear of anterior cruciate ligament. high grade complex tear involving the body and posterior horn of medial meniscus. low-grade tear involving the medial collateral ligament and medial patello-femoral ligament.
data/train/audio_00855.wav,"causing focal ihbrd, mass effect on adjacent structures ivc, pancreatic head and ampulla, causing mild dilatation of mpd. mild ihbr dilatation is seen. the right branch of the portal vein is narrowed secondary to mass effect from liver lesions. no evidence of any intraluminal filling defect."
data/train/audio_00158.wav,both maxillary sinuses and both frontal sinuses are normal. ethmoid / sphenoid sinuses appear normal. bilateral fronto-nasal recess appear unremarkable.
data/train/audio_01850.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."
data/train/audio_05038.wav,no significant mediastinal adenopathy is observed. heart and major vessels: heart outline and size appears normal. mild atherosclerotic calcification in the arch of aorta. others:
data/train/audio_04988.wav,"surrounding the sacroiliac joints. bilateral mild sacro-iliac joint effusion noted. no definite: o subchondral erosions identified o ankylosis o joint space widening or significant narrowing o abscess or collection hip joints visualised bilateral hip joints appear normal. no joint effusion, marrow edema, or degenerative changes identified."
data/train/audio_00478.wav,"posterior protrusions are seen at c5-6 and c6-7 levels, indenting the anterior subarachnoid spaces. sagittal t2 weighted screening of dorsal spine reveals loss of dorsal curvature seen. few schmorl's nodes are seen. mild changes of spondylolysis are seen."
data/train/audio_03350.wav,"mr scan reveals, bilateral minimal hip joint effusion. ill-defined altered marrow signal intensity area appearing hyperintense on t2wt images and hypointense on t2wt and t1wt images is seen in mid-shaft of right femur. suggest dedicated study of right femur with post-contrast evaluation."
data/train/audio_02205.wav,"multiple upper abdominal/perigastric nodular lesions, suspicious for metastatic lymphadenopathy/deposits. small indeterminate hypoenhancing lesion in the left hepatic lobe; metastatic deposit cannot be excluded."
data/train/audio_02161.wav,"t2 stir hyperintense prevertebral fluid signal seen from c1-c7 vertebral levels. stir hyperintense signal alteration noted in interspinous ligament at c4-c5, c5-c6 and c6-c7 levels. t2 stir hyperintense cord signal alteration noted from c3-c7 vertebral levels -"
data/train/audio_04082.wav,facetal joints appear normal and ligamentum flavum appears normal. l1-l2 level: normal disc signal is seen. no obvious disc bulge/ neural foraminal narrowing /significant nerve root compression. ligamentum flavum appears normal. bilateral facetal joints appear normal.
data/train/audio_05659.wav,"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 with intramedullary nail fixation changes noted in the distal femur."
data/train/audio_01213.wav,small suspicious hypodensity noted in the right temporal lobe. rest of the brain parenchyma is normal in attenuation. basal ganglia and thalami are normal. the posterior fossa structures are normal. no evidence of hemorrhage / sol. no midline shift is seen.
data/train/audio_03006.wav,rest of the visualized paranasal sinuses and bilateral orbits appear unremarkable. mr angiogram aortic arch and great vessels aortic arch appears normal in caliber and configuration. origins of great vessels from the aortic arch appear normal without significant stenosis.
data/train/audio_00286.wav,"no evidence of contusion, edema or intracranial hemorrhage is visualized. the gray white differentiation is maintained. the basal ganglia, thalami and capsular tracts appear normal. ventricular system and sulci are normal for age."
data/train/audio_03254.wav,lungs bilateral lungs fields are clear. 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/train/audio_00387.wav,findings: fracture noted in anterior and posterior wall of bilateral frontal sinuses with haemosinus within. fracture noted in intersinus septum. fracture noted in roof of bilateral orbits with pneumo-orbit within. fracture noted in right nasal bone. fracture noted in left lamina papyracea.
data/train/audio_00123.wav,visualized paranasal sinuses are normal. : left acute sdh with mass effect as described. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_05100.wav,"nasal septum is deviated to right side with septal spur. hypertrophied bilateral inferior turbinates noted. concha bullosa present on right side. type ii olfactory fossa, measures 5.2 mm. agar nasi cells appear normal. bones of the para nasal sinuses appear normal,"
data/train/audio_00753.wav,multilevel mild ligamentum flavum hypertrophy. mild facetal joint arthropathy at l5-s1 level. suggested clinical correlation.
data/train/audio_00911.wav,: lungs & airways: patchy areas of consolidation with associated centrilobular nodules are noted involving: o posterior segments of bilateral upper lobes o lingular segment of left upper lobe o right middle lobe o left lower lobe o posterobasal segments of right lower lobe
data/train/audio_00192.wav,there is no focal area of abnormal signal intensity in the cerebral or cerebellar hemispheres. the grey-white matter differentiation is well maintained. the ventricular systems and basal systems are normal. the brainstem and cerebellum are normal. there is no shift of the midline structures.
data/train/audio_03647.wav,"advice: clinical correlation with symptoms of fever, cough. short-term follow-up ct (4-6 weeks) to assess resolution of consolidation and nodules. consider sputum examination / cbnaat if tuberculosis suspected."
data/train/audio_02107.wav,sellar margins are well maintained. no bony lytic lesion or break in continuity. supra sellar and chiasmatic cisterns are normal. no para sellar abnormality. no hypothalamic lesion. sphenoid sinus appears normal. visualized basal cisterns are within normal limits. 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.
data/train/audio_03455.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/train/audio_05193.wav,ventricular system is not dilated and appear symmetrical. no intraventricular or ependymal lesions. aqueduct appears normal in size. csf spaces and fissures are prominent. no evidence of extra-axial collection is seen. calvarium and scalp: bony calvarium shows normal signal and diploic space. no mri evidence of fracture or sol is seen.
data/train/audio_00891.wav,rest of the visualized bones appear unremarkable. right sided inguinal hernia with herniation of omentum within noted. neck of the hernia is medial to the inferior epigastric vessels and measures approximately 17 mm. small hiatus hernia noted. few soft tissue granulomas noted in the subcutaneous plane of right gluteal region.
data/train/audio_03599.wav,no evidence of obstructive uropathy. atherosclerotic changes in abdominal aorta. degenerative lumbar spondylosis.
data/train/audio_00743.wav,". ventricular system is not dilated. csf spaces, sulci and fissures are maintained. 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."
data/train/audio_05171.wav,"increased anteroposterior diameter of the thorax with flattening of the diaphragmatic domes is seen, suggestive of underlying copd/emphysematous changes. airway and hilum: trachea and major bronchi are normal."
data/train/audio_02564.wav,"findings are suggestive of a small osteoid osteoma involving the proximal third metatarsal, characterized by a nidus measuring 6 x 4 mm, with adjacent bone marrow edema and marked reactive sclerosis. no aggressive features identified."
data/train/audio_04130.wav,focal loss of retroplacental interface with associated intraplacental flow voids in the lower uterine segment - findings raise suspicion for placenta accreta spectrum (likely placenta accreta / increta).
data/train/audio_03690.wav,"urinary bladder: distended, normal wall; no calculus or mass. prostate & seminal vesicles: unremarkable. vascular structures: aorta and branches: atherosclerotic changes with wall calcifications and intimal thickening."
data/train/audio_05374.wav,"the glenoid labrum appears normal. no evidence of labral tear. the middle and inferior glenohumeral ligaments appears normal the long head of biceps and its attachment appears normal the infraspinatus tendon, and teres minor tendon appear normal."
data/train/audio_03704.wav,close clinical correlation is advised. observation and follow-up
data/train/audio_02749.wav,"#4 both kidneys appear normal in size, shape & echotexture. no hydronephrosis or hydroureter is noted. the corticomedullary differentiation is maintained."
data/train/audio_04435.wav,recommendations: clinical correlation. consider further evaluation.
data/train/audio_02151.wav,collateral ligaments: partial tear involving the lateral collateral ligament. partial tear involving the medial patello-femoral ligament. mild sprain involving medial collateral ligament. no evidence of laxity or tear. grade i injury involving medial patellar retinaculum.
data/train/audio_05290.wav,lcx = 332 rca = 55 coronary artery angiogram findings: dominance of the coronary artery system: right dominant circulation. 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.
data/train/audio_04626.wav,to rule out peritonitis. drainage catheter in situ through left lumbar region traversing through descending colon and left kidney with tip in midline in preaortic region (possible site of bowel perforation). moderate soft tissue oedema in intramuscular and subcutaneous plane of left lumbar region with multiple air foci.
data/train/audio_04645.wav,bilateral perinephric fat stranding in visualized upper abdomen renal function test correlation suggested. mildly bulky left adrenal gland further evaluation if clinically indicated. atherosclerotic aortic wall calcifications.
data/train/audio_04040.wav,mild uncovertebral joint arthropathy at multiple cervical levels. degenerative changes in the cervical spine as described above. no obvious fracture. advice: 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/train/audio_03825.wav,l5-s1: diffuse annular disc bulge with posterior central circumferential annular tear causing mild thecal sac compression. disc spaces ap canal diameter (mm) l1 - l2 9.6 l2 - l3 11.0 l3 - l4 10.3 l4 - l5 8.3 l5 - s1 11 posterior osseous structures and soft tissue structures are normal. no pre / paraspinal soft tissue collection is seen.made mild degenerative changes in the lumbar spine in the form of anterior marginal osteophytes and mild disc desiccative changes.
data/train/audio_01076.wav,"bone window: comminuted fracture seen involving the right lateral orbital rim, medial orbital wall and inferior orbital rim, right zygomatic arch, anterior, superior, lateral and posterior right maxillary sinus walls, are identified (zygomaticomaxillary complex fracture-)."
data/train/audio_04483.wav,moderate elbow joint effusion noted. articular surfaces appear maintained (within limitations of motion artefact). ligaments: lateral ligament complex (lcl): high-grade partial thickness tear noted
data/train/audio_01516.wav,no obvious disc bulge/ neural foraminal narrowing /significant nerve root compression. ligamentum flavum appears normal. bilateral facetal joints appear normal. l4-l5 level: grade i disc desiccation with mild diffuse disc bulge. no obvious neural foraminal narrowing /
data/train/audio_04200.wav,pterygopalatine fissures appear normal bilaterally. ethmoid appears normal bilaterally with preserved air-cells. body and greater wing of sphenoid appear normal. miscellaneous: soft tissues are unremarkable. visualized vertebrae show no fracture or dislocation.
data/train/audio_04819.wav,"with persistent enhancement on portal venous and delayed phases, becoming isodense to the adjacent hepatic parenchyma, consistent with flash-filling hemangioma. no surrounding capsular retraction, washout, or adjacent biliary dilatation is seen. the remainder of the liver parenchyma appears unremarkable. gall bladder:"
data/train/audio_05036.wav,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.
data/train/audio_02571.wav,generalized gaseous distension of small bowel loops without a focal transition. features are consistent with paralytic ileus. complete chronic occlusions of proximal part of left ima with reformation of distal part by colleterals. moderate osteal stenosis is seen in right renal artery.
data/train/audio_02044.wav,"findings are highly suggestive of a malignant etiology, most likely perihilar cholangiocarcinoma (klatskin tumor). distal cbd calculus (~8 mm) suspicious portal vein thrombosis with vascular compression omental thickening - possible peritoneal deposits"
data/train/audio_04771.wav,"left malleus and incus appear grossly maintained. suspected erosive changes involving left stapes are noted. left cochlea, semicircular canals and internal auditory canal appear unremarkable."
data/train/audio_00681.wav,findings: agatston score: the total (aggregate) calcium score using the aj-130 method is 293 lm = zero. lad = 8 lcx = 85. rca = 200.
data/train/audio_02718.wav,"imaging features consistent with widespread metastatic disease. comparison: compared with prior imaging, interval metabolic decrease (as per prior pet) likely corresponds to partial response in hepatic and nodal disease."
data/train/audio_03768.wav,no congenital mal formation noted. no acute infarct or bleed is seen. no focal sol is seen. midline septa not shifted. no evidence of brain herniation. ventricular system is not dilated and appear symmetrical. no intraventricular or ependymal lesions. aqueduct appears normal in size.
data/train/audio_05696.wav,well defined t1 hypointense t2 hyperintense lesion measuring 14 x 16 x 18 mm noted in the region of tail of pancreas -- benign cystic lesion in tail of pancreas differential diagnosis
data/train/audio_01030.wav,"motion artifacts are seen in most of the sequences reducing optimal evaluation. full thickness tear of the supraspinatus tendon is seen, with retraction of its fibers medial to mid humeral head. moderate hyperintense signal is seen involving the terminal portion of the subscapularis tendon on t1 weighted images, suggestive of tendinosis."
data/train/audio_04333.wav,"observations: postoperative changes are noted in the left buccal region with fat-containing flap reconstruction seen. left ramus and condyle of mandible are not visualized, consistent with postoperative resectional changes."
data/train/audio_01462.wav,"lungs: multifocal areas of consolidation with surrounding ground-glass densities noted in right upper lobe apical, anterior and posterior segments. volume loss of right lung noted. there is evidence of tracheo mediastinal shift towards right side."
data/train/audio_02544.wav,"m.r.i. brain: protocol: se t1w sagittal, flair axials, dw axials & gre axials. through hippocampus: t2w coronals, ir coronals."
data/train/audio_00961.wav,tibiofemoral and patello-femoral joints appear normal with intact articular cartilage. no obvious intraarticular loose bodies are seen. mild knee joint and suprapatellar bursal effusion with soft tissue edema around knee joint. a 19 x 8 x 29 mm sized baker's cyst noted. :
data/train/audio_05323.wav,rest of the brain parenchyma is normal in signal intensity. rest of the bilateral basal appear normal. posterior fossa structures appear normal. intracranial vessels and venous sinuses show normal flow voids. no shift of midline is noted. bilateral maxillary and bilateral ethmoid sinusitis. rest of the paranasal sinuses and visualised orbits are normal.
data/train/audio_04796.wav,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. no bony lytic lesion or break in continuity. supra sellar and chiasmatic cisterns are normal. no para sellar abnormality. no hypothalamic lesion.
data/train/audio_00758.wav,no evidence of peritoneal mass. aorta and ivc: appear normal. no evidence of pre / para aortic / para caval lymphadenopathy. urinary bladder: appear normal in contour and wall thickness. no evidence of calculi. uterus:
data/train/audio_04421.wav,ct chest with contrast clinical history blood vomiting from yesterday 3 episode breathlesness and cough from 3 days technique the study was done by taking helical sections from lung apices to domes of diaphragm before and after administration of intravenous contrast on a ct scanner.
data/train/audio_00631.wav,"multiplanar mr imaging of the lumbar spine was performed using a phased-array spine coil and large fov. the lumbar lordosis is well maintained. mild scoliosis of the lumbar spine is seen, with convexity to the right. mild vertebral offsets are seen at few levels. vertebrae appears osteoporotic."
data/train/audio_04784.wav,posterior osseous structures and soft tissue structures are normal. no pre / paraspinal soft tissue collection is seen. : degenerative disc disease of lumbar spine with: anterior wedging of l1 vertebra with t1/t2 hypointense line along superior endplate and mild marrow edema- ?fracture. suggested ncct correlation.
data/train/audio_03027.wav,mild sprain of medial patellar retinaculum is seen. lateral retinaculum appears normal. mild effusion is seen. mild edema is seen in hoffa's fat pad. the patellar and quadriceps tendons are normal. other tendons around the knee joint are normal.
data/train/audio_03986.wav,observation: vertebral bodies appear normal. no lytic or sclerotic lesion is seen. para vertebral soft tissues appear normal. visualized parts of the ribs appear normal : no significant abnormality
data/train/audio_03946.wav,prominent left lateral ventricle. (predominantly occipital and temporal horn). few tiny t2 and flair non-specific white matter hyperintensities noted in bilateral corona radiata. no evidence of diffusion restriction.
data/train/audio_01366.wav,multilevel disc dehydrative changes. the vertebrae show normal marrow signal with no focal lesions. the dorsal cord appears normal. pre and para vertebral soft tissues are normal. degenerative disc disease of lumbar spine as described.
data/train/audio_01992.wav,"anterior compartment (quadriceps muscle group including rectus femoris, vastus lateralis, vastus medialis, vastus intermedius, sartorius) mild diffuse fatty infiltration noted."
data/train/audio_02575.wav,"colitis including, descending colon, sigmoid colon and rectum s/o infective colitis. mild cystitis. hepatomegaly with fatty liver. endometrium hyperplasia."
data/train/audio_03773.wav,thin acute subdural haemorrhage with maximum thickness of 1.9 mm noted in right temporal convexity. multiple air pockets noted within the haemorrhage -pneumocephalus. multiple intraparenchymal haemorrhagic contusions noted in bilateral frontal and temporal lobes.
data/train/audio_02224.wav,"basal ganglia and thalami are normal. the posterior fossa structures are normal. no evidence of sol. no midline shift is seen. sella and parasellar structures appear grossly unremarkable. left maxillary, right sphenoid and bilateral ethmoid sinusitis. rest of the visualized paranasal sinuses are unremarkable. suspicious minimally displaced fracture involving the left nasal bone. rest of the skull bones appear normal. subgaleal soft tissue swelling over left lateral fronto-temporo-parietal regions."
data/train/audio_01653.wav,bilateral insular cortex and sylvian fissures appear normal. no congenital mal formation noted. no acute infarct or bleed is seen. no focal sol is seen. midline septa not shifted. no evidence of brain herniation. ventricular system is not dilated and appear symmetrical. no intraventricular or ependymal lesions. aqueduct appears normal in size.
data/train/audio_03938.wav,l2-l3 intervertebral disc reveals diffuse bulge. it indents thecal sac. without any impingement of nerve root foramen nodule. l3-l4 intervertebral disc reveals broad based posterior protrusion it indents thecal sac and both l4 nerve roots. it causes mild narrowing of central canal.
data/train/audio_03749.wav,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.
data/train/audio_04389.wav,no e/o any focal altered signal intensity lesion is seen. rest of the visualized soft tissues are normal. impression: partial tear involving the distal fibers of medial head of gastrocnemius muscle near its insertion. mild sprain involving the lateral head of gastrocnemius muscle. mild to moderate sprain/low-grade
data/train/audio_04700.wav,possible considerations for the above hemorrhagic and diffusion abnormalities include: hemorrhagic transformation of infarcts primary hemorrhages with surrounding infarction metabolic or hypoglycemia-related brain injury pres-related / hypoxicischemic changes
data/train/audio_03511.wav,flavum hypertrophy and facetal joint arthropathy noted. at l4-l5 level: diffuse disc bulge indenting thecal sac and traversing nerve roots narrowing bilateral neural foramina indenting bilateral exiting nerve roots. ligamentum flavum hypertrophy and facetal joint arthropathy noted. at l5-s1 level: diffuse disc bulge indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots narrowing bilateral neural foramina indenting bilateral exiting nerve roots. ligamentum flavum hypertrophy and facetal joint arthropathy noted. disc level canal diameter (mm) l1-l2 12.8 l2-l3 9.3 l3-l4 4.5 l4-l5 6.1 l5-s1 7.9 on whole spine screening: loss of cervical lordosis with disc desiccation of all the cervical intervertebral discs is noted.
data/train/audio_01898.wav,x-ray chest views pa view of chest lungs bilateral lungs fields are clear. airways trachea is central. tracheo-bronchial tree is normal.
data/train/audio_02381.wav,intact and reveal normal signal intensity. biceps tendon is seen in the bicipital groove and appears normal. mild fluid noted in the bicipital groove likely reactive. no significant atrophy or fatty degeneration of muscles of rotator cuff. joint:- mild shoulder joint and sub-coracoid bursal effusion is noted. mild to moderate acromio-clavicular joint
data/train/audio_04568.wav,"bilateral gluteus medius tendinosis is seen no other significant abnormality detected. impression mr scan reveals, broad based posterior herniation with superior migration of l4-l5 disc causing moderate narrowing of central canal."
data/train/audio_05181.wav,"l3-4: diffuse disc bulge causing indentation of the anterior thecal sac with mild narrowing of lateral recess and neural foramina on both sides, mildly indenting the traversing & exiting nerve root on both sides. ligamentum flavum hypertrophy is noted at same level."
data/train/audio_01833.wav,lad territory: moderate-severe disease proximal lad: 50%-60% stenosis (moderate) mid lad: 60%-70% stenosis (moderate-severe) superficial myocardial bridging in mid lad (10 mm length)
data/train/audio_00687.wav,the aortic valve is tricuspid. visualised lung parenchyma reveals areas of interstitial thickening and subpleural honeycombing involving the bilateral lower lobes suggestive of interstitial lung abnormality. needs dedicated imaging. impression:
data/train/audio_00055.wav,there is no evidence of radiodense calculus. there is no perinephric fat stranding seen. there is no hydronephrosis seen. small and large bowel loops appear unremarkable. no abnormal dilatation seen. urinary bladder is distended.
data/train/audio_05504.wav,l4-l5 intervertebral disc reveals broad based posterior herniation. it indents thecal sac and both l5 nerve roots. it causes moderate narrowing of central canal. mild facetal arthropathy and ligamentum flavum thickening is seen at this level.
data/train/audio_01227.wav,"findings: multiple linear and curvilinear hemorrhagic foci are seen predominantly in bilateral frontal, parietal and adjacent occipital lobes, appearing fairly symmetrical in distribution. these areas show mixed regions of diffusion restriction on dwi/adc images. corresponding blooming is noted on gre and swi"
data/train/audio_01068.wav,no intra axial / extra axial collection is seen. no midline shift is seen. sella and parasellar structures appear grossly unremarkable. bilateral maxillary and ethmoid sinusitis. rest of the visualized paranasal sinuses are unremarkable. skull bones appear normal. no e/o any fracture noted.
data/train/audio_00958.wav,grade ii signal change involving anterior horn of lateral meniscus. grade ii signal change involving body and posterior horn of medial meniscus. muscles: mild popliteus tendinosis noted. popliteus muscle appear unremarkable. the quadriceps tendon and ligamentum patellae reveals sprain. the hoffa`s fat pad reveals edema.
data/train/audio_02062.wav,both kidneys show prompt excretion of the contrast. no evidence of calculus or hydronephrosis on left side. approximately 4.3 x 4.5 x 4.1 mm sized radiodense calculus (hu 402) noted in right mid pole calyx. no evidence of hydronephrosis.
data/train/audio_05219.wav,perilesional soft tissue edema and inflammatory changes. edema/strain of the flexor hallucis brevis tendon with involvement of adjacent intrinsic foot muscles. no evidence of abscess or osseous involvement.
data/train/audio_04122.wav,right carotid angiogram - the origin of the right cca is normal in course and caliber. the carotid bifurcation is normal. extra-cranial ica is normal in course and caliber. external carotid artery is normal. right mca and its branches are normal in course and caliber.
data/train/audio_01972.wav,"minimal joint effusion. the glenohumeral joint appears normal. the middle and inferior glenohumeral ligaments appears normal the long head of biceps and its attachment appears normal the subscapularis tendons appear normal. the infraspinatus tendon, and teres minor tendon appear normal. the coraco humeral ligament appears normal."
data/train/audio_00293.wav,"spleen: normal in size and signal intensity. no focal lesion. adrenal glands: both adrenals appear normal. kidneys & ureters: both kidneys are normal in size, shape, and signal intensity."
data/train/audio_02070.wav,"findings there is evidence of a large well-defined heterogeneous lesion in the suprasellar region centered along the infundibulum/pituitary stalk, measuring approximately 4.7 x 3.3 x 4.2 cm (ap x tr x cc). the lesion demonstrates heterogeneous signal intensity on t2-weighted images with"
data/train/audio_03879.wav,"numerous small nodules are scattered throughout both lung fields; most are subcentimetric in size. areas of mosaic attenuation are noted in both lungs, suggesting associated small airway disease or perfusion abnormalities. no obvious pneumothorax. no significant endobronchial lesion identified."
data/train/audio_03793.wav,"no other significant intracranial abnormality detected. bilateral mild maxillary, bilateral ethmoid and bilateral sphenoid 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/train/audio_04118.wav,findings: ct brain: a 5 x 4.4 x 4.5 cm (approximate volume 62 cc) sized hyperdense collection of blood attenuation is noted in the left thalamocapsular region extending to left half of midbrain and corona radiata with mild perilesional edema.
data/train/audio_02152.wav,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: mildly displaced fracture with marrow edema involving the lateral femoral condyle. it is involving the articular surface.
data/train/audio_05261.wav,superior end plate wedge compression fracture of l4 vertebra (about 25% anterior height reduction). no retropulsed bone fragments. the osseous structures are normal in alignment and density. both hip joint spaces are maintained with smooth articular surface.
data/train/audio_05159.wav,: no obvious intracranial hemorrhage. no significant intracranial abnormality detected. multiple craniofacial fractures as mentioned above. diffuse soft tissue swelling over anterior facial region. suggested clinical correlation and further evaluation with 3d face will be worthwhile. 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/train/audio_04383.wav,"soft tissue edema involving right supraclavicular region. comminuted mildly displaced fracture involving the right first rib. mildly displaced fracture involving the right transverse process of c7 vertebra involving the right neural foramina. rest of the lung parenchyma is normal in attenuation. the heart, great vessels, trachea and mainstem bronchi are normal."
data/train/audio_02875.wav,multiple renal calculi in the left kidney and microliths in the right kidney. multiple hepatic cysts - associated extrarenal manifestation of adpkd. no evidence of obstructive uropathy.
data/train/audio_04616.wav,lungs prominence of bronchovascular markings. airways trachea is central. tracheo-bronchial tree is normal. heart cardiac silhouette is normal. others bilateral pleural effusion with atelectasis of underlying lung parenchyma. both domes of diaphragm are normally placed.
data/train/audio_00780.wav,findings: anterior cruciate ligament (acl): mid-portion and femoral attachment are not well visualized - features suggestive of complex tear. posterior cruciate ligament (pcl): mid-portion and femoral attachment are not well visualized - suggestive of complex tear.
data/train/audio_03480.wav,"prostate is normal in shape, size and enhancement pattern. prostatic capsule is intact. seminal vesicles and peri-prostatic region appears unremarkable. post-operative status following appendectomy with ileostomy in situ in the right iliac fossa. the ileostomy tract"
data/train/audio_03276.wav,"few cortical cysts are noted in the left kidney, largest measuring 1.8 x 1.6 cm in the upper pole, showing areas of hyperdensity suggestive of haemorrhagic component. no evidence of hydronephrosis or hydroureter. urinary bladder is partially filled with foley's catheter in situ."
data/train/audio_05412.wav,"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."
data/train/audio_04734.wav,"it compresses the anterior epidural fat, both s1 nerve roots and causes moderate narrowing of central canal. moderate facetal arthropathy and ligamentum flavum thickening are detected at this level, adding spinal canal stenosis. there is mild atrophy of the posterior paraspinal muscles seen in lower lumbar region. the lower end of the spinal cord, cauda equina and filum terminale do not reveal any abnormality."
data/train/audio_05283.wav,other 2 t2 hypointense and t1 hypointense well defined subserosal fibroids are seen in the anterior wall measuring up to 1.3 x 1.2 cm and 0.9 x 0.8 cm in dimension. the shows mild myometrium like enhancement.
data/train/audio_02376.wav,"disc spaces: l1-l2: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. l2-l3: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. l3-l4: there is diffuse disc bulge , right foraminal herniation"
data/train/audio_00516.wav,"bony external auditory canal: bony external auditory canal appears normal on both sides. no evidence of narrowing, expansion, or bony erosion. petroclival region and inferior petrosal sinus appear normal. middle ear: left side: soft tissue density noted"
data/train/audio_03920.wav,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. patchy calcifications noted in the penile shaft. suggested usg correlation to rule out urethral calculus. :
data/train/audio_05210.wav,"soft tissue shadows and bony thorax appear to be normal. opinion: haziness involving left lower zone suggestive of consolidation, likely koch's. bilateral hilum appears prominent - ? lymphadenopathy. mild cardiomegaly. 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/train/audio_03947.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. reduced volume of posterior fossa. there is no shift of the midline structures. no evidence of any intracranial space occupying lesion. minimal mucosal thickening noted in left maxillary sinus.
data/train/audio_00136.wav,cervix and vagina: appear unremarkable. right adnexa right ovary appears bulky with a tubo-ovarian complex measuring 2.7 x 2.5 x 2.5 cm.
data/train/audio_00937.wav,"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 except mild mucosal thickening in bilateral maxillary sinuses"
data/train/audio_03322.wav,"surrounding this, there is diffusion-restricting endometrial thickening, measuring up to 10 mm along the left lateral wall and 5 mm along the right lateral wall. posterior myometrial invasion is present, involving <50% of myometrial thickness."
data/train/audio_00704.wav,femoral neck and proximal femoral shaft reveal normal signal intensity and cortical margins. no joint effusion seen. rest of the acetabulum and acetabular fossa are normal with normal articular margins. rest of the peri-articular and para-articular muscles reveal normal signal intensity and well-preserved intermuscular fat planes.
data/train/audio_00298.wav,"no definite placental interface with uterus identified. likely implantation site appears peritoneal, exact site of placental attachment not clearly delineated. bowel loops: visualized bowel loops appear normal. no obstruction or focal lesion."
data/train/audio_03424.wav,the liver is normal in size (measuring 15.6 cm). multiple t2 iso- to hypointense lesions with diffusion restriction are seen scattered throughout all segments of the liver. smaller lesions are better appreciated on diffusion-weighted imaging.
data/train/audio_04813.wav,these findings are in favour of liver parenchymal disease. needs dedicated imaging. multiple areas of mild bronchial wall inflammation involving the segmental and subsegmental bronchi of bilateral lung parenchyma.
data/train/audio_02938.wav,"with segmental edematous wall thickening measuring approximately 6.4 cm, without luminal narrowing. mild adjacent fat stranding is noted near the hepatic flexure and cecum. rest of the small and large bowel loops appear normal in caliber. lymph nodes few prominent periportal, portacaval, preaortic,"
data/train/audio_01662.wav,volume loss of right lung noted. there is evidence of tracheo mediastinal shift towards right side. fibro atelectasis of right upper lobe apical and anterior segments noted. multiple tiny nodular opacities noted scattered in right lower lobe superior and basal segments. patchy ground-glass densities noted in left upper lobe anterior segment.
data/train/audio_05058.wav,tiny bilateral renal concretions. small right renal simple cortical cyst. moderate prostatomegaly with mild heterogenous echotexture. advice psa correlation. suggest - clinical and biochemical correlation/ further imaging if indicated. ms. suman vaishnav
data/train/audio_05419.wav,"basal cisterns, sulcal spaces and ventricular system is prominent. 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 basal ganglia, thalami, brainstem and cerebellum appear normal."
data/train/audio_03172.wav,": multifocal bone contusions involving calcaneum, talus, cuboid, navicular, and metatarsal bases peroneal tenosynovitis around peroneus longus and brevis intrinsic foot muscle strain diffuse soft tissue edema"
data/train/audio_03860.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 suggested clinical correlation.
data/train/audio_04682.wav,minimally displaced fracture with marrow edema involving the medial tibial condyle. moderate knee joint and suprapatellar bursal effusion with diffuse soft tissue edema around knee joint. 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/train/audio_02896.wav,metastatic lymph node / soft tissue deposit in a known case of dfsp. 2. bilateral hydrocele. 3. prostatomegaly (~30 cc).
data/train/audio_05129.wav,lumbar canal diameters at disc levels are as follows: l1-2 14.3 mm. l2-3 14.0 mm. l3-4 14.0 mm. l4-5 13.4 mm. l5-s1 11.0 mm. para-spinal structures:
data/train/audio_01092.wav,"anterior tibial artery, posterior tibial artery, and peroneal artery appear normal in calibre and contrast opacification. no significant stenosis or occlusion is noted. left lower limb: the left popliteal artery, posterior tibial artery, and peroneal artery appear normal in calibre and opacification. there is mild luminal narrowing noted in the proximal"
data/train/audio_03910.wav,"chronic small vessel ischemic changes in bilateral frontal white matter. compared to the previous mri (30.11.2024), postoperative changes are stable, with development of enhancing lesion in the right basifrontal region suggestive of recurrent disease"
data/train/audio_04476.wav,"soft tissues: no evidence of soft tissue swelling, collection, or mass lesion. no calcification noted. impression: normal ncct appearance of bilateral sternoclavicular joints. no evidence of fracture, dislocation, degenerative, inflammatory, or infective pathology."
data/train/audio_03702.wav,"ct imaging findings are indeterminate for acute appendicitis. in the given clinical context (transient symptoms with improvement), findings may represent: d/d resolving / early acute appendicitis"
data/train/audio_01401.wav,"major pulmonary artery, right pulmonary artery and left pulmonary artery show no abnormality. others: visualized vertebrae, sternum and ribs appear normal. soft tissues and muscles of chest wall are normal."
data/train/audio_04718.wav,sagittal t2 weighted screening of dorsal spine reveals maintained curvature. mild changes of spondylolysis are seen. hemangioma is seen involving the t11 vertebral body. mild generalized facetal arthropathy are seen. :
data/train/audio_04885.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/train/audio_04934.wav,tracheal lucency is central. soft tissue shadows and bony thorax appear to be normal. opinion: blunting of right costophrenic angle suggestive of pleural effusion. to rule out koch's. prominence of bronchovascular markings likely congestion. 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/train/audio_00137.wav,"findings uterus the uterus is anteverted and anteflexed, measuring 6.9 x 3.9 x 5.2 cm. there is asymmetric thickening of the posterior myometrial wall (~3 cm) compared to the anterior wall (~1 cm)."
data/train/audio_00825.wav,degenerative changes noted in the spine in the form of marginal osteophyte formations and disc desiccative changes. c5-c6 : posterior disc osteophyte complexes causing mild thecal sac indentation. hemangiomas noted in the dorsal spine.
data/train/audio_03061.wav,marrow of head of femur shows normal signal intensity in all sequences. no evidence of avascular necrosis. no abnormality seen in the neck or trochanters or shaft of femur on both sides. the acetabulum is normal. the muscles and neurovascular bundles are normal. :
data/train/audio_05477.wav,"lobe. multiple areas of mild bronchial wall inflammation noted involving the segmental and subsegmental bronchi of 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/train/audio_02557.wav,"bilateral lung fields are normal in translucency and markings, except for dependant confluencing ground glass haziness in bilateral lung bases. no significant mediastinal lymphadenopathy. no evidence of pleural pericardial effusion."
data/train/audio_02129.wav,narrowing bilateral lateral recess abutting traversing nerve roots narrowing bilateral neural foramina indenting bilateral exiting nerve roots. multilevel ligamentum flavum hypertrophy and facetal joint arthropathy. rest of the changes of lumbar spondylosis as described above. suggested clinical and bmd 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/train/audio_03213.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/train/audio_03285.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. wall thickness of urinary bladder is normal. perivesical fat planes are preserved. retroperitoneum:
data/train/audio_05636.wav,recoridng 1- observation: fine and coarse reticular opacities noted in predominantly bilateral lung fields both hila are normal. cardiophrenic and costophrenic angles are normal. the trachea is central themediastinal and cardiac silhoutte are normal. cardiothoracic ratio is normal. recoridng 2- bones of the thoracic cage are normal. soft tissues of the chest wall are normal. : above x-ray film findings suggestive of ?? ild . advice-complete blood count/ hrct thorax
data/train/audio_02340.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/train/audio_05411.wav,"heart outline and size appears normal. others: visualized vertebrae, sternum and ribs appear normal. soft tissues and muscles of chest wall are normal. visualised sections- evidence of a large well defined soft tissue mass lesion ~7.2x5.2cm"
data/train/audio_00928.wav,left parieto-occipital pericranial soft tissue contusion noted. right fronto-parietal pericranial soft tissue contusion noted. ct scan- facial bones observations: mandible is normal. no fracture is seen. temporomandibular joints appear normal.
data/train/audio_01663.wav,pleural thickening with calcification noted in right lower zone. - possibility of infective opacities in the background of postinfective fibrosis and lung collapse differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_02611.wav,5. incidental note is made of small t2 hyperintense lesion is seen in subcutaneous plane in the back region at the level of t1-2. this may suggests possibility of sebacious cyst. please correlate clinically. thank you for referring.
data/train/audio_04121.wav,left carotid angiogram - the origin of the left cca is normal in course and caliber. the carotid bifurcation is normal. extra-cranial ica is normal in course and caliber. external carotid artery is normal. left mca and its branches are normal in course and caliber.
data/train/audio_05217.wav,"findings: a well-defined area of marked susceptibility artefact is noted in the plantar aspect of the forefoot, located just inferior to the head of the first metatarsal, consistent with a retained metallic foreign body. the exact size and morphology are obscured due to blooming artefact."
data/train/audio_03820.wav,"suspicious in clinical context, though subcentimetric. recommendation: fnac from left supraclavicular node for confirmation. keyimages"
data/train/audio_03066.wav,"diffuse disc bulge noted at c6-c7 level causing anterior thecal sac indentation,bilateral neural foraminal narrowing and abutting bilateral c7 exiting nerve roots. the vertebral bodies, pedicles, laminae, transverse processes show normal morphology and mr signal pattern. the uncovertebral joints and neural foraminae appear normal. the alignment of the vertebrae is normal."
data/train/audio_05000.wav,stenosis measuring 9 mm. stenosis of bilateral lateral recesses. facet joints and ligaments: facet joints are unremarkable. ligamentum flavum is normal. no evidence of facet hypertrophy or ligamentum flavum thickening. spinal canal: spinal canal narrowing noted at l5-s1 level. no abnormal signal intensity within the spinal cord. no mass lesion.
data/train/audio_04788.wav,the uncovertebral joints are normal. cranio-vertebral region is normal. the prevertebral and pretracheal soft tissue spaces are normal. there is no cervical rib. : no significant abnormality detected.
data/train/audio_00178.wav,mosaic attenuation pattern is noted in bilateral lung fields. pleura: mild right-sided pleural effusion is present. mediastinum / lymph nodes: few enlarged mediastinal lymph nodes are seen. remaining mediastinal structures appear unremarkable. cardiovascular structures: atherosclerotic wall calcifications are noted in the coronary arteries.
data/train/audio_00593.wav,observation thin linear blind ending sinus tract noted in left para-median location near the upper part of the natal (gluteal) cleft. sinus tract measures 2.0 cm in length and runs in subcutaneous plane and ends blindly.
data/train/audio_03413.wav,"post orthopaedic implant removal status noted in distal tibia, distal fibula, talus and calcaneum. patchy areas of sclerosis noted in tarsal bones. reduction of joint space with subchondral sclerosis noted in subtalar joint ( predominantly in posterior aspect), possibility of changes of osteoarthritis."
data/train/audio_05082.wav,remaining visualized soft tissues are unremarkable on this non-contrast study. impression small plantar and posterior calcaneal spurs. mild soft tissue edema over the lateral malleolar region.
data/train/audio_02669.wav,sellar type of pneumatisation of sphenoid sinus. uncinate process: lamina papyracea. optic nerve canal: type iii on left and type ii on right. sinuses: the right omu is blocked.
data/train/audio_00495.wav,: 1. anterior wedge compression fracture of l1 vertebral body seen with loss of vertebral body height by approximately 70-80%. there is associated marrow edema seen. there is no evidence of retropulsion of posterior cortex. there is no associated soft tissue component.
data/train/audio_04589.wav,correlation with serum bilirubin is recommended. pericholecystic collaterals are also seen mildly enlarged intra-abdominal lymph nodes probably reactive in nature. no evidence of ascites. splenomegaly is noted.
data/train/audio_05641.wav,:- few tiny areas of altered signal intensity in right thalamus and left lenti-form nucleus .s/o acute / subacute infarcts. chronic lacunar infarct in pons and left internal capsule. age related diffuse cerebral atrophy with chronic microvascular ischemic changes. please correlate clinically.
data/train/audio_05455.wav,mild acromio-clavicular joint arthropathy is noted in the form of capsular hypertrophy and marginal osteophytes. it is mildly impinging the underlying myotendinous junction of supraspinatus. glenohumeral joint appears normal with intact articular surfaces. mild fraying of anterosuperior glenoid labrum from
data/train/audio_04030.wav,diffuse mild polypoidal mucosal thickening involving right maxillary sinus extending into right ethmoid air cells. bilateral ostiomeatal units are blocked. mild mucosal thickening involving right sphenoid sinus. both the frontal sinuses are well pneumatised and appear normal. frontal recesses on the both sides are blocked.
data/train/audio_02885.wav,"o focal encephalomalacia/gliosis also noted in right frontal and posterior temporo-parietal regions (postsurgical changes). white matter: o extensive t2/flair hyperintensities in bilateral cerebral white matter, more prominent in fronto-parietal than temporal regions."
data/train/audio_05259.wav,the pelvic musculature to the extent visualized is unremarkable. there is no lymphadenopathy to the extent visualized. : congenital lumbar transverse mega-apophysis articulating with the sacrum.
data/train/audio_05674.wav,"from the proximal thigh to its distal insertion, without definite evidence of muscle tear on the available sequences. in the absence of trauma, differential considerations include: inflammatory or infective myositis denervation-related muscle edema"
data/train/audio_03094.wav,x-ray right foot (ap & lat.): no evidence of any fracture is seen. no evidence of dislocation or subluxation. no evidence of any lytic or sclerotic lesion is seen.
data/train/audio_05390.wav,"visualised paranasal sinuses are normal : chronic small vessel ischemic changes. 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."
data/train/audio_04634.wav,the vertebral bodies reveal normal morphology and signal characteristics. cranio-vertebral junction appears normal. cervical canal diameters at disc levels are as follows: c2-3 - 10.0 mm. c3-4 - 10.0 mm. c4-5 - 10.0 mm.
data/train/audio_01618.wav,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 suggestive of pneumonic consolidations. mosaic perfusion noted in the bilateral lungs suggestive of pulmonary plethora. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_01684.wav,"necrotizing pneumonia / lung abscess likely infective etiology. (tuberculosis may be considered in differential depending on clinical context). bilateral bronchiectasis with bronchiolectasis and patchy ggos,"
data/train/audio_02035.wav,"at c5-c6 level: partial disc desiccation, minimal posterior disc bulge abutting thecal sac without any nerve root compression. at c6-c7 level: no significant disc bulge. at c7-t1 level: no significant disc bulge. measurements:"
data/train/audio_02008.wav,"mildly displaced fracture involving antero-inferior endplate of d12 vertebra and mildly displaced fracture involving the spinous process and right lamina at this level. displaced fractures involving both transverse processes of l1 vertebra, right transverse process of l2 vertebra,"
data/train/audio_01977.wav,: the right kidney measures 9.7 x 4.6 cms. a 6.6 x 4.6 x 9.6 mm 30 tr x ap x cc) hyperdense (hu 700) obstructive calculus in the right upper ureter (approximately 3.6 cm from the right pelviureteric junction)
data/train/audio_02920.wav,the remaining lung parenchyma shows fibrotic changes with traction bronchiectasis involving the lateral segment of the right middle lobe. areas of mosaic attenuation with air trapping are noted in bilateral upper and lower lobes. linear fibrotic strands are seen in the left lingula. no focal enhancing pulmonary mass lesion is identified. cardiac size and configuration appear normal. no pericardial effusion is seen.
data/train/audio_04444.wav,"mri cisternography with ct screening clinical indication: left-sided csf rhinorrhoea. : there is a well-defined bony defect involving the cribriform plate of the left ethmoid bone, measuring approximately 4 x 3 mm,"
data/train/audio_02827.wav,old infective sequelae in form of subpleural fibrotic bands as mentioned above.
data/train/audio_05594.wav,soft tissues: there is diffuse subcutaneous soft tissue edema noted along the dorsal aspect of the foot. no definite soft tissue collection or foreign body is seen. comminuted minimally displaced fracture of the medial cuneiform with extension to the intertarsal and tarsometatarsal articular surface.
data/train/audio_02415.wav,"technique mri abdomen with mrcp sequences performed. multiplanar t1- and t2-weighted imaging with heavily t2-weighted mrcp sequences. findings hepatomegaly: mild hepatomegaly with liver span measuring 17.2 cm. no focal hepatic lesion identified on the provided sequences. intrahepatic biliary radicals are not dilated. gallbladder: multiple microcalculi/sludge noted within the gallbladder, appearing hypointense on t2 and mildly hyperintense on t1 images."
data/train/audio_04484.wav,muscles: edema noted in: brachioradialis & anconeus - suggestive of muscle contusion/strain soft tissues: diffuse subcutaneous edema around the elbow joint. neurovascular structures: no obvious abnormality
data/train/audio_00048.wav,"diffuse muscular atrophy involving anterior, posterior and peroneal compartments with mild subcutaneous edema of the leg. minimal atherosclerotic calcified plaques in the proximal third of the anterior tibial artery."
data/train/audio_04158.wav,"impression: subarticular cyst in the talar dome measuring 10 x 11 mm with surrounding bone marrow edema. tenosynovitis with fluid along the flexor hallucis longus, tibialis posterior and flexor digitorum longus tendon sheaths."
data/train/audio_01041.wav,rotator cuff - infraspinatus: tendon fibers appear intact without full-thickness tear. rotator cuff - subscapularis: tendon fibers appear intact without full-thickness tear. rotator cuff - teres minor: tendon fibers appear intact.
data/train/audio_04370.wav,"findings: bilateral diffuse cerebral edema. mild compression of midbrain noted. multiple areas of subarachnoid hemorrhage noted involving bilateral fronto-temporo-parietal lobes, bilateral sylvian fissures, bilateral basal cisterns and interhemispheric fissure. subdural hemorrhage along left cerebral convexity. maximum thickness measures approximately 5.9 mm."
data/train/audio_03358.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/train/audio_01382.wav,"both frontal sinuses, sphenoid sinuses, fronto-nasal and spheno-ethmoid recess. bilateral fronto-nasal and spheno-ethmoid recess appears blocked. the nasolacrimal duct on either side is normal. kero's type ii bilateral olfactory fossa depth seen."
data/train/audio_01515.wav,l2-l3 level: grade i disc desiccation. no obvious disc bulge/ neural foraminal narrowing /significant nerve root compression. ligamentum flavum appears normal. bilateral facetal joints appear normal. l3-l4 level: grade i disc desiccation.
data/train/audio_05130.wav,"diffuse pseudo bulge of l5-s1 disc, causing compression over bilateral traversing s1 and exiting l5 nerve roots (right> left)."
data/train/audio_03202.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/train/audio_05400.wav,psoas shadows are normal. : no definitive abnormality seen adv - ct abdomen if clinically indicated.
data/train/audio_05062.wav,"kidneys: right kidney measures 9.4 x 5.5 cm. a 7.0 x 7.0 mm exophytic cyst seen in mid pole. few ( 2-3) non- obstructive calculi are seen in the mid pole, largest measuring 8-9 mm."
data/train/audio_00403.wav,observations: mildly displaced fracture of the right anterior and posterolateral wall of maxillary sinus with hemosinus. soft tissue edema and fat stranding in the right maxillary region. mandible is normal. no fracture is seen. temporomandibular joints appear normal. no subluxation or dislocation noted.
data/train/audio_01899.wav,heart cardiac silhouette is normal. others bilateral cp angles are clear. both domes of diaphragm are normally placed. bony thoracic cage is normal.
data/train/audio_00124.wav,right lateral ventricle and the 3rd ventricles are normal basal ganglia and thalami are normal. posterior fossa: cerebellum and brainstem are normal in attenuation pattern. cerebellar folia are normal. no focal sol seen.
data/train/audio_03011.wav,"hyperacute to acute intraparenchymal hemorrhage involving left ganglio-capsular region extending to left corona radiata, superficial temporal lobe and left centrum semiovale with mild perilesional edema and minimal intraventricular extension as mentioned above. midline shift to the right by 6.5 mm."
data/train/audio_05164.wav,the normal curvature of the lumbar spine is maintained. disc dessicative changes with diffuse disc bulge at l4-5 level indenting gthe thecal sac the vertebrae show normal alignment and marrow signal. no vertebral focal lesions seen. the intervertebral discs appear normal with no significant bulges or herniation noted.
data/train/audio_01370.wav,"l4-l5: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. l5-s1: diffuse disc bulge with posterocentral disc protrusion causing thecal sac indentation and impingement of bilateral traversing nerve roots."
data/train/audio_05551.wav,lungs prominence of bronchovascular markings noted. haziness involving bilateral mid and lower zones suggestive of pneumonitis. 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.
data/train/audio_03431.wav,"metastatic lymphadenopathy (periportal, portocaval, aortocaval) cholelithiasis with sludge and gallbladder overdistension 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."
data/train/audio_03098.wav,"the posterior fossa structures are normal. no evidence of infarct / sol. rest of the cortical sulci, basal cisterns and ventricular system are normal. sella and parasellar structures appear grossly unremarkable. comminuted displaced fractures involving all walls of both maxillary sinuses with resultant bilateral maxillary haemosinus."
data/train/audio_02313.wav,: mild posterior disc bulges at l2-l3 and l4-l5 levels abutting thecal sac without any nerve root compression. 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/train/audio_02464.wav,with multiple striated pattern on the delayed phase s/o ascending urinary tract infection with early pyelonephritis (left >>right). posibility of urinary tract tb need to be rule out. right renal cortical scarring likely due to recurrent infection. mild free fluid is seen in left para colic gutter.
data/train/audio_04458.wav,"are normal in size, morphology and signal characteristics. portal and billiary radicals are normal. major abdominal blood vessels are normal in caliber. few centimetric and subcentimetric lymph nodes noted in left periaortic region. no evidence of free fluid in abdomen and pleural space. conclusion: above findings are suggestive of changes of chronic"
data/train/audio_01744.wav,": cartilagenous and bony nasal septum is deviated to the right. above findings are suggestive of polypoidal soft tissue density heterogeneously enhancing area involving left maxillary sinus, left nasal cavity, left ethmoid air cells and left frontal sinus as mentioned above likely suggestive of fungal sinusitis."
data/train/audio_00144.wav,"few small simple cysts are also seen. the left ovary is closely apposed to the posterolateral uterine wall, suggestive of adhesions. deep pelvic endometriosis an ill-defined t2 hypointense minimally enhancing lesion is seen at the torus uterinus, measuring 0.9 x 0.8 cm."
data/train/audio_04847.wav,no evidence of ureteric calculus / obstruction seen. urinary bladder: urinary bladder is adequately distended with smooth outline and appears normal. lumen exhibits normal uniform opacification. wall thickness of urinary bladder is normal. gastrointestinal tract
data/train/audio_03669.wav,"the alignment of pelvic bones is normal. the hip joints are normal, with smooth articular margins the articular margin is normal in thickness. bilateral minimal hip joint effusion is seen. there is no abnormal soft tissue component or fluid collection is seen. pelvic muscles are normal."
data/train/audio_03766.wav,cavernous sinuses are normal in size. sellar margins are well maintained. no bony lytic lesion or break in continuity. supra sellar and chiasmatic cisterns are normal. no para sellar abnormality. no hypothalamic lesion. sphenoid sinus appears normal. visualized basal cisterns are within normal limits.
data/train/audio_02178.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. no evidence of any intracranial space occupying lesion or hemorrhage."
data/train/audio_00109.wav,prostate appears normal. visualised osseous structures appear unremarkable. no lytic or sclerotic bony lesion. the extra-abdominal and paraspinal soft tissues are normal. lung bases are clear. no basal pleural effusion.
data/train/audio_03247.wav,"femoral necks appear intact. hip joint spaces: bilateral mild hip joint space reduction noted. acetabula: small osteophytes along bilateral acetabular margins. acetabular margins are well defined. no acetabular dysplasia, protrusio, or osteophyte formation seen."
data/train/audio_02694.wav,: 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. nasal septum is deviated to the left side.
data/train/audio_03205.wav,minimally displaced fracture involving the left nasal bone. rest of the visualised paranasal sinuses show intact walls. the bony nasal septum appear normal. rest of the mandible and maxillary alveolus also appear normal. rest of the both orbital walls appear intact with normal eye globes. no lytic or sclerotic osseous lesion noted.
data/train/audio_05027.wav,few calculi are seen in the upper and mid pole of average size measuring 3 mm. left kidney measures 11.0 x 5.2 cm. a 4.5 mm sized calculus seen in the mid pole. tiny renal concretions seen.
data/train/audio_02222.wav,"2. consolidation with air bronchogram within involving left upper lobe, right middle lobe and right lower lobe. 3. patchy ground-glass opacities involving the visualised bilateral lung parenchyma. above findings are likely suggestive of infective etiology. mild to moderate cardiomegaly. suggested usg guided pleural fluid 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/train/audio_05628.wav,ct scan whole abdomen (plain)- follow up technique ct scan of abdomen and pelvis carried out on multi detector ct scanner. images recorded and evaluated at appropriate window settings. findings previously mentioned radiodense foreign body not seen in present scan. bowel loops appear normal.
data/train/audio_00649.wav,findings: liver is normal in size and density. no evidence of any focal or diffuse lesion seen. no evidence of dilated ihbr. portal vein is normal in size and enhancement. gall bladder is normally distended. no evidence of radio-opaque calculus seen. no obvious enhancing mass lesion is seen.
data/train/audio_03531.wav,"lungs & airways: mild paraseptal emphysematous changes are noted in the bilateral apical regions. smooth interlobular septal thickening is seen, predominantly involving the bilateral upper lobes. areas of consolidation with associated atelectasis are noted in the dependent portions of the lungs, more pronounced on the right side,"
data/train/audio_01405.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/train/audio_01459.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/train/audio_04472.wav,"no evidence of intraparenchymal or extraparenchymal pancreatic lesion or collection. no evidence of any pancreatic divisum or calcification seen. mild narrowing at the terminal portion of the common bile duct which which causes mild dilatation of common bile duct, common hepatic duct and intrahepatic biliary radicals."
data/train/audio_01787.wav,"predominantly in upper and mid pole regions, largest measuring approximately 12 x 7.5 mm. few calculi appear conglomerated with early staghorn configuration. fullness of left pelvicalyceal system, especially upper pole calyces, is noted, likely due to partial obstruction by calculi."
data/train/audio_03705.wav,"right coronary artery: the right coronary artery is dominant. small eccentric calcified plaque noted in the proximal segment of right coronary artery causing approximately 20%-30% luminal compromise. few other eccentric calcified plaques in the mid and distal segments of right coronary artery causing 80%-90% luminal compromise. acute marginal, right posterior descending artery and right"
data/train/audio_01081.wav,lateral collateral ligament appears normal. no evidence of laxity or tear. medial patello-femoral ligament appears intact. no evidence of laxity or tear. medial and lateral patellar retinaculum appear intact. no evidence of laxity or tear. meniscus: linear t2w and stir hyperintense signal is
data/train/audio_04896.wav,collection is seen. no midline shift is seen. sella and parasellar structures appear grossly unremarkable. visualized paranasal sinuses are unremarkable. skull bones appear normal. no e/o any fracture noted :
data/train/audio_01765.wav,lungs & airways: evaluation is suboptimal due to significant respiratory artifacts. ill-defined patchy opacities are noted in bilateral lung fields. mild peribronchial thickening is seen. no evidence of any discrete focal mass lesion. no cavitation or obvious nodular lesion identified.
data/train/audio_02074.wav,"internal cystic hyperintense components. solid components appear relatively t2 heterointense. gre blooming foci are noted within the lesion, suggestive of calcific or hemorrhagic components. on diffusion-weighted imaging, there is no significant diffusion restriction within the lesion. the pituitary gland is separately visualized in the sella,"
data/train/audio_03949.wav,assimilation of atlas (c1) is noted. there is apparent basilar invagination with the odontoid lying 27 mm above the mcgregor's line (normal upto 5 mm). there is evidence of kinking of brainstem. no evidence of atlanto-axial subluxation or dislocation.
data/train/audio_01649.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.
data/train/audio_03756.wav,"l3-l4 15 mm, l4-5- 15.6mm, l5-s1 13.5 mm, lateral recesses: no significant lateral recess narrowing. neural foramina: no significant neural foraminal stenosis. facet joints: no significant facet arthropathy."
data/train/audio_01148.wav,partial loss of pmeumatization with sclerosis noted involving right mastoid air cells. : possibility of chronic sclerosing mastoiditis.
data/train/audio_04722.wav,mild facetal arthropathy and ligamentum flavum thickening are detected at this level. 6. visualized vertebrae appear osteoporotic. 7. mild to moderate atrophy of the posterior paraspinal muscles seen in lower lumbar region. 8. mild to moderate edema is seen in bilateral paraspinal muscles at l1 vertebral level. thank you for referring.
data/train/audio_04176.wav,distal end of ulna appears 2.5mm shorter than radius - possibility of mild negative ulnar variance to be ruled out. pdfs hyperintensity noted in ulnar attachment of triangular fibro cartilaginous complex - palmer 1b chronic tfcc injury.
data/train/audio_05114.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.
data/train/audio_04692.wav,"kidneys: normal. lower cord, cauda-equina: cord ends at l1 level. s.i. joints: normal. : grade i anterolisthesis of l4 over l5 with spondylolysis. diffuse bulge of l1-l2 disc, causing compression over left traversing l2 and exiting l1 nerve roots."
data/train/audio_03183.wav,"extensive fibrocavitary, bronchocavitary and tractional bronchiectatic changes are seen involving entire left lung with near complete collapse and destruction of left lung parenchyma and no residual aerated lung seen multiple internal calcifications are noted within these areas"
data/train/audio_00340.wav,clinical history: chief complaint of chest pain. lungs small calcified opacity in right midzone suggestive of sequelae of old infective aetiology. prominence of bronchovascular markings. airways trachea is central. tracheo-bronchial tree is normal. heart cardiac silhouette is normal.
data/train/audio_04944.wav,"nazma mri scan of pelvis with contrast pre and post-contrast mri scan of pelvis has been performed using t1 and t2wt sequences in multiple planes. findings - uterus is slightly bulky. it measures 7.4 cm in long axis dimension, 4.4 cm in antero-posterior and lesion."
data/train/audio_04984.wav,"measuring 2.7 x 2.5 x 2.5 cm. few t2 iso- to hypointense and t1 hyperintense cysts are seen within the ovary, the largest measuring 7 x 12 mm, consistent with endometriotic cysts. two additional ~3 mm endometriotic cysts are noted."
data/train/audio_00229.wav,"multiple enlarged cervical lymph nodes are noted in bilateral level ii, iii, and iv regions, the largest measuring approximately 12 x 8 mm in left level iii, likely reactive. the thyroid gland shows multiple small hypodense nodules in both lobes, the largest measuring 6 x 5 mm in the right lobe, suggestive of multinodular changes."
data/train/audio_00837.wav,"fractures of the bilateral nasal processes of maxilla with screw fixations. bilateral preseptal, periorbital, premaxillary, peri-zygomatic and pre-mandibular soft tissue contusions. displaced fracture of the squamous part of the left temporal bone. subdural hematomas in the bilateral anterior temporal convexities. hemorrhagic contusions with perifocal edema in the bilateral frontal lobes."
data/train/audio_00056.wav,celiac trunk gives of splenic artery and left gastric artery. pancreas appear normal in size and density without any peripancreatic fat stranding seen. spleen is enlarged in size and may show 9. 7 cm in craniocaudal length. it measures 11 cm in antero-posterior dimension.
data/train/audio_05230.wav,": diffuse hypoattenuation of liver parenchyma suggestive of fatty infiltration. it is otherwise normal with limitation of plain scan. no evidence of focal lesion. spleen appears normal in attenuation, no e/o focal lesion. gall bladder is distended and appears normal. cbd is non dilated."
data/train/audio_01108.wav,"recording 1- 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/train/audio_05614.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 otherwise appear unremarkable. appendix appears normal."
data/train/audio_01280.wav,comminuted burst fracture involving l3 vertebral body with resultant retropulsion compressing spinal canal. there is extension to the left lamina. there is loss of approximately 60% vertebral body height. mildly displaced fracture involving antero-inferior endplate of d12 vertebra. mildly displaced fracture involving the spinous process and right lamina at this level.
data/train/audio_05554.wav,"extra-axial collection is identified on the available images. the ventricular system appears grossly maintained. the basal cisterns appear grossly patent, within the limitations of the study. calvarial bones: evaluation is significantly limited due to motion artefacts, and associated fractures"
data/train/audio_02969.wav,"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/train/audio_04749.wav,it indents thecal sac and both l5 nerve roots with causes mild to moderate narrowing of central canal. l5-s1 intervertebral disc reveals broad based posterior protrusion. it indents anterior epidural fat. it causes mild narrowing of central canal.
data/train/audio_00912.wav,few of these consolidative areas demonstrate internal cavitatory changes. cystic bronchiectasis is noted in the inferior lingular segment of the left upper lobe. imaging features are suggestive of active infective etiology with endobronchial spread. mediastinum:
data/train/audio_03081.wav,"osteoporosis with revascularisation. reduction of joint space with subchondral sclerosis noted in subtalar joint (predominantly in posterior aspect), possibility of changes of osteoarthritis."
data/train/audio_01670.wav,"articular cartilage & joint there is diffuse loss of articular cartilage noted in the medial compartment, predominantly involving the medial femoral condyle. thinning of articular cartilage is also noted along the medial patellar facet. multiple degenerative osteophytes are seen involving the distal femur, proximal tibia, and patella."
data/train/audio_00634.wav,"4. broad based posterior protrusion of l2-3 disc, causing mild narrowing of the central canal. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. bilateral facetal effusion is seen at this level. 5. vertebrae appears osteoporotic. 6. mild vertebral offsets are seen at few levels. 7."
data/train/audio_01061.wav,"rest of the visualized vertebrae show normal architecture, alignment and marrow signal. posterior elements are intact. the pre and paravertebral soft tissues appear normal. the visualized lower conus and cord appears normal. at l1-l2 level: no significant disc bulge."
data/train/audio_03927.wav,"seminal vesicles are normal in size, however, there is minimal wall thickening of the seminal vesicles without any focal lesion these changes related to chronic inflammation. urinary bladder is distended. there is mild urinary bladder wall thickening and trabeculations are seen. these changes are related to chronic cystitis. please correlate clinically."
data/train/audio_02930.wav,"the collection measures approximately 20 x 11 x 12.3 cm (cc x tr x ap). there is significant mass effect on the underlying hepatic parenchyma. an associated extrahepatic intraperitoneal component is seen measuring approximately 16 x 2.8 x 2.2 cm, extending along the right paracolic gutter into"
data/train/audio_01820.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.
data/train/audio_00846.wav,mild prostatomegaly bilateral inguinal hernia with omentum as content degenerative changes in lumbar spine w
data/train/audio_00001.wav,x ray: both knee joints (ap/lat views) bilateral tibio-femoral joint spaces are normal. no sub-articular geodes or loose bodies are visualized. patellofemoral articulation is normal. visualised soft tissues appear normal. please correlate clinically.
data/train/audio_03077.wav,"findings: gall bladder is partially distended and shows few tiny signal voids within, average size about 2-4 mm, suggestive of calculi. gallbladder wall appears normal. no evidence of pericholecystic collection. cbd is dilated, measures 10-11 mm. no evidence of calculus or obvious mass lesion within."
data/train/audio_02912.wav,"recommendations: correlate with clinical findings, esr, mantoux/igra. ascitic fluid analysis (ada, cytology, microbiology). consider contrast-enhanced ct chest for associated pulmonary involvement. gynecological evaluation for ovarian cyst."
data/train/audio_00074.wav,"no abnormal area of diffusion restriction or ill-defined t2 hypointensity is seen to suggest neoplastic process. seminal vesicles are normal in size, however, there is minimal wall thickening of the seminal vesicles without any focal lesion these changes related to chronic inflammation."
data/train/audio_05501.wav,l5-s1 intervertebral disc reveals broad based posterior herniation with annular tear. it indents anterior epidural fat and both s1 nerve root. it causes mild narrowing of central canal. mild facetal arthropathy seen at this level.
data/train/audio_03364.wav,no evidence of cortical breach. no endosteal scalloping noted. no periosteal reaction identified. no associated extraosseous soft tissue component. proximal tibia (visualised part):
data/train/audio_03273.wav,both ovaries appear normal in size and signal intensity. no adnexal mass lesion seen pelvic vasculature is normal in course and caliber with normal flow voids. there is no evidence of pelvic lymphadenopathy . minimal free fluid in the pelvis.
data/train/audio_05638.wav,"few tiny areas of altered signal intensity (hypo on t1, hyper on t2 flair showing dwi restriction) are seen in right thalamus and left lenti-form nucleus .s/o acute / subacute infarcts. chronic lacunar infarct is seen in pons and left internal capsule. there is generalized"
data/train/audio_05305.wav,"(50 x 44 mm) with thin calcified septations - likely bosniak ii cyst. 5. minimal bilateral pleural effusions. overall: ct features are highly suggestive of small bowel obstruction due to mesenteric volvulus with two levels of mesenteric twisting,"
data/train/audio_04775.wav,focal suspected erosive changes are seen involving left vestibular bony wall and adjacent bony canal region. left tegmen tympani and bony roof of mastoid/middle ear cavity appear grossly intact. partial sclerosis with reduced pneumatization and patchy opacification are seen involving left mastoid air cells.
data/train/audio_01259.wav,"with intramedullary nail fixation changes noted in the distal femur. a soft tissue component with surrounding hematoma is seen adjacent to the fracture fragments. soft tissues and muscles there is diffuse subcutaneous soft tissue edema involving the lower limbs. visualized muscles appear preserved in bulk and attenuation, with mild surrounding edema likely related to adjacent soft tissue changes."
data/train/audio_00916.wav,"subcentimetric mediastinal lymph nodes, likely reactive. recommendations: correlation with sputum afb / cbnaat / culture consider bronchoscopy if clinically indicated follow-up imaging to assess treatment response"
data/train/audio_05209.wav,: haziness involving left lower zone. bilateral hilum appears prominent - ? lymphadenopathy. mild cardiomegaly. unfolding of arch of aorta and aortic knuckle calcifications. both domes of diaphragm are normal in shape and outline. both cardiophrenic and costophrenic angles are clear. tracheal lucency is central.
data/train/audio_04862.wav,"sacroiliac joints and pubic symphysis bilateral sacroiliac joints demonstrate marginal osteophytes, subchondral sclerosis, and vacuum phenomenon, in keeping with degenerative arthropathy. degenerative changes also noted at the pubic symphysis."
data/train/audio_00918.wav,"artery and further into the brachial artery. the axillary and brachial arteries show markedly reduced contrast opacification, consistent with significant flow limitation. distal arteries (radial and ulnar) demonstrate minimal contrast opacification, predominantly via collateral circulation."
data/train/audio_01945.wav,"no fracture or other significant abnormality seen. the calvaria and skull base appear normal. sclerosis in left mastoid region. sclerosis in left mastoid region - ? chronic mastoiditis changes. differential diagnosis na recommendation suggested clinical correlation. athul d . md radio-diagnosis, dnb consultant radiologist reg. no.62250 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/train/audio_02019.wav,status post-anterior cruciate ligament reconstruction. there is complete tear of reconstructed anterior cruciate ligament from femoral attachment. there is mild buckling of the posterior cruciate ligament. minimal synovial effusion is seen. complex tear of the posterior horn of the medial meniscus is seen.
data/train/audio_02506.wav,"c5-c6 and c6-c7 cervical levels indenting the anterior thecal sac, more significant at c4-c5 level abutting spinal cord. small t2 hyperintense haemangiomas at few dorsal levels. anterior osteophytes with modic changes are seen at multiple dorsal levels. mild posterior disc bulges are seen at few dorsal levels indenting thecal sac. on screening of bilateral sacro-iliac joints:"
data/train/audio_00482.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. bilateral maxillary and ethmoid sinusitis. rest of the visualized paranasal sinuses are normal."
data/train/audio_03168.wav,"the spleen is normal in size. the parenchyma displays normal signal intensity. no focal evaluation. the splenic vein is normal. both kidneys are normal in size shape and location. left kidney shows mild hydroureteronephrosis, likely due to back pressure changes from enlarged uterus."
data/train/audio_00457.wav,"mild chronic lacunar infarcts as described. mild cerebral infarct mr angiography reveals, mild to moderate irregular narrowing in p2 cavernous segment of left internal carotid artery. hypoplastic a1 segment of left anterior cerebral artery. near complete occlusion of distal basilar artery."
data/train/audio_02295.wav,"no obvious abnormality in the visualized upper abdominal structures. bones: no acute fracture or destructive bony lesion noted. impression: segmental cicatricial atelectasis in the right upper lobe with traction bronchiectasis, likely sequelae of prior infective/inflammatory process."
data/train/audio_04246.wav,lumbar canal diameters at disc levels are as follows:
data/train/audio_05647.wav,"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:"
data/train/audio_05016.wav,no e/o free fluid noted in the peritoneal cavity. the small and large bowel loops are normal. the ivc and aorta appear normal. visualised basal lung fields appear normal. no pleural effusion is seen. no lytic/sclerotic lesion is seen in the visualised bones.
data/train/audio_01859.wav,mild middle and inferior turbinate hypertrophy seen on right side. both maxillary sinuses and both frontal sinuses are normal. ethmoid / sphenoid sinuses appear normal. bilateral fronto-nasal recess appear unremarkable.
data/train/audio_05391.wav,"mri cervical spine protocol multiplanar and multi-echo mri of the cervical spine was performed without administration of intravenous contrast. loss of normal cervical lordosis. the vertebrae appear normal in height, signal intensity and show normal alignment. no osseous destruction noted."
data/train/audio_03135.wav,x-ray foot ap & lateral views observation: calcaneal spur seen in plantar aspect and in posterior aspect the visualized bones appear normal. no obvious sclerotic / lytic lesion is seen.
data/train/audio_01129.wav,no gross facet malalignment or destructive change identified. prevertebral soft tissues: no prevertebral soft tissue swelling. odontoid / c1-c2 relationship: no gross abnormality is seen on the provided views. neural foramina: not adequately assessed on ap and lateral views. acute osseous injury: no acute fracture identified on these views.
data/train/audio_04848.wav,"appendix measures 6 mm, normal wall thickness, no periappendiceal inflammatory changes, no abnormal fluid collection or lymphadenopathy noted. terminal ileum and ic junction appear normal. soft tissue in right iliac fossa appears unremarkable."
data/train/audio_05115.wav,"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. no intra-axial or extra-axial collections seen."
data/train/audio_00962.wav,"partial tear involving the anterior cruciate ligament. partial tear involving lateral collateral ligament, medial collateral ligament and medial patello-femoral ligament. root tear involving the posterior root of lateral meniscus. grade ii signal change involving anterior horn of lateral meniscus and body"
data/train/audio_01036.wav,no evidence of air trapping seen. airway and hilum: trachea and major bronchi are normal. no intraluminal filling defects present.no dilated bronchi seen. both hilar regions appear normal. mediastinum: thoracic oesophagus and other mediastinal structures appears normal few subcentmetric mediastinal lymph nodes are seen
data/train/audio_05467.wav,"the prostate shows intravesical prostatic protrusion measuring approximately 10 mm. a well-defined diffusion restricting lesion is noted arising from the base of prostate with extension into the intravesical component, measuring approximately 14 x 13 mm in size."
data/train/audio_01623.wav,visualised muscles appear normal. subcutaneous soft tissues appear unremarkable. : plantar fasciitis with calcaneal attachment inflammation and marrow oedema ganglion cyst adjacent to extensor digitorum longus tendon (13 x 10 mm)
data/train/audio_05075.wav,there is no obvious solid component seen within the lesion. there is abutment of the lesion with the pericardium at the left lateral ventricle level which is concerning for pericardial involvement of the outer layer.
data/train/audio_00789.wav,"findings - no evidence of acute infarct or hemorrhage is seen. no focal areas of altered signal intensity are detected within the cerebral and cerebellar parenchyma. the brainstem appears normal. mild chronic periventricular ischemic changes seen. mild prominence of cerebral sulci, cisterns and ventricles is seen, suggesting mild cerebral atrophy. incidentally partial"
data/train/audio_00709.wav,"this is suggestive of grade i injury of medial collateral ligament.the lateral collateral ligament complex appear normal. the quadriceps tendon is mildly thickened with hyperintense signal, suggestive of quadriceps tendinosis. mild synovial effusion is seen."
data/train/audio_05225.wav,"ct pns without contrast technique axial sections of the paranasal sinuses were obtained without administration of intravenous contrast on a ct scanner. mucosal thickening noted in right frontal, ethmoid, bilateral maxillary and left sphenoid sinus - sinusitis."
data/train/audio_01224.wav,no evidence of intercalary segmental instability. : pdfs hyperintense signal alteration noted at ulnar attachment site of triangular fibrocartilage ligament - suggestive of palmar type i b triangular fibrocartilage ligament injury. minimal joint effusion noted
data/train/audio_04367.wav,no other significant abnormality detected. suggested clinical and usg 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/train/audio_03930.wav,"no feature of ill-defined t2 hypointensity or diffusion restriction to suggest neoplastic process in the prostate gland, however, this is a non-contrast study. no significant lymphadenopathy or ascites."
data/train/audio_01064.wav,"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 segmental bronchi are normal. no intraluminal filling defects present. no dilated bronchi seen. both hilar regions appear normal. no significant hilar lymphadenopathy is observed."
data/train/audio_04215.wav,bone marrow contusional oedema changes in the medial malleolus of distal tibia. minimal ankle joint effusion.
data/train/audio_05095.wav,": mr scan reveals, broad based posterior protrusion of c6-7 disc causing mild narrowing of central canal and left neural foramen."
data/train/audio_04258.wav,facet joints and ligamentum flavum are normal. pre and para -vertebral soft tissues are normal. screening of rest of the spine reveals no significant abnormality is seen. cervical spinal curvature is reduced. disc desiccation changes at multiple levels. please correlate clinically
data/train/audio_02816.wav,knee joint appears normal. no evidence of reduction of joint space. soft tissue reveals no abnormality. comments: suspicious lucency noted in head of fibula - ? fracture line.
data/train/audio_04001.wav,"heart and major vessels: heart outline and size appears normal. others: visualized vertebrae, sternum and ribs appear normal. soft tissues and muscles of chest wall are normal. no significant abnormality detected. recommendation suggested clinical correlation."
data/train/audio_00903.wav,"no bony erosion or destruction is noted. the gleno-humeral joint and coraco-acromial joint are normal. the articular margins, joint spaces and joint alignment are normal. the myofascial planes and neurovascular bundles are normal. no joint collection or subscapular collection is noted."
data/train/audio_04928.wav,"mild ligamentum flavum thickening is seen at this level. l5-s1 intervertebral disc reveals diffuse bulge indenting thecal sac without any significant central canal or neural foraminal narrowing. the lower end of the spinal cord, cauda equina and filum terminale do not reveal any abnormality."
data/train/audio_01090.wav,"the abdominal aorta appears normal in calibre and course with normal contrast opacification. no evidence of aneurysm, dissection, or significant stenosis. the bilateral common iliac arteries, internal iliac arteries, and external iliac arteries appear normal in calibre and contrast opacification without evidence of significant"
data/train/audio_00990.wav,"no hydrocephalus. basal cisterns are patent. cortical sulci appear normal. posterior fossa: cerebellar hemispheres and vermis appear normal. brainstem (midbrain, pons, medulla) is unremarkable. cerebellopontine (cp) angles:"
data/train/audio_03918.wav,"changes in the form of proximal hydroureter and mild hydronephrosis. multiple (at least 5-6) hyperdense non-obstructive calculi in right kidney, largest measuring 3.6 mm. right kidney is otherwise normal in size, shape and position. the left kidney measures 10 x 4.5 cms."
data/train/audio_05127.wav,"muscles: normal. kidneys: normal. lower cord, cauda-equina: cord ends at l1 level. s.i. joints: normal. : grade i anterolisthesis of l5 over s1 with spondylolysis."
data/train/audio_04321.wav,observation: large ill-defined heterogeneously enhancing diffusion-restricting t2 hyperintense soft tissue lesion measuring approximately 4.7 x 4.2 x 3.3 cm noted involving the right half of tongue.
data/train/audio_04518.wav,"bowel loops appear displaced but otherwise unremarkable. urinary bladder is compressed as described. uterus appears compressed. an anterior abdominal wall defect measuring approximately 8 mm at the umbilicus is noted, with herniation of omental fat - ventral (umbilical) hernia."
data/train/audio_02695.wav,sclerosis of mastoid air cells no soft tissue swelling seen. no obvious lytic lesion is appreciated. tm joints shows preserved articulation. sclerosis of mastoid air cells recommendation suggested clinical correlation.
data/train/audio_01655.wav,visualized bony orbits appear normal. visualized intraorbital contents show no obvious abnormality 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/train/audio_00853.wav,contracted gb with poorly visualised lumen. few doubtful calculi suggest cholelithiasis.adv usg correlation after proper fasting. normal cbd and ihbrs. fatty hepatomegaly. recommendation suggested clinical correlation.
data/train/audio_02308.wav,lungs prominence of bronchovascular markings with reticular opacities involving bilateral lung fields. haziness involving right lower zone suggestive of pneumonitis. airways trachea is central. tracheo-bronchial tree is normal. heart mild cardiomegaly. unfolding of arch of aorta and aortic knuckle calcifications.
data/train/audio_02353.wav,joint and bursae minimal joint effusion noted. no significant subacromial-subdeltoid bursitis. muscles visualized rotator cuff muscles show normal bulk without significant fatty atrophy. impression full thickness tear of supraspinatus tendon at the humeral footprint with proximal retraction of approximately 13 mm.
data/train/audio_02166.wav,"diffuse disc bulge noted at d12-l1 level causing anterior thecal sac indentation, bilateral neural foraminal narrowing and abutting bilateral d12 exiting nerve roots. diffuse disc bulge noted at l4-l5 level causing anterior thecal sac indentation, bilateral lateral recess narrowing and abutting bilateral l5 traversing nerve roots."
data/train/audio_00272.wav,"multiple lumbar transverse process fractures involving l1, l2, bilateral l3, and l4 complex sacral fractures, predominantly comminuted displaced right sacral ala fracture extending into s1-s3 segments with involvement of right s1 and s2 neural foramina minimally displaced left sacral ala fracture"
data/train/audio_03042.wav,"observation: t1, t2 hypointense lesion measuring 6mm x 4mm noted in fibers of supraspinatus with hyperintense signal alteration. 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"
data/train/audio_00342.wav,small calcified opacity in right midzone suggestive of sequelae of old infective aetiology. prominence of bronchovascular markings. recommendation suggested clinical correlation
data/train/audio_03658.wav,"bilateral lateral recess narrowing and abutting bilateral l4 traversing nerve roots. diffuse disc bulge noted at l4-l5 level causing anterior thecal sac indentation, bilateral lateral recess narrowing and abutting bilateral l5 traversing nerve roots. sacralisation of l5 vertebra with rudimentary intervertebral disc."
data/train/audio_04909.wav,"near total occlusion of distal basilar artery is seen in pontine cistern. proximal basilar artery, vertebrobasilar junction appears normal. both posterior cerebral arteries are normal. impression - mr scan reveals,"
data/train/audio_05277.wav,"widening of carina is noted, likely suggestive of left atrial enlargement. colonic loops are seen beneath the left dome of diaphragm. both hila are normal. cardiophrenic and costophrenic angles are normal. the trachea is central. the mediastinal and cardiac silhoutte are normal."
data/train/audio_05387.wav,"x ray: cervical spine (ap / lat views) anterior and posterior marginal osteophytes are seen at few levels. cervical curvature is maintained. cv junction is normally visualized. all the vertebrae are normal in size,"
data/train/audio_03800.wav,"disc spaces: l1-l2: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. l2-l3: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing."
data/train/audio_02548.wav,small calcified opacities in the right midzone suggestive of sequelae of old infective aetiology. recommendation suggested clinical correlation.
data/train/audio_01580.wav,there is no evidence of pelvic lymphadenopathy or free fluid. : grade - ii - linear intersphincteric fistula with short blind ending side tract . st james's university hospital mr imaging classification of perianal fistulas (modified from spencer et al) recommendation suggested clinical correlation and follow-up.
data/train/audio_04008.wav,"findings: nasal septum: deviation of the nasal septum with convexity toward the left side is noted. maxillary sinuses: partial haziness / opacification of bilateral maxillary sinuses is seen, suggestive of sinusitis changes. frontal sinuses: frontal sinuses appear well aerated. ethmoid sinuses: visualized ethmoid air cells appear fairly clear."
data/train/audio_01203.wav,"left 4th to 8th ribs left 11th and 12th ribs multiple lumbar transverse process fractures are present: left transverse processes of l1, l2, and l4 bilateral transverse processes of l3"
data/train/audio_03723.wav,ct - kub (plain) technique: ct scan of kub was done without administration of contrast. clinical profile: chief complaints of pain in abdomen. : the right kidney measures 11.6 x 5.6 cms.
data/train/audio_01659.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/train/audio_02983.wav,no prevertebral soft tissue swelling or hematoma identified. visualized lung apices appear unremarkable. impression no evidence of acute fracture or dislocation involving the cervical spine. cervical vertebral alignment is maintained.
data/train/audio_00897.wav,findings: right: minimal fluid densities noted in the right mastoid air cells. no obvious extension in the middle ear cavity. cerumen noted in right external auditory canal. the prussac's space and scutum appear unremarkable. pyramidal eminence and sinus tympani are normal.
data/train/audio_05644.wav,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/train/audio_02804.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. mild pleural effusion present pon right and minimal on the left."
data/train/audio_03931.wav,ncct kub: female technique the study was done by taking axial sections on a ct scanner from domes of diaphragm till pubic symphysis without administration of intravenous non-ionic contrast medium. no complications encountered.
data/train/audio_01834.wav,lcx territory: severe disease in om1 branch proximal lcx: 10%-20% stenosis (mild) proximal om1: 70%-80% stenosis (severe - requires intervention)
data/train/audio_00195.wav,tibiotalar joint: no significant joint effusion. joint spaces maintained. subtalar joint: joint spaces maintained. no significant effusion. sinus tarsi: preserved fat signal. no sinus tarsi syndrome features.
data/train/audio_01178.wav,no focal sol is seen. midline septa not shifted. no evidence of brain herniation. ventricular system is not dilated and appear symmetrical. no intraventricular or ependymal lesions. aqueduct appears normal in size. csf spaces and fissures are well maintained.
data/train/audio_02913.wav,"findings bone and marrow: no fractures or bone contusions. no focal marrow lesions. mild edematous changes noted in the lateral condyle of femur appearing hyperintense on pd-fs images. articular cartilage: cartilage thickness and signal are preserved throughout the femoral, tibial, and patellar surfaces. no focal cartilage defects or thinning."
data/train/audio_00641.wav,"there is mild atrophy of the lower posterior paraspinal muscles seen, predominantly on right side. this is likely due to scoliosis. spinal canal measurements are within normal limits. sagittal t2 weighted screening of cervical spine reveals loss of normal cervical lordosis. changes of spondylolysis are seen."
data/train/audio_03111.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/train/audio_03495.wav,: partial tear with buckling and sprain involving the mid fibers of posterior cruciate ligament. minimal knee joint and suprapatellar bursal effusion with mild soft tissue edema around knee joint. 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/train/audio_02715.wav,"multiple satellite lesions are seen in the right hip musculature. medially, the lesion extends into the right obturator internus muscle and causes compression over the right lateral wall of urinary bladder. postoperative changes are noted in the right thigh. urinary bladder shows diffuse wall thickening with maximum thickness of approximately 10 mm,"
data/train/audio_05704.wav,facial canal bony facialcanal is normal. internal auditory canal and jugularcanal are normal. left sided chronic otomastoiditis with cholesteatoma formation differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_00103.wav,type ii keros olfactory fossa. agger nasi cells on right side. mild middle and inferior turbinate hypertrophy seen on right side. both maxillary sinuses and both frontal sinuses are normal. ethmoid / sphenoid sinuses appear normal.
data/train/audio_02764.wav,"wall defect noted in anterior abdominal wall at umbilical region, size of the defect measures approximately 2.1 x 1.8 cm with herniation of omental fat and mesenteric vessels. no evidence of herniation of bowel loops. moderate to gross pleural effusion noted on left side."
data/train/audio_04865.wav,"hip joints mild bilateral hip joint space narrowing consistent with early osteoarthritic change. marginal osteophyte formation noted along: bilateral acetabular margins, greater trochanters, ischial tuberosities and pubic symphysis."
data/train/audio_02495.wav,no evidence of focal lytic or sclerotic bony lesion. joint: mild elbow joint effusion is present. radiocapitellar and ulnohumeral joint alignment is maintained. no gross joint dislocation identified. soft tissues: diffuse periarticular soft tissue edema is seen. no organized hematoma or soft tissue gas.
data/train/audio_00474.wav,"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. mild facetal arthropathy and ligamentum flavum thickening are detected at this level."
data/train/audio_05494.wav,in the visualized sections of lower thorax subsegmental atelectasis changes are seen in the bilateral lower lobes. minimal left pleural effusion is noted. impression - ct study reveals liver is enlarged in size and mild lobular capsular margins are seen. no other features of chronic liver parenchymal disease are seen. follow up is recommended.
data/train/audio_04846.wav,"pancreas: 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."
data/train/audio_05679.wav,"fiber discontinuity or intramuscular hematoma is identified on the available sequences. no focal soft tissue mass is seen. the remaining visualized muscles of the anterior, medial and posterior compartments of the thigh appear grossly unremarkable without definite abnormal signal. the visualized femur shows normal marrow signal without evidence of marrow edema or focal lesion."
data/train/audio_04840.wav,"the left kidney is normal in position. there is a large radiopaque calculus measuring approximately 3.1 x 2.8 cm seen in the left renal pelvis, extending into the calyceal system, consistent with a staghorn calculus. there is associated dilatation of the left pelvicalyceal system, suggestive of obstruction."
data/train/audio_04437.wav,no obvious radio-opaque foreign body identified. visualized bony structures appear normal. impression: no radiographic evidence of bowel obstruction or perforation. no radio-opaque foreign body detected. essentially normal erect abdominal radiograph.
data/train/audio_04815.wav,appendix noted in right iliac fossa measuring 4.6mm. no inflammatory changes noted. aorta and ivc: appear normal. no evidence of pre / para aortic / para caval lymphadenopathy. urinary bladder: appear normal in contour and wall thickness. no evidence of calculi. uterus: appears unremarkable. cervix appear bulky with
data/train/audio_01012.wav,diffuse urinary bladder wall thickening noted. no intraluminal calculus described. prostate: prostate is normal in size. a measurement of 6.2 mm is noted as provided. adrenal glands: no adrenal mass identified. liver: diffuse fatty infiltration.
data/train/audio_04066.wav,"liver: measures 13.9 cm, appears normal in size and shape. it shows raised parenchymal echogenicity. there is no evidence of solid or cystic lesion. there is no intra or extra hepatic biliary radicle dilatation. portal vein: normal. gall bladder: partially distended."
data/train/audio_04603.wav,the gestational sac is seen approximately at the l4l5 vertebral level. the fetus is identifiable within the sac; orientation suggests relation to the right lateral aspect of the gestational sac. amniotic fluid (liquor) appears adequate.
data/train/audio_04744.wav,"muscles seen in lower lumbar region. 7. incidental note is made of well-defined t2 hyperintense cyst seen in right adnexa. please correlate clinically and further evaluated may be done, as clinically indicated. thank you for referring."
data/train/audio_02090.wav,ill-defined hyperdense area with surrounding hypodense area --- edema /clot retraction in right external capsule / ganglio capsular region and causing mass effect in the form of midline shift towards left side and mild effacement of ipsilateral lateral ventricle--- s/o intra-parenchymal hemorrhage. please correlate clinically
data/train/audio_02399.wav,"spleen: normal in size ( ~8 cm) and attenuation. gallbladder & biliary tree: appear normally distended. no calculi or biliary dilatation. kidneys: bilateral kidneys are normal in size , shape and enhancement ."
data/train/audio_04593.wav,"focal areas of scarring noted involving the interpolar region of both kidneys. both adrenal glands appear normal. both kidneys are otherwise normal in size, shape, attenuation and enhancement pattern and excretory function. both ureters are normal in course and caliber. urinary bladder is partially distended and foley's bulb is noted in situ. prostate and seminal vesicles are normal."
data/train/audio_02773.wav,advice: thin mri post-contrast images / ct angiography study for detailed evaluation of arterial feeder and venous drainage.
data/train/audio_01727.wav,"no loose bodies are identified. the surrounding musculature and soft tissues appear unremarkable within the limitations of metallic artefact. postoperative status with intramedullary nail fixation of the distal femur and proximal tibia/fibula, with significant metallic susceptibility artefacts limiting detailed evaluation."
data/train/audio_02824.wav,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. adrenals: both adrenal glands are defined and appear normal and show homogeneous contrast enhancement. kidneys: both kidneys are normal in
data/train/audio_00081.wav,nasopharynx: nasopharynx appears normal. fossa of rossenmuller and eustachian tube orifices appear normal on both sides. : deviation of nasal septum towards right side with septal spur impinging on right inferior turbinate. right concha bullosa noted.
data/train/audio_03980.wav,small focal subdural hemorrhage along right parietal region. no obvious mass effect. few areas of subarachnoid hemorrhage involving right temporo-parietal lobes. cranial fractures as mentioned above. soft tissue hematoma over left temporal region with adjacent subcutaneous soft tissue edema. suggested clinical correlation.
data/train/audio_01919.wav,approximately 2.3 x 2.4 x 1.7 cm size cystic lesion noted arising from body of pancreatic parenchyma. suspicious communication of cystic lesion with main pancreatic duct is noted. another approximately 1.0 x 1.0 x 1.3 cm sized intrapancreatic cystic lesion arising from the uncinate process of pancreas.
data/train/audio_05699.wav,"liver is normal in size, contour and reveals normal parenchymal signal intensity . no focal lesion seen. gallbladder is well distended with normal luminal contents. no evidence of any pericholecystic fluid. intra-hepatic biliary radicles are normal with normal left hepatic duct and right hepatic duct."
data/train/audio_04107.wav,dorsal: anterior osteophytes with modic changes are seen at multiple dorsal levels. partial disc desiccation is seen at few dorsal levels. mild posterior disc bulges are seen at multiple dorsal levels indenting thecal sac without any indentation of spinal cord.
data/train/audio_02474.wav,"mild wrist joint effusion with adjacent soft tissue edema, predominantly along the ulnar aspect. 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/train/audio_02931.wav,"viii likely represents parenchymal injury/scar. right portal vein is attenuated measuring approximately 6 mm, with its anterior and posterior branches stretched along the subcapsular hematoma. left portal vein and all three hepatic veins appear patent. no intrahepatic biliary dilatation."
data/train/audio_04420.wav,"lungs: multifocal consolidative opacities noted scattered in bilateral upper lobe apical, anterior and posterior segments. tiny centrilobular nodules in tree in bud distribution noted scattered in bilateral upper lobe anterior and posterior segments."
data/train/audio_00410.wav,no focal or solid cystic lesion seen. no adnexal mass is seen. 1.6 x 1.2 cm df noted in right ovary. pelvic fat planes are maintained. miscellaneous: no evidence of free fluid in abdomen or pelvis.
data/train/audio_00407.wav,"observation: the vertebrae is normal. few degenerative osteophytes noted. loss of lumbar lordosis. there is evidence of reduction in intervertebral disc height noted at l4-l5, l5-s1 levels. the posterior elements are normal. para vertebral soft tissues are normal. both sacro iliac joints are normal. no abnormal radio opaque shadow is seen."
data/train/audio_01020.wav,lower chest / lung bases: visualized lung bases are clear. no pleural effusion. liver: normal in size and attenuation. no focal hepatic lesion is identified. no intrahepatic biliary dilatation. gallbladder and biliary tree: gallbladder is unremarkable.
data/train/audio_05686.wav,"there is bilateral medial tibiofemoral joint space narrowing with marginal osteophytes and subchondral sclerosis, suggestive of osteoarthritis. tibia and fibula: normal alignment and cortical outline. ankle joints: joint spaces appear maintained. measurements"
data/train/audio_00234.wav,"there is no enhancing focal lesion seen in the region of left hepatic duct, common bile duct or common hepatic duct. mild prominence of right hepatic duct and its anterior and posterior segmental branches noted."
data/train/audio_01347.wav,mri pelvis (plain) protocol: multiplanar and multi-echo mri of the pelvis was performed without administration of intravenous contrast. clinical details: dysmenorrhoea. :
data/train/audio_02480.wav,"they show prompt and satisfactory contrast excretion. 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."
data/train/audio_05335.wav,findings: cruciate ligaments: partial tear involving the distal fibers of anterior cruciate ligament. mild sprain and buckling involving the posterior cruciate ligament. no evidence of tear. collateral ligaments: high grade tear involving the medial collateral ligament. high grade tear involving the medial patello-femoral ligament.
data/train/audio_04739.wav,"sagittal t2 weighted screening of cervical spine reveals loss of cervical lordosis. multiple marginal osteophytes are seen. mild to moderate spondylolytic changes are seen. c3-4, c4-5 and c6-7 discs reveal posterior protrusions, it indenting the anterior subarachnoid spaces. incidental note is made of partially empty sella."
data/train/audio_05525.wav,no focal hepatic lesion identified on the provided sequences other than cyst. no intrahepatic biliary dilatation.tiny cyst measuring 4 mm noted in the right lobe of liver in segment vi. pancreas: normal size and signal. main pancreatic duct is not dilated. no focal pancreatic lesion identified.
data/train/audio_02460.wav,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. wall thickness of urinary bladder is increased (10-12mm). perivesical fat planes are preserved. retroperitoneum:
data/train/audio_04974.wav,enzian score p0 o1rt/lf t2 a0 b1 c1 fa this corresponds to mild-moderate deep infiltrating endometriosis with: posterior compartment involvement (torus uterinus + rectal wall)
data/train/audio_03104.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/train/audio_04414.wav,"septum pellucidum and falx cerebri are in midline. no mass effect or midline shift is seen. supratentorial sulcal and cisternal spaces are normally visualized. brain stem and cerebellar hemispheres are showing normal morphology, signal intensity and outline. fourth ventricle is normal in size and midline in position."
data/train/audio_04332.wav,"showing interval increase in size compared to previous study (previously ~2.8 x 2.0 cm). the lesion does not cross the midline. inferiorly, the lesion shows infiltration into the right hyoglossus muscle."
data/train/audio_02098.wav,changes of tendinitis in distal part of tendo-achilles. accessory navicular bone noted. rest of the tendons and muscles around the ankle appear normal. neurovascular bundles appear normal. mild ankle joint effusion noted. conclusion:
data/train/audio_00020.wav,"few prominent periportal, portacaval and left para-aortic lymph nodes are seen the largest measures 6 mm in short axis dimension. there is no free fluid seen in the abdomen. visualized bones appear normal. visualized small and large bowel loops appear unremarkable."
data/train/audio_01900.wav,no soft tissue abnormality seen. no abnormality detected differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_05698.wav,"confluence is normal. common bile duct is normal in caliber with no evidence of filling defect. spleen is normal in size and reveals normal parenchymal signal intensity . no focal lesion seen. pancreas is normal in size, shape and signal intensity with preserved peripancreatic fat planes."
data/train/audio_03849.wav,"mri brain with contrast clinical history: known case of tuberculoma on follow-up. findings: multiple ring-enhancing lesions are noted in the right fronto-temporal region, with the largest lesion in the right frontal lobe measuring approximately 1.1 x 1.0 x 1.2 cm,"
data/train/audio_04314.wav,fracture noted in ulnar styloid process. mild soft tissue swelling noted at wrist joint.
data/train/audio_02563.wav,"a well-defined focal lesion measuring approximately 6 x 4 mm is identified within the proximal shaft of the third metatarsal. the lesion demonstrates imaging characteristics suggestive of a nidus, appearing hypointense on t1-weighted images and heterogeneously hyperintense on t2/stir sequences."
data/train/audio_02950.wav,ventricles & extra-axial spaces: ventricles are normal in size and configuration. no hydrocephalus or midline shift. extra-axial spaces are within normal limits. no evidence of subdural or epidural collection. basal ganglia & thalami: basal ganglia and thalami appear normal. no focal lesions or abnormal signal intensities. brainstem & cerebellum:
data/train/audio_03448.wav,mildly displaced fractures involving bilateral nasal bones and bony nasal septum with resultant bilateral ethmoid haemosinus. minimally displaced fracture involving both frontal process of maxilla. mildly displaced fractures involving bilateral lateral sphenoid sinus walls and its floor with resultant sphenoid haemosinus. comminuted displaced fractures involving all walls of both
data/train/audio_05273.wav,"follow up yearly mammography for routine screening purposes after the age of 40 years. general observations: 1. 6-8% of breast cancers are not identified on x-rays. 2. a negative report should not delay a biopsy, if a dominant or clinically suspicious mass is present. 3. a negative report may reinforce a clinical impression. 4. false positive report is 6-10 % on average."
data/train/audio_05358.wav,findings: distal radius: comminuted displaced fracture involving distal radius fracture line extends into the articular surface - suggestive of intra-articular fracture ulnar styloid: displaced fracture of ulnar styloid process wrist joint:
data/train/audio_01182.wav,"tendons:- focal low-grade intrasubstance tear involving the supraspinatus tendon near its insertion. length of the involved segment measures approximately 4 mm. mild tendinosis of supraspinatus and subscapularis tendons. infraspinatus, teres minor, teres major tendons appear intact and reveal normal signal intensity"
data/train/audio_05386.wav,"shape, outline and density. disc spaces are relatively maintained. prevertebral soft tissue is normal. no obvious bony destruction is seen. please correlate clinically"
data/train/audio_01345.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/train/audio_04762.wav,": heterogeneous marrow signal intensity. mild posterior disc bulges at l1-l2, l2-l3 and l3-l4 lumbar levels without any nerve root compression. suggested further evaluation with skeletal survey, bmd and inflammatory workup. 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/train/audio_00100.wav,bilateral osteomeatal units are patent. mild middle and inferior turbinate hypertrophy seen on right side. no mucosal thickening in sinuses.
data/train/audio_03679.wav,cect abdomen and pelvis technique: contrast-enhanced ct scan of the abdomen and pelvis was performed with pre- and post-contrast phases. multiplanar reformatted images were reviewed. clinical indication: abdominal pain. findings:
data/train/audio_00524.wav,: features suggestive of left-sided coalescent mastoiditis with: middle ear and mastoid involvement mastoid cortical erosions suspicious intracranial extension into left posterior fossa abutting left sigmoid sinus large deep neck space abscess involving posterior cervical musculature
data/train/audio_03882.wav,left inferior turbinate hypertrophy. mild deviation of nasal septum to right. left inferior turbinate hypertrophy. differential diagnosis na recommendation suggested clinical correlation & ct facial bone to rule out undisplaced fracture
data/train/audio_03541.wav,involving the right upper lobe (posterior segment) and superior segment of right lower lobe broad-based with acute pleural angle no calcification or fat associated rib scalloping without frank destruction differential considerations: primary lung malignancy with pleural involvement
data/train/audio_04481.wav,findings: bones & marrow: fracture noted involving the lateral humeral epicondyle. bone marrow edema/contusion seen in: distal humerus radial head and neck joint:
data/train/audio_04096.wav,"effacement of basal cisterns mild midline shift to right side no evidence of: acute intracranial hemorrhage extra-axial collection skull fracture visualized posterior fossa structures cerebellum, pons and medulla oblongata appear unremarkable. impression:"
data/train/audio_02693.wav,:above x-ray findings are suggestive of- bilateral maxillary sinusitis. nasal septum is deviated to the left side. adv ct pns if clinically indicated.
data/train/audio_05231.wav,"mild anterior wedge compression involving d3 vertebral body with loss of approximately 10% vertebral body height. rest of the dorsal vertebral bodies & their alignment appearnormal. the intervertebral disc spaces,transverse processes and spinous processes appear normal. no abnormal para-vertebral soft tissue swelling seen. no abnormal calcification seen."
data/train/audio_05146.wav,"a small defect 7.5 mm is seen at umbilical region through which omentum is seen protruding out --- suggestive of umbilical hernia : cect abdomen reveals, normal caliber appendix with thickened enhancing walls - possibility of subacute appendicitis needs consideration."
data/train/audio_03874.wav,"multiple cavitary lesions with upper lobe predominance, associated with: peribronchial scarring fibro-atelectatic changes numerous centrilobular/subcentimetric nodules -------ct findings are may suggest possibility of post-primary pulmonary infection, most likely:"
data/train/audio_04498.wav,menisci: medial meniscus: normal. lateral meniscus: normal. cruciate ligament: anterior cruciate: normal. posterior cruciate: normal. collateral ligament: medial collateral: normal.
data/train/audio_03165.wav,the lower end of vagina cannot be clearly delineated. this may suggest possibility of vaginal atresia / vaginal stenosis. please correlate clinically. hemorrhagic cysts in both adnexa. hemorrhagic collection / ruptured hemorrhagic cyst in right adnexa.
data/train/audio_02483.wav,conclusion f/s/o left pyelonephritis with mild pyelitis chronic liver disease
data/train/audio_02567.wav,"(ct is not the ideal modality for detecting gall stones; correlate with usg) pancreas is normal in size, outline & attenuation. no focal lesion seen. peripancreatic fat planes appear well preserved. no evidence of pancreatic duct dilatation seen."
data/train/audio_02704.wav,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 no significant bony abnormality detected.
data/train/audio_01650.wav,sphenoid sinus appears normal. visualized basal cisterns are within normal limits. 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.
data/train/audio_03426.wav,"the pancreas is normal in size with mild atrophy, without focal lesion or pancreatic duct dilatation. both adrenal glands and spleen are normal. both kidneys are normal in size, shape, and position. extrarenal pelvis is noted. minimal perinephric fat stranding is present."
data/train/audio_03478.wav,"lumen exhibits normal uniform opacification. wall thickness of urinary bladder is normal. gastrointestinal tract stomach is distended with normal gastric wall thickness and enhancement. c-loop of the duodenum is defined. post-operative status with ileostomy tube in situ in the right iliac fossa, with the tube seen communicating with the"
data/train/audio_04494.wav,lateral collateral: normal. patellar & quadriceps tendons: normal. patello-femoral ligaments: stretched medial patello-femoral ligament with mild hyperintense signal within. ilio-tibial tract: normal.
data/train/audio_04580.wav,in addition to there are small periepicholedochal and periportal collaterals are seen surrounding the hepatic duct and proximal common bile duct causing its prominence. splenic vein is prominent and measures 8.4 mm in diameter. superior mesenteric vein measures 7 mm in diameter. smv tributaries are patent.
data/train/audio_03865.wav,protocol multiplanar and multi-echo mri of the cervical spine was performed without administration of intravenous contrast. loss of cervical lordosis. disc dessication noted . soft tissue edema in paraspinal muscles.
data/train/audio_01465.wav,"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: pleural thickening with calcification noted in right lower zone. mediastinum:"
data/train/audio_01432.wav,"liver appears normal in attenuation pattern, no e/o focal lesion. 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."
data/train/audio_04384.wav,no pericardial effusion is seen. no obvious pleural effusion on left side. no hilar or mediastinal lymphadenopathy is seen. the visualized abdominal organs are normal. rest of the visualized bones are unremarkable. endotracheal tube and ryle's tube noted in situ. impression:
data/train/audio_00934.wav,bilateral mild ethmoid sinusitis. impression: mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-parietal and periventricular white matter. bilateral mild ethmoid sinusitis. suggested clinical correlation.
data/train/audio_00596.wav,: features suggestive of pilonidal sinus filled with pus. no evidence of osteomyelitis in sacrum / coccyx. multiple uterine fibroids as described.
data/train/audio_03501.wav,"few scattered small sclerotic foci are seen in multiple vertebral bodies likely benign in visualized abdomen, mild bilateral perinephric fat stranding is seen small hiatal hernia is noted impression"
data/train/audio_05407.wav,multiple subcentimetre sized and enlarged mediastinal lymphadenopathy.
data/train/audio_05656.wav,"observations aorta and iliac arteries the abdominal aorta appears normal in calibre and course with normal contrast opacification. no evidence of aneurysm, dissection, or significant stenosis."
data/train/audio_03707.wav,dominance of the coronary artery system: right dominant circulation. left main: the left main is a normal caliber vessel which gives rise to the lad and circumflex arteries. the left main has no stenosis. left anterior descending artery: multiple eccentric calcified plaques noted in the proximal and mid segment of left anterior descending artery causing maximum of 90% luminal compromise.
data/train/audio_01206.wav,"there is straightening / loss of the normal cervical lordosis, likely related to muscular spasm and/or degenerative change. mild multilevel degenerative spondylotic changes are noted: small anterior marginal osteophytes from c4 to c7 disc space narrowing at c5-c6 and c6-c7"
data/train/audio_02670.wav,nasal cavity: mild right inferior turbinate hypertrophy noted. rest of the turbinates appear unremarkable. mild mucosal thickening involving bilateral nasal cavities. bilateral moderate tonsillar hypertrophy causing moderate luminal compromise. few tiny microliths noted on right side.
data/train/audio_02023.wav,abutting left exiting nerve roots. mild facet joint arthropathy noted. at l2-l3 level: mild posterior disc bulge abutting thecal sac without any nerve root compression. mild facetal joint arthropathy noted. at l3-l4 level: diffuse disc bulge indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots narrowing bilateral neural foramina (right more than left)
data/train/audio_03876.wav,"pleura: no pleural effusion or pleural thickening detected. mediastinum & hila: no significant mediastinal or hilar lymphadenopathy identified. cardiac findings: cardiomegaly with dilatation of cardiac chambers noted. mild pericardial effusion, measuring approximately 6.8 mm in thickness along the anterior aspect."
data/train/audio_00265.wav,"l3-4: diffuse disc bulge causing indentation of the anterior thecal sac with mild narrowing of lateral recess and neural foramina on both sides, mildly indenting the traversing & exiting nerve root on both sides. ligamentum flavum hypertrophy is noted at same level. lumbar spinal curvature is maintained."
data/train/audio_00640.wav,"filum terminale do not reveal any abnormality. no abnormality is detected in the prevertebral region. the vascular structures appear normal. mild subcutaneous edema is seen in the lumbar region, posteriorly. there is mild atrophy of the lower posterior paraspinal muscles seen, predominantly on right side."
data/train/audio_01532.wav,schmorl's node noted at few lumbar levels. i.v. discs: l1-2: desiccation. no significant disc bulge or protrusion.
data/train/audio_01582.wav,"right ovary: ~2.1 x 1.6 cm left ovary: ~1.7 x 1.6 cm both ovaries are normal in size, morphology, and signal intensity. no adnexal mass lesion identified."
data/train/audio_03925.wav,few t2 iso to hypointense well defined nodules are seen in the transitional zone. these likely to represent features of benign prostatic hyperplasia. no abnormal area of diffusion restriction or ill-defined t2 hypointensity is seen to suggest neoplastic process.
data/train/audio_00009.wav,x-ray ankle with leg views ankle with leg - ap / lateral bones the bones of leg are normal. the bones forming ankle joint are normal. the articular surfaces are normal. no fracture or dislocation is present. visualized bones show normal mineralization.
data/train/audio_00037.wav,"multiple other subcentimetre sized discrete lymph nodes noted involving prevascular, pretracheal, paratracheal and left hilar regions. heart and major vessels: heart outline and size appears normal."
data/train/audio_02377.wav,", no central canal stenosis,right neural foraminal narrowing , mild indentation of the right exiting nerve root. l4-l5: there is diffuse disc bulge , no central canal stenosis, or neural foraminal narrowing. l5-s1: there is diffuse disc bulge , no central canal stenosis, or neural foraminal narrowing. disc spaces ap canal diameter (mm) status l1 - l2 14 patent l2 - l3 15 patent l3 - l4 10 patent l4 - l5 12 patent l5 - s1 12 patent"
data/train/audio_03461.wav,prominence of bronchovascular markings. suggested clinical correlation.
data/train/audio_00660.wav,"soft tissue swelling with internal hyperdensity is seen in prenasal, premaxillary and premandibular region. visualized vertebrae show no fracture or dislocation. small hemorrhagic contusions are seen in rigth temporal lobe and left frontal lobe in parafalcine location."
data/train/audio_05428.wav,"there is prominent surrounding reactive sclerosis involving the adjacent cortical and medullary bone, appearing as low signal intensity on all sequences. focal bone marrow edema is noted in the adjacent proximal third metatarsal, seen as hyperintense signal on stir/fat-suppressed sequences and corresponding low signal on t1-weighted images."
data/train/audio_01613.wav,multiple intra-articular loose bodies. joint effusion with suprapatellar extension. popliteal (baker's) cyst with partial septations. recommendations: ncct correlation
data/train/audio_03225.wav,old healed fractures: left 4th rib right scapula recommendations pet-ct and/or biopsy for definitive diagnosis
data/train/audio_04262.wav,"findings: the urinary bladder is well distended and shows in rounded membrane like structure noted in urinary bladder at left vuj, possibility of ureterocele. uterus measures 7.3 x 9.4 x 7.1 cm, bulky in size. multiple well defined altered signal intensity lesions noted in uterus. it appears hypointense on t1w"
data/train/audio_04892.wav,"vomer bone, medial and lateral pterygoid plates appear normal. alveolar processes of maxillary bone appear normal. mandible and t.m. joints appear normal. concha bullosa present on either side. persistent metopic suture noted."
data/train/audio_00786.wav,x-ray report - abdomen erect observation: fecal loading of large bowel loops is seen. the soft tissue outlines of solid abdominal organs are normal. no radio opaque shadow seen. no free air seen under diaphragm. lumbar spine appears normal. psoas shadows are normal. : fecal loading of large bowel loops
data/train/audio_04359.wav,mri report - left shoulder technique: pd fs coronal and axial and sagittal t1w coronal t2w stir coronal observation: low-grade partial thickness tear involving < 25% fibres noted in articular surface of superior fibres of subscapularis tendon 10 mm proximal to the humeral attachment.
data/train/audio_05143.wav,"pancreas appears normal in attenuation and enhancement pattern. both kidneys are normal in size, shape, attenuation and enhancement pattern and excretory function. both ureters are normal in course and caliber. urinary bladder is distended and appears normal. appendix appears normal."
data/train/audio_01434.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/train/audio_02587.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 right paracentral and right foraminal bulge. it abuts the anterior subarachnoid space, right l3 nerve roots and causes mild narrowing of the right lateral recess. mild facetal arthropathy and ligamentum flavum thickening are detected at this level."
data/train/audio_04894.wav,"findings: 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. no intra axial / extra axial"
data/train/audio_03782.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 and otherwise appear unremarkable. appendix appears normal. there is no abdominal lymphadenopathy seen. no e/o free fluid in abdomen and pelvis."
data/train/audio_05341.wav,"mild facetal arthropathy is detected at this level. broad based posterior protrusion of c6-7 disc, causing mild-to-moderate narrowing of the central canal. mild facetal arthropathy is detected at this level. broad based posterior protrusion of c3-4 disc, causing mild narrowing of the central canal."
data/train/audio_04065.wav,: grade i fatty liver. bilateral renal simple cortical cysts. suggest - clinical and biochemical correlation/further imaging if indicated.
data/train/audio_04231.wav,"the intracranial vessels display normal flow void. the paranasal sinuses, orbits and calvarium appear unremarkable. impression - mr scan reveals, no evidence of acute infarct or hemorrhage is seen."
data/train/audio_04375.wav,"mass effect is noted in the form of compression and displacement of the adjacent lateral ventricle, midline shift of 4-5 mm towards right. mild subfalcine herniation to the right. subgaleal hematoma over bilateral high fronto-parietal regions. maximum thickness measures approximately 16 mm. comminuted mildly displaced fracture involving right temporo-parietal bones."
data/train/audio_04643.wav,"bilateral moderate pleural effusions with bilateral perihilar consolidations, ground-glass opacities, interlobular septal thickening, and air bronchograms features favor pulmonary edema in the setting of congestive cardiac failure."
data/train/audio_04086.wav,l4-l5 level: grade i disc desiccation with mild diffuse disc bulge and bilateral lateral recess narrowing. no obvious bilateral neural foraminal narrowing /significant nerve root compression. ligamentum flavum appears normal. bilateral facetal joints appear normal.
data/train/audio_04750.wav,"moderate to severe cutaneous edema is in posterior lumbar region. mild subcutaneous edema is seen in posterior paraspinal muscles at the level of l1. incidentally t2 hyperintense cyst is seen in right kidney. mild perinephric fat stranding is seen on both sides. impression - mr scan reveals,"
data/train/audio_01460.wav,"x-ray lumbar spine ap & lateral views observation: degenerative changes are noted in the form of anterior marginal flowing osteophytes , intervertebral disc height reduction, and end plate sclerosis. grade i anterolisthesis of l4 over l5. the vertebrae is normal"
data/train/audio_00642.wav,". c5-6 disc reveals posterior protrusion, indenting the anterior subarachnoid space. posterior bulges are seen at c3-4, c6-7, and c7-t1 levels, indenting the anterior subarachnoid space. osteoporotic vertebrae. sagittal t2 weighted screening of thoracic spine reveals loss of thoracic curvature."
data/train/audio_00363.wav,"findings: abnormal area of hypodensity noted in right parietal lobe, possibility of chronic infarct /gliosis. prominence of basal cisterns and cerebral cortical sulci noted with mild dilatation of the ventricular system, suggest changes of cerebral cortical atrophy."
data/train/audio_03964.wav,eccentric calcified plaque measuring approximately 6 mm noted in the distal segment of left main artery extending into proximal segment of left anterior descending artery causing 50%-60% luminal compromise. left anterior descending artery:
data/train/audio_00999.wav,"(active infective collection) stable l4-l5 diffuse disc bulge with bilateral lateral recess narrowing. - features suggestive of progressive infective spondylodiscitis with epidural abscess causing worsening neural compression, despite partial reduction in paravertebral/psoas component."
data/train/audio_00166.wav,pre-void vol. - 561 cc; post-void vol. - 24 cc ( insignicant) uterus: post-menopausal status.
data/train/audio_00370.wav,centrilobular ground-glass opacities involving right upper lobe and right middle lobe and few centrilobular nodules involving anterior segment of left upper lobe - suggestive of infective/inflammatory etiology.
data/train/audio_03841.wav,suggested further evaluation with contrast study/pet scan followed by histopathology. 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/train/audio_00294.wav,no hydronephrosis or focal lesion. visualized ureters appear normal. urinary bladder: well distended with normal wall thickness. no focal lesion. uterus:
data/train/audio_03520.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."
data/train/audio_01167.wav,"no significant disc bulge. mild ligamentum flavum hypertrophy and facetal joint arthropathy are noted at this level. at l3-l4 level: no significant disc bulge. mild ligamentum flavum hypertrophy and facetal joint arthropathy are noted at this level. at l4-l5 level: partial disc desiccation,"
data/train/audio_04379.wav,no e/o bony canal stenosis is seen. rest of visualized soft tissue appear normal. impression: mildly displaced fracture involving the right transverse process of c7 vertebra involving the right neural foramina. undisplaced fracture involving the anterior arch of c1 vertebra.
data/train/audio_05280.wav,junctional zone is mildly thickened and measure 10 mm in maximum thickness. a fairly well defined t2 heterogeneously hypointense with hyperintense focus seen in the anterior myometrium lower segment measuring 1.6 x 1 cm in dimension. it shows mild post-contrast enhancement.
data/train/audio_03326.wav,"myometrial invasion <50%, with no evidence of extrauterine spread. imaging features are consistent with figo stage ib endometrial carcinoma. incidental gartner duct cyst in the left vaginal wall. recommendations:"
data/train/audio_02927.wav,shape and position. no hydronephrosis or hydroureter seen. the urinary bladder is distended with smooth outlines. uterus is normal in size and attenuation pattern. both ovaries appear unremarkable. bilateral adnexae are clear. fatty infiltration of liver parenchyma noted. it is otherwise normal. no evidence of focal lesion with limitation of plain scan.
data/train/audio_05173.wav,which may represent active infective/inflammatory change. mild focal air trapping in the right upper lobe. background copd changes with hyperinflation seen.
data/train/audio_02622.wav,suggestive of degenerative or traumatic marrow edema. please correlate clinically. mild left greater trochanteric bursitis. mild tendinosis of the gluteus medius tendon in the region of left greater trochanter. mild tendinosis of the left hamstring tendon. mild subcutaneous edema in left hip region.
data/train/audio_02392.wav,"mild bilateral peritrochanteric soft tissue edema, likely related to trochanteric enthesopathic/bursitic inflammatory change. bilateral chronic degenerative sacroiliac arthropathy. 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/train/audio_05256.wav,marrow contusion/oedema in posterior aspect of medial femoral epicondyle. grade ii muscle injury in popliteus muscle. oedema noted in muscles of popliteal fossa with fluid collection in intermuscular plane.
data/train/audio_05349.wav,"and superior endplate of d12 vertebra, associated with irregularity of adjacent endplates and focal kyphotic deformity. at the l1-l2 level, similar t2/stir hyperintense signal alteration is noted involving the adjacent vertebral endplates and intervening intervertebral disc, consistent with disc involvement."
data/train/audio_04147.wav,"pancreas is normal in size, outline & attenuation. no focal lesion seen. peripancreatic fat planes appear well preserved. no evidence of pancreatic duct dilatation seen. spleen is normal in size, outline & attenuation. no focal lesion seen. splenoportal axis is normal."
data/train/audio_02032.wav,"at c4-c5 level: partial disc desiccation, mild posterior disc bulge with focal postero-central disc protrusion indenting anterior thecal sac without any nerve root or spinal canal compromise. mild facetal joint arthropathy noted."
data/train/audio_01025.wav,no aneurysm is seen. abdominal wall: epigastric hernia with a defect measuring 2.7 cm with herniation of omental fat. bones: degenerative changes noted in the dorsolumbar spine. no suspicious lytic/blastic lesion is identified. impression:
data/train/audio_00399.wav,posterior fossa: no tonsillar herniation seen. cerebellar tonsils are placed well above the level of foramen magnum/mac rae line. peg like appearence of left cerebellar tonsil is seen. cerebellum and brainstem are normal in attenuation pattern. cerebellar folia are normal.
data/train/audio_00146.wav,"these findings are consistent with deep infiltrating endometriosis. the remainder of the rectum appears unremarkable. parametrium : a loculated parametrial fluid collection measuring 1.3 x 2.9 x 1.3 cm is seen, appearing t2 hyperintense, without surrounding inflammatory fat stranding. prominent parametrial vessels are noted."
data/train/audio_01272.wav,atherosclerotic calcifications involving the visualised aorta and its branches. others: degenerative changes involving the visualised spine in the form of marginal osteophytes. sternum and ribs appear normal. soft tissues and muscles of chest wall are normal. left lobe of thyroid gland appears bulky and reveals hypodense nodule measuring approximately 15 mm.
data/train/audio_04197.wav,"mandible: body, angle and symphysismenti of mandible appear normal. alveolar process appear unremarkable. both coronoid and condylar processes of mandible appear normal in attenuation. temporomandibular articulation appears normal. no evidence of dislocation."
data/train/audio_03727.wav,prostate is normal in size and attenuation pattern. diffuse hypoattenuation of liver parenchyma suggestive of fatty infiltration. it is mildly enlarged and measures approximately 16 cm. liver is otherwise normal. no evidence of focal lesion with limitation of plain scan. tiny calcified granuloma noted in the left lobe of liver.
data/train/audio_01646.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/train/audio_00964.wav,undisplaced fracture with marrow edema involving fibular head. mild knee joint and suprapatellar bursal effusion with soft tissue edema around knee joint. suggested clinical correlation.
data/train/audio_00242.wav,these imaging findings are suggestive of chronic calcific pancreatitis. no evidence of any acute pancreatitis noted in the present study. main portal vein is prominent and measure 1.3 cm in diameter it shows normal opacification. splenic vein is normal in caliber in the retropancreatic region and it is replaced by multiple collaterals in the hilum of spleen.
data/train/audio_02524.wav,"ventricular system is not dilated. csf spaces, sulci and fissures are maintained. 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/train/audio_04797.wav,"flow voids of the major vessels viz; intracranial ica, basilar artery & their branches and of the venous sinuses are well seen. no evidence of aneurysm or sinus thrombosis. no arteriovenous malformation noted. calvarium and scalp: bony calvarium shows normal signal and diploic space."
data/train/audio_04249.wav,mild posterior disc bulges are seen at few dorsal levels indenting thecal sac. on screening of bilateral sacro-iliac joints: no significant abnormality detected. on screening of bilateral hip joints: no significant abnormality detected. few subcentimetre size nabothian cysts noted in the cervix. suggested usg correlation. :
data/train/audio_00534.wav,left renal non-obstructive calculi. abdominal lymphadenopathy as mentioned. moderate ascites. left sided mild pleural effusion. small omental umbilical hernia.
data/train/audio_00762.wav,"haziness is seen in bilateral maxillary sinuses, possibility of changes of sinusitis. rest of the visualised para-nasal sinuses appear clear. no evidence of muco-periosteal thickening. no evidence of bony erosion. no distinct deviation of nasal septum."
data/train/audio_02862.wav,venous doppler of right lower limb ( portable)
data/train/audio_00862.wav,": diffuse nodular peritoneal thickening is noted. omental nodularity and thickening are present. there is clumping and congregated appearance of small bowel loops, which appear collapsed and adherent, suggestive of inter-loop adhesions."
data/train/audio_04061.wav,"spleen: measures 8.5 cm, appears normal in size & echogenicity. no focal lesion seen. pancreas: normal size and echotexture. no focal diffuse lesion. kidneys: right kidney measures 9.8 x 4.0 cm."
data/train/audio_05473.wav,the remaining visualised tibia and fibula appear unremarkable. no additional focal marrow signal abnormality seen. visualised muscle planes appear normal in signal intensity and bulk. no evidence of intramuscular collection or tear noted.
data/train/audio_02820.wav,no obvious inflammation in the left inguinal region. no size significant bilateral inguinal lymphadenopathy. impression: mild hepatomegaly. left sided direct omental inguinal hernia. no other significant abnormality detected. correlation with dynamic ultrasound would be worthwhile for evaluation of reducibility of hernia. 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/train/audio_01313.wav,"6. tiny subchondral cystic changes in the left femoral neck, likely degenerative or post-traumatic. 7. no additional pelvic fractures or sacroiliac joint disruption identified."
data/train/audio_02910.wav,"bowel & mesentery: clustering and congregation of small bowel loops are seen in the central abdomen with a characteristic ""cocoon appearance"", suggestive of encapsulating peritoneal sclerosis (abdominal cocoon)."
data/train/audio_02723.wav,orbital walls and walls of the paranasal sinuses appear intact. impression: mild to moderate bilateral maxillary sinusitis with blockage of bilateral maxillary ostia. mild frontal and ethmoid sinusitis with blockage of bilateral frontal sinus ostia. deviated nasal septum with convexity towards the left side with associated bony spur.
data/train/audio_01145.wav,2. few subchondral cysts in scaphoid and capitate 3. minimal intercarpal joint effusion 4. mild intrasubstance signal within tfcc (ulnar attachments) without definite tear suggested clinical correlation.
data/train/audio_01398.wav,opinion: mild soft tissue edema around the lateral aspect of lower thigh. no other significant abnormality detected.
data/train/audio_05613.wav,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/train/audio_01890.wav,"both lobes of thyroid are normal in architecture, attenuation and enhancement. the isthmus is normal. the nasopharynx, oropharynx and hypopharynx appear normal."
data/train/audio_03051.wav,"csf spaces, sulci and fissures are maintained. 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."
data/train/audio_00602.wav,"mild generalized prominence of the cortical sulci, basal cisterns and ventricular system is noted s/o cerebral atrophy rest of the brain parenchyma is normal in attenuation. basal ganglia and thalami are normal. the posterior fossa structures are normal. no evidence of sol. sella and parasellar structures appear grossly unremarkable."
data/train/audio_00371.wav,multiple patchy areas of mosaic attenuation involving bilateral lung parenchyma likely suggestive of air trapping - ? small airway disease. focal area of fibroatelectasis and fibrobronchiectasis involving anterior segment of right upper lobe and few areas of fibroatelectasis with adjacent pleural thickening involving left upper lobe suggestive of sequelae of old infective etiology.
data/train/audio_05593.wav,observations tarsal bones: there is evidence of a comminuted minimally displaced fracture involving the medial cuneiform. the fracture line is seen extending to the intertarsal and tarsometatarsal articular surface. no significant displacement or articular step-off is identified.
data/train/audio_03451.wav,"pneumocephalus along left frontal region - decreased. rest of the findings are consistent with previous scan. as compared to previous ct scan dated 5th march 2026 areas of intraparenchymal haemorrhage and its mass effect appear stable, however, mild adjacent increase in oedema. 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/train/audio_05325.wav,the vertebrobasilar system is normal. the visualised intracranial portions of bilateral ica's are normal. : postoperative changes as mentioned. a 1.9 x 1.2 cm size acute intraparenchymal hemorrhage in right thalamus with extension in adjacent third ventricle and left lateral ventricle.
data/train/audio_03485.wav,"there are multifocal stir hyperintense bone marrow edema changes noted involving the calcaneum, talus, cuboid, navicular, and base of metatarsal bones, without definite fracture line identified, suggestive of bone contusions."
data/train/audio_00975.wav,"the cranio-vertebral junction appears normal. there is no evidence of atlanto-axial dislocation, tonsillar herniation or syringomyelia. no abnormality is detected in the prevertebral region. neurovascular structures are normal. bilateral posterior paraspinal muscles are normal in size and reveal normal signal intensity. :-"
data/train/audio_02491.wav,"the alignment of the shoulder joint is normal. the muscles and their attachments also appear normal. major neurovascular bundles are normal. : mr scan reveals: partial bursal tear of the supraspinatus tendon, with mild-to-moderate tendinosis of the rest of the tendon."
data/train/audio_02830.wav,trachea and main stem bronchi reveal no abnormality. no evidence of tubular or saccular dilatation 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.
data/train/audio_01983.wav,muscles: popliteal muscle and tendon appear normal. the quadriceps tendon and ligamentum patellae reveals mild sprain. the hoffa`s fat pad reveals mild edema. osseous structure: rest of the visualised bones reveal normal signal intensity. no evidence of marrow edema.
data/train/audio_00703.wav,mild adjacent subcutaneous edema noted. mild hip joint space reduction noted. small acetabular osteophytes noted. hip joint otherwise reveals normal articulation and articular margins. femoral head is normal in contour and reveal no evidence of focal or diffuse signal abnormality.
data/train/audio_00389.wav,both maxillary sinuses appear normal. no evidence of fracture or collection noted. collection noted in left nasal cavity. left nasal bone appear normal. crista galli appear normal. left cribriform plate and perpendicular plate of ethmoid bones appear normal.
data/train/audio_05176.wav,hrct chest 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: focal fibrocavitary changes are seen in the anterior segment of the right upper lobe with a cavitary lesion demonstrating wall thickness measuring approximately 4.5 mm.
data/train/audio_02063.wav,"uterus is normal in size, shape and position. no evidence of any space-occupying lesion noted. approximately 5.0 x 4.3 x 4.5 cm sized well defined (ap x tr x cc) cystic lesion with peripheral enhancing wall noted at right ovary."
data/train/audio_00073.wav,visualized muscles appear unremarkable. major neurovascular bundles appear normal. visualized portion of rectum or anal canal and rectosigmoid colon appears unremarkable. impression - mr scan reveals
data/train/audio_01847.wav,:- differentials : necrotizing bacterial infection fungal infection less likely cavitating metastases (depending on clinical context) mosaic attenuation pattern in bilateral lungs suggestive of small airway involvement / air trapping
data/train/audio_02886.wav,"(ap x transverse x craniocaudal). o compared to previous measurement (3.2 x 3.7 x 2.4 cm), there is mild increase in size of the lesion o lesion continues to appear heterogeneous, predominantly iso- to hyperintense on t2w/flair."
data/train/audio_01561.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/train/audio_03750.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. : no significant neuro-parenchymal abnormality seen."
data/train/audio_03443.wav,comminuted fracture noted in head of radius. chip fracture noted at coronoid process of ulna. mild joint effusion noted. subcutaneous oedema noted in lateral aspect of elbow joint. lower end of humerus and olecranon process of ulna appear normal no evidence of any lytic or sclerotic lesion is seen.
data/train/audio_04803.wav,no evidence of an abnormal paravertebral shadow or calcification is noticed. the sacroiliac joints do not show any feature of note. opinion: straightening of lumbar spine - ? due to spasm.
data/train/audio_03576.wav,articular surfaces: smooth and preserved bilaterally without irregularity. sacroiliac joints: visualized sacroiliac joints reveal marginal osteophytes. soft tissues: surrounding soft tissues appear normal. no abnormal calcification or soft tissue swelling. impression:
data/train/audio_01989.wav,grade iii tear involving body and posterior horn of medial meniscus. mild knee joint and suprapatellar bursal effusion with mild soft tissue edema around knee joint. 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/train/audio_01525.wav,"dorsal: desiccation of all dorsal intervertebral discs is seen. few peridiscal osteophytes are noted. reduced disc height. diffuse disc bulge of c7-d1, causing indentation over anterior thecal sac and encroaching the neural foramina."
data/train/audio_04770.wav,"additional erosions are seen involving roof and posterior wall of right external auditory canal with abnormal communication between mastoid air cells and external auditory canal. erosion of right scutum is seen. bony erosions are noted involving facial nerve canal, lateral semicircular canal and vestibular bony wall."
data/train/audio_04635.wav,"mild bulge of c3-c4, c4-c5 discs, indenting the thecal sac. no significant nerve root compression. neural foramina appear normal. no focal abnormal signal in the spinal cord. whole spine screening dorsal:"
data/train/audio_03698.wav,"impression elongated subhepatic appendix with borderline increase in diameter (~9 mm) and mild wall thickening, without secondary signs of inflammation (no fat stranding, appendicolith, or collection)."
data/train/audio_00493.wav,the visualised bones show normal marrow signal. the visualised muscles and neurovascular bundle are normal. visualised pelvic organs are normal. : above findings are suggestive of intersphincteric fistula in ano.
data/train/audio_04104.wav,"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. deviated nasal septum to the right with bony spur. left maxillary and bilateral ethmoid sinusitis. rest of the visualized paranasal sinuses are normal."
data/train/audio_03867.wav,"c6-c7: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. c7-t1: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing."
data/train/audio_04402.wav,"multiple confluent subpleural bullae are seen bilaterally involving the visceral pleural margins, the largest measuring approximately 4.0 x 3.8 cm. mild traction bronchiectatic changes are noted in the right lower lobe involving the anterior and posterobasal segments."
data/train/audio_01860.wav,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.
data/train/audio_03302.wav,"portal vein is normal in caliber. no evidence of any intraluminal filling defect. gallbladder: gallbladder is partially distended and reveals 4.6 mm sized hyperdense calculus at the fundus. diffuse enhancing wall thickening noted involving the gallbladder. mild fluid in the gb fossa noted. cbd is not dilated. pancreas: pancreas is normal in size, shape, density"
data/train/audio_02320.wav,"maximum thickness measures approximately 9 mm. overlying staple sutures noted. : no obvious intracranial haemorrhage or fracture. subgaleal soft tissue haematoma over right temporo-parietal region. no significant intracranial abnormality detected. bilateral maxillary, bilateral ethmoid and left sphenoid sinusitis. suggested clinical correlation."
data/train/audio_00568.wav,"superficial temporal lobe, corona radiata and right half of midbrain with mild perilesional edema, intraventricular extension and mass effect as mentioned above. non-communicating hydrocephalus and mild periventricular ooze. midline shift to the left by 10.5 mm."
data/train/audio_04939.wav,"anterior and posterior marginal osteophytes are seen at few levels. tiny hemangioma is seen at l1 vertebra. l4-5: diffuse disc bulge causing indentation of the anterior thecal sac with narrowing of lateral recess and neural foramina on both sides, indenting the traversing & exiting nerve root on both sides."
data/train/audio_02924.wav,"right kidney is otherwise normal in size, shape and position. no hydronephrosis or hydroureter seen. the left kidney measures 10.9 x 5.2 cms. few (at least 2) hyperdense non-obstructive calculi in left kidney, largest measuring 7.8 mm in lower calyces (hu 400). left kidney is otherwise normal in size,"
data/train/audio_02514.wav,lungs bilateral hilar prominence. 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/train/audio_00131.wav,urinary bladder is partially distended without any focal lesion. small and large bowel loops appear unremarkable. visualized bones appear normal in signal intensity without any focal lesion. no ascites. impression - mr scan reveals
data/train/audio_05307.wav,x-ray - right elbow {ap/lat} mildly displaced fracture involving the radial head. it is involving the radiocapitellar articular surface. mild soft tissue oedema around elbow. joint space appears normal. rest of the articular margins are smooth and intact
data/train/audio_01700.wav,"reduced disc height. diffuse disc bulge of c6-c7, causing indentation over anterior thecal sac and encroaching the neural foramina. reduced disc height at c5-c6 level. cranio-vertebral junction appears normal. prominent central canal noted at c6 and c7 levels."
data/train/audio_03001.wav,"the lesion appears predominantly iso- to hyperintense on t1-weighted images and heterogeneously hyperintense on t2-weighted and flair sequences. variable areas of diffusion restriction are noted on dwi sequences. diffuse blooming is noted on gradient susceptibility sequences, consistent with hemorrhagic components."
data/train/audio_00579.wav,visualized paranasal sinuses are normal. : no significant abnormality is seen. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_05395.wav,"c3-c4: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. c4-c5: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing."
data/train/audio_01407.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/train/audio_01150.wav,medial patello-femoral ligament appears intact. no evidence of laxity or tear. medial and lateral patellar retinaculum appear intact. no evidence of laxity or tear. meniscus: linear t2w and stir hyperintense signal is seen involving the body and posterior horn of medial meniscus not extending to the articular surface suggestive of grade ii meniscal signal.
data/train/audio_02455.wav,soft tissues and muscles of chest wall are normal. mild fatty infiltration of liver parenchyma. no obvious size significant visualised cervical and bilateral axillary lymphadenopathy. 1. multiple centrilobular nodules involving right upper lobe and bilateral lower lobes (right more than left). 2. multiple areas of mild bronchial
data/train/audio_00016.wav,gallbladder is distended. gallbladder measures 3.1 cm in transverse dimension. the gallbladder wall is mildly edematous and measures 3 mm in maximum thickness. there is sludge seen within the gallbladder lumen. the gallbladder wall thickening is likely reactive change secondary to pancreatitis.
data/train/audio_03594.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/train/audio_01198.wav,degenerative changes - pelvis / hips mild bilateral hip osteoarthritic changes: mild joint space narrowing small marginal osteophytes along bilateral acetabular margins osteophytic changes near ischial tuberosities degenerative changes of the pubic symphysis are also noted with:
data/train/audio_03792.wav,no acute infarct or bleed is seen. no focal sol is seen. midline septa not shifted. no evidence of brain herniation. ventricular system is not dilated and appear symmetrical. no intraventricular or ependymal lesions. aqueduct appears normal in size. csf spaces and fissures are well maintained. no evidence of extra-axial collection is seen. intracranial arteries and venous sinuses:
data/train/audio_03530.wav,no evidence of pleural thickening or pneumothorax. mediastinum: multiple small volume mediastinal lymph nodes are noted; no significant lymphadenopathy by size criteria. no mediastinal mass lesion. cardiovascular system:
data/train/audio_04973.wav,"left ovarian cystic lesions, including hemorrhagic and endometriotic cysts. bilateral ovarian adhesions to the uterus, suggestive of pelvic endometriosis-related adhesions. small parametrial loculated fluid collection. few reactive pelvic lymph nodes. final mri #"
data/train/audio_05303.wav,without current imaging evidence of ischemia. suggested clinical correlation.
data/train/audio_02051.wav,subtle sclerotic area noted at head of left femur. no evidence of collapse of head of left femur. advice: mri if clinically indicated.
data/train/audio_02652.wav,"located about 1.8 cm from the anal verge, extending in an intersphincteric course with external opening at approximately 7 o'clock position. total length of the tract is approximately 1.9 cm. the central portion is hyperintense on stir images.no evidence of abscess formation."
data/train/audio_05006.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"
data/train/audio_04254.wav,"on whole spine screening: loss of cervical lordosis with variable partial disc desiccation of all the cervical intervertebral discs is noted. mild posterior disc bulges are seen at c3-c4, c4-c5 and c5-c6 cervical levels abutting the anterior thecal sac without any spinal canal compromise. anterior osteophytes are seen at few dorsal levels."
data/train/audio_00772.wav,medial meniscus: grade i intrameniscal signal intensity in posterior horn. no obvious complex tear identified. lateral meniscus: no obvious tear. medial collateral ligament (mcl): features suggestive of partial tear. lateral collateral ligament
data/train/audio_04961.wav,the junctional zone appears diffusely thickened with loss of the normal interface with the outer myometrium. no focal fibroid or adenomyoma is seen. these findings are suggestive of adenomyosis. endometrium appears normal. it measures 4mm in thickness. cervix and vagina: appear unremarkable.
data/train/audio_02438.wav,deviated nasal septum to the left with bony spur. bilateral mild ethmoid 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/train/audio_02115.wav,"calvarium and scalp: bony calvarium shows normal signal and diploic space. no mri evidence of fracture or sol is seen. no defect, sclerotic or lytic skull lesion noted. skull base appears grossly normal. overlying scalp is normal. no focal lesion or swelling noted. orbits and paranasal sinuses: visualized bony orbits appear normal."
data/train/audio_03037.wav,"correlate with clinical history (anemia, chronic disease, smoking, steroid use, endurance training). follow-up mri may be considered if symptoms persist or if laboratory abnormalities are detected. keyimages"
data/train/audio_03706.wav,findings: agatston score: the total (aggregate) calcium score using the aj-130 method is 562 lm = zero. lad = 167 lcx = 92. rca = 303. coronary artery angiogram findings:
data/train/audio_00517.wav,"filling the middle ear cavity involving epitympanum, mesotympanum, and hypotympanum. scutum appears preserved. ossicular chain appears grossly maintained; no definite ossicular erosion identified on plain study. tegmen tympani appears intact."
data/train/audio_05611.wav,prostate is normal in size and attenuation pattern. hypoattenuation of liver parenchyma suggestive of fatty infiltration. it is otherwise unremarkable. small hypodense cyst measuring approximately 10 mm noted in the segment vii of right lobe of liver. no evidence of any other focal lesion with limitation of plain scan.
data/train/audio_05417.wav,"no focal area of restricted diffusion is seen in the brain. 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."
data/train/audio_02993.wav,the urinary bladder is partially distended with foley's catheter in situ. no definite evidence of bladder wall invasion is identified on the present study. the rectum appears unremarkable with no obvious infiltration. no significant pelvic or para-aortic lymphadenopathy is identified. no ascites is seen. visualized bowel loops appear unremarkable.
data/train/audio_04492.wav,trachea appears central in calibre remaining visualised lung parenchyma appears unremarkable. no significant mediastinal lymphadenopathy noted. cardiac silhouette appears mildly enlarged. great vessels appear normal in calibre. no significant pleural effusion noted. visualised bony thorax appears unremarkable.
data/train/audio_02398.wav,cect abdomen technique: contrast-enhanced ct scan of the abdomen performed with multiplanar reconstructions. findings: liver appears enlarged (measuring ~18 cm).
data/train/audio_02511.wav,"an ill-defined t1 hypointense and t2 hyperintense lesion measuring approximately 6 x 3 mm is noted along the volar aspect of the wrist, located anterior to the tendon of flexor carpi radialis (fcr). the lesion demonstrates signal characteristics suggestive of a fluid-containing structure."
data/train/audio_01466.wav,fibro atelectasis of right upper lobe apical and anterior segments noted. multiple tiny nodular opacities noted scattered in right lower lobe superior and basal segments. patchy ground-glass densities noted in left upper lobe anterior segment. pleural thickening with calcification noted in right lower zone.
data/train/audio_02748.wav,"1# liver: measures 11.3 cm, appears normal in size, shape and shows altered echogenicity. there is no evidence of solid or cystic lesion. there is no intra or extra hepatic biliary radicle dilatation. minimal amount of uid seen in morrison's pouch."
data/train/audio_03546.wav,"liver is normal in size, shape and attenuation on present unenhanced scan. the porta hepatis is normal. no ihbr or cbd dilatation pancreas, spleen and both adrenals are normal in size, shape and attenuation on present unenhanced scan."
data/train/audio_04211.wav,calvarium: * bothzygomatic arches appear normal without any fracture. * undisplaced fracture noted in bilateral nasal bones. * both orbital walls appear normal in configuration with intact globes.
data/train/audio_03713.wav,gall bladder: gall bladder appears normal distended with normal wall thickness and intra luminal contents. spleen: appears normal in size and configuration. its parenchyma displays homogenous attenuation pattern. no evident focal lesions. perisplenic spaces appear normal.
data/train/audio_03737.wav,pneumatisation of right anterior clinoid process. middle turbinate: left lamellar concha noted. keros type 2 olfactory fossa is seen. uncinate process: attached to lamina papyracea bilaterally. optic nerve canal: type iii on right and type ii on left.
data/train/audio_01920.wav,diffuse oedematous wall of stomach. moderate ascites noted. minimal to mild pleural effusion noted on either side. conclusion: changes of chronic pancreatitis with intrapancreatic cytic collections formation - likely pseudocysts. minimal peripancreatic fat stranding noted. advice: serum amylase and lipase correlation to rule out acute changes. moderate ascites. mild splenomegaly. diffuse oedematous wall of stomach. minimal to mild pleural effusion on either side. slightly irregular margin of liver.
data/train/audio_00454.wav,"the paranasal sinuses, orbits and calvarium appear unremarkable. mr angiography - mild to moderate irregular narrowing of p2 cavernous segment of left internal carotid artery is seen. a1 segment of right anterior cerebral artery appears hypoplastic."
data/train/audio_04922.wav,": imaging features suggestive of acute interstitial pancreatitis involving predominantly the pancreatic body and tail with mild peripancreatic inflammatory fat stranding. no evidence of pancreatic necrosis, pseudocyst, abscess, or vascular complication."
data/train/audio_01488.wav,posterior cruciate ligament appears intact. medial and lateral collateral ligaments appear intact. extensor mechanism & soft tissues quadriceps tendon and patellar tendon appear intact. no significant periarticular soft tissue collection is noted.
data/train/audio_05684.wav,"no evidence of any supra-glottic, glottic or infra-glottic space-occupying lesion noted. retropharyngeal space, bilateral parapharyngeal space and bilateral carotid spaces appear normal. hyoid bone appears normal. thyroid, cricoid and arytenoids cartilages appear normal. no evidence of erosion noted."
data/train/audio_04293.wav,"supratentorial: both cerebral hemispheres appear normal in architecture and attenuation. grey white matter differentiation is maintained. 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. posterior fossa: cerebellum and brainstem are normal in attenuation pattern."
data/train/audio_02219.wav,small area of scarring in the visualised interpolar region of left kidney. small hiatus hernia noted. rest of the visualized abdominal organs are normal. diffuse osteopenia involving the visualised bones. osteoarthritic changes also noted involving visualised bilateral gleno-humeral joints and acromio-clavicular joint. degenerative changes involving the visualised spine in the form of marginal osteophytes.
data/train/audio_04610.wav,stir hyperintense signal involving the subarticular portion s/o chondromalacia patellae. rest of the tibiofemoral and patello-femoral joints reveal intact articular cartilage. no obvious intraarticular loose bodies are seen. mild knee joint and suprapatellar bursal effusion is noted. t2w and stir hyperintensities are seen in the adjacent soft tissues
data/train/audio_02667.wav,"the common carotid, internal and external carotid arteries are normal in calibre and signal intensity. there is no displacement or extrinsic compression. there is no evidence of stenosis or aneurysmal dilatation. the right vertebral artery v1-v3 segments are 50% narrow in calibre compared to the contralateral side with normal flow signal."
data/train/audio_00530.wav,no e/o free fluid noted in the peritoneal cavity. the small and large bowel loops are normal. the ivc and aorta appear normal. visualised basal lung fields appear normal. no pleural effusion is seen.
data/train/audio_04094.wav,"(30-45 hu) with foci of fat attenuation within. no evidence of calcification is seen within the lesion. on post-contrast imaging, the lesion shows heterogeneous enhancement. the lesion is causing mass effect resulting in: dilatation of bilateral lateral ventricles,"
data/train/audio_00706.wav,bilateral mild hip osteoarthritic changes. suggested usg and fine needle aspiration cytology correlation.
data/train/audio_00717.wav,the hoffa`s fat pad reveals mild oedema. osseous structure: small altered signal intensity t2 and stir hyperintense subchondral cyst noted involving the posterior aspect of lower shaft of femur. it measures approximately 4 x 3 x 6.5 mm (tr x ap x cc).
data/train/audio_03070.wav,"the posterior fossa structures are normal. no evidence of intracranial bleed / infarct. no intra axial / extra axial collection is seen. no midline shift is seen. the cortical sulci, basal cisterns and ventricular system are normal. no e/o any basal exudates or abnormal meningeal enhancement noted. dural venous sinuses appear normal."
data/train/audio_03803.wav,"no gross abnormality of the brainstem, in particular no mid brain atrophy. no intra or extraaxial mass, hemorrhage or infarction. the rest of brain parenchyma is otherwise unremarkable. the hippocampal complexes are symmetric. there is no evidence of mass or calcification. there is no evidence of restricted diffusion to suggest acute infarct."
data/train/audio_00972.wav,c4 nerve roots. it causes mild to moderate narrowing of central canal and both neural foramen. mild facetal arthropathy seen at this level. c4-c5 intervertebral disc reveals broad based posterior herniation with inferior migration. disc osteophyte complex at this level indents anterior surface of spinal cord and both c5 nerve roots
data/train/audio_01745.wav,"clinical profile - recently diagnosed biopsy proven case of carcinoma of esophagus. thorax - site of lesion - mid , lower esophagus and ge junction length of involvement - 9.7 cm in cm morphology - near circumferential wall thickening"
data/train/audio_03561.wav,": findings are suggestive of a right-sided perianal fistulous tract (~3 cm) with internal opening on the right side, without demonstrable abscess or secondary extensions on fistulogram. recommendation: mri fistulogram (mri pelvis with fistula protocol) is advised"
data/train/audio_02465.wav,"generalized subcutaneous edema is seen. large volume of fecal material is distending colon, sigmoid colon and rectum with mild thickening of the wall of the rectum with clear fat planes around the distended rectum. bilateral pyelitis, ureteritis with heterogeneous enhancement of both kidney with enlarged edematous left kidney, mild prominence of the renal pelvis on the both side"
data/train/audio_02013.wav,: supratentorial: few hypodensities are noted in bilateral periventricular white matter s/o chronic ischemic changes. rest of the cerebral hemispheres appear normal in architecture and attenuation. grey white matter differentiation is maintained. no shift of midline structures seen. basal ganglia and thalami are normal. no intra-axial or extra-axial collections seen.
data/train/audio_03674.wav,its dimensions and characteristics are as described above. this may suggest possibility of infective etiology. further evaluation with post-contrast study is recommended.
data/train/audio_05669.wav,"the study shows normal curvature of the cervical spine. the vertebrae appear normal in height, signal intensity and show normal alignment. no osseous destruction noted. disc spaces: c2-c3: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing."
data/train/audio_00254.wav,normal study of orbits. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_01302.wav,chronic pansinusitis ?? significance. adv: contrast study c shaped deviated nasal septum is seen towards right side. mild soft tissue density contents are seen in nasopharynx. nasal turbinates on either side with airway is normal. nasal floor and lateral walls normal. visualized nasopharynx is normal.
data/train/audio_02610.wav,"weighted images. this can be due to red marrow. however, possibility of underlying systemic / metabolic disorder needs to be ruled out with clinical correlation and further evaluation may be done, as clinically indicated. 6. there is minimal atrophy of the posterior paraspinal muscles seen in lower lumbar region. thank you for referring."
data/train/audio_05403.wav,cavity or abscess formation noted. trachea and main stem bronchi reveal no abnormality. no evidence of obvious mediastinal mass lesion seen. no evidence of fluid collection noted in pleural cavity on left side. no evidence of pleural nodule or mass lesion noted. spondylotic changes noted in dorsal spine. calcified atheromatous changes noted in visualised aorta
data/train/audio_00755.wav,ill-defined hypodense lesion measuring 3.9 x 2.4 cm noted in left adnexa - left adnexal cyst - for usg follow up. suggested mri pelvis for better characterisation of pelvic and ovarian pathologies.
data/train/audio_03013.wav,schmorl's nodes noted at few lumbar levels. 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. at l1-l2 level: mild posterior disc bulge abutting thecal sac without any nerve root compression. mild ligamentum flavum hypertrophy noted.
data/train/audio_04183.wav,"mr venography (mrv) performed. findings: there are multiple areas of diffusion restricting t2/flair hyperintensities noted in the left peritrigonal region and adjacent periventricular white matter, demonstrating gre blooming, suggestive of hemorrhagic components."
data/train/audio_01768.wav,"bilateral pleural effusion. mild cardiomegaly with dilated cardiac chambers. ill-defined bilateral lung opacities with mild peribronchial thickening, likely representing infective/inflammatory etiology; clinical correlation is advised."
data/train/audio_04340.wav,"suspicious t1 hypointense signal alteration in residual left mandible - ?neoplastic involvement. interval increase in size of right tongue lesion (now measuring 3.7 x 2.9 x 2.4 cm vs previously 2.8 x 2.0 cm), involving anterior and posterior thirds, with:"
data/train/audio_02747.wav,usg abdomen & pelvis
data/train/audio_04033.wav,: cartilagenous and bony nasal septum is s shaped with bony spur. bilateral mild inferior turbinate hypertrophy. diffuse mucosal thickening involving bilateral nasal cavities. polypoidal mucosal thickening involving bilateral maxillary sinuses (left > right) extending into ethmoid air cells suggestive of sinonasal polyposis.
data/train/audio_01902.wav,patellofemoral articulation is normal. visualised soft tissues appear normal. please correlate clinically.
data/train/audio_00119.wav,"diffuse bulge of c5-c6 disc superimposed with left foraminal protrusion, indenting the thecal sac and encroaching the neural foramina. there is compression over left exiting c6 nerve root. mild bulge of c4-c5 and c6-c7 disc, indenting the thecal sac. no nerve root compression."
data/train/audio_02530.wav,no evidence of laxity or tear. medial patello-femoral ligament appears intact. no evidence of laxity or tear. medial and lateral patellar retinaculum appear intact. no evidence of laxity or tear. meniscus: linear t2w and stir hyperintense signal is seen involving the posterior horn of medial meniscus not extending to the articular surface suggestive of grade ii signal change.
data/train/audio_04824.wav,"basal ganglia / thalami: bilateral basal ganglia and thalami appear normal. brainstem & posterior fossa: midbrain, pons, and medulla oblongata appear normal. cerebellar hemispheres and vermis appear normal. sellar & parasellar region:"
data/train/audio_03336.wav,subpleural fibrotic changes in left lower lobe - suggestive of post-inflammatory sequelae. multiple degenerative osteophytes noted in thoracic spine. ossification of anterior longitudinal ligament noted in lower thoracic levels - suggested mri dl spine for better evaluation.
data/train/audio_00060.wav,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. both right and left portal veins are not visualized and instead multiple collaterals are seen suggestive of collateralization. features are consistent with ehpvo and resultant cavernoma formation.
data/train/audio_01165.wav,mild straightening of the lumbar spine is seen with no scoliosis. sacralization of the l5 vertebra is noted. t1w and t2w hyperintense hemangioma is noted in l3 vertebral body. the pre and paravertebral soft tissues appear normal.
data/train/audio_02218.wav,"visualized bones are unremarkable. small hypodense nodule is noted in both lobes of thyroid glands, largest measuring approximately 5.5 mm in the right lobe. suggested usg correlation. generalised anasarca noted. impression: 1. bilateral mild to moderate pleural effusion with collapse consolidation of underlying lung parenchyma."
data/train/audio_04011.wav,both parotids and submandibular glands are normal. no gross cervical lymphadenopathy is seen. cervical oesophagus and trachea appear normal. bilateral styloid processes are within normal limit. the visualized vertebrae are normal in density and trabecular pattern. no significant abnormality seen. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_00827.wav,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/train/audio_03939.wav,mild facetal arthropathy and ligamentum flavum thickening is seen at this level bilateral facetal effusion seen at this level. l4-l5 intervertebral disc with moderate broad based posterior herniation. it indents thecal sac and both l5 nerve roots it causes moderate narrowing of central canal.
data/train/audio_04285.wav,"heart and major vessels: heart outline and size appears normal. mild atherosclerotic calcification in the arch of aorta. others: visualized vertebrae, sternum and ribs appear normal. soft tissues and muscles of chest wall are normal."
data/train/audio_04699.wav,"left otomastoiditis changes are also noted. no significant midline shift or large space-occupying lesion is identified. impression: multiple symmetrical hemorrhagic foci with associated areas of restricted diffusion involving bilateral frontal, parietal and occipital lobes with blooming on susceptibility sequences."
data/train/audio_05379.wav,rest of the bowel gas pattern is normal. degenerative changes involving the visualised lumbar spine in the form of marginal osteophytes and disc space reduction. psoas shadows are normal. : gaseous distension involving the colon.
data/train/audio_01056.wav,"cerebral parenchyma appears normal with normal signal intensity on flair, t2 weighted images and t1 weighted images. no evidence of any obvious sulcation abnormality or gray matter thickening. no evidence of focal lesion. bilateral hippocampi reveal normal architecture,"
data/train/audio_04725.wav,"coraco-acromial arch appears normal. type ii acromion noted. bones:- few subchondral cysts involving the humeral head. rest of the head of humerus, rest of the glenoid, spine of scapula and coracoid reveal normal signal intensity. articular cartilage is intact with smooth margins."
data/train/audio_01058.wav,both cerebellopontine angle cisterns appear normal. major intra-cranial flow voids are preserved. both orbits are unremarkable. minimal mucosal thickening is seen in all paranasal sinuses with polypoidal mucosal thickening in right maxillary sinus
data/train/audio_04913.wav,cect - upper abdomen (plain + contrast) technique: ct scan of the upper abdomen was performed before and after intravenous contrast administration. multiplanar reformatted images were evaluated. clinical brief: pain abdomen with elevated serum amylase levels.
data/train/audio_00834.wav,hemosinus noted in the sphenoid sinus. displaced fracture of the squamous part of the left temporal bone. subdural hematomas noted in the bilateral anterior temporal convexities.
data/train/audio_05056.wav,"there is no evidence of calculus or mass. pre-void vol - 282 cc; post-void vol - 15 cc ( not signicant) . prostate: measures 5.0 x 3.4 x 4.5 cm ( approx. vol: 40.7 cc) ,"
data/train/audio_05081.wav,no appreciable joint effusion identified. soft tissues mild soft tissue edema/swelling noted over the lateral malleolar region. no focal soft tissue collection or soft tissue gas identified.
data/train/audio_00385.wav,"soft tissues: mild subcutaneous edema is noted in the anterior aspect of the knee. no collection or abscess is seen. impression: osteochondral lesions involving the medial femoral condyle, medial tibial condyle, and lateral facet of the patella with subchondral edema."
data/train/audio_00183.wav,para vertebral soft tissues are normal. both sacro iliac joints are normal. no abnormal radio opaque shadow is seen. : features of degenerative lumbar spondylosis. adv : ct spine if clinically indicated.
data/train/audio_02948.wav,findings artifacts: no significant motion or metallic artifacts are seen. brain parenchyma: small subcortical nodular or calcified lesion measuring 4 x 2 mm is noted in the right frontal lobe in subcortical region. calcified nodule measuring 5.4 x 5.5 mm noted in
data/train/audio_01239.wav,"multiple prominent mediastinal lymph nodes are seen, the largest measuring approximately 19 x 14.5 mm, likely reactive in nature. moderate bilateral pleural effusions are present. there are patchy areas of consolidation and ground-glass opacities with air bronchograms"
data/train/audio_00854.wav,"liver: multiple hypoenhancing liver lesions in both lobes with no internal calcifications, the largest one is exophytic, centred on segment ivb in the left lobe, measuring 10.2x8.5 cm."
data/train/audio_04651.wav,"gallbladder is well distended and reveals diffuse hyperdensities suggestive of 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: pancreas is normal in size, shape and density."
data/train/audio_00908.wav,"findings: there is no focal area of abnormal signal intensity in the cerebral or cerebellar hemispheres. the grey-white matter differentiation is well maintained. the basal ganglia, thalami, brainstem and cerebellum appear normal. no focal area of restricted diffusion is seen in the brain."
data/train/audio_00616.wav,there is loss of normal lumbar lordosis seen. the alignment of the vertebrae is normal. there is sacralisation of l5 vertebra. marginal anterior osteophytes are seen from l3 to l5 levels. the marrow within the vertebrae reveals normal signal intensity. no focal bony lesion is detected.
data/train/audio_03260.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/train/audio_02498.wav,"tendons:- mild supraspinatus and subscapularis tendinosis noted. infraspinatus, teres minor, teres major tendons appear intact and reveal normal signal intensity. biceps tendon is seen in the bicipital groove and appears normal. mild fluid noted in the bicipital groove."
data/train/audio_00202.wav,a fairly well defined t2 heterogeneously hypointense with hyperintense focus seen in the anterior myometrium lower segment measuring 1.6 x 1 cm in dimension. it shows mild post-contrast enhancement. other 2 t2 hypointense and t1 hypointense well defined subserosal fibroids are seen in the anterior wall measuring up to 1.3 x 1.2 cm and 0.9 x 0.8 cm in dimension.
data/train/audio_04562.wav,"at s1-s2 level) with resultant back pressure changes in the form of proximal hydroureter and mild hydronephrosis. mild perinephric and proximal periureteric fat stranding noted. multiple tiny non-obstructive microliths noted in right kidney. multiple non-obstructing calculi are noted in right kidney as mentioned below. right kidney size (mm) attenuation (hu) upper pole 2, 3 & 2.5 180, 310 & 220 mid pole 2.2, 2.5 & 2.3 160, 180 & 200 lower pole -- --"
data/train/audio_02488.wav,"hyperintense signal is detected in the tendon of supraspinatus on t1 weighted images. this reveals fluid intensity on t2 weighted images. it reaches the bursal surface and represents partial tear. it measures about 1.2 cm. moderate-to-severe hyperintense signal is seen involving the rest of the supraspinatus tendon on t1 weighted images,"
data/train/audio_04292.wav,"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/train/audio_02456.wav,: lungs: multiple centrilobular nodules noted involving right upper lobe and bilateral lower lobes (right more than left). multiple areas of mild bronchial wall inflammation noted involving the segmental and subsegmental bronchi of bilateral lung parenchyma. multiple patchy areas of mosaic attenuation noted involving bilateral lung parenchyma.
data/train/audio_03016.wav,"at l5-s1 level: diffuse disc bulge indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots narrowing bilateral neural foramina indenting bilateral exiting nerve roots (left>right). small annular tear, mild ligamentum flavum hypertrophy and facet joint arthropathy noted. disc level canal diameter (mm) l1-l2 13 l2-l3 7.6 l3-l4 5.8 l4-l5 9.6 l5-s1 10.7 on whole spine screening: reversal of cervical lordosis"
data/train/audio_02745.wav,mrs. ranjana ashok dalvi [mrn-260200092] 64 yr | female
data/train/audio_00692.wav,"right adnexal region: there is a large well-defined cystic lesion measuring approximately 10.3 x 8.5 cm, located in the right adnexa, extending posterior to the uterus. the lesion abuts the uterus anteriorly and rectum posteriorly, and crosses the midline extending into the left adnexal region."
data/train/audio_04691.wav,"diffuse bulge of l3-l4 disc, causing compression of right exiting l3 & traversing l4 nerve roots. focal canal stenosis. diffuse pseudo bulge of l4-l5 disc, causing compression of right exiting l4 & traversing l5 nerve roots and indentation over left exiting l4 nerve roots. diffuse bulge of l5-s1 disc,"
data/train/audio_03975.wav,portal and billiary radicals are normal. major abdominal blood vessels are normal in caliber. prominent dorsal pancreatic duct compared to ventral pancreatic duct. no evidence of abdominal lymphadenopathy. no evidence of free fluid in abdomen and pleural space.
data/train/audio_02009.wav,"x-ray: left foot (ap/lat views) findings tarsals, metatarsals & visualized proximal phalanges are normal in outline and density. no evidence of any bony injury or dislocation seen. intertarsal, tarso-metatarsal and metatarso-phalangeal joints are normal with normal articular surfaces and joint spaces."
data/train/audio_02214.wav,mastoid air cells are clear. minimal mucosal thickening is seen in left maxillary sinus. moderate to severe mucosal thickening is seen in left sphenoid sinus. frontal sinuses appear hypoplastic. visualized brain parenchyma otherwise appears unremarkable. impression:
data/train/audio_03618.wav,urinary bladder is partially distended and foley's bulb is noted in situ. . lumen exhibits normal uniform opacification. wall thickness of urinary bladder is normal. gastrointestinal tract stomach is distended with normal gastric wall thickness and enhancement. c-loop of the duodenum is defined. contrast filled small and large bowel loops appear normal in calibre.
data/train/audio_03046.wav,miscellaneous: the levatorani and the pelvic musculature appear normal urinary bladder is well distended. visualized pelvic viscera appear normal. there is no evidence of pelvic lymphadenopathy or free fluid. : grade - i - linear intersphincteric fistula. st james's university hospital mr imaging classification of perianal fistulas (modified from spencer et al) recommendation suggested clinical correlation and follow-up.
data/train/audio_02803.wav,"others: visualised vertebrae, sternum and ribs appear normal. soft tissues and muscles of chest wall are normal. abnormal airspace opacification/ggos in dependent segmental distribution with b/l mild to minimal pleural effusion with prominent mpa as described?"
data/train/audio_05300.wav,"no evidence of vascular compromise or mesenteric thrombosis. second focus of mesenteric twisting noted in the lower mesentery involving distal ileal loops, again demonstrating a whirlpool sign. associated dilatation of proximal ileal loops, measuring up to 5.8 cm in maximal calibre, with air-fluid levels. large bowel"
data/train/audio_02645.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/train/audio_02342.wav,"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. fourth ventricle is central and normal in shape. bone, scalp and sinuses: bony calvarium is normal."
data/train/audio_04671.wav,"focal area of increased attenuation in the left central mesentery with multiple subcentimetric lymph nodes, likely representing mesenteric panniculitis. mild cardiomegaly. impression multilevel degenerative spondylotic changes of the lumbosacral spine, characterized by:"
data/train/audio_02183.wav,"the right femoral head is laterally displaced relative to the acetabulum. the left femoral head is displaced superolaterally, indicating more advanced dysplastic subluxation on the left side. there is synovial thickening in the right hip joint, with minimal joint effusion. the left hip joint shows no significant joint effusion."
data/train/audio_04644.wav,"multiple prominent mediastinal lymph nodes (largest ~19 x 14.5 mm), likely reactive. right-sided central venous line with tip in the superior vena cava. few calcified pulmonary nodules in the right lower lobe, likely sequelae of old granulomatous disease."
data/train/audio_04712.wav,"visualized vertebrae appear osteoporotic. few marginal osteophytes are seen from l3 to l5 levels. no focal bony lesion is detected. l1-2 disc reveals right paracentral and foraminal protrusion. it indents the thecal sac, right l1 nerve root and causes mild narrowing of central canal and right neural foramen."
data/train/audio_03515.wav,mild anterolisthesis of l3 over l4 and l4 over l5 noted. at l3-l4 level: diffuse disc bulge with left paracentral disc protrusion and superior migration (by 10.7 mm) indenting thecal sac and compressing traversing nerve roots narrowing bilateral neural foramina indenting right and compressing left exiting nerve roots.
data/train/audio_00353.wav,findings: bones & marrow: fracture noted involving the lateral humeral epicondyle. bone marrow edema/contusion seen in: o distal humerus o radial head and neck joint: moderate elbow joint effusion noted.
data/train/audio_04607.wav,"no definite placental interface with uterus identified. likely implantation site appears peritoneal, exact site of placental attachment not clearly delineated. bowel loops: visualized bowel loops appear normal. no obstruction or focal lesion. peritoneum: no significant free fluid noted."
data/train/audio_02660.wav,"mra of the head without contrast with respect to the anterior carotid circulation, there is a normal appearance of the petrous, cavernous and supraclinoid carotid vessels. there is no displacement or extrinsic compression. the intraluminal signal intensity is homogeneous."
data/train/audio_03934.wav,"corticomedullary differentiation is maintained. renal pelvis appears normal. peri-nephric fat regions appear unremarkable bilaterally. adrenals: adrenal glands are normal is shape, size and position."
data/train/audio_04170.wav,"musculoskeletal structures: c2-c3 block vertebra with variable fusion of posterior elements. degenerative changes involving the visualised spine in the form of marginal osteophytes, posterior disc osteophyte complex noted at c3-c4, c4-c5, c5-c6, c6-c7 and c7 and t1 levels."
data/train/audio_02936.wav,"both adrenal glands appear normal. kidneys and urinary system both kidneys are normal in size, shape, and enhancement. no hydronephrosis or calculus seen. both ureters and urinary bladder appear unremarkable. prostate and seminal vesicles prostate gland measures 4.7 x 3.9 x 4.6 cm and shows mild heterogeneous enhancement."
data/train/audio_02228.wav,"bronchiectatic changes noted in right middle lobe. no evidence of honeycombing, cavity or abscess formation noted. trachea and main stem bronchi re veal no abnormality. no evidence of tubular or saccular dilatation of segmental or sub segmental bronchi noted. no evidence of obvious mediastinal mass lesion seen. no evidence of fluid collection noted in pleural cavity on right side."
data/train/audio_02246.wav,- likely residual changes following recently passed calculus. normal bilateral renal arterial anatomy with no evidence of renal artery stenosis. tiny bilateral simple renal cortical cysts. reactive mesenteric lymph nodes. physiological right ovarian corpus luteum cyst (~18 mm).
data/train/audio_02551.wav,mosaic attenuation pattern that is associated with peripheral micro-nodules and ggo seen in bilateral lower lobe. segmental bronchial and bronchioles wall thickening with peribronchovascular wall cuffing is seen in bilateral lung fields predominately in bilateral lower lobes.
data/train/audio_03351.wav,the visualized tendons are normal. the neurovascular bundles are intact. ill-defined altered marrow signal intensity area appearing hyperintense on stir weighted images and hypointense on t2wt and t1wt images is seen in midshaft of right femur. impression -
data/train/audio_02274.wav,"2. few small mildly enhancing node in right lower lobe. 3. multiple enhancing partially necrotic subcutaneous nodules in chest wall, abdomen and back - suspicious for metastatic deposits. 4. heterogeneously hypoenhancing hepatic lesion (3.2 x 2.6 cm) in the left lobe - suspicious for metastasis."
data/train/audio_03567.wav,the sella and parasellar regions are normal. pericranial soft tissue edema is noted in the left parietal and occipital region. : ct imaging does not reveal any significant intracranial abnormality in the present study. pericranial soft tissue edema in the left parietal and occipital region.
data/train/audio_00217.wav,"findings: mild pneumocephalus noted along the frontal region. multiple areas of subarachnoid haemorrhage noted involving left frontal, right fronto-parietal lobes and right sylvian fissure. mild subarachnoid haemorrhage is also noted in the basal cistern. extradural haemorrhage noted along left frontal region. maximum thickness measures approximately 5 mm."
data/train/audio_04430.wav,"multifocal bilateral upper lobe predominant infective pathology characterised by patchy consolidative opacities, centrilobular/tree-in-bud nodules, and thick-walled cavitary lesions in the right upper lobe, highly suggestive of active infective pathology - possibly post-primary pulmonary tuberculosis with endobronchial spread."
data/train/audio_05126.wav,i.v. discs: l1-2: no significant disc bulge or protrusion. l2-3: no significant disc bulge or protrusion. l3-4: no significant disc bulge or protrusion. l4-5: no significant disc bulge or protrusion. l5-s1: desiccation.
data/train/audio_01205.wav,mildly displaced fracture of the left inferior pubic ramus comminuted displaced fracture involving the anterior column and medial wall of the left acetabulum these findings are in keeping with complex pelvic ring and acetabular trauma. cervical spine
data/train/audio_01161.wav,visualised bilateral common carotid bulbs reveals eccentric plaques causing 20%-30% luminal compromise. visualised vertebral artery appears unremarkable. complete non-visualisation of right middle cerebral artery.
data/train/audio_05382.wav,ct right wrist technique: plain ct examination of the wrist was performed with multiplanar reformatted images.
data/train/audio_04755.wav,vascular: there is loss of normal t2 flow void involving: left external iliac vein left common femoral vein visualized deep femoral vein visualized superficial femoral vein soft tissue findings mild t2/stir hyperintense edema noted involving:
data/train/audio_03015.wav,findings: mild straightening of the lumbar spine is seen with no scoliosis. mild retrolisthesis of l2 over l3. mild anterolisthesis of l3 over l4. 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.
data/train/audio_00231.wav,loss of normal cervical lordosis. vertebral bodies show multiple anterior osteophytes with maintained vertebral body heights. intervertebral disc space narrowing noted (more prominent at c5c6 & c6c7 ) multilevel endplate sclerosis noted.
data/train/audio_05030.wav,"both kidneys appear normal in size, shape & echotexture. the corticomedullary differentiation is maintained. free fluid: no evidence of free uid. urinary bladder: well distended and shows normal wall thickness. there is no evidence of calculus or mass seen."
data/train/audio_03007.wav,"a small atherosclerotic plaque is noted involving the proximal segment of the left internal carotid artery causing approximately 20% luminal narrowing. rest of the bilateral internal carotid arteries demonstrate normal course, caliber, and flow signal."
data/train/audio_03895.wav,few subchondral cysts involving the intercondylar region of tibia and femur. tibiofemoral and patello-femoral joints appear normal with intact articular cartilage. no obvious intraarticular loose bodies are seen. mild knee joint and suprapatellar bursal effusion is noted.
data/train/audio_01277.wav,the grey-white matter differentiation is well maintained. the brainstem and cerebellum are normal. there is no shift of the midline structures. no evidence of any intracranial space occupying lesion. mild mucosal thickening noted in right maxillary sinus. :
data/train/audio_01831.wav,mild degenerative changes at l3-l4 without significant neural compromise. mild multilevel cervical disc bulges without significant stenosis. incidental vertebral hemangiomas at t7 and t11.
data/train/audio_00026.wav,"few tiny subcentimetric simple cortical cysts are seen in left kidney. corticomedullary differentiation is maintained. adrenals: adrenal glands are normal is shape, size and position. all the limbs of adrenal glands are well outlined. no focal thickening in any of the adrenal limbs."
data/train/audio_05014.wav,"there is 70x60 mm sized cystic lesion seen in right ovary and right ovary is not separately visualized. it is not infiltrating adjacent organs. it has a smooth, thin wall. there are fine internal septae seen and there are no mural nodules. no ascites. no other focal abnormality."
data/train/audio_04464.wav,"mr cholangio-pancreatography: technique: mrcp has been performed using single shot fat suppressed images in coronal plane, and 3d fse acquired in axial and reconstructed in coronal plane. fse t2w axials through abdomen."
data/train/audio_03417.wav,dominance of the coronary artery system: right dominant circulation. left main: the left main is a normal caliber vessel which gives rise to the lad and circumflex arteries. 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/train/audio_04179.wav,rest of the brain parenchyma appears unremarkable. mr venography findings: major dural venous sinuses and deep venous system are patent no evidence of cerebral venous sinus thrombosis (cvst)
data/train/audio_02676.wav,at the chondrolabral junction - slap 2 tear. mild acromio-clavicular joint arthrosis. minimal joint effusion.
data/train/audio_04491.wav,: sequelae of old pulmonary tuberculosis: right upper lobe collapse with fibrobronchiectasis right lung volume loss with mediastinal shift right-sided chronic fibrothorax with pleural calcifications fibrotic changes in left lung (lul anterior segment and lingula)
data/train/audio_02467.wav,"right side minimal and left side mild pleural effusion is seen. scrotal wall thick and edematous. generalized subcutaneous edema is seen. large volume of fecal material in rectum and sigmoid, with mild thickening of the wall of the rectum s/o chronic constipation. differential diagnosis na recommendation suggested clinical correlation."
data/train/audio_05462.wav,visualized marrow signal of pelvic bones appears unremarkable. impression: enlarged prostate gland (~58 cc) with features of benign prostatic hyperplasia and intravesical prostatic protrusion.
data/train/audio_03999.wav,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. no significant mediastinaladenopathy is observed.
data/train/audio_04956.wav,"major intracranial dural venous sinuses are showing normal outline and flow void. sella, supra-sellar and para-sellar structures are normally visualized. incidental findings mucosal thickening is seen in bilateral maxillary & ethmoid sinus."
data/train/audio_04286.wav,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. no significant mediastinal adenopathy is observed.
data/train/audio_05637.wav,x-ray chest pa view
data/train/audio_03650.wav,further evaluation (contrast ct / pet-ct or biopsy) if the right lower lobe nodule persists or shows interval growth.
data/train/audio_03432.wav,tissue sampling and histopathological correlation is recommended.
data/train/audio_00892.wav,": cect abdomen reveals, post-cholecystectomy status. mildly prominent central intrahepatic biliary radicles. no obvious pneumobilia. common bile duct measures approximately 4.5 mm. no obvious calculus."
data/train/audio_05088.wav,no hydronephrosis or hydroureter is noted. the corticomedullary differentiation is maintained. free fluid: no evidence of free uid. urinary bladder: well distended and shows mildly thickened and irregular wall thickness. there is no obvious evidence of calculus or mass.
data/train/audio_05113.wav,ct brain (plain) technique: axial sections of the brain were obtained from the base of skull to the vertex without administration of intravenous contrast on a ct scanner. clinical history: chief complaints of severe headache. findings:
data/train/audio_04728.wav,minimal shoulder joint and sub-coracoid bursal effusion. 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/train/audio_03960.wav,"on the right side, contrast opacification is seen in the popliteal artery with approximately 30% luminal narrowing. mild narrowing causing less than 40% luminal narrowing is noted in the right anterior tibial artery. moderate narrowing causing greater than 60% luminal occlusion is noted in the right posterior tibial artery."
data/train/audio_02839.wav,sphenoid sinus appears normal. visualized basal cisterns are within normal limits. supratentorial: small chronic lacunar infarct involving right frontal white matter. few t2w and flair hyperintensities are noted in bilateral fronto-parietal and periventricular white matter.
data/train/audio_02581.wav,"1. broad based posterior and right paracentral as well as right foraminal protrusion of l5-s1 disc, with inferior migration, causing asymmetric mild to moderate narrowing of the central canal and moderate narrowing of the right lateral recess. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. bilateral facetal effusion is seen at this level. 2. broad based posterior protrusion of"
data/train/audio_02462.wav,"mild prominence of the collecting system on the both side (left>right). both kidneys enhance normally with no surrounding stranding. both renal pelvis and ureters show peripheral wall enhancement, most pronounced in the proximal left ureter with associated fat stranding. both kidneys shows good uptake and excretion of contrast material into collecting system."
data/train/audio_00355.wav,tendons: common extensor tendon: o near full-thickness tear at humeral (lateral epicondylar) attachment site common flexor tendon: o grade i strain (mild tendinous edema without tear)
data/train/audio_03155.wav,inflammatory or adhesive changes.
data/train/audio_05002.wav,disc desiccation of all lumbar intervertebral discs. marginal osteophytes from lumbar vertebrae. mild diffuse disc bulge at l1-l2 abutting thecal sac. mild diffuse disc bulge at l3-l4 with posterior annular fissure indenting thecal sac and abutting both traversing nerve roots; effacement of bilateral lateral recess.
data/train/audio_02734.wav,pancreas: normal size and echotexture. no focal diffuse lesion.
data/train/audio_02193.wav,multiple areas of fibroatelectatic changes seen in the right lung and residual aerated left lung parenchyma. no focal cavitary lesion identified. no pneumothorax. mediastinum and hila multiple enlarged heterogeneously hypoenhancing necrotic lymph nodes are noted involving:
data/train/audio_03289.wav,the distal ureter is normal in size. however. no radiodense calculus seen in pelvis/ureter. the right kidney shows an extra- renal pelvis measuring 13 mm (ap) with kinking at the puj. no evidence of calculus or hydronephrosis on left.
data/train/audio_04296.wav,massive ascites is noted throughout the abdomen and pelvis. gallbladder appears distended. calculus measuring approximately 19 mm noted within gallbladder lumen. mild pericholecystic oedematous changes are seen.
data/train/audio_01885.wav,there is generalized prominence of ventricular system with periventricular hyperintense halo with proportionate prominence of cortical sulci and basal cisterns which may represent normal age-related changes.
data/train/audio_00072.wav,there are few patchy wedge shaped areas of t2 iso to hypointensity seen in the peripheral zone on both the sides these are likely to represent changes related to sequelae of prostatitis. no areas of diffusion restriction are seen. few t2 iso to hypointense well defined nodules are seen in the transitional zone. these likely to represent features of benign prostatic hyperplasia.
data/train/audio_03933.wav,all the limbs of adrenal glands are well outlined. no focal thickening in any of the adrenal limbs. ureters: both ureters appear normal in course and calibre. no evidence of ureteric calculus / obstruction seen.
data/train/audio_05302.wav,"central wedge compression deformities involving d10, d11 and l5 vertebral bodies. schmorl's nodes noted at multiple dorsolumbar levels. degenerative spinal changes with marginal osteophytes. remaining visualised bones appear unremarkable. thoracic bases minimal bilateral pleural effusions. few areas of fibro-atelectasis in the visualised lung bases."
data/train/audio_03132.wav,lungs bilateral 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/train/audio_03482.wav,"in the pericecal region, pelvis, or paracolic gutters. few linear omental or peritoneal inflammatory strands are noted in the right paracolic gutter adjacent to the ileocecal region, likely representing post-operative inflammatory adhesions or residual inflammatory change. the overlying skin and subcutaneous tissues in the right iliac fossa"
data/train/audio_04014.wav,"hyoid bone and laryngeal cartilages i.e. thyroid, cricoid and arytenoid appear normal. no abnormal asymmetry or enhancement seen. the sternocleidomastoid and digastric muscles on either side are normal. the longus colli on either side are normal."
data/train/audio_02757.wav,approximate size measures 3.0 x 2.0 x 3.3 cm. mild fat stranding noted in peripancreatic region in relation to distal body and tail of pancreas. thickened gerota's fascia on left side.
data/train/audio_05356.wav,"the d11-d12 level. overall imaging features are highly suggestive of infective spondylodiscitis with paravertebral and bilateral psoas abscess formation, likely tuberculous etiology correlation with esr/crp, microbiological studies, and clinical findings is recommended. suggested aspiration and analysis"
data/train/audio_00973.wav,"nerve roots and causes mild to moderate narrowing of spinal canal and both neural foramen. mild facetal arthropathy seen at this level. c5-c6 intervertebral disc reveals broad based posterior herniation. it indents anterior subarachnoid space and both c6 nerve root. it causes moderate narrowing of central canal and both neural foramen,"
data/train/audio_01679.wav,"lungs & airways: an ill-defined cavitary lesion with an air-fluid level is noted in the left lower lobe, surrounded by dense consolidation. adjacent to this, there are areas of heterogeneous consolidation with multiple small low-attenuation foci,"
data/train/audio_01097.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/train/audio_00858.wav,adv upper gi endoscopy/ hpe correlation. b/l renal cysts. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_01071.wav,"no significant intracranial abnormality detected. well defined soft tissue density lesions in the subgaleal plane of bilateral parietal regions as mentioned above suggestive of benign etiology, like sebaceous cysts/pilar cysts. suggested clinical correlation."
data/train/audio_05665.wav,craniovertebral junction is normal. the cervico-medullary junction appears unremarkable. no pre / paraspinal soft tissue abnormality seen. dorsal spine: normal curvature and vertebral alignment is maintained. the vertebrae show normal marrow signal with no focal lesions. the dorsal intervertebral discs are normal with no significant bulging or herniation noted.
data/train/audio_04124.wav,bony calvarium appears normal. venous sinuses are well opacified. bilateral mild ethmoid sinusitis. ct cerebral angiogram: arch aortogram- the aortic arch is normal. the origins of great vessels are unremarkable.
data/train/audio_05393.wav,c5-c6: mild disc bulge with left paracentral component seen indneting thecal sac obliterating the perineural fat pad without any root indentation. ligamentum flavum hypertrophy seen. disc osteophyte complex at c4-c6 level indenting thecal sac.
data/train/audio_04209.wav,maxilla: * body and alveolar process of maxilla appear normal in configuration. * both nasal and zygomatic processes of maxilla appear normal. * maxillary antrumappears normal in attenuation bilaterally with preserved bony walls.
data/train/audio_02987.wav,findings: haziness noted in left upper zone suggestive of pneumonitis. bilateral hila are normal. both costo-phrenic and cardio-phrenic angles appear clear. cardiac silhouette is within normal limits. unfolding of arch of aorta and aortic knuckle calcifications. both domes of diaphragm appear normal.
data/train/audio_01109.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 c3-c4, c4-c5, c5-c6 & c6-7 discs,"
data/train/audio_02892.wav,"the margins appear smooth without definite shouldering or mucosal irregularity. no contrast extravasation is seen. the posterior urethra is otherwise unremarkable in the visualised segments. impression: - mild narrowing noted at the level of the membranous urethra, which may represent short segment membranous urethral stricture; however, physiological"
data/train/audio_01369.wav,"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 or protrusion, central canal stenosis, or neural foraminal narrowing."
data/train/audio_00176.wav,mosaic attenuation pattern in bilateral lungs. few enlarged mediastinal lymph nodes. dilated pulmonary arteries (mpa ~33 mm) - imaging features suggestive of pulmonary hypertension. coronary artery atherosclerotic calcifications. degenerative changes in the visualized spine. recommendations:
data/train/audio_03054.wav,"perinasal, perioral, left periorbital and maxillary subcutaneous haematoma noted. left frontal subgaleal haematoma noted. comminuted displaced fractures of the left maxillary sinus with hemosinus. undisplaced fracture of the left zygomatic arch. ct chest without contrast lungs:"
data/train/audio_02547.wav,lungs small calcified opacities in the right midzone suggestive of sequelae of old infective aetiology. 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/train/audio_03972.wav,"findings: gall bladder is distended and multiple signal voids of average size about 3-6 mm noted within, suggestive of calculi. gallbladder wall appears unremarkable. no evidence of pericholecystic collection at present."
data/train/audio_03009.wav,"middle cerebral arteries (mca), and posterior cerebral arteries (pca) appear normal bilaterally. no major intracranial arterial occlusion identified. :"
data/train/audio_01986.wav,findings: cruciate ligaments: low-grade tear involving the proximal fibers of anterior cruciate ligament. mild buckling and sprain involving the posterior cruciate ligament. no evidence of tear. collateral ligaments: low-grade tear involving the medial collateral ligament.
data/train/audio_01156.wav,grade ii meniscal signal involving the body and posterior horn. mild osteoarthritic changes involving knee joint as described above. mild knee joint and suprapatellar bursal effusion with mild soft tissue edema aroud knee.
data/train/audio_00551.wav,"cortical breach or marrow edema. the plantar fascia appears unremarkable. no evidence of joint effusion at the first metatarsophalangeal joint. impression: retained metallic foreign body in the plantar soft tissues below the head of the first metatarsal, with prominent susceptibility artefact."
data/train/audio_02420.wav,"intervertebral disc spaces, transverse processes and spinous processes appear normal. no abnormal para-vertebral soft tissue swelling seen. no e/o any fracture/ dislocation. no e/o any lytic /sclerotic lesion noted."
data/train/audio_00953.wav,few small thin walled cysts noted in the apico-posterior segment of the left upper lobe and medial segment of the right middle lobe. no significant mediastinal lymphadenopathy. no evidence of pleural/ pericardial effusion. the cardia is enlarged in size with left ventricular configuration.
data/train/audio_04460.wav,"findings: gall bladder is distended and appears normal in outline. no calculus seen within it. cbd is mild prominent, measures 7.0-8.0 mm. no evidence of calculus within. no evidence of dilatation of central or peripheral ihbr. right hepatic duct, left hepatic duct and cystic duct are normal in course and caliber."
data/train/audio_04187.wav,no evidence of acute infarct or hemorrhage seen. chronic lacunar infarcts as described. chronic periventricular ischemic changes. mild cerebral atrophy. mr angiography reveals: hypoplastic left vertebral artery. no other significant abnormality detected.
data/train/audio_00092.wav,* few areas of subarachnoid hemorrhage involving right temporo-parietal lobes. * cranial fractures as mentioned above. * soft tissue hematoma over left temporal region with adjacent subcutaneous soft tissue edema. suggested clinical correlation.
data/train/audio_04117.wav,hyperdensities of blood attenuation are also noted in the bilateral lateral ventricles (left > right) third and fourth ventricle with blood - csf levels in the occipital horn of bilateral lateral ventricles suggestive of intraventricular extension.
data/train/audio_02314.wav,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/train/audio_03236.wav,"at l1-l2 level: partial disc desiccation, mild posterior disc bulge abutting thecal sac without any nerve root compression. mild ligamentum flavum hypertrophy noted. at l2-l3 level: mild posterior disc bulge abutting thecal sac without any nerve root compression. mild ligamentum flavum hypertrophy and facet joint arthropathy noted. at l3-l4 level:"
data/train/audio_05376.wav,t2 hyperintense signal alteration with thickening noted in inferior gleno-humeral ligament with maximum thickness of 7 mm - suggestive of adhesive capsulitis changes
data/train/audio_05667.wav,the dorsal cord appears normal. pre and para vertebral soft tissues are normal. lumbar spine the normal curvature of the lumbar spine is maintained. the vertebrae show normal alignment and marrow signal. no vertebral focal lesions seen. the intervertebral discs dessicated and show posterior disc bulges most prominent at l4-l5 level.
data/train/audio_02973.wav,: urinary bladder is distended and appears normal. uterus is normal in size and measures 7.7 x 4.6 x 4.5 cm. it reveals normal signal intensity. no focal lesion noted. well defined t2 and stir hyperintense cystic area noted in the lower endocervical canal in the region of lscs scar.
data/train/audio_00794.wav,"cerebral parenchyma appears normal with normal signal intensity on flair, t2 weighted images and t1 weighted images. no evidence of any obvious sulcation abnormality or gray matter thickening. no evidence of focal lesion. bilateral hippocampi reveal normal architecture, volume and preserved signal intensity."
data/train/audio_05320.wav,there is no evidence disc protrusion. the dorsal cord appears normal. pre and para vertebral soft tissues are normal. recommendation suggested clinical correlation.
data/train/audio_01315.wav,"acute/subacute osteoporotic compression fracture of the d8 vertebral body with marrow edema and mild prevertebral soft tissue component, causing mild anterior thecal sac indentation. associated mild prevertebral and post vertebral soft tissue component is noted. chronic compression fractures involving:"
data/train/audio_02083.wav,spleen: normal size and attenuation. no focal lesion. adrenal glands: no focal adrenal mass. kidneys and ureters: kidneys normal in size and attenuation. no hydronephrosis or ureteric dilatation. urinary bladder: unremarkable.
data/train/audio_03331.wav,others: multiple degenerative osteophytes noted in thoracic spine. ossification of anterior longitudinal ligament noted in lower thoracic levels. soft tissues and muscles of chest wall are normal. patchy consolidation with air bronchogram in right middle lobe (medial segment)
data/train/audio_01354.wav,impression: thickened endometrium with a well-defined intracavitary lesion attached to the posterior endometrial wall - likely suggestive of endometrial polyp. no evidence of myometrial invasion. suggested histopathological correlation (tissue sampling). 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/train/audio_02141.wav,"metastatic lymphadenopathy (periportal, portocaval, aortocaval) cholelithiasis with sludge and gallbladder overdistension radiodense stent is seen in the cbd with its tip in the rhd and lower end in the duodenum. there is no pneumobilia seen."
data/train/audio_03288.wav,"kidneys: both kidneys are normal in size, position, shape and cortical outline. right kidney measures 10.7 x 4.4 cms cm, left kidney measures 10.5 x 3.8 cms in craniocaudal span. the right kidney shows mild hydroureteronephrosis till the mid ureter level."
data/train/audio_00815.wav,visualized vertebrae appear osteoporotic. mild to moderate atrophy of the posterior paraspinal muscles seen in lower lumbar region.
data/train/audio_02036.wav,"other : no paraspinal soft tissue mass. : at c4-c5 level: partial disc desiccation, mild posterior disc bulge with focal postero-central disc protrusion indenting anterior thecal sac without any nerve root or spinal canal compromise. 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/train/audio_05575.wav,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. left circumflex artery: lcx is patent. small eccentric calcified plaque measuring approximately 4 mm noted in the proximal segment of left circumflex artery causing approximately 30%-40%
data/train/audio_04760.wav,"osseous structures femoral head: normal contour. no focal or diffuse signal abnormality femoral neck and proximal shaft: normal marrow signal. intact cortical margins no evidence of: avascular necrosis, fracture or marrow edema acetabulum normal morphology."
data/train/audio_00168.wav,: mild hepatomegaly with grade i fatty liver. left renal cysts. mild bilateral pelvi-calyceal fullness - advice: ct kub to rule out obstructive uropathy.
data/train/audio_03563.wav,"a linear contrast-opacified tract measuring approximately 3 cm is noted in the right perianal region, extending medially/inferiorly and opening internally on the right side. the tract appears smooth and well-defined without evidence of branching."
data/train/audio_05183.wav,"screening rest of the spine reveals reduced cervical lordosis with osteophytic and disc desiccation changes at multiple levels. pivd is seen at c4-5, c5-6 & c6-7 levels. lumbar spondylosis with degenerative disc disease and narrowing of neural foramina & lateral recess as described above. please correlate clinically."
data/train/audio_00350.wav,"with well-opacified pelvicalyceal system. the right ureter is visualized and appears normal in course and caliber, with no evidence of obstruction. the left kidney is normal in position. there is a large radiopaque calculus measuring approximately 3.1 x 2.8 cm seen in the left renal pelvis, extending into the calyceal system, consistent with a staghorn calculus."
data/train/audio_02740.wav,the sternocleidomastoid and digastric muscles on either side are normal. the longus colli on either side are normal. both parotids and submandibular glands are normal.
data/train/audio_00053.wav,smv tributaries are patent. few tiny pericholecystic collaterals are also seen. gallbladder is partially distended without any wall thickening or calculi. all 3 hepatic veins are patent and normally opacified. ivc appears patent. there is no veno venous collaterals are seen.
data/train/audio_05133.wav,"right vertebral artery appears normal in course, caliber and reveal normal flow signal intensity. the visualised aca's, mca's & pca's are normal bilaterally. the vertebrobasilar system is normal. the visualised intracranial portions of bilateral ica's are normal. :"
data/train/audio_03210.wav,"upper abdomen (visualized sections): visualized upper abdominal organs appear grossly normal. impression: cardiomegaly with dilated right and left atria. bilateral pleural effusion, right more than left, with fissural extension on the right side."
data/train/audio_00984.wav,post-void residue is insignificant. right side mild hydro ureter and nephrosis is seen. no obvious radio dense calculus is seen. finding s/o right vuj low grade inflammatory stricture. adv: ct urography.
data/train/audio_02540.wav,"3.6 mm. distal common bile duct - 2.9 mm. the pancreatic duct - 1.2 mm. no obvious calculus, stricture or mass is visualized in common bile duct. the gall bladder is normal in size. gall bladder wall thickness is normal. no pericholecystic fluid. cystic duct appears normal."
data/train/audio_03588.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/train/audio_02528.wav,the intercondylar region of tibia and femur. tibiofemoral and patello-femoral joints appear normal with intact articular cartilage. no obvious intraarticular loose bodies are seen. mild knee joint and suprapatellar bursal effusion is noted. t2w and stir hyperintensities are seen in the adjacent soft tissues s/o edema. :
data/train/audio_04156.wav,deltoid ligament complex: intact. lateral ligament complex (atfl/cfl/ptfl): intact. syndesmotic ligaments: intact. no syndesmotic widening. spring ligament: intact.
data/train/audio_01912.wav,medial collateral ligament appears normal. no evidence of laxity or tear. medial patello-femoral ligament appears intact. no evidence of laxity or tear. medial and lateral patellar retinaculum appear intact. no evidence of laxity or tear. meniscus: grade ii signal change involving the anterior horn of lateral meniscus.
data/train/audio_00876.wav,the thoracic aorta and pulmonary arteries shows normal opacification. atherocalcific changes are seen in the descending thoracic aorta. degenerative changes are seen in the bone in the form of multilevel anterior osteophytes and mild osteoporosis .
data/train/audio_00008.wav,joints joint spaces are normal. no signs of osteoarthritis is appreciated. soft tissue periarticular soft tissues are normal. no significant abnormality noted. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_04565.wav,": a 4.2 x 3.4 x 4.8 mm hyperdense (hu 158) obstructive calculus in the left lower ureter (approximately 5-6 cm from the left vesicoureteric junction, at s1-s2 level)"
data/train/audio_00112.wav,"no evidence of retroperitoneal lymphadenopathy or ascites. the visible parts of the bowel loops show no obvious mass lesions or wall thickening. appendix appears normal. urinary bladder reveals normal lumen and walls. no vesical calculi, wall thickening or mass lesion."
data/train/audio_03831.wav,: mild t2 and stir hyperintense soft tissue edema noted in the right intergluteal cleft adjacent to the marker placed. no obvious collection. no obvious fistulous tract in the present scan. no abnormal soft tissue is seen.
data/train/audio_01006.wav,thickening in bilateral lower zones. no evidence of pleural effusion present. mediastinum: thoracic oesophagus and other mediastinal structures appears normal. no significant mediastinaladenopathy is observed. heart and major vessels: heart outline and size appears normal. others:
data/train/audio_02430.wav,"no obstructive cbd calculus identified. pancreatic head lesion (23 x 23 mm) showing stir hyperintensity and diffusion restriction, with associated main pancreatic duct dilatation (10 mm)- could represent neoplastic lesion multiple target-shaped liver lesions in both lobes, largest"
data/train/audio_05232.wav,"no e/o fracture or dislocation is seen. bilateral sacroiliac joints appear normal. impression: 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. suggested correlation and sos mri. 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/train/audio_04965.wav,"the lesion is inseparable from the anterior rectal wall and demonstrates extension into the muscularis layer and superficial submucosa (~3 mm depth). location: upper rectum, approximately 13 cm from the anal verge, involving the 10-1 o'clock position. these findings are consistent with deep infiltrating endometriosis. the remainder of the rectum appears unremarkable."
data/train/audio_00102.wav,"homogenous low attenuation component (~ -66 hu) probably soft tissue swelling-lipoma. multiple hyperdense ring-like foci are seen within the diploic space, associated with expansion and widening of the diploic table."
data/train/audio_03527.wav,minimally displaced fractures involving the medial and lateral walls of right maxillary sinus with resultant right maxillary haemosinus. minimally displaced fracture involving the all walls of left maxillary sinus with resultant left maxillary haemosinus. minimally displaced fracture involving the floor of left orbit. minimally displaced fracture involving the left zygomatic arch.
data/train/audio_02837.wav,"no restriction on dwi or blooming on gradient images is noted s/o chronic ischemic changes (fazekas grade i). mild generalized prominence of the cortical sulci, basal cisterns and ventricular system is noted s/o cerebral atrophy."
data/train/audio_00577.wav,both lateral ventricles and the 3rd ventricles are normal 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.
data/train/audio_04925.wav,there is loss of lumbar lordosis. the alignment of vertebrae is normal. marrow within the vertebrae reveal normal signal intensity. no focal bony lesion is detected. l3-l4 intervertebral disc reveals broad based posterior protrusion .
data/train/audio_01107.wav,left paracentral and left foraminal protrusion of l2-l3 disc causing mild narrowing of left neural foramen. broad based posterior protrusion of l3-l4 disc causing mild narrowing of spinal canal and left neural foramen. broad based posterior protrusion of l4-l5 disc causing mild narrowing of spinal canal both neural foramen. broad based posterior protrusion of l5-s1 disc causing mild narrowing of spinal canal
data/train/audio_01495.wav,minimal joint effusion is present. menisci a chronic horizontal oblique tear is noted in the posterior horn of the medial meniscus. the lateral meniscus appears unremarkable. ligaments chronic partial thickness tear is noted at the tibial attachment site of the anterior cruciate ligament.
data/train/audio_03757.wav,"spinal canal / thecal sac: no evidence of spinal canal stenosis or narrowing. spinal canal diameters at disc levels: d12-l1 13.7 mm, l1-2 -14.9 mm: l2-l3 16.1 mm,"
data/train/audio_02422.wav,"cardiac silhouette appears normal. trachea is central. lung fields appear clear with no focal consolidation, effusion or pneumothorax. suspicious old healed fracture is noted in right clavicle. suspected old healed fracture is seen involving right sixth rib."
data/train/audio_03271.wav,urinary bladder is distended and reveals normal wall thickness and contents. uterus is normal in size and reveals normal parenchymal signal intensity. no focal lesion noted. uterine cervix is normal in size and reveals normal parenchymal signal intensity. junctional zone is normal with normal endometrium.
data/train/audio_00839.wav,"displaced fracture of the left frontal bone with plate and screw fixation and prefrontal soft tissue contusion with emphysema. displaced fractures of all the walls of the left orbit with preorbital soft tissue contusion. displaced fractures of the roof, medial wall and lateral walls of the right orbit with preorbital soft tissue contusion. plate and screw fixations noted."
data/train/audio_05161.wav,"the conus, the filumterminale and the roots of the cauda equine are normal. the pre and paravertebral soft tissues are normal. recommendation suggested clinical correlation."
data/train/audio_04930.wav,broad based posterior protrusion of l3-l4 disc causing mild narrowing of central canal. diffuse bulge of l4-l5 and l5-s1 disc.
data/train/audio_04780.wav,"type ii olfactory fossa, measures 4.2 mm. agar nasi cells appear normal. bones of the para nasal sinuses appear normal, no e/o any thickening or sclerosis or lytic lesion is noted. bilateral orbits do not show any significant abnormality on ct scan study. soft tissue density noted at roof of nasopharynx indenting over"
data/train/audio_04763.wav,c5-c6 and c6-c7 cervical levels abutting anterior thecal sac. anterior osteophytes are seen at few dorsal levels. mild posterior disc bulges are seen at few dorsal levels indenting thecal sac. on screening of bilateral sacro-iliac joints: no significant abnormality detected. on screening of bilateral hip joints: no significant abnormality detected.
data/train/audio_02766.wav,tip of drain tube noted in left pleural space. : above findings are suggestive of changes acute pancreatitis with loculated intercommunicating peripancreatic and intrapancreatic collections (likelty pseudocysts) as mentioned. advice: serum amylase and lipase correlation.
data/train/audio_02263.wav,"vertebral bodies the vertebral bodies and posterior elements are normal. there is no fracture or destructive lesion. disk spaces reduction in interveretbral disc height at l3-l4, l4-l5 levels. spinal canal appears normal. alignment normal lumbar lordotic curvature is seen. no kyphosis, scoliosis"
data/train/audio_01244.wav,"few calcified pulmonary nodules in the right lower lobe, likely sequelae of old granulomatous disease. bilateral perinephric fat stranding in visualized upper abdomen - renal function test correlation suggested. mildly bulky left adrenal gland - further evaluation if clinically indicated. atherosclerotic aortic wall calcifications."
data/train/audio_03692.wav,"brain parenchyma: normal signal intensity of the cerebral and cerebellar hemispheres. no evidence of acute infarct, intracranial hemorrhage, mass lesion, or focal parenchymal edema. basal ganglia/thalami: normal signal and morphology. no focal lesion."
data/train/audio_04034.wav,"alignment & curvature: straightening (loss) of the normal cervical lordosis is noted, which may be secondary to muscle spasm or positioning. vertebral bodies: cervical vertebral body heights are maintained. no evidence of acute fracture, compression deformity, or subluxation."
data/train/audio_03118.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/train/audio_03148.wav,"adrenals: both adrenal glands are defined and appear normal and show homogeneous contrast enhancement. kidneys: both kidneys are normal in size, position, shape and cortical outline. no evidence of calculus or hydronephrosis. both kidneys shows good uptake and excretion of contrast material into collecting system."
data/train/audio_02187.wav,"mild retrolisthesis of l3 over l4 noted. reduction of disc space at l3-l4 vertebral level. marginal osteophytes at multiple dorsolumbar levels. no evidence of erosion or destructive bone lesion is noticed in the bodies of lumbar vertebrae. rest of the intervertebral disc spaces, the pedicles, the spinous and the transverse processes are all normal."
data/train/audio_04912.wav,common bile duct is normal in course and caliber. no intrahepatic biliary radicle dilatation seen. pancreas: diffuse fatty infiltration of the pancreatic parenchyma is noted. pancreatic body and tail appear bulky with mild surrounding peripancreatic fat stranding.
data/train/audio_05327.wav,"rest of bilateral internal carotid arteries are normal in course, caliber and flow signal. 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. the visualised aca's, mca's & pca's are normal bilaterally."
data/train/audio_01217.wav,minimally displaced fracture left temporo-parietal bones involving the left mastoid air cells with resultant left sided haemomastoideum. subgaleal soft tissue hematoma over left temporo-parietal region.
data/train/audio_00693.wav,"signal characteristics: predominantly t1 hyperintense and t2 hyperintense, suggestive of proteinaceous/hemorrhagic content. presence of internal t1 hyperintense and t2 hypointense areas, consistent with blood products (shading sign)."
data/train/audio_03789.wav,no bony lytic lesion or break in continuity. supra sellar and chiasmatic cisterns are normal. no para sellar abnormality. no hypothalamic lesion. visualized basal cisterns are within normal limits. supratentorial: few t2w and flair hyperintensities are noted in bilateral periventricular white matter. no restriction on dwi or blooming on gradient images is noted
data/train/audio_03371.wav,mild acromio-clavicular joint arthrosis seen. minimal joint effusion.
data/train/audio_01967.wav,findings: there is loss of cervical lordosis with reversal of spine. all cervical intervertebral discs exhibit signal changes - s/o partial desiccation. reduced disc height at c5-c6 level. ligamentum flavum thickening noted at c6-c7 level.
data/train/audio_04471.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. spleen measures 11 cm in craniocaudal dimension.
data/train/audio_05375.wav,: low-grade partial thickness tear involving < 10% fibres noted in articular surface of anterior fibres of supraspinatus footprint. subscapularis tendinosis. mild acromio-clavicular joint arthrosis. minimal joint effusion.
data/train/audio_02375.wav,"the study shows normal curvature and alignment of the lumbo-sacral spine. the vertebrae appear normal in height, signal intensity and show normal alignment. no osseous destruction noted.schmorls node superior end plate l4 the signal from the marrow of the visualized vertebrae is normal. the visualized spinal cord shows normal mr morphology and signal characteristics."
data/train/audio_05372.wav,the coraco humeral ligament appears normal. the bones show normal signal intensity. no significant fat infiltration noted in rotator cuff muscles - goutallier classification stage 0.
data/train/audio_00701.wav,intensity and well-preserved intermuscular fat planes. sacro-iliac joint appear unremarkable. left: an ill-defined altered signal intensity collection noted in the intramuscular plane of left gluteal region. it measures approximately 2.6 x 2.0 x 4.5 cm
data/train/audio_03955.wav,"collateral reformation of left infrapopliteal arteries with moderate to severe multifocal stenoses involving left anterior tibial, posterior tibial and peroneal arteries. moderate to severe infrapopliteal arterial stenoses in right lower limb, most severe involving right peroneal artery."
data/train/audio_00215.wav,extradural haemorrhage noted along left frontal region. mild subdural haemorrhage noted along the falx. few small haemorrhagic contusions involving left frontal lobe. large subgaleal haematoma with multiple air foci over fronto-parietal region. comminuted displaced fracture involving anterior and posterior walls of left frontal sinus involving the frontal bones. 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/train/audio_03481.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/train/audio_03585.wav,suggested serum amylase and serum lipase correlation. limitation of computer tomography: 20% of gall bladder stones are not visualized on ct. bowel pathologies may be missed if bowel preparation is inadequate or fecal loaded. patient tolerated the procedure well. please note that this report is a radiological professional opinion. it has to be correlated clinically and interpreted along with other investigations.
data/train/audio_00042.wav,"focal area of fibroatelectasis and fibrobronchiectasis involving anterior segment of right upper lobe and few areas of fibroatelectasis with adjacent pleural thickening involving left upper lobe suggestive of sequelae of old infective etiology. suggested further evaluation with pet scan, histopathology and pulmonary function tests. 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/train/audio_03310.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/train/audio_02414.wav,mild gallbladder wall thickening measuring 5.4 mm. no evidence of pericholecystic fat stranding. cystic duct: patent. no definite cystic duct calculus identified. common bile duct (cbd): normal in caliber. no cbd calculi identified. no distal obstructing lesion seen. common hepatic duct: normal caliber.
data/train/audio_02873.wav,"visualized bowel loops and surrounding structures appear unremarkable. impression: markedly enlarged bilateral kidneys with multiple cysts involving cortex and medulla, with few showing hemorrhagic content - features consistent with autosomal dominant polycystic kidney disease (adpkd)."
data/train/audio_02596.wav,spinal canal: no gross high-grade osseous spinal canal stenosis. neural foramina: no gross high-grade osseous foraminal stenosis. spinal cord: not directly assessed on ct.
data/train/audio_04941.wav,"the anterior thecal sac with narrowing of lateral recess and neural foramina on both sides, indenting the traversing & exiting nerve root on both sides. ligamentum flavum hypertrophy at same level. anterior and posterior marginal osteophytes at few levels. tiny hemangioma at l1 vertebra. please correlate clinically."
data/train/audio_00334.wav,mild thickening of the junctional zone raises the possibility of early adenomyosis changes.
data/train/audio_05172.wav,no intraluminal filling defects present.no dilated bronchi seen. both hilar regions appear normal. no evidence of pleural effusion present. mediastinum: thoracic oesophagus and other mediastinal structures appears normal
data/train/audio_04950.wav,left ovary is bulky it measures 4 x 2.7 x 2.1 cm in dimension. a well defined t2 iso to hyperintense lesion measuring 2.9 x 2.6 x 2.7 cm in dimension which appears hypointense on t1wt images does not show diffusion restriction add on post-contrast study it shows minimal peripheral wall enhancement with thin non-enhancing internal septations representing mesh like network. this most likely represent hemorrhagic cyst rather than solid lesion.
data/train/audio_01334.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/train/audio_02457.wav,"fibrobronchiectatic changes involving anterior segment of right upper lobe. fibrotic changes with adjacent pleural thickening are seen involving bilateral apices. rest of the lungs appear normal in volume and attenuation. 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."
data/train/audio_05380.wav,the lesion demonstrates cortical thinning with focal areas of cortical breach/destruction. associated extraosseous soft tissue extension is noted along the ventral aspect with involvement of the adjacent pronator quadratus muscle.
data/train/audio_05470.wav,"the lesion demonstrates low adc signal with corresponding diffusion restriction. another ill-defined wedge-shaped t2 hypointense signal alteration is noted in the right posterolateral peripheral zone at the mid gland level, measuring approximately 11 x 8 mm."
data/train/audio_03592.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/train/audio_00769.wav,sequelae of prior granulomatous disease. recommendation: clinical and laboratory correlation. sputum analysis/microbiological culture correlation.
data/train/audio_04879.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."
data/train/audio_02182.wav,"no definite marrow edema or features of avascular necrosis are identified on the current study. the visualized pelvic bones, sacroiliac joints, and surrounding musculature appear unremarkable. : bilateral developmental dysplasia of hip (ddh) with: poorly formed femoral heads"
data/train/audio_00776.wav,possible avulsion fracture of lateral tibial condyle noted. tiny sclerotic focus in lateral tibial condyle - likely benign (probable bone island). joint & soft tissues: mild knee joint effusion with extension into suprapatellar bursa. extensive periarticular soft tissue swelling with fat stranding and edema.
data/train/audio_03490.wav,"mri of right knee technique: multiplanar, multiecho mr of the knee joint was performed. in addition to t1w, t2w, stir and gre images in sagittal, coronal and axial neutral positions. clinical profile: history of fall."
data/train/audio_00341.wav,unfolding of arch of aorta and aortic knuckle calcifications noted. others bilateral cp angles are clear. both domes of diaphragm are normally placed. bony thoracic cage is normal. no soft tissue abnormality seen.
data/train/audio_02397.wav,"shows diffuse hypoattenuation, suggestive of fatty infiltration (hepatic steatosis). no focal hepatic lesion identified. pancreas: normal in size, contour, and attenuation. no focal lesion or peripancreatic inflammation."
data/train/audio_03844.wav,"no evidence of leptomeningeal disease. comparison: compared to the previous mri study, the lesions in the right fronto-temporal region show interval evolution with persistent ring enhancement and surrounding oedema. no definite new lesions are identified. keyimages"
data/train/audio_03194.wav,"small anterior osteophytes are seen from c3 to c7 vertebral levels. reduction of disc space at c3-c4, c4-c5, c5-c6 and c6-c7. schmorl's nodes are seen at the inferior endplates of c3-c7 vertebral bodies. posterior disc bulges are seen at c3-c4, c4-c5,"
data/train/audio_00791.wav,"a1 segment of right anterior cerebral artery appears hypoplastic. left cerebral artery appears normal both middle cerebral arteries appear normal. both vertebral arteries, vertebrobasilar junction, basilar artery and its branches appear normal. there is flattening of bulbs of both cervical internal carotid arteries seen."
data/train/audio_00099.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.
data/train/audio_04316.wav,carpal and metacarpal bones appear normal. joint space appears normal. no evidence of any lytic or sclerotic lesion is seen. : mild displaced fracture noted at distal end of radius with intra-articular extension.
data/train/audio_04501.wav,"lungs: few ground glass opacities are seen in apical and posterior segments of right upper, superior segment of right lower lobe. no evidence of air trapping seen. airway and hilum: trachea and major bronchi are normal. no intraluminal filling defects present.no dilated bronchi seen. both hilar regions appear normal."
data/train/audio_00222.wav,", anterior and posterior walls of frontal sinus and frontal bones. bilateral frontal haemosinus noted. mildly displaced fractures involving lateral and anterior walls of sphenoid sinus with resultant sphenoid haemosinus. undisplaced fracture involving the right zygomatic arch. nasal septum: cartilagenous and bony nasal septum is deviated to the right with bony spur."
data/train/audio_01758.wav,visualized bones appear normal in density without any sclerotic or lytic lesion. a small nodule is seen in the right thyroid lobe measuring 8 mm in dimension which can be further evaluated with ultrasound study. abdomen and pelvis liver is normal in size. there is no evidence of any focal lesion in the liver parenchyma on arterial phase or venous phase images.
data/train/audio_03724.wav,"tiny microlith noted in the upper calyx of left kidney. left kidney is normal in size, shape and position. no hydronephrosis or hydroureter seen. the urinary bladder is distended and reveals mildly thickened walls with mild perivesical fat stranding."
data/train/audio_03017.wav,"at l2-l3 level: diffuse disc bulge indenting thecal sac and traversing nerve roots. narrowing bilateral neural foramina abutting bilateral exiting nerve roots. small annular tear, mild ligamentum flavum hypertrophy and facet joint arthropathy noted. at l3-l4 level: diffuse disc bulge indenting thecal sac and compressing traversing nerve roots narrowing bilateral"
data/train/audio_02880.wav,"the left maxillary sinus appears hazy. right maxillary, frontal, ethmoidal, and sphenoidal sinuses appear well aerated. bony walls of the visualized paranasal sinuses appear intact. no obvious air-fluid level is noted."
data/train/audio_01995.wav,"visualized left hip joint demonstrates mild degenerative changes with marginal osteophytes, mild joint space reduction and minimal left hip joint effusion. small chronic cystic/degenerative change noted in the proximal femoral neck/intertrochanteric region, corresponding to the focal signal alteration seen on prior pelvic mri sequences,"
data/train/audio_04450.wav,suggested csf analysis and hematological evaluation to rule out meningitis. beta-2 transferrin testing (if clinically required) for confirmation of csf leak. keyimages
data/train/audio_02297.wav,overall features are suggestive of chronic post-inflammatory lung changes with associated emphysematous changes.
data/train/audio_04467.wav,this is likely secondary to edema at the terminal portion. there is no evidence of any calculus within. gallbladder is distended. gallbladder measures 3.1 cm in transverse dimension. the gallbladder wall is mildly edematous and measures 3 mm in maximum thickness. there is sludge seen within the gallbladder lumen. the gallbladder wall thickening is likely reactive change secondary to pancreatitis.
data/train/audio_04482.wav,impression: 1. lateral elbow complex injury fracture of lateral humeral epicondyle associated near full-thickness tear of common extensor tendon at its origin high-grade partial tear of lateral collateral ligament complex
data/train/audio_04112.wav,"undisplaced fractures involving bilateral lamina of d8, d9 and d10 vertebral levels. mild early degenerative changes in the dorsal and lumbar spine as described above. suggested clinical correlation. screening"
data/train/audio_01309.wav,"acetabula and pelvic bones the remaining acetabular walls and columns are intact. the iliac bones, pubic rami, ischial bones, sacrum, and sacroiliac joints appear unremarkable. the pubic symphysis is normal. no additional fractures or diastasis are noted. hip joints the right hip joint is maintained."
data/train/audio_05154.wav,displaced fractures involving bilateral mandibular condyles with resultant dislocation of bilateral temporomandibular joints. mildly displaced fracture involving bilateral mandibular condylar fossa with extension to the left mastoid air cells on left side. mild left haemomastoideum noted.
data/train/audio_04600.wav,"uterus: uterus appears retroverted, measuring approximately 8.8 x 5.6 x 3 cm. myometrium appears normal. endometrial thickness measures ~2.5 cm (thickened). no intrauterine gestational sac identified."
data/train/audio_01943.wav,"the ivc, aorta and portal vein are within normal position and calibre. no evidence of retroperitoneal lymphadenopathy or ascites. the visible parts of the bowel loops show no obvious mass lesions or wall thickening. appendix appears normal. urinary bladder is empty uterus is post menopausal sized. a well defined cystic lesion"
data/train/audio_02586.wav,"ligamentum flavum thickening are detected at this level. bilateral facetal effusion is seen at this level. 4. diffuse bulge of l2-3 disc, without any significant central canal or neural foraminal narrowing. thank you for referring."
data/train/audio_02844.wav,basilar artery & their branches and of the venous sinuses are well seen. no evidence of aneurysm or sinus thrombosis. no arteriovenous malformation noted. calvarium and scalp: bony calvarium shows normal signal and diploic space. no mri evidence of fracture or sol is seen.
data/train/audio_00344.wav,chronic calcific pancreatitis with large calculi in the region of proximal main pancreatic duct in the uncinate process and head of pancreas. there is no feature of acute pancreatitis or focal lesion seen.
data/train/audio_00711.wav,mild subcutaneous edema is seen around the knee joint predominantly anteriorly. mild edema is seen in hoffa's fat pad. the alignment of the knee joint is normal. the joint is well preserved and the articular margins are smooth. no obvious bony erosion or destruction is seen. the articular cartilage is uniform in thickness and shows normal signal intensity.
data/train/audio_00488.wav,"multiple chronic lacunar infarcts in right hemipons, bilateral ganglio-capcular regions and corona radiata. mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-parietal and periventricular white matter. needs further evaluation with mri if clinically indicated."
data/train/audio_03509.wav,"superior sagittal sinus is normal in caliber with normal flow signal intensity. both internal cerebral veins, vein of galen and straight sinus appear normal in size and flow signal intensity. torcularherophili is normal. the right transverse sinus are well visualized with normal flow. the right sigmoid sinus and visualized part"
data/train/audio_01527.wav,"l4-5: focal canal stenosis. diffuse bulge, broad based dorsal protrusion, compressing the thecal sac and encroaching the neural foramina. there is compression of left exiting l4 & bilateral traversing l5 nerve roots and indentation over right exiting l4 nerve root."
data/train/audio_00679.wav,impression: pansinusitis with severe involvement of frontal and ethmoid sinuses. obstruction of sinus drainage pathways (ostiomeatal complex). bilateral nasal cavity polypoidal lesions - likely sinonasal polyposis (naso-ethmoidal polyposis).
data/train/audio_00289.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/train/audio_02996.wav,no definite bladder or rectal invasion on current study. no significant lymphadenopathy or ascites. imaging features are consistent with figo stage iiib carcinoma cervix (due to ureteric obstruction with hydroureteronephrosis).
data/train/audio_00214.wav,"mild mass effect on underlying brain parenchyma. mild subdural haemorrhage noted along the falx. few small haemorrhagic contusions involving left frontal lobe, largest measuring approximately 3 mm. large subgaleal haematoma with multiple air foci over fronto-parietal region. maximum thickness measures approximately 14-15 mm."
data/train/audio_04294.wav,"spleen appears enlarged measuring approximately 12.5 cm. tiny well-defined t2 hyperintense lesion measuring approximately 10 x 10 mm noted in lower pole of spleen, likely representing a small cyst/benign lesion."
data/train/audio_01767.wav,cardiovascular system: mild cardiomegaly with dilatation of cardiac chambers is noted. no evidence of pericardial effusion. bones & soft tissues: bony thoracic cage appears intact. degenerative changes are noted in the visualized spine. impression:
data/train/audio_00453.wav,". these are suggestive of chronic lacunar infarcts. mild chronic periventricular ischemic changes are seen. mild prominence of cerebral sulci, cisterns and ventricles is seen cleft, suggestive of mild cerebral atrophy. partial empty sella status is seen. there is no shift of midline structures"
data/train/audio_04245.wav,": l4-5: desiccation. diffuse bulge, compressing the thecal sac and encroaching the neural foramina. there is indentation of bilateral traversing l5 and left exiting l4 nerve roots."
data/train/audio_03073.wav,"smooth narrowing noted in distal end of cbd. right hepatic duct, left hepatic duct and cystic duct and pancreatic duct are normal in course and caliber. liver, spleen and pancreas are normal in size, morphology and signal characteristics. approximately 12.2 x 11.7 x 7.6 cm size large altered"
data/train/audio_02712.wav,m.d.c.t. scan of right wrist with 3-d reconstruction: spiral c.t. scan of right wrist joint is performed using volume acquisition of data and 3-d reconstruction. findings: mild displaced comminuted fracture noted at distal end of radius with intra-articular extension.
data/train/audio_02683.wav,"soft tissues: extrathoracic soft tissue swelling and soft tissue emphysema are seen predominantly along the left posterolateral, anterior and anterolateral chest wall. additional soft tissue swelling and fat stranding are seen adjacent to the fracture sites. upper abdomen (visualized sections): visualized abdominal organs appear unremarkable."
data/train/audio_03147.wav,corticomedullary differentiation is maintained. renal pelvis appears normal. 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/train/audio_03769.wav,"csf spaces and fissures are well maintained. no evidence of extra-axial collection is seen. intracranial arteries and venous sinuses: flow voids of the major vessels viz; intracranial ica, basilar artery & their branches and of the venous sinuses are well seen."
data/train/audio_05569.wav,subcutaneous soft tissues: mild subcutaneous edema noted in the leg. no subcutaneous gas or focal drainable collection is identified on this non-contrast study. neurovascular/arteries: minimal atherosclerotic calcified plaques noted in the proximal third of the anterior tibial artery. no acute vascular abnormality is otherwise evident on this non-contrast ct.
data/train/audio_01579.wav,abscess: no evidence of any abscess seen. sphincters: external sphincter and internal sphincter are intact. miscellaneous: the levatorani and the pelvic musculature appear normal urinary bladder is well distended. visualized pelvic viscera appear normal.
data/train/audio_00802.wav,displaced midshaft fractures of the radius and ulna. undisplaced fracture of distal radius. displaced intra-articular fractures of distal capitate and hamate bones communicating with the carpometacarpal joint. displaced intra-articular fracture at the base of the third metacarpal.
data/train/audio_05617.wav,no evidence of fracture or dislocation. : osteoarthritic changes of the right knee joint. thanks for the reference with regards
data/train/audio_01438.wav,x-ray chest lungs bilateral lungs fields are clear. 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.
data/train/audio_05190.wav,"no defect , sclerotic or lytic skull lesion noted. skull base appears grossly normal. overlying scalp is normal. no focal lesion or swelling noted. mastoiditis is noted on the left : left sided mastoiditis mild diffuse age related cerebral atrophy with chronic small vessel ischemic changes (fazekas i)."
data/train/audio_02741.wav,cervical oesophagus and trachea appear normal. bilateral styloidprocess are within normal limit. the visualized vertebrae are normal in density and trabecular pattern.
data/train/audio_05693.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/train/audio_00604.wav,"rest of the skull bones appear normal. subgaleal soft tissue swelling over right temporo-parietal region. impression: multiple hemorrhagic contusions with adjacent edema involving, midbrain bilateral fronto-temporo-parietal lobes (right more than left)."
data/train/audio_04490.wav,"linear fibrotic strands are noted in the left upper lobe anterior segment and left lingular segment. areas of ground-glass opacities are noted in the posterior segment of left upper lobe, in a background of prior pulmonary tuberculosis - likely inflammatory/reactivation changes; suggest clinical correlation."
data/train/audio_03827.wav,further being compounded by ligamentum flavum hypertrophy. l5-s1: diffuse annular disc bulge with posterior central circumferential annular tear causing mild thecal sac compression. recommendation suggested clinical correlation.
data/train/audio_03838.wav,: fairly large well defined heterogeneous solid cystic lesion noted arising from the pelvis in the midline and extending in the abdomen. it measures approximately 17.6 x 13 x 16 cm (tr x ap x cc). it is reaching up to the supraumbilical region. peripheral nodular thickening noted involving
data/train/audio_04185.wav,posterior reversible encephalopathy syndrome (pres) hemorrhagic variant small vessel vasculitis recommendations: mr angiography (mra) blood pressure monitoring coagulation profile & autoimmune workup
data/train/audio_01818.wav,minimal mucosal thickening in left maxillary sinus. mild right inferior turbinate mucosal hypertrophy. pardoxical curvature of both middle turbinates .
data/train/audio_01207.wav,schmorl's nodes involving endplates of c5 to c7 vertebral bodies mild multilevel uncovertebral arthropathy the remaining cervical vertebral body heights and alignment are preserved. no acute cervical vertebral body fracture identified. posterior elements and spinous processes are intact.
data/train/audio_00458.wav,"lungs: mosaic attenuation with areas of air trapping noted in bilateral upper lobe apical segments. fibrosis with traction bronchiectatic changes noted in right upper lobe posterior segment. airway and hilum: trachea, lobar bronchi, bronchus intermedius and segmental bronchi are normal."
data/train/audio_00731.wav,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. no bony lytic lesion or break in continuity.
data/train/audio_01612.wav,communicating with the joint. impression: marrow edema/bone contusions involving femoral condyles and tibial plateaus (medial predominance). osteochondral defect of medial femoral condyle (~13.5 mm).
data/train/audio_03209.wav,cardiomegaly is present. dilatation of the right atrium and left atrium is noted. great vessels appear normal in caliber and course. no evidence of pericardial effusion. chest wall & bones: no obvious lytic or sclerotic osseous lesions. chest wall structures appear unremarkable.
data/train/audio_05236.wav,no pericardial effusion is seen. no obvious pleural effusion on left side. no hilar or mediastinal lymphadenopathy is seen. rest of visualized bones are unremarkable. ct abdomen report is attached separately. impression: few patchy ground-glass opacities involving right lower lobe likely lung contusions. right sided minimal hemothorax.
data/train/audio_01151.wav,lateral meniscus appear normal in configuration and signal intensity. no evidence of tear noted. muscles: popliteal muscle appears normal. popliteus tendonsis noted. the quadriceps tendon and ligamentum patellae reveals mild sprain.
data/train/audio_01449.wav,"all cervical intervertebral discs exhibit signal changes - s/o partial desiccation. reduced disc height. diffuse bulge of c5-6 disc, indenting the thecal sac and encroaching the neural foramina. there is indentation over bilateral exiting c6 nerve roots."
data/train/audio_02004.wav,"mildly displaced fracture involving antero-inferior endplate of d12 vertebra. mildly displaced fracture involving the spinous process and right lamina at this level. displaced fractures involving both transverse processes of l1 vertebra,"
data/train/audio_00650.wav,"findings liver liver is enlarged in size, measuring approximately 16 cm. multiple hypodense, low-enhancing lesions are noted involving: o segment ii,iii o segment iv o segment i (caudate lobe) o segment viii"
data/train/audio_05542.wav,"through l5-s1: mild disc desiccation are seen at multiple levels more sever at lower lumbar disc. there is minimal disc bulge at l4-5 and l5-s1 without stenosis of central canal, bilateral lateral recesses and neural foraminal narrowing. conclusion: mri findings are : curvature of"
data/train/audio_00998.wav,o increase in epidural extension with worsening spinal canal narrowing (8.9 mm 6.7 mm) o resulting in significant cauda equina compression (progression) o reduction in size of right psoas collection o persistent left psoas abscess with diffusion restriction.
data/train/audio_03909.wav,"and extension into the cribriform plate, consistent with residual / recurrent olfactory groove meningioma. postoperative changes in the right frontal lobe including encephalomalacia, gliosis, hemosiderin deposition, and right frontal bone operative defect. no significant aggressive metabolic activity on mr spectroscopy."
data/train/audio_03130.wav,"type iii . ramus intermedius branch: the ramus is patent. 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. acute marginal, right posterior descending artery and"
data/train/audio_03179.wav,"diffuse aorto-iliac atherosclerotic disease with: >50% stenosis in bilateral iliac arteries severe stenosis in left external iliac artery (75-80%) collateral reformation of bilateral common femoral arteries, suggestive of chronic significant proximal disease"
data/train/audio_01500.wav,"x-ray ankle ap, oblique & lateral view : a linear minimallly displaced fracture noted at calcaneum with surrounding soft tissue swelling. ankle joint space is normal rest of visualized bones appear grossly normal"
data/train/audio_05607.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. 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/train/audio_00280.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/train/audio_05107.wav,ct right foot (non-contrast) technique: non-contrast ct examination of the right foot was performed with multiplanar reformatted images. clinical indication: right heel pain and difficulty in walking.
data/train/audio_05681.wav,thyroid gland appears normal in size. bilateral strap muscles are intact. bilateral submandibular and parotid glands appear normal. no evidence of any radio-opaque calculus or ductal dilatation noted. few subcentimetre sized lymph nodes noted along cervical chain. : no significant ct neck abnormality detected on plain scan.
data/train/audio_05521.wav,findings bile ducts (intrahepatic): intrahepatic bile ducts are not dilated. no intraductal filling defects seen. common hepatic duct: normal caliber. no filling defect seen. common bile duct (cbd): normal caliber. no choledocholithiasis.
data/train/audio_00207.wav,mild thickening of the junctional zone raises the possibility of early adenomyosis changes. an ill-defined t2 hypointense and t1 hypointense enhancing focal lesion seen involving the part of internal oblique lateral to the rectus abdominis muscle in the suprapubic location of anterior pelvic wall/abdominal wall.
data/train/audio_01971.wav,"observation: well defined t1 hypointense t2 hypointense lesion measuring 12 x 8 mm noted adjacent to the superior labrum of glenoid. superior labral tear of the labrum of the superior glenoid rim without a biceps tendon tear, located at the 11-to 3-o'clock position"
data/train/audio_00811.wav,"there is mild to moderate atrophy of the posterior paraspinal muscles seen in lower lumbar region. mild to moderate subcutaneous edema is seen in the lumbar region, posteriorly. 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. the vascular structures appear normal."
data/train/audio_02801.wav,"aspiration pneumonitis?? pulmonary edema, less likely infective.adv clinical/echo correlation. differential diagnosis na recommendation suggested clinical correlation."
data/train/audio_04071.wav,a homogeneous low attenuation soft tissue density area measuring 63x39 mm in rif was seen extending into pelvis along right lateral wall. appendix is not visualosed separately. a 43 mm anterior abdominal wall defect in rif with herniation of gut loops (ileal) and surrounding stranding s/o anterior abdominal wall hernia.
data/train/audio_04908.wav,acute wedge shaped infarct in right hemipons. patchy areas of acute infarct in right cerebellar hemisphere and left vermis. gliotic area with encephalomalacic changes in right medial occipital region .
data/train/audio_04344.wav,it is involving the intercarpal articular surface. undisplaced fracture involving the dorsal cortex of distal end of radius near the distress tubercle. mild wrist joint effusion and soft tissue oedema noted. rest of the visualized bones are unremarkable.
data/train/audio_02160.wav,"disc desiccation noted at multiple cervical levels. loss of cervical lordosis. rest of the vertebral bodies, pedicles, laminae, transverse processes show normal morphology and mr signal pattern. the uncovertebral joints and neural foraminae appear normal. the cervical canal dimensions from c2 to c7 is as follows"
data/train/audio_02603.wav,"possibility of underlying systemic / metabolic disorder needs to be ruled out with clinical correlation and further evaluation may be done, as clinically indicated. few marginal osteophytes are seen from l1 to l5 levels. no focal bony lesion is detected. l2-3 mild facetal arthropathy is detected at this level. l3-4 disc reveals diffuse bulge."
data/train/audio_05138.wav,partial disc desiccation at l4-l5 with posterior disc bulge and right foraminal disc protrusion indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots (right > left) narrowing bilateral neural foramina indenting bilateral exiting nerve roots (right > left). suggested
data/train/audio_03815.wav,"visualized lung apices appear unremarkable. no focal abnormality noted in surrounding soft tissues. : known papillary carcinoma of left thyroid lobe, seen as a small hypodense minimally enhancing lesion (8 x 6 mm)."
data/train/audio_04947.wav,rest of the myometrium appears normal. endometrium measures 5 mm in maximum thickness. cervix appear normal. vagina appears normal. right ovary is normal in size and measure approximately 3. 1 x 2 x 2.6 cm in dimension. few ovarian follicles are seen within.
data/train/audio_02025.wav,findings: mild straightening of the lumbar spine is seen with scoliosis convexity to the left. apex is formed by l4 vertebra. grade i anterolisthesis of l5 over s1 noted with break in pars interarticularis. schmorl's nodes are seen at the inferior endplates of l2-s1 vertebral bodies. small anterior and lateral marginal osteophytes are seen from l1 to l5 vertebral levels.
data/train/audio_03954.wav,"left anterior tibial, posterior tibial and peroneal arteries are reformed through collateral circulation. moderate to severe narrowing causing approximately 60-70% luminal occlusion is noted in the left anterior tibial artery. moderate to severe narrowing causing approximately 75-85% luminal occlusion is noted in the left posterior tibial and peroneal arteries."
data/train/audio_02606.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. the vertebral marrow appears hypointense on t1 weighted images. this can be due to red marrow. however,"
data/train/audio_05022.wav,urinary bladder: over distended and shows mildly thickened and irregular wall thickness. there is no obvious evidence of calculus or mass. pre-void vol. measures 600 cc; post-void vol. measures 570 cc (signicant)
data/train/audio_05110.wav,"impression small plantar and posterior calcaneal spurs. mild soft tissue edema over the lateral malleolar region. no acute osseous abnormality identified in the right foot. no evidence of fracture, dislocation, focal osseous lesion, or joint effusion. suggested musculoskeletal ultrasound / mri correlation to rule out plantar fasciitis. 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/train/audio_00663.wav,tiny hemorrhagic contusion measuring approximately 1.1 mm in the subcortical white matter of right lateral frontal lobe. minimal subarachnoid hemorrhage involving the cortical sulci of right frontal lobe. few hypodensities are noted in bilateral fronto-parietal and periventricular white matter suggestive of chronic ischemic changes.
data/train/audio_01779.wav,"mild right hydronephrosis with proximal and mid ureteric dilatation, possible causes include recent passage of calculus or ureteric stricture. multiple non-obstructing left renal calculi with early staghorn formation and mild fullness of left pelvicalyceal system."
data/train/audio_03136.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/train/audio_05221.wav,adjacent intrinsic muscles in the region also demonstrate edematous changes. no definite organized collection or abscess formation is identified. the first metatarsal head and adjacent osseous structures show no evidence of cortical breach or marrow edema.
data/train/audio_01982.wav,partial tear involving the medial patello-femoral ligament. lateral collateral ligament appears normal. no evidence of laxity or tear. medial and lateral patellar retinaculum appear intact. no evidence of laxity or tear.
data/train/audio_03182.wav,"mild diffuse disease in distal runoff vessels overall assessment: findings are suggestive of advanced peripheral arterial disease (pad) with significant aorto-iliac involvement and multilevel lower limb arterial stenosis, more severe on the left side."
data/train/audio_00413.wav,"splenic, superior and inferior mesenteric veins are well opacified. 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."
data/train/audio_02925.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 faecal matter and otherwise appear unremarkable. appendix appears normal. there is no abdominal lymphadenopathy seen."
data/train/audio_01953.wav,"peritoneum/ascites: no ascites. other: no additional significant abnormality identified on the provided sequences. impression: cholelithiasis , largest measuring 9.5 mm. no evidence of acute cholecystitis (no gallbladder wall edema or pericholecystic fat stranding)."
data/train/audio_00002.wav,liver is normal in size and density. no evidence of any focal or diffuse lesion seen. no evidence of dilated ihbr. portal vein is normal in size and enhancement. gall bladder is normally distended. no evidence of radio-opaque calculus seen. cbd is normal in size.
data/train/audio_00979.wav,"the intervertebral disc spaces, the pedicles, the spinous and the transverse processes are all normal. no evidence of an abnormal paravertebral shadow or calcification is noticed. no evidence of breaks in pars intra articularis opinion: mild anterior wedge compression involving d11, d12, l1 and l3 vertebral bodies."
data/train/audio_01079.wav,are identified (zygomaticomaxillary complex fracture-). hemo sinus seen in right maxillary sinus. soft tissue scalp swelling is seen involving right parietal region with subgaleal hematoma. mild reduced in size please correlate clinically and with other investigations.
data/train/audio_00041.wav,nodular soft tissue density areas along bilateral major fissures (right > left) - indeterminate. needs further evaluation. mediastinal lymphadenopathy as mentioned. multiple patchy areas of mosaic attenuation involving bilateral lung parenchyma likely suggestive of air trapping - ? small airway disease.
data/train/audio_05610.wav,"right kidney is otherwise normal in size, shape and position. the left kidney measures 10.2 x 5.5 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."
data/train/audio_03190.wav,mild dilatation of pulmonary arteries likely secondary to chronic lung disease. t5 vertebral compression fracture with osteopenia. incidental mild bilateral perinephric fat stranding and small hiatal hernia. atherosclerotic vascular calcifications.
data/train/audio_04091.wav,l4-l5 level: grade i disc desiccation with mild diffuse disc bulge and bilateral lateral recess narrowing. l5-s1 level: grade i disc dessication changes. t2/t1 hyperintense signal- type ii modic endplate changes.
data/train/audio_00185.wav,: no significant intracranial abnormality seen. bilateral mild ethmoid sinusitis. suggested clinical correlation and sos mri for further evaluation. 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/train/audio_04505.wav,patchy fibrosis in bilateral upper lobes with mild bilateral apical pleural thickening. cardiomegaly with prominent hepatic veins and ivc . adv cardiac evaluation mild bilobar ihbr dilatation with dilated proximal cbd. adv mrcp recommendation suggested clinical correlation.
data/train/audio_02709.wav,"mediastinum: thoracic oesophagus and other mediastinal structures appears normal. no significant mediastinal adenopathy is observed. heart and major vessels: heart outline and size appears normal. others: visualized vertebrae, sternum and ribs appear normal. soft tissues and muscles of chest wall are normal."
data/train/audio_05438.wav,"sagittal t2 weighted screening of cervical spine reveals loss of cervical lordosis. mild changes of spondylolysis are seen. posterior protrusions are seen at c5-6 and c6-7 levels, indenting the anterior subarachnoid spaces."
data/train/audio_04153.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/train/audio_04874.wav,:above x-ray findings are suggestive of- bilateral maxillary sinusitis. mild dns towards right side adv ct pns if clinically indicated.
data/train/audio_01009.wav,kidneys: right kidney measures 10.7 x 5.2 cm. left kidney is small in size with perinephric fat stranding. both kidneys show excretion of the contrast from the parenchyma. no focal renal mass identified. no hydronephrosis is definitively described.
data/train/audio_05680.wav,advice: clinical correlation and contrast study if clinically indicated.
data/train/audio_02523.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. bilateral mild ethmoid sinusitis. rest of the visualized paranasal sinuses are normal. impression:"
data/train/audio_05381.wav,findings: an ill-defined expansile osteolytic lesion measuring approximately 4.0 x 3.2 x 2.7 cm is noted involving the distal end of the radius in a subarticular/epimetaphyseal location.
data/train/audio_05578.wav,small eccentric calcified plaque in the proximal segment of left circumflex artery causing approximately 30%-40% luminal compromise. cadrads 3 p1
data/train/audio_04545.wav,no definite focal mechanical transition point identified on present study; however distal anorectal obstruction/stricture cannot be entirely excluded. clinical correlation and endoscopic/surgical evaluation advised.
data/train/audio_00292.wav,"no cholelithiasis. common bile duct is normal in caliber. pancreas: normal in size, contour, and signal intensity. no focal lesion or ductal dilatation"
data/train/audio_01155.wav,rest of the tibiofemoral and patello-femoral joints reveal intact articular cartilage. no obvious intraarticular loose bodies are seen. mild knee joint and suprapatellar bursal effusion is noted. t2w and stir hyperintensities are seen in the adjacent soft tissues s/o edema. :
data/train/audio_04415.wav,"both globes appear normal in size, shape with homogeneous contents. the lens on either side appears normal in size, shape and position. the extra-ocularmuscles are normal. the optic nerve is symmetrical and normal in bulk on either side. the retro-orbital fat on either side is unremarkable."
data/train/audio_05430.wav,"mild adjacent periosteal reaction is present. no evidence of cortical breach or associated soft tissue mass is seen. no evidence of aggressive periosteal reaction, cortical destruction, or extension into surrounding soft tissues. the remaining visualized metatarsals and tarsal bones appear unremarkable. joint spaces are preserved."
data/train/audio_04618.wav,consider repositioning. recommendation suggested clinical correlation.
data/train/audio_05145.wav,appendix is normal in caliber with maximum diameter of 5-6 mm and shows thickened enhancing walls. it is partly filled with oral contrast. no obvious appendicolith. it is arising from medial wall of cecum and coursing superiorly with tip at 12-1 o clock position. few subcentimeter sized non-necrotic lymph nodes are seen in right iliac fossa.
data/train/audio_04318.wav,the lamina papyracea on either side is normal. both middle turbinatesexhibit normal curvature. deviation of nasal septum to right. the left inferior turbinate appears hypertrophied. no bony erosion / destruction are seen.
data/train/audio_01212.wav,"the ventricles, cerebral sulci and the basal cisterns are normal. 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. minimal mucosal thickening is seen in left sphenoid sinus."
data/train/audio_02245.wav,degenerative endplate changes with schmorl's nodes at l1 and l2 with sclerosis along superior endplate of s1. mild to moderate fecal loading in colon. overall preserved renal enhancement and excretory function.
data/train/audio_02573.wav,"urinary bladder is well distended and wall thickened (8mm). foleys bulb in situ. uterus and ovaries appear normal. endometrium thick (10mm). bilateral adrenals are normal in size and attenuation. the majority of the large bowel, including descending colon,"
data/train/audio_03549.wav,"gall bladder reveals normal lumen and walls with normal size and shape. no mass lesion, calcification or stone is seen within the lumen. both kidneys reveal normal in size, shape, position and attenuation. no mass lesion, calcification or stone is seen in the renal parenchyma or collecting systems on both sides."
data/train/audio_03936.wav,gut loops reveal no significant abnormality. visualized skeletal structures appears unremarkable. a hypodense lesion in the upper pole of left kidney- likely cortical cyst. recommendation suggested clinical correlation.
data/train/audio_05291.wav,multiple eccentric mixed calcified plaques noted in the distal segment of left main artery causing 60%-70% luminal compromise. left anterior descending artery: multiple eccentric calcified and mixed plaques noted in the proximal and mid segment of left anterior descending artery causing 90% luminal compromise.
data/train/audio_05581.wav,"liver is normal in size, and shows irregular contour and reveals heterogenous parenchymal signal intensity and contrast enhancement. no focal lesion seen. gallbladder is well distended with normal luminal contents. no evidence of any pericholecystic fluid. intra-hepatic biliary radicles are normal with normal left hepatic duct and right hepatic duct."
data/train/audio_03885.wav,"a 4.6 mm sized hyperdense non-obstructive calculus is noted in the mid calyx of left kidney. both kidneys are otherwise normal in size, shape, and location with normal enhancement. no left hydronephrosis or focal lesion is seen. the urinary bladder is normal in size and wall thickness. anterior abdominal wall:"
data/train/audio_01732.wav,"rest of the intervertebral discs and neural foramina are showing normal mr morphology and signal intensity pattern. 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."
data/train/audio_01719.wav,displaced fracture noted in distal shaft of right ulna. diffuse subcutaneous oedema noted. minimal joint effusion noted. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_00727.wav,"x-ray right mastoid: right mastoid shows loss of pneumatization with sclerosis, possibility of chronic sclerosing mastoiditis. sinus and dural plates appear normal on right side. : right mastoid shows loss of pneumatization with sclerosis, possibility of chronic sclerosing mastoiditis."
data/train/audio_03280.wav,"impression: features suggestive of medical renal disease - bilateral small kidneys with minimal perinephric fat stranding. non-obstructive bilateral renal calculi bilateral renal cortical cysts, including haemorrhagic cortical cyst in left kidney."
data/train/audio_03617.wav,"findings: liver: liver is enlarged and measures approximately 16.6 cm. mild periportal edema noted. few hypodense non-enhancing cysts noted involving the liver, largest measuring 6.6 x 5.1 mm in the left lobe. liver is otherwise normal in parenchymal density, attenuation and contrast enhancement. no evidence of ihbr dilatation is seen."
data/train/audio_02608.wav,"causing moderate narrowing of central canal. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. 2. broad based posterior and bilateral foraminal herniation of l5-s1 disc, with inferior migration, causing moderate narrowing of central canal and neural foramina, bilaterally. mild facetal arthropathy is detected at this level."
data/train/audio_01180.wav,no arteriovenous malformation noted. calvarium and scalp: bony calvarium shows normal signal and diploic space. no mri evidence of fracture or sol is seen. no sclerotic or lytic skull lesion noted. skull base appears grossly normal. overlying scalp is normal.
data/train/audio_00450.wav,mri scan of the brain was performed using t1-t2wt sequences in multiple planes using a phased ra angiography coil. findings - motion artifacts are seen in few of the sequences reducing optimal evaluation. large wedge shaped area of diffusion restriction is seen in right hemipons
data/train/audio_01565.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/train/audio_04539.wav,left kidney measures approximately 10.3 x 5.1 cm and appears unremarkable. no hydronephrosis. stomach appears collapsed. ryle's tube noted with tip within stomach. small bowel loops appear predominantly collapsed without significant dilatation.
data/train/audio_01510.wav,hemangioma noted in l1 vertebral body. l1-l2 level: grade i disc desiccation. no obvious disc bulge/ neural foraminal narrowing /significant nerve root compression. ligamentum flavum appears normal. bilateral facetal joints appear normal.
data/train/audio_03890.wav,"noted in the right midureter (at level of right iliac crossing, at l5-s1 level) with resultant back pressure changes in the form of proximal hydroureter and mild hydronephrosis. left renal non-obstructive calculus. otherwise unremarkable ct abdomen."
data/train/audio_04010.wav,further evaluation with ct pns if indicated.
data/train/audio_02275.wav,recommendation tissue diagnosis (ebus-guided biopsy of lymph node or usg guided biopsy of subcutaneous nodule). pet-ct for staging. 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/train/audio_02958.wav,"pelvicalyceal system is not dilated. no evidence of calculus. renal sinus appears normal. perirenal and pararenal spaces appear normal. gerota's fascia appears normal. left kidney: appears normal in shape, position and density. pelvicalyceal system is dilated. calculi measuring 2.5cm x 1.8cm (hu+1230)"
data/train/audio_00508.wav,sellar & parasellar region: visualized pituitary gland appears normal. orbits: visualized orbital structures appear normal. vascular flow voids: normal flow voids are seen in the visualized intracranial arteries and venous sinuses. impression:
data/train/audio_05292.wav,"ramus intermedius branch: the ramus is patent. left circumflex artery: lcx is patent. multiple eccentric calcified plaques noted in the proximal segment of left circumflex artery causing 70%-80% luminal compromise. it gives rise to om1, om2 and terminates av groove."
data/train/audio_04793.wav,sphenoid sinus appears normal. visualized basal cisterns are within normal limits. supratentorial: few chronic lacunar infarcts involving right thalamus. few t2w and flair hyperintensities are noted in bilateral fronto-parietal and periventricular white matter. no restriction on dwi or blooming on gradient images is noted s/o chronic ischemic changes
data/train/audio_05570.wav,tibia: no evidence of cortical defect. no periosteal reaction. no focal lytic or sclerotic lesion to suggest ct evidence of osteomyelitis. fibula: no evidence of cortical defect. no periosteal reaction. no focal lytic or sclerotic lesion to suggest ct evidence of osteomyelitis.
data/train/audio_03776.wav,acute subdural haemorrhage with maximum thickness of 7 mm noted in left occipital convexity extending into the left retrocerebellar region. thin acute subdural haemorrhage with maximum thickness of 1.9 mm noted in right temporal convexity. multiple air pockets noted within the haemorrhage.
data/train/audio_00733.wav,grey and white matter differentiation is maintained. basal ganglia and thalamus appear normal. bilateral insular cortex and sylvian fissures appear normal. no congenital mal formation noted. no acute infarct or bleed is seen. no focal sol is seen. midline septa not shifted.
data/train/audio_03660.wav,"diffuse disc bulge with postero-central annular tear noted at l3-l4 level causing anterior thecal sac indentation, bilateral lateral recess narrowing and abutting bilateral l4 traversing nerve roots. diffuse disc bulge noted at l4-l5 level causing anterior thecal sac indentation,"
data/train/audio_04655.wav,increased submucosal fat involving the ileocaecal junction suggestive of chronic infective/inflammatory etiology. colon is predominantly faecal loaded and is unremarkable. rectum appears normal in the scan. the peri-rectal fat planes are intact. uterus and adnexa:
data/train/audio_02299.wav,right hepatic duct measures approximately 1 mm. left hepatic duct measures approximately 1.2 mm. intrahepatic biliary radicles are not dilated. common hepatic duct and common bile duct common hepatic duct measures approximately 1.5 mm. common bile duct measures: proximal cbd: ~2.8 mm mid cbd: ~
data/train/audio_03721.wav,no evidence of dislocation or subluxation is seen soft tissue soft tissues are normal features are early osteoarthritis. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_03235.wav,minimal posterior disc bulge abutting thecal sac without any nerve root compression. mild ligamentum flavum hypertrophy. disc level canal diameter (mm) l1-l2 11.6 l2-l3 12.6 l3-l4 12.5 l4-l5 14.5 l5-s1 15.1 on whole spine screening: loss of cervical lordosis noted. mild posterior disc bulge at c5-c6 cervical level abutting anterior thecal sac without any nerve root compression. anterior osteophytes are seen at few dorsal levels. mild posterior disc bulges are seen at few dorsal levels
data/train/audio_01595.wav,note is made of left renal cysts and nabothian cysts in cervix. mri screening of the cervical spine: straightening of curvature of the cervical spine noted. multilevel disc dehydrative changes with mild posterior disc bulge at c3-4 causing thecal sac indentation.
data/train/audio_04204.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."
data/train/audio_01835.wav,"rca territory: critical multi-level disease proximal-mid rca: 20%-30% stenosis (mild) distal rca: serial critical stenoses of 90%-95%, 90%-95%, and 80%-90% ("
data/train/audio_01939.wav,"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. small eccentric calcified plaque measuring approximately 1.3 mm noted in the distal segment of right coronary artery causing 10%-20% luminal compromise."
data/train/audio_03472.wav,findings: well defined hypodense area of near csf attenuation is noted involving both grey and white matter of the right temporo-occipital lobes with prominence of the adjacent cortical sulci and mild ex-vaccuo dilatation of the adjacent lateral ventricle suggestive of chronic infarct. multiple chronic lacunar infarcts involving bilateral ganglio-capsular regions and corona radiata.
data/train/audio_05642.wav,"prominence of the ventricular system commensurating with widening of subarachnoid csf spaces consistent with age related diffuse cerebral atrophy. there are few focal flair / t2 hyperintensities in the supratentorial periventricular and subcortical white matter not showing diffusion restriction, suggestive of chronic microvascular ischemic changes. rest of cerebral hemispheres"
data/train/audio_05676.wav,"findings the rectus femoris muscle demonstrates diffuse altered signal intensity characterized by hyperintensity on fluid-sensitive sequences, consistent with muscle edema. the edema extends from the proximal thigh along the course of the rectus femoris muscle up to its distal insertion. no definite focal muscle"
data/train/audio_00554.wav,chronic partial tear involving the medial patello-femoral ligament. partial root tear involving the anterior root of lateral meniscus. grade iii tear involving the body and posterior horn of medial meniscus. moderate knee joint and suprapatellar bursal effusion with mild edema in adjacent soft tissues. suggested clinical correlation.
data/train/audio_04855.wav,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. mediastinum: thoracic oesophagus and other mediastinal structures appears normal.
data/train/audio_04794.wav,": posterior fossa: the cerebellum and brainstem are normal. no evidence of tonsillar herniation. pons and medulla show normal signal intensity. fourth ventricle is central and is normal in shape. sella: 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."
data/train/audio_01029.wav,no focal lytic / sclerotic lesion is seen. the joint spaces appear normal with intact articular surfaces. the soft tissue structures of the ankle and foot are normal. displaced fracture of the distal 1/3rd of the shaft of the tibia. no intra-articular extension. mild subcutaneous edema in the distal leg and around ankle joint.
data/train/audio_04256.wav,vertebrae are showing normal alignment and bone marrow signal. no significant disc bulge or herniation is seen in cervical region. neural foramina with exiting nerve roots show normal mr morphology. thecal sac with cervical spinal cord is normal in signal intensity and configuration.
data/train/audio_03367.wav,"findings are most suggestive of marrow reconversion, however early marrow infiltrative disorders should be excluded clinically and hematologically., most likely: marrow reconversion hematological disorders (anemia, marrow hyperplasia)"
data/train/audio_00705.wav,sacro-iliac joint appear unremarkable. impression: ill-defined altered signal intensity collection in the intramuscular plane of left gluteal region (approximately volume is 12 cc) with adjacent muscle and subcutaneous edema likely infective / inflammatory etiology.
data/train/audio_03397.wav,"diffuse disc bulge noted at c6-c7 level causing anterior thecal sac indentation,bilateral neural foraminal narrowing and abutting bilateral c7 exiting nerve roots. diffuse disc bulge noted at l3-l4 level causing anterior thecal sac indentation, bilateral lateral recess narrowing and abutting bilateral l4 traversing nerve roots. grade 1 anterolisthesis"
data/train/audio_02847.wav,lungs: area of homogeneous opacification noted involving right upper lobe. it measures approximately 8.3 x 5.6 cm. no obvious air bronchogram noted within. there is mild compensatory hypertrophy of rest of the right upper lobe. areas of ground-glass opacities add fibroatelectasis noted involving rest of the right upper lobe.
data/train/audio_01116.wav,"mid thickening and enhancement of adjacent dura in left parietal temporal and occipital region. no evidence of acute infarct, hemorrhage or space occupying mass lesion noted. no abnormal parenchymal or meningeal contrast enhancement seen. no evidence of abnormal signal intensity or volume loss in the hippocampii."
data/train/audio_04301.wav,"uterus and bilateral ovaries appear atrophic. bilateral pleural effusions are noted, more on the left side, with adjacent compressive atelectatic changes in visualised lung bases. visualised bowel loops appear unremarkable on the present study."
data/train/audio_00736.wav,"bony calvarium shows normal signal and diploic space. no mri evidence of fracture or sol is seen. no defect, sclerotic or lytic skull lesion noted. skull base appears grossly normal. overlying scalp is normal. no focal lesion or swelling noted. orbits and paranasal sinuses:"
data/train/audio_01602.wav,"moderate nasal septum deviation is noted towards right side. no bony erosion / destruction are seen. chronic rhinosinusitis with sinonasal polyposis involving bilateral maxillary, ethmoidal complexes, ethmoids,"
data/train/audio_01938.wav,left main: the left main is a normal caliber vessel which gives rise to the lad and circumflex arteries. 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/train/audio_03425.wav,"one of the larger lesions in segment vii/vi, measuring approximately 5 x 4.5cm, shows partial infiltration into the right hepatic vein and posterior division of the right portal vein. the main portal vein remains patent. these hepatic lesions are suggestive of metastases."
data/train/audio_04952.wav,"rest of the brain stem and cerebellar hemispheres are showing normal morphology, signal intensity and outline. fourth ventricle is normal in size and midline in position. no focal or diffuse area of altered signal intensity is seen. no obvious intra / extra-axial space occupying lesion is observed."
data/train/audio_01292.wav,"adjacent transverse bowel loop closely related to the defect, which may represent: o associated ventral/para-umbilical herniation or o bulging of abdominal contents through weakened linea alba no imaging evidence of bowel obstruction or strangulation. mild free fluid in the pelvis. recommendation suggested clinical correlation."
data/train/audio_05093.wav,: lung fields appear clear. the cardiac shadow is within normal limits of size and shape. the aorta shows normal radiological features. both domes of diaphragm are normal in shape and outline. both cardiophrenic and costophrenic angles are clear. tracheal lucency is central.
data/train/audio_02403.wav,rest of the contrast filled bowel loops are generally unremarkable. no evidence of any significant mesenteric or retroperitoneal lymphadenopathy. no evidence of any ascites. visualized sections of lower chest are unremarkable.
data/train/audio_01633.wav,the nasal septum is deviated to the left side with bony spur. no bony erosion / destruction are seen. displaced fracture of left nasal bone and frontal process of maxilla with surrounding soft tissue edema. nasal septum is deviated to the left side with bony spur. right concha bullosa. recommendation suggested clinical correlation.
data/train/audio_03352.wav,"mr scan of sacro-iliac joints mri of sacro-iliac joint was performed using t1-t2wt sequences in multiple planes using a phased array coil. high resolution images with low fov were obtained. findings - the alignment of pelvic bones is normal. the sacro-iliac joint space on both sides are well preserved and the articular margins are normal. no obvious bony erosions or destruction is seen. there is no evidence of normal soft tissue component or fluid collection seen. the pelvic muscles are normal. the neurovascular bundles are intact. sacrum and the iliac bones reveal normal architecture and no focal areas of abnormal signal intensity seen. mild subcutaneous edema is seen posteriorly in lumbo sacral region. sagittal t2wt screening of lumbar spine shows loss of lumbar lordosis. l5-s1 intervertebral disc shows posterior protrusion indenting the anterior epidural fat. impression - mr scan reveals, no significant abnormality detected in bilateral sacro-iliac joints."
data/train/audio_01317.wav,"metallic susceptibility artifacts are noted, with no evidence of hardware failure. degenerative cervical spondylosis with disc desiccation and mild posterior annular bulge at c4-c5 causing anterior thecal sac indentation. lumbar spondylosis, characterized by:"
data/train/audio_00409.wav,"liver: liver is normal in shape, size, parenchymal density, attenuation and contrast enhancement. no focal or diffuse liver lesion seen. intrahepatic biliary radicals are not dilated. portal vein appear normal in caliber."
data/train/audio_03870.wav,c5-c6: there is a right paracentral and foraminal disc herniation causing effacement of the right perineural fat with impingement of the exiting right c6 nerve root.
data/train/audio_00282.wav,"mild facet arthropathy at: o l3-l4 o l4-l5 o l5-s1 apart from the described transverse process fractures, the remaining lumbar vertebral body heights are maintained. no acute vertebral body compression deformity. no significant osseous spinal canal narrowing on ct."
data/train/audio_00785.wav,pre and para vertebral soft tissues normal : marginal osteophytes at c6-c7. for clinical correlation.
data/train/audio_02623.wav,"the articular cartilage is normal in thickness. no obvious bony erosion or destruction is seen. other visualized pelvic muscles are normal. the neurovascular bundles are intact. : mr scan reveals: minimal synovial effusion in both hip joints (left more than right). altered marrow signal intensity changes in neck of left femur,"
data/train/audio_04921.wav,diffuse subcutaneous edema involving the visualized abdominal wall. few linear fibroatelectatic changes noted in the visualized lung bases. no pleural effusion. degenerative spondylotic changes with marginal osteophytes noted in the visualized spine. no significant abdominal lymphadenopathy.
data/train/audio_03652.wav,bony thoracic cage is normal. no soft tissue abnormality seen. prominent broncho-vascular markings. ? changes of bronchitis recommendation suggested clinical correlation
data/train/audio_00982.wav,plain kub plain kub radiograph normal urography excretory urography study was performed by intravenously injecting non-ionic contrast medium. no adverse reaction to contrast medium was noted. right side mild hydro ureter and nephrosis is seen. no obvious radio dense calculus is seen.
data/train/audio_05018.wav,pancreas: normal size and echotexture. no focal diffuse lesion. kidneys: right kidney measures 10.7 x 5.0 cm left kidney measures 10.6 x 5.0 cm
data/train/audio_02323.wav,tendons & muscles: biceps tendon: intact with normal insertion at the radial tuberosity. no tendinosis or tear. brachialis tendon: intact and normal. triceps tendon: intact at its olecranon insertion without evidence of tear or tendinopathy.
data/train/audio_00844.wav,liver: liver shows diffuse fatty infiltration. cyst measuring 17 x 19 mm noted in the left lobe in segment 4. prostate: mild prostatomegaly is noted. hernia: bilateral inguinal hernia with omentum as a content. musculoskeletal: degenerative changes noted in the lumbar spine.
data/train/audio_04114.wav,": right mastoid shows loss of pneumatization with sclerosis, possibility of chronic sclerosing mastoiditis."
data/train/audio_00605.wav,"extradural hemorrhage along right temporo-parietal lobe. mild subdural hemorrhage along falx and bilateral tentorium, along right high frontal region. multiple areas of subarachnoid hemorrhage involving the right fronto-temporo-parietal lobes, right sylvian fissure and left fronto-parietal lobes."
data/train/audio_02383.wav,"coraco-acromial arch appears normal. type ii acromion noted. bones:- comminuted mildly displaced fracture with marrow edema involving greater tubercle of humerus. rest of the head of humerus, rest of the glenoid, spine of scapula and coracoid reveal normal signal intensity. articular cartilage is intact with smooth margins."
data/train/audio_00504.wav,"findings: cerebral parenchyma: small focal areas of diffusion restriction are noted in the left frontal white matter and right frontal white matter, appearing hyperintense on dwi with corresponding signal characteristics (adc correlation recommended)."
data/train/audio_05409.wav,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. no significant mediastinaladenopathy is observed. heart and major vessels:
data/train/audio_01258.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 with"
data/train/audio_04994.wav,minimal posterior disc bulge abutting thecal sac without any nerve root compression. at l2-l3 level: no significant disc bulge. at l3-l4 level: mild posterior disc bulge abutting thecal sac encroaching bilateral neural foramina abutting bilateral exiting nerve root. mild ligamentum flavum hypertrophy noted. at l4-l5 level:
data/train/audio_02790.wav,mr mammography (non-contrast) clinical details: 46-year-old female - complaints of pain technique: non-contrast mri of bilateral breasts performed with standard sequences.
data/train/audio_03203.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/train/audio_03004.wav,"carotid arteries mild atherosclerotic wall thickening is noted involving distal segments of bilateral common carotid arteries. bilateral common carotid arteries are otherwise normal in course, caliber, and flow signal intensity. normal carotid bifurcation is noted bilaterally."
data/train/audio_02874.wav,recommendations: renal function tests and blood pressure monitoring. screening for intracranial aneurysm if clinically indicated
data/train/audio_01861.wav,"both middle turbinates exhibit normal curvature. no significant nasal septum deviation noted. a well-defined soft tissue swelling on scalp is noted along the left occipital convexity, measuring approximately 6.1 x 3.0 cm."
data/train/audio_03278.wav,"multiple non-obstructive calculi are noted in the right kidney, largest measuring 3 x 3 mm (hu ~320) in the upper pole. microliths are noted in the left kidney. multiple cortical cysts are noted in the right kidney, largest measuring 1.9 x 1.7 cm in the lower pole."
data/train/audio_00725.wav,"multiple well-defined flair/t2 hyperintensities are seen in bilateral periventricular regions -- s/o chronic small vessel ischemic changes. ventricular system, basal cisterns and sulci are prominent - diffuse cerebral atrophy. ----- suggested clinical correlation and follow up"
data/train/audio_04711.wav,"there is loss of normal lumbar lordosis seen. mild scoliosis of the thoracolumbar spine is seen, with convexity to the left. anterior wedge compression fracture of l1 vertebral body seen with loss of vertebral body height by approximately 70-80%."
data/train/audio_04591.wav,small bowel loops appear normal. large colon is predominantly distended with faecal matter and otherwise appear unremarkable. no significant lymphadenopathy. no e/o free fluid in abdomen and pelvis. visualized lower chest sections are unremarkable. grade i anterolisthesis of l5 over s1 noted with break in pars interarticularis
data/train/audio_00784.wav,marginal osteophytes at c6-c7. no x-ray evidence of bony cervical rib. ncct of neck may be recommended. iv disc spaces are normal spinous process appear normal. heights and densities of vertebral bodies are normal.
data/train/audio_00061.wav,mildly enlarged intra-abdominal lymph nodes probably reactive in nature. no evidence of ascites. splenomegaly is noted.
data/train/audio_02130.wav,"(exact dimensions are difficult to ascertain). this results in narrowing at the hepatic confluence and proximal hepatic ducts. however, the union of the right and left hepatic ducts is maintained. there is resultant dilatation of the right and left intrahepatic biliary radicals, more pronounced peripherally."
data/train/audio_03686.wav,mild facet joint arthropathy at l4-l5 and l5-s1 impression: findings consistent with acute calculous cholecystitis: overdistended gallbladder multiple gallstones (largest ~14.6 mm)
data/train/audio_04131.wav,"the uterus appears gravid with a single intrauterine gestation. the placenta is noted along the posterior wall, extending inferiorly to completely cover the internal cervical os, which appears closed, consistent with complete placenta previa."
data/train/audio_03739.wav,bilateral anterior and posterior ethmoidal air cells there is mild mucosal thickening. sphenoid sinus is well pneumatised. pneumatisation of the lateral masses of the sphenoid is seen on both sides with partial dehiscence of bilateral vidian nerves.
data/train/audio_04530.wav,"tiny hyperdense focus in right centrum semiovale, likely representing tiny petechial haemorrhhagic focus or calcific focus - short interval follow-up to be considered no acute calvarial fracture identified. keyimages"
data/train/audio_05666.wav,"the conus, the filumterminale and the roots of the cauda equine are normal. the pre and paravertebral soft tissues are normal. note is made of thyroid nodule advice usg correlation. features of cervical spondylosis with subtle cervical cord hyperintensity at the c5-c6 level?"
data/train/audio_02525.wav,findings: supratentorial: parieto-occipital horns of bilateral lateral ventricles appear prominent. rest of the 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.
data/train/audio_00345.wav,ct study reveals liver is enlarged in size and mild lobular capsular margins are seen. no other features of chronic liver parenchymal disease are seen. follow up is recommended.
data/train/audio_04987.wav,"findings: sacroiliac joints extensive bilateral symmetrical t2 and stir hyperintense signal is seen involving the subarticular bone marrow of both sacral and iliac sides of the sacroiliac joints, consistent with marrow edema. the abnormalities involve both sacroiliac joints symmetrically. mild adjacent t2/stir hyperintense soft tissue edema noted"
data/train/audio_00088.wav,it is seen involving the petrous part of temporal bone and greater wing of sphenoid and further extending to the lateral wall of sphenoid sinus with resultant left sphenoid haemosinus. rest of the visualized paranasal sinuses are unremarkable. rest of the skull bones appear normal.
data/train/audio_00251.wav,chronic calcific pancreatitis with large calculi in the region of proximal main pancreatic duct in the uncinate process and head of pancreas. there is no feature of acute pancreatitis or focal lesion seen. few prominent reactive intra-abdominal lymph nodes without any ascites.
data/train/audio_04949.wav,a slightly ill-defined t2 hypointense focal area with t2 hyperintensity is seen within is seen in the posterior wall of uterus in the mid segment with loss of interface between the junctional zone and this lesion. this most likely represent focal adenomyoma. no endometrial lesion seen. right ovary appears normal.
data/train/audio_04532.wav,: subtle haziness involving bilateral lower zones. mild cardiomegaly noted. unfolding of arch of aorta and aortic knuckle calcifications. both domes of diaphragm are normal in shape and outline. both cardiophrenic and costophrenic angles are clear. tracheal lucency is central.
data/train/audio_04226.wav,no evidence of trochlear dysplasia. the articular cartilage of femur and tibia appear normal. no free fragment seen in the joint. moderate amount of fluid in the knee joint cavity with fluid-fluid level. hoffa's fat pad is unremarkable.
data/train/audio_00264.wav,"l4-5: diffuse disc bulge causing indentation of the anterior thecal sac with mild to moderate narrowing of lateral recess and neural foramina on both sides, mildly to moderately indenting the traversing & exiting nerve root on both sides. ligamentum flavum hypertrophy is noted at same level."
data/train/audio_01658.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/train/audio_04317.wav,deviation of nasal septum to right. the left inferior turbinate appears hypertrophied. no evidence of acute sinusitis. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_04020.wav,"impression: large solid cystic heterogeneously enhancing altered signal intensity lesion noted in pelvis. both ovaries not seen separately from the lesion. size, morphological features and extensions as mentioned above - possibility of neoplastic aetiology - ? ovarian origin / uterine origin."
data/train/audio_05336.wav,"no evidence of tear noted. 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, tibial plateau and upper tibia and fibula reveal normal marrow signal."
data/train/audio_00405.wav,"zygomatic bone arch are normal. temporal bone and process of temporal bone are normal. no significant abnormality seen in mastoids and external auditory canal on both sides. petrous temporal bone, middle and inner ear structures are normal."
data/train/audio_04859.wav,bony calvarium is normal. no evidence of fracture or sol is seen. visualized part of orbits is unremarkable. overlying scalp is normal. mild mucosal thickening involving bilateral maxillary and ethmoid sinuses. bilateral otomastoiditis. impression: no obvious fracture or intracranial hemorrhage. no significant intracranial abnormality seen. recoridng 4- bilateral maxillary and ethmoid sinusitis. bilateral otomastoiditis. 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/train/audio_04867.wav,visualized lumbosacral spine multilevel degenerative spondylotic changes with marginal osteophytes. grade i anterolisthesis of l5 over s1 associated with bilateral pars interarticularis defects (spondylolysis) at this level.
data/train/audio_01665.wav,"calcaneum appears normal in morphology and marrow signal intensity. no evidence of marrow edema or focal osseous lesion noted. achilles tendon appears normal in thickness, contour, and signal intensity, with no evidence of tendinosis or tear."
data/train/audio_01879.wav,x-ray ankle with leg views ankle with leg - ap / lateral bones the bones of leg are normal.
data/train/audio_00531.wav,no lytic/sclerotic lesion is seen in the visualised bones. conclusion: right ovarian complex cyst- ? hemorrhagic or endometrioma. adv: mri pelvis. mild hepatomegaly.
data/train/audio_01201.wav,"o left inferior pubic ramus fracture o comminuted displaced fracture of the anterior column and medial wall of the left acetabulum 2. overall findings are consistent with complex pelvic ring injury with associated acetabular fracture. 3. background multilevel degenerative spondylotic changes involving cervical,"
data/train/audio_05059.wav,"left kidney measures 10.0 x 4.3 cm both kidneys appear normal in size, shape & echotexture. no hydronephrosis or hydroureter is noted. the corticomedullary differentiation is maintained. free fluid: no evidence of free uid."
data/train/audio_03357.wav,"sagittal t2wt screening of cervical spine reveals loss of cervical lordosis. posterior protrusions are seen at c3-c4 and c4-c5 level. dilated sagittal t2wt screening of dorsal spine reveals loss of dorsal curvature. changes of spondylosis seen. multiple posterior protrusions are seen. impression - mr scan reveals,"
data/train/audio_01321.wav,"appearing hypointense on t1-weighted images and hyperintense on stir sequences, suggestive of an acute/subacute fracture. mild posterior cortical bulge is seen causing indentation of the anterior thecal sac. associated mild prevertebral and post vertebral soft tissue component is noted."
data/train/audio_05112.wav,supratentorial: both cerebral hemispheres appear normal in architecture and attenuation. grey white matter differentiation is maintained. cavum septum pellucidum and cavum vergae noted. no evidence of focal parenchymal lesion.
data/train/audio_02061.wav,ct scan of whole abdomen : plain & contrast ct scan of the whole abdomen is performed after i.v. contrast with axial spiral sections from diaphragm to pubic symphysis. findings: liver is normal in size and density. no evidence of any focal or diffuse lesion seen. no evidence of dilated ihbr.
data/train/audio_02566.wav,"there is atherosclerotic changes with mild luminal narrowing in proximal part of sma. there is chronic occlusion of the terminal branches of sma in mesentry. there is dilation of much of the small bowel, with some areas of abnormal thickening and also mesenteric edema. there is complete occlusions of proximal part of left ima with reformation of distal part by colleterals."
data/train/audio_04652.wav,"both adrenal glands are defined and appear normal in configuration. kidneys: both kidneys are normal in size, position, shape and cortical outline. no evidence of calculus or hydronephrosis. corticomedullary differentiation is maintained. renal pelvis appears normal."
data/train/audio_00821.wav,. further being compounded by mild ligamentum flavum hypertrophy. l4-l5- diffuse annular disc bulge with posterior central and bilateral paracentral disc protrusions causing mild to moderate thecal and moderate bilateral lateral recess/foraminal nerve root compressions.
data/train/audio_02265.wav,o prevascular o pretracheal o paratracheal o subcarinal o right hilar o paraoesophageal regions largest lymph nodal mass measures approximately 6.3 x 4.2 cm in subcarinal region. relationship with adjacent structures these nodal masses demonstrate significant mass effect: vascular structures
data/train/audio_04088.wav,l5-s1 level: grade i disc dessication changes. t2/t1 hyperintense signal- type ii modic endplate changes noted at inferior endplate of l4 and superior endplate of l5 vertebral body. focal t1/t2 hyperintense signal noted at anterior corner of l4 vertebral body superiorendplate.
data/train/audio_04826.wav,"no evidence of blooming or susceptibility on swi in the above-mentioned areas. no evidence of acute intracranial hemorrhage. ventricular system & csf spaces: prominent lateral ventricles, third ventricle, cortical sulci, and sylvian fissures. basal cisterns are prominent. no midline shift."
data/train/audio_04053.wav,"spleen: measures 7.2 cm, appears normal in size & echogenicity. no focal lesion seen. pancreas: normal size and echotexture. no focal diffuse lesion. kidneys: right kidney measures 10.8 x 4.4 cm."
data/train/audio_04002.wav,ct scan neck without contrast technique axial sections of the neck were obtained without administration of intravenous contrast on a ct scanner. * both lobes of thyroid are normal in architecture and attenuation. the isthmus is normal.
data/train/audio_02434.wav,"central canal stenosis, or neural foraminal narrowing. l2-l3: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. l3-l4: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. l4-l5: diffuse annular disc bulge with mild posterior central circumferential annular tear causing"
data/train/audio_00025.wav,a calculus ms~11x5mm (hu~680) is seen in left mid ureter with mild upstream hydroureteronephrosis. mild perinephric fat stranding is seen with thickening of perinephric fasciae.
data/train/audio_00249.wav,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/train/audio_00287.wav,the basal cisterns show normal csf density. cerebello-pontine angles and internal auditory meatus appear normal. the sella and parasellar regions are normal. the bony calvarium appears normal.
data/train/audio_04038.wav,"neural foraminal narrowing, if present, is mild (better evaluated on mri). posterior elements: spinous processes, laminae, and pedicles are intact. soft tissues: prevertebral and paraspinal soft tissues appear within normal limits."
data/train/audio_00209.wav,"the round and oval windows are normal. aditus to antrum is normal. the cochlea, vestibule, vestibular and cochlear aqueduct are normal. the facial nerve canal is normal. the superior, posterior and horizontal semicircular canals are normal. the internal auditory canal is normal."
data/train/audio_00947.wav,significant no necrotic or pathologically enlarged lymph nodes identified. salivary glands: bilateral submandibular and parotid glands appear normal. aerodigestive tract: oropharynx and laryngopharynx appear normal. no focal mass lesion or asymmetry noted.
data/train/audio_05253.wav,joint effusion: moderate knee joint effusion. surrounding soft tissue: grade ii muscle injury noted in popliteus muscle. oedema noted in muscles of popliteal fossa with fluid collection in intermuscular plane. subcutaneous oedema noted in knee joint.
data/train/audio_00512.wav,"findings liver is enlarged in size ~17cm , shape and decreased attenuation on present unenhanced scan. the porta hepatis is normal. no ihbr or cbd dilatation pancreas, spleen and both adrenals are normal in size, shape and attenuation on present unenhanced scan."
data/train/audio_05207.wav,"there is no focal area of abnormal signal intensity in the cerebral or cerebellar hemispheres. the grey-white matter differentiation is well maintained. the basal ganglia, thalami, brainstem and cerebellum appear normal. no focal area of restricted diffusion is seen in the brain. the ventricles, cerebral sulci and the basal cisterns are normal."
data/train/audio_01139.wav,peritoneum/retroperitoneum: no free fluid or free air. no bulky lymphadenopathy. osseous structures: no acute bony abnormality identified. impression left hydroureteronephrosis due to an obstructive left vuj calculus measuring 8 x 3.4 mm. right renal calculi: 2 mm mid pole calculus and upper pole calculi each measuring 3 mm; no right hydronephrosis.
data/train/audio_03374.wav,labrum. mild acromio-clavicular joint arthrosis seen. minimal joint effusion. the glenohumeral joint appears normal. glenoid labrum appears normal. the middle and inferior glenohumeral ligaments appears normal. the long head of biceps and its attachment appears normal.
data/train/audio_02333.wav,"the lower end of the spinal cord, cauda equina and filumterminale do not reveal any abnormality. no abnormality is detected in the prevertebral region. the vascular structures appear normal. bilateral posterior paraspinal muscles are normal in size and reveal normal signal intensity. spinal canal measurements are within normal limits. sagittal t2 weighted screening of cervical spine reveals loss of cervical lordosis."
data/train/audio_02810.wav,2# a 3.3 x 2.3 cm sized cystic area seen in right lob of the liver ? simple hepatic cyst ? biliary cystadenoma. portal vein: normal.
data/train/audio_04300.wav,"no focal hepatic lesion identified on the present plain study- suggested contrast study for better evaluation. tiny benign-appearing t2 hyperintense splenic lesion, likely cystic in nature."
data/train/audio_02401.wav,urinary bladder: is normal and appears distended. uterus & bilateral adnexa are grossly normal a simple ovarian cyst (~3.5 x 2.5 x 1.5 cm) seen in the left ovary. no solid component or septations. ( orads ii)
data/train/audio_02096.wav,"patchy areas of pdfs hyperintensities noted in tarsal bones - likely sclerosis. reduction of joint space with subchondral sclerosis noted in subtalar joint ( predominantly in posterior aspect), possibility of changes of osteoarthritis."
data/train/audio_00533.wav,mild surface irregularity involving the liver parenchyma with mild caudate lobe hypertrophy with mild periportal cuffing likely changes of liver parenchymal disease. mild splenomegaly. bilateral mild perinephric fat stranding. to rule out underlying pyelonephritis.
data/train/audio_04060.wav,: hepatomegaly with grade i fatty liver. omental umbilical hernia as described above. note: patient needs full urinary bladder for better evaluation of prostate. suggest - clinical and biochemical correlation/further imaging if indicated.
data/train/audio_03974.wav,"conclusion: cholelithiasis without cholecystitis. tiny signal void in distal end of cbd, possibility of small cbd calculus. no significant dilatation of ihbr."
data/train/audio_05517.wav,"findings: 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/train/audio_04502.wav,ct cervical spine (plain) technique: ct scan of cervical spine was done without administration of contrast. clinical profile: chief complaints of neck pain. findings: mild soft tissue edema in the posterior paraspinal region - consistent with postoperative changes.
data/train/audio_00729.wav,: no significant intracranial abnormality detected. bilateral ethmoid sinusitis. suggested clinical correlation.
data/train/audio_05204.wav,"bilateral optic nerve sheath dilatation is noted involving the intraorbital and intracanalicular segments, appearing bulbous in configuration. the optic nerves are relatively thinned, measuring approximately 0.3 cm in caliber, suggestive of optic atrophy."
data/train/audio_05174.wav,"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. soft tissues and muscles of chest wall are normal."
data/train/audio_03664.wav,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/train/audio_03730.wav,mildly thickened urinary bladder walls with mild perivesical fat stranding suggestive of cystitis. mild hepatomegaly with fatty liver. suggested clinical and 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/train/audio_04812.wav,multiple low density centrilobular nodules involving bilateral upper and lower lobes. above findings are suggestive of infective bronchiolitis. multiple patchy areas of mosaic attenuation involving bilateral lung parenchyma likely suggestive of air trapping - ? small airway disease.
data/train/audio_04698.wav,"corresponding blooming is noted on gre and swi sequences, suggestive of hemorrhagic components within these lesions. additional blooming focus is seen in the right periventricular region. scattered areas of restricted diffusion are also seen in the right thalamus, suggestive of acute lacunar infarct."
data/train/audio_03722.wav,x-ray elbow: left bones degenerative osteophytes noted in coronoid process central canal process of ulna. no fracture or dislocation is present. no focal bony lesion present. joints joint spaces are normal.
data/train/audio_04638.wav,"findings: the cardiac silhouette appears enlarged (cardiomegaly). the main pulmonary artery, right pulmonary artery, and left pulmonary artery appear mildly dilated, which may be secondary to pulmonary hypertension. a right-sided central venous line is noted with the tip in the superior vena cava."
data/train/audio_00083.wav,no evidence of marrow edema. patella appears normal in position. joints: no evidence of osteoarthritic changes. tibiofemoral and patello-femoral joints appear normal with intact articular cartilage. no obvious intraarticular loose bodies are seen. mild to moderate knee joint and suprapatellar bursal effusion with diffuse soft tissue edema around knee joint.
data/train/audio_02247.wav,supratentorial: both cerebral hemispheres appear normal in architecture and attenuation. grey white matter differentiation is maintained. no evidence of focal parenchymal lesion. no abnormal meningeal or parenchymal enhancement noted. no shift of midline structures seen. both lateral ventricles and the 3rd ventricle are normal. ventricular system is not dilated.
data/train/audio_05653.wav,at c5-c6 level: mild diffuse disc bulge indenting anterior thecal sac encroaching bilateral neural foramina (right > left) abutting right exiting nerve roots. suggested clinical and emg - ncv 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/train/audio_03976.wav,findings: few areas of subarachnoid hemorrhage involving right temporo-parietal lobes. rest of the brain parenchyma is normal in attenuation. small focal subdural hemorrhage along right parietal region. maximum thickness measures approximately 2 mm. no obvious mass effect. basal ganglia and thalami are normal.
data/train/audio_03325.wav,endometrial biopsy / histopathological correlation is recommended. consider contrast-enhanced mri keyimages
data/train/audio_00624.wav,"prostate: enlarged, measuring approximately 31 cc. no focal lesion identified. : 1. left renal calculus measuring 4 x 3 mm (hu ~349) in the upper pole calyx - non-obstructive."
data/train/audio_04132.wav,"no definite extrauterine placental tissue extension into adjacent organs is identified on the provided images. the myometrial thickness appears relatively preserved in the remaining uterus, though focal indistinctness is noted in the lower segment as described. urinary bladder contour appears maintained without definite invasion."
data/train/audio_04571.wav,"it compresses the thecal sac and both l5 nerve roots. it causes moderate narrowing of central canal. mild facetal arthropathy and ligamentum flavum thickening is seen at this level. the lower end of the spinal cord, cauda equina and faint of knee do not reveal any abnormality."
data/train/audio_03123.wav,"chronic rhinosinusitis involving bilateral maxillary, right frontal, both sphenoid ethmoidal complexes and nasal cavity as described. bilateral maxillary ostia, bilateral fronto-nasal and spheno-ethmoid recess appear blocked."
data/train/audio_02082.wav,liver: normal size and attenuation. no focal lesion or intrahepatic biliary dilatation. gallbladder and biliary tree: gallbladder unremarkable. no biliary dilatation. pancreas: normal size and attenuation. no peripancreatic fat stranding or collection.
data/train/audio_03884.wav,"a 4.7 x 3.1 x 7.1 mm sized hyperdense (hu 850) obstructive calculus noted in the right midureter (at level of right iliac crossing, at l5-s1 level) with resultant back pressure changes in the form of proximal hydroureter and mild hydronephrosis."
data/train/audio_02716.wav,"similar aggressive lytic lesions are noted involving right superior and inferior pubic rami, acetabulum and ischium. a large heterogeneously enhancing soft tissue mass measuring approximately 14 x 10 cm is noted surrounding the right proximal femur and right inferior pubic bone, encasing adjacent vastus muscles."
data/train/audio_02077.wav,lungs prominence of bronchovascular markings. haziness involving right mid and lower zones in perihilar regions suggestive of pneumonitis. 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.
data/train/audio_02822.wav,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. urinary bladder wall thickness is normal. gastrointestinal tract stomach is distended with normal gastric wall thickness and enhancement. c-loop of the duodenum is defined.
data/train/audio_05222.wav,"no bony erosion / destruction are seen. mucosal thickening noted in right frontal, ethmoid, bilateral maxillary and left sphenoid sinus - sinusitis. there is evidence of obstruction of right maxillary sinus ostia and ostiomeatal units."
data/train/audio_02698.wav,"no collections are seen in maxillary sinuses. sphenoid sinuses appear normal in attenuation bilaterally. pterygoid, ethmoid and sphenoid: body and plates of pterygoidappears normal in configuration and attenuation bilaterally."
data/train/audio_01976.wav,no obvious intraluminal pathology noted. mediastinal great vessels are normally identified with normal cardiac configuration. there is no pericardial effusion. no mediastinal or hilar lymph nodes are observed. impression no significant abnormality detected in ct scan thorax. please correlate clinically.
data/train/audio_05012.wav,pelvicalyceal system appears normal on both side. no focal lesion is seen. no obvious calculi /calcifications seen. bilateral adrenal glands are normal in size and attenuation. urinary bladder is well distended & normal. uterus and left ovary appear normal.
data/train/audio_02417.wav,"microcalculi/sludge with mild gallbladder wall thickening (5.4 mm), in keeping with acute cholecystitis in the appropriate clinical context. normal caliber cbd with no cbd calculi and no intrahepatic biliary dilatation. mild hepatomegaly (liver span 17.2 cm)."
data/train/audio_05493.wav,visualized bones appear normal in density without any sclerotic or lytic lesion. prostate gland is borderline enlarged in size and measures 4.5 cm in transverse dimension. urinary bladder is partially distended. there is minimal wall thickening of the urinary bladder is seen. this raises the possibility of chronic cystitis.
data/train/audio_02206.wav,"overall imaging findings are highly suspicious for disseminated malignant pleural neoplastic process, with differential considerations including: malignant pleural mesothelioma metastatic pleural carcinomatosis advanced primary bronchogenic malignancy with pleural dissemination"
data/train/audio_00644.wav,"cbd is normal in size. pancreas appears mild bulky with homogeneous post-contrast enhancement. there is evidence of fat stranding in peripancreatic region, central mesentery and left anterior pararenal space. no evidence of pancreatic parenchymal calcification or mass lesion. no evidence of dilatation of main pancreatic duct."
data/train/audio_04304.wav,diffuse cerebral atrophy with prominent csf spaces and ventricles noted in bilateral cerebral hemispheres - suggestive of age-related cerebral atrophy. diffuse hypodensity noted in periventricular white matter region bilaterally - suggestive of chronic small vessel ischemic changes.
data/train/audio_02429.wav,4.4 x 3.5 cm in the right lobe.- suggestive of metastatic lesions
data/train/audio_02737.wav,"both lobes of thyroid are normal in architecture and attenuation. the isthmus is normal. the nasopharynx, oropharynx and hypopharynx appears normal."
data/train/audio_00433.wav,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/train/audio_02197.wav,"largest measuring approximately 7 mm in short axis, likely reactive/non-specific. upper abdomen (visualized sections) multiple enlarged nodular soft tissue lesions of similar morphology noted in the visualized upper abdomen/perigastric region, largest measuring approximately 20 x 19 mm,"
data/train/audio_05572.wav,"* diffuse muscular atrophy involving anterior, posterior and peroneal compartments with mild subcutaneous edema of the leg. * minimal atherosclerotic calcified plaques in the proximal third of the anterior tibial artery."
data/train/audio_02977.wav,"findings: small hypodensity measuring approximately 15 x 8 mm noted in the right thalamocapsular region extending to corona radiata. few chronic lacunar infarcts involving bilateral ganglio-capsular regions, bilateral corona radiata and pons. multiple hypodensities are noted in bilateral fronto-"
data/train/audio_00831.wav,"2. broad based posterior protrusion of l3-4 disc, causing mild narrowing of central canal and neural foramina, bilaterally. mild facetal arthropathy and ligamentum flavum thickening at this level. 3. broad based posterior and right paracentral protrusion of l5-s1 disc, causing mild to moderate narrowing of central canal and moderate narrowing of the right neural foramen. mild facetal arthropathy is detected at this level."
data/train/audio_00306.wav,this corresponds to mild-moderate deep infiltrating endometriosis with: posterior compartment involvement (torus uterinus + rectal wall) bilateral ovarian disease
data/train/audio_00957.wav,partial tear involving medial collateral ligament near its femoral attachment. partial tear involving medial patello-femoral ligament. grade i injury involving medial and lateral patellar retinaculum. meniscus: root tear involving the posterior root of lateral meniscus. mild extrusion of body by 2-3 mm.
data/train/audio_01114.wav,reduced disc height at c5-c6 and c6-c7 levels. subtle cord oedema noted at c3-c4 level.
data/train/audio_01855.wav,:- 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.
data/train/audio_01303.wav,"no mass lesion is seen. bony outlines are normal. visualized orbits & intracranial contents are normal. mucosal thickening completely filing bilateral maxillary, ethmoid, sphenoid & frontal sinuses with few hyperdense contents within. complete blockage of bilateral osteomeatal complexes and fronto-ethmoid recesses with widening of ostias."
data/train/audio_04385.wav,"findings: partial tear involving the distal fibers of medial head of gastrocnemius muscle near its insertion. mild sprain involving the lateral head of gastrocnemius muscle near its insertion. mild to moderate sprain/low-grade tear involving the soleus muscle. mild to moderate soft tissue edema involving the leg region,"
data/train/audio_04768.wav,"right side: extensive soft tissue density opacification is seen completely filling the right middle ear cavity, mastoid air cells and external auditory canal. associated extracalvarial fat stranding is seen in right mastoid region. extensive erosive changes are seen involving tegmen tympani and bony roof of right middle ear cavity/mastoid antrum."
data/train/audio_01291.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. visualized skeletal structures appears unremarkable. divarication of recti."
data/train/audio_01070.wav,underlying bony cortex is appear unremarkable. similar morphology lesion noted in the subgaleal plane of right high parietal region. it measures approximately 6 x 6 x 7 mm (tr x ap x cc). underlying bony cortex appears unremarkable :
data/train/audio_04552.wav,"* fibrotic changes with adjacent pleural thickening are seen involving bilateral apices. * atelectatic bands with adjacent pleural thickening involving right middle lobe, lingular segment and bilateral lower lobes. * rest of the lungs appear normal in volume and attenuation. airway and hilum:"
data/train/audio_03761.wav,minimal displaced fracture in distal end of radius and ulnar styloid process with adjacent soft tissue swelling. minimal joint effusion noted.
data/train/audio_03616.wav,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. adrenals: both adrenal glands are defined and appear normal and show homogeneous contrast enhancement. kidneys:
data/train/audio_03872.wav,history of trauma. mildly displaced fracture involving the visualised radial head. mildly displaced fracture involving the olecranon process of ulna. joint space appears normal. articular margins are smooth and intact soft tissues appear normal. opinion: mildly displaced fracture involving the visualised radial head. mildly displaced fracture involving the olecranon process of ulna.
data/train/audio_03419.wav,mri cholangiopancreatography (mrcp) mri scan of the hepatobiliary system has been performed using t1- and t2-weighted sequences along with mrcp sequences in multiple planes. :
data/train/audio_00307.wav,mr scan reveals imaging findings concerning for acute interstitial pancreatitis. further correlation with serum pancreatic enzymes markers is recommended. no evidence of intraparenchymal or extraparenchymal pancreatic lesion or collection.
data/train/audio_03978.wav,undisplaced fracture involving the left temporo-parietal bones involving the left mastoid air cells with resultant left sided haemomastoideum and haemotympanum. it is seen involving the petrous part of temporal bone and greater wing of sphenoid and further extending to the lateral wall of sphenoid sinus with resultant left sphenoid haemosinus.
data/train/audio_02444.wav,"facetal joint: arthropathy noted at multiple lumbar levels. lumbar canal diameters at disc levels are as follows: l1-2 13.0 mm. l2-3 14.0 mm. l3-4 12.0 mm. l4-5 10.4 mm. l5-s1 10.0 mm. para-spinal structures: muscles: normal. kidneys: normal. lower cord, cauda-equina: cord ends at l1 level. s.i. joints: normal. :"
data/train/audio_00392.wav,"impression: normal anterior urethra. non-opacification of posterior urethra, likely physiological / technical no definite evidence of urethral stricture in the visualized segments. recommendation: correlate clinically."
data/train/audio_02348.wav,"findings rotator cuff there is complete thickness tear of the supraspinatus tendon at its footprint at the greater tuberosity of humerus, with proximal tendon stump retraction measuring approximately 13 mm. the subscapularis tendon shows tendinosis changes without evidence of full-thickness tear. infraspinatus and teres minor tendons demonstrate"
data/train/audio_03429.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/train/audio_00949.wav,"2. well-defined homogeneously enhancing soft tissue lesion in the left carotid triangle, as described above. o imaging features suggest a non-aggressive, well-circumscribed lesion without invasion. 3. bilateral subcentimetric cervical lymphadenopathy - ?reactive differential diagnosis"
data/train/audio_03952.wav,"no significant contrast opacification is noted in the left dorsalis pedis artery. tubular vascular structures are noted extending from bilateral common femoral regions to bilateral popliteal regions, likely representing femoropopliteal bypass grafts."
data/train/audio_05457.wav,mild acromio-clavicular joint arthropathy. mild subacromial - subdeltoid bursitis. mild shoulder joint and sub-coracoid bursal effusion. 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/train/audio_01147.wav,"no abnormal para-vertebral soft tissue swelling seen. no e/o any fracture/ dislocation. no e/o any lytic /sclerotic lesion noted. no abnormal calcification seen. : straightening of lumbar spine - ? due to spasm. suggested clinical correlation. many thanks for referral,"
data/train/audio_05488.wav,calculus is seen in the proximal duct from the ampulla measures 1.7 cm in length and 1 cm in width another large calculus seen in the intraductal location at the head and neck region measures 2.9 cm in length and 1.3 cm in width. these imaging findings are suggestive of chronic calcific pancreatitis. no evidence of any acute pancreatitis noted in the present study.
data/train/audio_05108.wav,no focal lytic or sclerotic osseous lesion identified. overall bony alignment is maintained. joints visualized joint spaces are preserved. articular margins are maintained without erosive or destructive changes. no appreciable joint effusion identified.
data/train/audio_02016.wav,the body and anterior horn of the medial meniscus is intact. the lateral meniscus is intact. mild edema is seen in hoffa's fat pad. the alignment of the knee joint is normal. the joint is well preserved and the articular margins are smooth. no obvious bony erosion or destruction is seen.
data/train/audio_04045.wav,"two fairly well-dened hyperechoic area/ lesion with anechoic cystic / necrotic area within noted involving the right lobe of liver, measuring 3.6 x 3.1 cm and 3.6 x 1.9 cm."
data/train/audio_00976.wav,"mr scan reveals, broad based posterior herniation of c3-c4 disc causing mild to moderate narrowing of central canal and both neural foramen. broad based posterior herniation with inferior migration of c4-c5 disc causing mild to moderate narrowing of central canal and both neural foramen. broad based posterior herniation"
data/train/audio_05383.wav,no definite matrix mineralisation or internal calcification is seen within the lesion. no evidence of pathological fracture noted at present. radiocarpal joint alignment is maintained. visualised carpal bones and distal ulna appear unremarkable.
data/train/audio_00426.wav,incidental findings of multinodular thyroid changes. underlying degenerative cervical spondylosis with ossification of anterior longitudinal ligament. recommendations: correlate with clinical signs of infection consider mri neck with c-spine f
data/train/audio_01260.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 multiple lytic lesions involving the bilateral iliac bones and lower lumbar vertebrae - suspicious for"
data/train/audio_02999.wav,a large altered signal intensity hemorrhagic lesion is noted involving the left ganglio-capsular region extending superiorly into the left corona radiata and centrum semiovale and laterally into the superficial temporal lobe. the lesion measures approximately 2.7 x 7.8 x 5.9 cm with an estimated volume of approximately 64 cc.
data/train/audio_00006.wav,stone is not changing position in different phases of contrast abdominal study - possibly impacted in left vuj. no definite evidence of bowel wall thickening noted. no evidence of thickening of the mesentery or mesenteric lymphadenopathy. no evidence of the retroperitoneal lymphadenopathy.
data/train/audio_02165.wav,"underlying multilevel cervical spondylosis. diffuse disc bulge noted at c5-c6 level causing anterior thecal sac compression, spinal canal narrowing 10 mm with bilateral neural foraminal narrowing resulting in compression of bilateral c6 exiting nerve roots. mild the posterior annular bulge noted at c4-c5 and c6-c7 levels causing anterior thecal sac indentation."
data/train/audio_04646.wav,differential consideration: infectiveinflammatory etiology. recommended correlation with 2d echocardiography and sputum microscopy / culture if clinically indicated.
data/train/audio_03363.wav,"distal femur: there is diffuse ill-defined altered signal intensity noted within the medullary cavity of the distal shaft of the right femur, appearing hypointense on t1-weighted and t2-weighted sequences, and hyperintense on pdfs/stir sequences."
data/train/audio_00955.wav,atypical pneumonia--advised interval follow up. few small thin walled cysts in the apico-posterior segment of the left upper lobe and medial segment of the right middle lobe. cardiomegaly--advised 2d-echo correlation. recommendation suggested clinical correlation.
data/train/audio_00098.wav,"osteochondral lesions involving the medial femoral condyle, medial tibial condyle, and lateral facet of the patella with subchondral edema. early tricompartmental osteoarthritic changes. mild to moderate joint effusion. grade i sprain of the lcl at its femoral attachment. mild anterior subcutaneous edema."
data/train/audio_01680.wav,"giving a ""swiss cheese-like"" appearance, suggestive of necrotizing infection. additional patchy ground-glass opacities (ggo) are seen in bilateral lungs."
data/train/audio_03185.wav,"similar fibrotic, bronchiectatic and fibrocavitary changes with internal calcifications are seen in right lung predominantly involving right upper lobe and superior segment of right lower lobe with associated moderate-severe volume loss involving these areas. compensatory hyperinflation of remaining right lung is noted"
data/train/audio_04546.wav,"small right kidney with cortical scarring/irregularity in upper pole, likely postoperative/post-treatment changes in a known case of rcc. multiple right renal cortical cysts. no definite recurrent enhancing renal mass identified."
data/train/audio_01005.wav,"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: pleural thickening"
data/train/audio_04417.wav,recording x-ray chest pa view findings : both lung fields are clear. cardiac shadow appears to be within normal limits. domes of diaphragm appear to be normal. both c.p. angles are clear bones are normal. please correlate clinically
data/train/audio_05592.wav,the intermediate and lateral cuneiforms appear normal. navicular: navicular bone appears normal in contour and attenuation. no fracture noted. cuboid: cuboid appears intact with preserved cortical margins. metatarsals: visualized metatarsal bases appear normal. no fracture or malalignment noted.
data/train/audio_01901.wav,x ray: both knee joints (ap/lat views) v. bilateral tibio-femoral joint spaces are normal. v. no sub-articular geodes or loose bodies are visualized.
data/train/audio_02947.wav,cardiac silhouette is within normal limits. both domes of diaphragm appear normal. bony thoracic cage & soft tissues appear normal. : haziness involving right upper zone with cavitations and shift of trachea to the right suggestive of infective etiology and its sequelae.
data/train/audio_01245.wav,differential consideration: infective-inflammatory etiology. recommended correlation with 2d echocardiography and sputum microscopy / culture if clinically indicated.
data/train/audio_01195.wav,"the surrounding muscles, including the deltoid and rotator cuff muscles, appear normal in bulk and signal intensity. the visualized neurovascular structures are unremarkable. : thickening of the coracohumeral ligament and inferior glenohumeral ligament with soft tissue thickening in the rotator interval, suggestive of adhesive capsulitis in the appropriate clinical setting."
data/train/audio_00822.wav,: degenerative changes in the spine in the form of osteophyte formations and disc desiccative changes. mild dextroscoliosis of the lumbar spine with convexity to the right. l3-l4- diffuse annular disc bulge with left paracentral disc protrusion causing mild thecal and significant left lateral recess/foraminal nerve root compressions.
data/train/audio_02354.wav,"depressed fracture of greater tuberosity of proximal humerus with marrow oedema. minimally displaced fracture noted in coracoid process of scapula. posterolateral humeral head hill-sachs defect (~1.3% bone loss) with hill-sachs interval 12 mm and glenoid track 16.5 mm, suggestive of non-engaing,"
data/train/audio_00033.wav,"rest of the lungs appear normal in volume and attenuation. airway and hilum: trachea, lobar bronchi, bronchus intermedius and segmental bronchi are normal. no intraluminal filling defects present. no dilated bronchi seen. pleural surfaces:"
data/train/audio_01871.wav,:- visualized part of orbits is unremarkable. overlying scalp is normal. bilateral mild ethmoid sinusitis noted. rest of the visualized paranasal sinuses are normal.
data/train/audio_04738.wav,": 1. broad based posterior herniation of l4-5 disc, causing moderate to severe narrowing of central canal. mild facetal arthropathy and ligamentum flavum thickening are detected at this level, adding spinal canal stenosis. bilateral facetal effusion seen at this level. 2. broad based posterior herniation of l5-s1 disc,"
data/train/audio_03830.wav,: mild soft tissue edema in the right intergluteal cleft at the site of pain. no obvious collection. no obvious fistulous tract in the present scan. suggested clinical correlation and follow up imaging 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. st james's university hospital mr imaging classification of perianal fistulas (modified from spencer et al)
data/train/audio_01273.wav,small hiatus hernia noted. stent noted in the visualised right common bile duct. multiple areas of mild bronchial wall inflammation involving the segmental and subsegmental bronchi of bilateral lung parenchyma. few ground-glass opacities involving bilateral upper and lower lobes. above findings are suggestive of infective bronchiolitis.
data/train/audio_01157.wav,"well defined area of restricted diffusion is noted involving both grey and white matter of the right temporo-parietal lobes, perisylvian region, insular cortex, corona radiata and centrum semiovale. it is hyperintense on t2w and flair images. no blooming is noted on gradient images."
data/train/audio_05689.wav,"alignment mechanical axis passes medial to the center of the knee joint bilaterally, consistent with varus alignment (genu varum). radiographic features suggestive of bilateral knee osteoarthritis, predominantly involving the medial tibiofemoral compartments, associated with varus alignment of both lower limbs."
data/train/audio_05706.wav,"middle ear: tympanic membrane is normal in thickness and position. tegmen tympani and tegmenantri are normal. the ossicles are normal in alignment. long process of incus and stapes are normal with no erosion. inner ear: the superior, horizontal and posterior semicircular canals and the vestibule are normal. cochlea is normal."
data/train/audio_02113.wav,basal ganglia and thalamus appear normal. bilateral insular cortex and sylvian fissures appear normal. no congenital mal formation noted. no acute infarct or bleed is seen. no focal sol is seen. midline septa not shifted. no evidence of brain herniation. ventricular system is not dilated and appear symmetrical. no intraventricular or ependymal lesions. aqueduct appears normal in size.
data/train/audio_00915.wav,", involving bilateral lungs as described, with associated cystic bronchiectasis. findings are highly suggestive of active infective etiology, most likely post-primary pulmonary tuberculosis with endobronchial spread, in the given clinical setting (hemoptysis)."
data/train/audio_04354.wav,"l3-l4: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. l4-l5: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing."
data/train/audio_05192.wav,rest of the both cerebral hemispheres are normal in signal intensity and grey and white interface is well maintained. grey and white matter differentiation is maintained. left basal ganglia and b/l thalami appear normal. bilateral insular cortex and sylvian fissures appear normal. midline septa not shifted. no evidence of brain herniation.
data/train/audio_02057.wav,no intrinsic cord abnormality. no remarkable findings on spine screening.
data/train/audio_02387.wav,"findings hip joints mild to moderate bilateral reduction in hip joint spaces noted (left > right), consistent with degenerative arthropathy. marginal osteophytes are seen along: bilateral acetabular margins, greater trochanters, pubic symphysis, and ischial tuberosities."
data/train/audio_01528.wav,"l5-s1: diffuse bulge, indenting the thecal sac and encroaching the neural foramina. there is compression over bilateral traversing s1 and indentation of bilateral exiting l5 nerve roots."
data/train/audio_04510.wav,the visualized paranasal sinuses are clear. bilateral mastoid air cells are clear. soft tissue swelling at right frontal region. : few contusions in right frontal bone. chronic small vessel ischemia and volume loss. communited fracture of anterior and posterior wall of right frontal sinus.
data/train/audio_05574.wav,left main: the left main is a normal caliber vessel which gives rise to the lad and circumflex arteries. the left main has no stenosis. left anterior descending artery: small eccentric soft plaque measuring approximately 8-9 mm noted in the mid segment of left anterior descending artery causing approximately 50-60% luminal compromise. rest of
data/train/audio_04920.wav,atherosclerotic calcification and intimal thickening involving the visualized aorta and its branches are noted. coronary artery calcifications are also seen. additional findings: mild cardiomegaly noted. small hiatus hernia present.
data/train/audio_01319.wav,recommendation: clinical correlation is advised. bone mineral density assessment (dexa scan) is recommended to evaluate osteoporosis.
data/train/audio_04092.wav,"more pronounced on the left side prominent dilatation of bilateral temporal horns third ventricle appears normal in caliber. fourth ventricle is not dilated. there is evidence of raised intracranial pressure, as suggested by: diffuse effacement of cortical sulci effacement of sylvian fissures"
data/train/audio_04098.wav,recommendations: mri brain with contrast and fat-suppression sequences for confirmation of fat and better characterization
data/train/audio_00145.wav,"the lesion is inseparable from the anterior rectal wall and demonstrates extension into the muscularis layer and superficial submucosa (~3 mm depth). location: upper rectum, approximately 13 cm from the anal verge, involving the 10-1 o'clock position."
data/train/audio_00734.wav,no evidence of brain herniation. ventricular system is not dilated and appear symmetrical. no intraventricular or ependymal lesions. aqueduct appears normal in size. csf spaces and fissures are well maintained. no evidence of extra-axial collection is seen.
data/train/audio_04833.wav,c5-c6: diffuse disc bulge causing mild thecal sac indentation without significant neural foraminal narrowing or nerve root compression. c6-c7: diffuse disc bulge causing mild thecal sac indentation without significant neural foraminal narrowing or nerve root compression.
data/train/audio_04234.wav,"multiple patchy and discrete t2 flair hyperintense foci are seen in bilateral frontoparietotemporal subcortical and periventricular white matter, corona radiata and centrum semiovale. these are hypointense on t1wt images. these are suggestive of chronic lacunar infarcts. mild to moderate chronic periventricular ischemic changes are seen."
data/train/audio_01491.wav,chronic partial thickness tear of acl at tibial attachment minimal joint effusion chondral thinning along medial patellar facet
data/train/audio_01933.wav,findings: there is loss of normal cervical lordosis with mild dextroscoliosis of the cervical spine. multilevel disc desiccation and anterior marginal osteophytes are noted. vertebral body heights are maintained. the visualized cervical spinal cord shows normal signal intensity with no intrinsic cord signal abnormality. level-wise findings
data/train/audio_02329.wav,"soft tissues: no soft tissue mass, collection, or edema. no bursitis noted (olecranon and bicipitoradial bursae appear normal)."
data/train/audio_05132.wav,no shift of midline is noted. the paranasal sinuses and visualised orbits are normal. mr angiograms were obtained for neck and cranial vessels using 3d tof sequences: the aortic arch appears normal. the origin of great vessels from the arch appears normal and does not show any significant narrowing/stenosis. bilateral common carotid
data/train/audio_02697.wav,no fracture or other significant abnormality seen. the calvaria and skull base appear normal. normal x-ray of skull recommendation suggested clinical correlation.
data/train/audio_00181.wav,: no significant abnormality detected in plain radiograph of abdomen adv - ct abdomen with contrast if clinically indicated.
data/train/audio_02350.wav,minimally displaced fracture noted in coracoid process of scapula. capsuloligamentous structures there is partial thickness tear at the humeral attachment of the inferior glenohumeral ligament (hagl region). acromioclavicular joint mild acromioclavicular joint arthrosis is noted.
data/train/audio_02085.wav,uterus and adnexa: uterus and both ovaries are normal. gastrointestinal tract: no bowel obstruction. no focal bowel wall thickening identified on this plain study. appendix not dilated. peritoneum / mesentery: streak of fluid noted in the pelvis. no pneumoperitoneum.
data/train/audio_00936.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. cp angle cisterns are normal. fourth ventricle is central and normal in shape.
data/train/audio_00473.wav,"l1-2 disc reveals postero-central protrusion. it indents the thecal sac, both l2 nerve roots and causes mild narrowing of central canal. mild facetal arthropathy is detected at this level. l2-3 disc reveals diffuse bulge."
data/train/audio_04377.wav,noted involving prevertebral and paravertebral neck spaces. comminuted displaced fractures involving bilateral occipital bones involving the posterior walls of foramen magnum and involving right bilateral temporal bones. left sided haemomastoideum noted. rest of the cervical vertebral bodies & their alignment appear normal. rest of the intervertebral disc spaces and spinous processes appear normal.
data/train/audio_03420.wav,"this results in narrowing at the hepatic confluence and proximal hepatic ducts. however, the union of the right and left hepatic ducts is maintained. there is resultant dilatation of the right and left intrahepatic biliary radicals, more pronounced peripherally."
data/train/audio_04266.wav,"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/train/audio_05215.wav,the sella and parasellar regions are normal. the bony calvarium appears normal. right parieto-occipital pericranial soft tissue contusion noted. : no evidence of intracranial hemorrhage. no fracture seen.
data/train/audio_02234.wav,"both lobes of thyroid are normal in architecture, attenuation and enhancement. the isthmus is normal. the nasopharynx, oropharynx and hypopharynxappears normal. there is evidence of enlargement of bilateral tonsils with few tiny specks of calcification. no pharyngeal wall thickening or intraluminal lesion noted."
data/train/audio_04620.wav,mild free air noted in left subdiaphragmatic region suggestive of pneumoperitoneum. tip of rt tube in lower thoracic cavity in midline. consider repositioning. suggested further evaluation with cect abdomen.
data/train/audio_02421.wav,x-ray lumbosacral spine - ap / lateral clinical profile: chief complaints of low backache. findings: lumbarisation of s1 vertebra noted. straightening of lumbar spine. lumbar vertebral bodies & their alignment otherwise appears normal.
data/train/audio_05255.wav,: avulsion of tibial attachment of pcl with adjacent marrow contusion / edema. intrasubstance oedema of anterior cruciate ligament. moderate knee joint effusion. grade ii signal in the posterior horn of medial meniscus.
data/train/audio_03913.wav,the pericardium is of normal thickness. no pericardial effusion is seen. the aortic valve is tricuspid. eccentric short segment mixed plaque noted at the origin of right subclavian artery causing complete luminal compromise. length of the involved segment measures approximately 13 mm.
data/train/audio_01078.wav,"subarachnoid haemorrhage (sah) within the sulcus spaces of right frontal lobe. mild reduced in size of sah comminuted fracture seen involving the right lateral orbital rim, medial orbital wall and inferior orbital rim, right zygomatic arch, anterior, superior, and posterior right maxillary sinus walls,"
data/train/audio_05306.wav,"impression 1. findings consistent with small bowel obstruction secondary to mesenteric volvulus. o central mesenteric volvulus with sma-smv inversion and whirlpool sign causing jejunal dilatation (up to 3.5 cm). o additional distal mesenteric twisting involving distal ileal loops, producing proximal ileal dilatation"
data/train/audio_01115.wav,left frontoparietal temporal craniotomy is seen. there is 7.9x2.7cm sized cystic encephalomalacia changes and adjacent gliosis seen in left posterior temporal lobe parietal and occipital lobe. there is exvaco dilation of left lateral ventricle. no evidence of any enhancing mass lesion is seen.
data/train/audio_02900.wav,"findings liver: liver is normal in size, contour and attenuation. no focal hepatic lesion identified. intrahepatic biliary radicles appear normal. gallbladder and biliary system: gallbladder appears normal in wall thickness and contour. no calculi or pericholecystic fluid noted. spleen:"
data/train/audio_03277.wav,uterus appears normal in size and morphology for age. no significant pelvic mass lesion noted. calcific atherosclerotic wall thickening is noted in the abdominal aorta. visualized bones show degenerative lumbar spondylosis with reduction in intervertebral disc height at multiple lumbar levels and marginal osteophyte formation.
data/train/audio_05429.wav,"no significant joint effusion. surrounding tendons and soft tissues appear within normal limits. impression: findings are suggestive of a small osteoid osteoma involving the proximal third metatarsal, characterized by a nidus measuring 6 x 4 mm, with adjacent bone marrow edema and marked reactive sclerosis."
data/train/audio_00484.wav,"findings: small hypodensity measuring approximately 5 mm noted involving left insular cortex likely acute non-haemorrhagic infarct. multiple chronic lacunar infarcts in right hemipons, bilateral ganglio-capcular regions and corona radiata. multiple hypodensities are noted in bilateral fronto-"
data/train/audio_03661.wav,bilateral lateral recess narrowing and abutting bilateral l5 traversing nerve roots. sacralisation of l5 vertebra with rudimentary intervertebral disc.
data/train/audio_04280.wav,"a ventriculoperitoneal (vp) shunt tube is seen in situ, with the tip located within the right lateral ventricle. the ventricular system appears dilated with dilatation of bilateral temporal horns. there is a subgaleal fluid collection in the parieto-occipital region, likely postoperative."
data/train/audio_04072.wav,"few calculi seen largest measures 4 mm at lower pole, prominent pcs, however ureter is not dilated. no mass lesion, is seen in the renal parenchyma on both sides. the ivc, aorta and portal vein are within normal position and calibre. no evidence of retroperitoneal lymphadenopathy or ascites."
data/train/audio_02459.wav,"corticomedullary differentiation is maintained. renal pelvis appears normal. peri-nephric fat regions appear unremarkable bilaterally. adrenals: adrenal glands are normal is shape, size and position. all the limbs of adrenal glands are well outlined. no focal thickening in any of the adrenal limbs. ureters: both ureters appear normal in course and calibre."
data/train/audio_01062.wav,at l2-l3 level: mild posterior disc bulge without any nerve root compression. at l3-l4 level: mild posterior disc bulge without any nerve root compression. at l4-l5 level: diffuse disc bulge indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots (
data/train/audio_02119.wav,"bilateral mastoid air cells are normal. sella: 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."
data/train/audio_02143.wav,l1-l2 level shows reduced disc height with diffuse disc bulge indenting anterior thecal sac. left grade 3 neural foraminal narrowing with indentation of exiting nerve root. right grade 1 neural foraminal narrowing. l2-l3 level shows diffuse disc bulge indenting anterior thecal sac.
data/train/audio_01421.wav,"a well-defined t1 hypointense, t2 hyperintense cystic lesion measuring 13 x 10 mm is noted adjacent to the extensor digitorum longus tendons, suggestive of ganglion cyst. minimal t2 hyperintense fluid signal is noted surrounding the flexor hallucis longus tendon, suggestive of mild tenosynovitis."
data/train/audio_04857.wav,"the peripheral as well as the peribronchovascular interstitium shows no thickening or nodularity. the pleuro-parenchymal interfaces are smooth. no evidence of air trapping seen. airway and hilum: trachea, lobar bronchi, bronchus intermedius and rest of the segmental bronchi are normal. no intraluminal filling defects present."
data/train/audio_05377.wav,degenerative changes involving the visualised lumbar spine in the form of marginal osteophytes and disc space reduction. needs further evaluation with dedicated lumbar spine radiographs. adv - ct abdomen if clinically indicated.
data/train/audio_03219.wav,aortic measurements: ascending aorta: 40 mm (mildly dilated) arch of aorta: 33 mm aortic wall calcifications noted (suggestive of atherosclerotic changes) bones old healed fracture of the right scapula
data/train/audio_03942.wav,"it causes mild narrowing of spinal canal and both lateral recesses. mild facetal arthropathy is seen at this level left facetal effusion seen at this level. the lower end of the spinal cord, cauda equina and filum terminale do not reveal any abnormality. no abnormality detected in the prevertebral region."
data/train/audio_00052.wav,findings - liver is mildly enlarged in size and measure 10.8 cm in long axis dimension. there is subtle heterogeneous enhancement seen in the liver parenchyma. there is normal density of the liver parenchyma. liver capsule is mildly lobulated and there is caudate lobe enlargement noted.
data/train/audio_00490.wav,distance of the internal opening from the anal verge is approximately 24 mm. length of the tract measures approximately 25 mm and maximum thickness measures approximately 2.1 mm. no obvious ramification or collection. another band like tract/collection noted arising from the anal canal posteriorly.
data/train/audio_00720.wav,partial tear involving lateral collateral ligament. small grade ii signal change involving anterior horn of lateral meniscus. small subchondral cyst involving the posterior aspect of lower shaft of femur with minimal adjacent marrow oedema. minimal knee joint effusion. suggested clinical correlation.
data/train/audio_03745.wav,lungs bilateral lungs - fibrotic bands with air space opacities noted in left upper zone. inhomogeneous air space opacities in right mid zone. 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.
data/train/audio_00226.wav,"impression: findings are suggestive of a prevertebral abscess at c3c4 level, causing significant oropharyngeal airway narrowing, with associated inflammatory myositis of bilateral longus capitis muscles. associated bilateral cervical lymphadenopathy, likely reactive."
data/train/audio_04706.wav,impression: mild joint effusion. mild linear pdfs hyperintensity in posterior horn of medial meniscus.? grade i signal changes. mild pdfs hyperintensity in tibial insertion of acl.? mild sprain. please correlate clinically
data/train/audio_05160.wav,cervical spine: straightening of the normal curvature of the cervical spine noted. anterolisthesis c3 over c4 with reduced disc space at this level and cord indentation reduced disc space c5-6 with disc dessicative changes the normal vertebral alignment is maintained.
data/train/audio_04496.wav,mild soft tissue oedema not any posterior aspect of distal femur. abnormal heterogeneous hyperintense oedema noted in rest of the distal femur. joint effusion: mild joint effusion noted. : above findings are suggestive of malignant bony neoplastic lesion in distal femur as mentioned - likely osteosarcoma. advice: histopathological correlation.
data/train/audio_03747.wav,x ray mastoid: right views right mastoid lateral/oblique view clinical history diffuse sclerotic changes are seen in the right mastoid bone. no soft tissue swelling seen. no obvious lytic lesion is appreciated.
data/train/audio_04381.wav,"right sided minimal hemopneumothorax. patchy ground-glass opacities involving apical region of right upper lobe likely lung contusions. multiple areas of septal thickening and consolidation with adjacent ground-glass opacities involving bilateral lung parenchyma, predominantly involving bilateral lower lobes likely due to aspiration."
data/train/audio_04358.wav,"the infraspinatus tendon, and teres minor tendon appear normal. the acromio clavicular joint appears normal. the coraco humeral ligament appears normal. the bones show normal signal intensity. no significant fat infiltration noted in rotator cuff muscles - goutallier classification stage 0."
data/train/audio_04165.wav,"upper thoracic esophagus displaced to the right with moderate luminal compromise. lesion is abutting: proximal left common carotid artery left subclavian artery posterior extent reaches up to the prevertebral space. isthmus: measures ~3.4 mm, within normal limits."
data/train/audio_05690.wav,findings are compatible with bilateral medial compartment osteoarthritis with genu varum deformity.
data/train/audio_03945.wav,"moderate broad based posterior herniation of l4-l5 disc causing moderate narrowing of central canal. broad based posterior herniation with annular tear of l5-s1 disc causing mild narrowing of spinal canal narrowing both lateral recesses. facetal arthropathy and ligamentum flavum thickening at l3-l4, l4-l5 and l5-s1 level."
data/train/audio_00271.wav,"subchondral sclerosis subchondral cystic changes marginal osteophytes impression 1. multiple acute traumatic fractures, including: o comminuted mildly displaced left scapular fracture o multiple left rib fractures (4th-8th, 11th-12th)"
data/train/audio_05620.wav,"findings: patchy areas of consolidation noted in left lower lobe. no evidence of honeycombing, cavity or abscess formation noted. no evidence of reticular or nodular thickening of interstitium noted. trachea and main stem bronchi reveal no abnormality. no evidence of tubular or saccular dilatation"
data/train/audio_00637.wav,". bilateral facetal effusion is seen at this level. l3-4 disc reveals broad based posterior herniation. it indents the thecal sac, both l4 nerve roots and causes moderate narrowing of central canal and right lateral recess. mild facetal arthropathy and ligamentum flavum thickening are detected at this level, adding to central canal stenosis."
data/train/audio_03507.wav,"both cp angles are clear. the basal cisterns are normal. normal flow void is seen in the major dural venous sinuses and arteries. minimal mucosal thickening in bilateral maxillary and ethmoid sinuses. mr angiogram: the anterior , middle and posterior cerebral arteries appear normal. the left vertebral and basilar arteries appear normal. the right veretbral artery appears hypoplastic."
data/train/audio_02095.wav,"there is also evidence of t2 and pdfs hyperintense collection noted along visualised plantar aspect of foot. non-visualization of flexor hallucis longus tendon just distal to level of subtalar joint, suggestive of complete tear. diffuse oedema noted in muscles of all compartments of ankle."
data/train/audio_04670.wav,"multiple gallbladder calculi, measuring approximately 45 mm, without ct evidence of acute cholecystitis. small hiatus hernia. atherosclerotic calcification of the visualized aorta and branch vessels. divarication of recti."
data/train/audio_04217.wav,no evidence of acute fracture or osteochondral lesion. visualised muscles and soft tissues appear unremarkable. : high-grade partial thickness tear involving the anterior talofibular ligament. grade ii sprain of the deltoid ligament.
data/train/audio_05364.wav,"no focal lesion or peripancreatic inflammatory changes are seen. pancreatic duct is not dilated. spleen: normal in size and attenuation with no focal lesion. adrenal glands: both adrenal glands appear normal in morphology and attenuation. kidneys and ureters: both kidneys are normal in size, shape, and position with maintained corticomedullary differentiation. no renal calculi,"
data/train/audio_01137.wav,right ureter: normal calibre. no ureteric calculus identified. left ureter: hydroureter with distal obstruction at the vesicoureteric junction due to obstructive vuj calculus measuring 8 x 3.4 mm. urinary bladder: adequately distended. no intravesical calculus or focal wall thickening identified. prostate: normal.
data/train/audio_04259.wav,and t2w images suggestive of intramural & subserosal fibroids. largest of them measures 5.3 x 4.1 cm at anterior wall and 5.4 x 3.1 cm at posterior wall. another lesion of varying sizes measures 0.5-1.5 cm. lesions causing distortion of endometrial cavity.
data/train/audio_02428.wav,main pancreatic duct: dilated main pancreatic duct measuring 10 mm. liver: multiple well-defined target-shaped lesions in both lobes. largest lesion measures 4.4 x 3.5 cm in the right lobe. hepatic vasculature: major visualized portal and hepatic venous flow voids are preserved on non-contrast sequences.
data/train/audio_02198.wav,"suspicious for metastatic lymphadenopathy/deposits. small hypodense hypoenhancing lesion noted in the visualized left hepatic lobe, indeterminate in nature; metastatic etiology cannot be excluded."
data/train/audio_03166.wav,"visualized bones are normal. :- mr scan reveals, moderately bulky uterus with distended endometrial and cervical canal with t1-t2 hyperintense fluid collection. this is suggestive of haematometrocolpos."
data/train/audio_03047.wav,"external opening: it is in gluteal cleft on left side, slightly anteriorly placed. shows focal puckering and scarring. main tract: it is reverse 'c' shaped. it is traversing through left ischioanal fossa for a length. of 3.3cm, with inflammatory change in adjacent fat."
data/train/audio_01735.wav,acute lacunar infarction in left corona radiata. few discrete and confluent t2w / flair hyperintensity in the subcortical white matter of fronto-parietal regions suggestive of chronic ischemic demyelination. mild age-related prominence of ventricles and extra axial sulcal spaces suggestive of age-related atrophy.
data/train/audio_02053.wav,"vertebral bodies appear normal in size, shape, alignment and signal intensity. no definite fracture, erosion or sclerosis is seen. ligamentum flavum and facet joints appear normal. the cervical spinal cord appears normal. no intrinsic cord abnormality is seen."
data/train/audio_04923.wav,cholelithiasis with mild gallbladder wall thickening and pericholecystic fat stranding - features suggestive of associated mild acute calculous cholecystitis. mild hepatomegaly with diffuse hepatic steatosis.
data/train/audio_02599.wav,no gross focal disc herniation is identified on ct (limited for disc evaluation). facet joints / uncovertebral joints: mild degenerative changes may be present. no facet dislocation.
data/train/audio_04661.wav,trachea and main stem bronchi reveal no abnormality. no evidence of tubular or saccular dilatation 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/train/audio_00164.wav,"liver: measures 15.5 cm, appears mildly enlarged in size and shows raised parenchymal echogenicity. there is no evidence of solid or cystic lesion. there is no intra or extra hepatic biliary radicle dilatation. portal vein: normal. gall bladder: minimally distended."
data/train/audio_04062.wav,"prostate: measures 3.0 x 3.2 x 3.5 cm ( approx. vol: 18.3 cc) , appears normal in size, shape and echotexture."
data/train/audio_04148.wav,major vessels show normal enhancement. bilateral adrenals are normal in size and attenuation. 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.
data/train/audio_00057.wav,it shows normal post-contrast enhancement without any focal lesions or infarct. both adrenal glands appear normal in size. there is no focal lesion seen. both kidneys are normal in size shape and location. left kidney is relatively inferiorly and medially displaced due to the enlarged spleen.
data/train/audio_03990.wav,* the peripheral as well as the peribronchovascularinterstitium shows no thickening or nodularity. * no ground glass opacification seen. * the pleuro-parenchymal interfaces are smooth. * no evidence of air trapping seen.
data/train/audio_03080.wav,fracture noted in shaft of second& fourth metatarsal bone and base of third metatarsal bone. subchondral cystic changes noted at head of fourth metatarsal bone with adjacent soft tissue swelling. non-united fracture noted in body of calcaneum. multiple small bony fragmentation noted in ankle and subtalar joint.
data/train/audio_03295.wav,"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. pancreas appears normal in attenuation and enhancement pattern. bilateral adrenal glands appear normal. both kidneys are normal in size, shape, attenuation and enhancement pattern and excretory function."
data/train/audio_01930.wav,"disc bulges at c3-c4, c4-c5, c5-c6 and c6-c7 levels. at c5-c6 level: disc bulge causing spinal canal narrowing (~8.6 mm), cord indentation with cord flattening and moderate bilateral neural foraminal narrowing with nerve root abutment. clinical correlation is recommended. nitin h c mbbs, md radio diagnosis consultant radiologist reg no 123935 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/train/audio_03794.wav,"no defect, sclerotic or lytic skull lesion noted. skull base appears grossly normal. overlying scalp is normal. no focal lesion or swelling noted. orbits and paranasal sinuses: visualized bony orbits appear normal. visualized intraorbital contents show no obvious abnormality. visualized eye globes and lens show normal signal intensity. bilateral mild maxillary,"
data/train/audio_01724.wav,"a low-grade partial thickness tear is noted at the tibial attachment of the anterior cruciate ligament. the posterior cruciate ligament demonstrates a high-grade tear involving its mid fibres. a horizontal oblique tear is seen in the posterior horn of the medial meniscus, communicating with the inferior articular surface."
data/train/audio_03997.wav,the visualized vertebrae are normal in density and trabecular pattern. multiple subcentimetric sized level ii and iii cervical lymph nodes noted. no significant abnormality seen. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_05543.wav,disc desiccation is seen at all ivd more sever at l4-5 and l5-s1 levels. there is maintained height and alignment of the vertebral bodies. the marrow signal is unremarkable. conus medullaris terminates at the lower border of l1 and is normal in appearance. the cauda equina are unremarkable. the pre and paravertebral soft tissues are unremarkable. l1-l2
data/train/audio_02671.wav,small 9 x 6 mm sized polyp noted. rest of the right maxillary sinus appears clear. the infundibulum and ostium of the left maxillary sinus appear clear. the left omu is normal. left maxillary sinus is clear. accessory ostium noted.
data/train/audio_00050.wav,in addition to there are small periepicholedochal and periportal collaterals are seen surrounding the hepatic duct and proximal common bile duct causing its prominence. splenic vein is prominent and measures 8.4 mm in diameter. superior mesenteric vein measures 7 mm in diameter.
data/train/audio_02798.wav,cbd is not dilated. (ct is not the modality for gall bladder and cbd stone disease). pancreas is normal in size. margins are regular. pancreatic duct is not dilated. no focal area of altered density or calcification is seen. peripancreatic fat planes are preserved.
data/train/audio_03985.wav,: diffuse soft tissue edema involving the visualised forearm and wrist. diffuse osteopenia involving the visualised bones. small loose body adjacent to radial styloid. no obvious displaced fracture in the present radiograph. suggested clinical correlation. many thanks for referral
data/train/audio_05437.wav,"broad based posterior protrusions of l3-4 and l4-5 discs, causing mild narrowing of central canal. mild facetal arthropathy and ligamentum flavum thickening are detected at these levels."
data/train/audio_02836.wav,posterior fossa: the cerebellum and brainstem are normal. no evidence of tonsillar herniation. pons and medulla show normal signal intensity. fourth ventricle is central and is normal in shape. both the iams are normal and symmetrical.
data/train/audio_05559.wav,"multiple subcentimetre sized discrete homogeneously enhancing lymph nodes noted involving prevascular, pretracheal, paratracheal and subcarinal regions. no obvious size significant mediastinal lymphadenopathy. heart and major vessels: heart outline and size appears normal."
data/train/audio_04588.wav,both right and left portal veins are not visualized and instead multiple collaterals are seen suggestive of collateralization. features are consistent with ehpvo and resultant cavernoma formation. prominent bilateral right and left intrahepatic biliary radicals and common hepatic duct secondary to portal cavernoma formation as described represent changes of early portal biliopathy.
data/train/audio_00224.wav,findings: diffuse soft tissue swelling over anterior facial region. minimally displaced fracture involving the clivus. mildly displaced fractures involving all walls of left maxillary sinus with resultant left maxillary haemosinus. undisplaced fracture involving the anterior and lateral walls of right maxillary sinus with right maxillary haemosinus.
data/train/audio_02559.wav,"mri right foot report technique: mri of the foot performed using multiplanar, multisequence imaging including t1, t2, stir and pd fat-saturated sequences. findings:"
data/train/audio_03069.wav,no other significant abnormality. suggested 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/train/audio_03484.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/train/audio_03816.wav,right lobe: measures approximately 2.1 x 1.8 cm. a tiny hypodense lesion measuring 4 x 3 mm is noted - indeterminate significance. isthmus: measures ~2 mm in thickness and appears unremarkable. cervical lymph nodes:
data/train/audio_03738.wav,left uncinate process is attached to the lamina papyracea. the infundibulum and ostium of the left maxillary sinus appear clear. the left omu is normal. left maxillary sinus is clear. both the frontal sinuses are well pneumatised and appear normal. frontal recesses on the both sides drains into the middle meatus.
data/train/audio_04208.wav,ncct facial bones clinical history technique axial sections of the face were obtained without administration of intravenous contrast on a ct scanner.
data/train/audio_05619.wav,"suggested clinical correlation , ncct if clinically indicated"
data/train/audio_01168.wav,mild posterior disc bulge abutting thecal sac narrowing bilateral neural foramina abutting bilateral exiting nerve roots. mild ligamentum flavum hypertrophy. annular tear is noted at this level. at l5-s1 level: no significant disc bulge. disc level canal diameter (mm) l1-l2 13.6 l2-l3 14.8 l3-l4 15.4 l4-l5 14.9 l5-s1 10.4 on whole spine screening:
data/train/audio_04238.wav,extension of stir hyperintense soft tissue in l4-l5 intervertebral disc. endplate irregularity noted in l4-l5 level. no evidence of wedging at present. minimal stir hyperintense prevertebral soft tissue noted at l4-l5 level.
data/train/audio_00346.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.
data/train/audio_01135.wav,: minimal reduction medial knee joint space.
data/train/audio_01015.wav,no free fluid or free air described. visualized lung bases: no significant abnormality described. osseous structures: no acute osseous abnormality described. impression: small left kidney with perinephric fat stranding.
data/train/audio_04633.wav,c5-6 - 10.0 mm. c6-7 - 10.0 mm prevertebral soft tissue also appears normal. spinal cord and subarachnoid space appear normal. no evidence of focal lesion in the cord. :
data/train/audio_03108.wav,soft tissue reveals no obvious abnormality. : 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.
data/train/audio_05024.wav,: grade i fatty liver. moderate bilateral pelvi-calyceal fullness -advice ct kub correlation. mildly thickened and irregular urinary bladder wall - advice: urine routine correlation.
data/train/audio_02493.wav,mild elbow joint effusion with surrounding soft tissue edema. 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/train/audio_00505.wav,"a t2/flair hyperintense area is noted in the right frontal lobe, showing central areas of non-suppression on flair sequence. additional t2/flair hyperintense foci are seen in the bilateral periventricular, deep, and scattered subcortical white matter regions without diffusion restriction."
data/train/audio_02767.wav,"minimal free fluid in pelvis. mild fluid collection in lesser sac. non-visualization of splenic vein - suggestive of chronic thrombosis. multiple collaterals noted in gastrohepatic region, gastro splenic region and omentum at left lumbar and left hypochondriac region."
data/train/audio_03321.wav,adnexa: no obvious adnexal mass identified. lymph nodes: no significant pelvic or para-aortic lymphadenopathy. no ascites. : features are suggestive of a neoplastic endometrial lesion with associated haemorrhagic component within the endometrial cavity.
data/train/audio_03240.wav,compression and displacement of the adjacent lateral ventricle. no obvious intraventricular extension in the present scan. mild midline shift to the right by 3-4 mm. well defined hypodense area of near csf attenuation is noted involving both grey and white matter of the right temporal lobe with prominence of the adjacent cortical sulci and mild ex-vaccuo dilatation
data/train/audio_01813.wav,similar findings are seen in the ct screening. impression - mr scan reveals asymmetric fatty infiltration of the deep subcutaneous plane of posterior abdominal tarso in the lower abdomen region at the level of iliac crest on both sides left more than right. the maximum thickness measure 6 cm on the left side and 5 cm on the right side.
data/train/audio_01687.wav,follow-up imaging to assess resolution after treatment. findings should be correlated with clinical evaluation and laboratory investigations for accurate diagnosis and management.
data/train/audio_04123.wav,"both aca and acom appear normal in course, caliber and branching. vertebro basilar system - both vertebral arteries are normal in origin, course, caliber and branching. the basilar artery and its branches are normal."
data/train/audio_00873.wav,displaced fracture noted in base of distal phalanx of little finger. displaced fracture noted in base of distal phalanx of little finger. recommendation suggested clinical correlation.
data/train/audio_04561.wav,"no other focal lesion with limitation of plain scan. 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 and otherwise appear unremarkable. appendix appears normal."
data/train/audio_01803.wav,"the spleen is normal in size, measuring 8.6cm in its longitudinal span and shows a homogeneous parenchymal density and enhancement pattern. the pancreatic head, body and tail are normal in size and show homogeneous parenchymal density, as well as normal enhancement pattern. the paraaortic areas are normal."
data/train/audio_00673.wav,"c3-c4 partial block vertebra noted. disk spaces reduction in intervertebral disc height noted c4-c5, c5-c6 levels. alignment loss of cervical lordosis noted."
data/train/audio_00035.wav,few centrilobular nodules involving anterior segment of left upper lobe. multiple patchy areas of mosaic attenuation noted involving bilateral lung parenchyma. focal area of fibro atelectasis and fibrobronchiectasis noted involving anterior segment of right upper lobe.
data/train/audio_05350.wav,consistent with infective abscesses. spinal canal dimensions approximate anteroposterior spinal canal diameters at various levels are as follows: d1-d2: 14 mm d2-d3: 13.6 mm d3-d4: 13.2 mm d4-d5: 12.9 mm
data/train/audio_00281.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 oste small anterior and lateral marginal osteophytes from l2 to l5
data/train/audio_00546.wav,"bony calvarium is normal. no evidence of fracture or sol is seen. visualized part of orbits is unremarkable. overlying scalp is normal. bilateral maxillary (right more than left), bilateral ethmoid and bilateral sphenoid sinusitis. rest of the visualized paranasal sinuses are normal."
data/train/audio_03508.wav,of both internal jugular veins appear normal. the left transverse and sigmoid sinus appears hypoplastic. the left transverse and sigmoid sinus appears hypoplastic. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_02776.wav,"there is surrounding fat stranding with associated left renal fascial thickening and minimal perinephric fat stranding. the fat plane between the lesion and left kidney is maintained, with no definite invasion of adjacent renal parenchyma. right kidney appears normal in size and enhancement."
data/train/audio_03197.wav,no significant abnormality detected. a 4.7 x 5.6 cm sized stir hyperintense cyst with thin septae within noted in the exam from the left ovary is not seen separately. suggested usg correlation. : heterogeneous marrow signal intensity.
data/train/audio_04056.wav,"liver: measures 20.0 cm, appears enlarged in size and shows raised parenchymal echogenicity. there is no evidence of solid or cystic lesion. there is no intra or extra hepatic biliary radicle dilatation. portal vein: normal."
data/train/audio_04740.wav,sagittal t2 weighted screening of dorsal spine reveals loss of thoracic curvature. hemangioma is seen involving the t12 vertebral body. mild changes of spondylolysis are seen. mild ligamentum flavum thickening are detected at t8-9 and t9-10 levels. visualized vertebrae appear osteoporotic. schmorl's nodes are seen at few levels.
data/train/audio_04917.wav,"spleen: spleen is enlarged, measuring approximately 14.2 cm. kidneys: multiple small non-enhancing hypodense cortical cysts are seen in the left kidney, largest measuring approximately 14 mm."
data/train/audio_00366.wav,calculus ms~ 3.6mm is seen at upper pole of right kidney and ~2.5mm at upper pole of left kidney. a fat density lesion ms~5.6x5.7mm is seen at upper pole cortex of left kidney. a hyperdense cyst ms~12x11.3mm is seen at mid pole of left kidney.
data/train/audio_04906.wav,few patchy areas of diffusion restriction is seen in right cerebellar hemisphere and left vermis. these are hyperintense on flair images. these are suggestive of acute lacunar infarcts in superior cerebellar artery territory.
data/train/audio_05015.wav,gall bladder is well distended and shows normal wall thickness. no definite pericholecystic fluid / calculus/ mass lesion is seen. (correlate with usg as ct is not the ideal modality for detecting gall stones) pancreas is normal in size and attenuation.
data/train/audio_00291.wav,"2. thickened endometrium advanced extrauterine (abdominal) pregnancy with a well-formed gestational sac and fetus located in the peritoneal cavity, posterior to the uterus, with no intrauterine pregnancy."
data/train/audio_04680.wav,collateral ligaments: low-grade tear involving the medial collateral ligament and medial patello-femoral ligament. lateral collateral ligament appears normal. no evidence of laxity or tear. medial patello-femoral ligament appears intact. no evidence of laxity or tear.
data/train/audio_00542.wav,prostate and seminal vesicles: prostate is normal in shape and size. prostatic capsule is intact. seminal vesicles and peri-prostatic region appears unremarkable. impression
data/train/audio_01730.wav,anterior and posterior osteophytes are seen at few levels. type ii modic changes are seen in few vertebrae. hemangioma is seen at l1 vertebra. l4-5: diffuse disc bulge with annular fissure causing indentation of the anterior thecal sac with mild narrowing of lateral recess on both sides.
data/train/audio_04843.wav,"no focal lesion in spleen is seen. adrenals: both adrenal glands are defined and appear normal and show homogeneous contrast enhancement. kidneys: both kidneys are normal in size, position, shape and cortical outline. no evidence of calculus or hydronephrosis."
data/train/audio_02331.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. small hemangioma is seen involving the t12 vertebral body. multiple marginal osteophytes are seen from l1 to l5 levels. the marrow within the vertebrae reveals normal signal intensity.
data/train/audio_03558.wav,no extra axial collection is seen. sella and parasellar structures appear grossly unremarkable. bilateral maxillary and ethmoid sinusitis. rest of the visualized paranasal sinuses are unremarkable. old fractures involving bilateral nasal bones. rest of the skull bones appear normal. : acute intraparenchymal hemorrhage (approximate volume 10 cc)
data/train/audio_02807.wav,"liver: measures 14.7 cm, appears normal in size, shape and bright echogenicity. there is no evidence of solid lesion. there is no intra or extra hepatic biliary radicle dilatation."
data/train/audio_05260.wav,"the acetabula, femoral heads and necks are unremarkable. bilateral sacroiliac joints are unremarkable. the soft tissues are within normal limits. the pelvic viscera to the extent visualized appears unremarkable."
data/train/audio_00927.wav,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. the sella and parasellar regions are normal. the bony calvarium is normal.
data/train/audio_05643.wav,coronary artery angiogram findings: dominance of the coronary artery system: right dominant circulation. left main: the left main is a normal caliber vessel which gives rise to the lad and circumflex arteries. the left main has no stenosis.
data/train/audio_03361.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/train/audio_01954.wav,"findings: gallbladder: few gallbladder calculi , the largest measuring 9.5 mm. the calculi appear hypointense on t2 and stir images. no gallbladder wall edema. no pericholecystic fat stranding. no gallbladder distension. intrahepatic bile ducts: not dilated. no intraductal filling defect identified."
data/train/audio_00875.wav,postoperative changes are seen in the right breast in he form of subcutaneous fat stranding and skin irregularity. no obvious enhancing lesion is seen in right breast parenchyma. trachea and major bronchi appear normal. there is no evidence of significant mediastinal or hilar lymphadenopathy. the pleural spaces are normal.
data/train/audio_05535.wav,"multiple confluent and discrete t2 and flair hyperintense lesion without diffusion restriction is seen in periventricular white matter suggestive of moderate periventricular and deep white matter ischemic changes no gross abnormality of the brainstem, in particular no mid brain atrophy. no intra or extraaxial mass, hemorrhage or infarction. the rest of brain parenchyma is otherwise unremarkable."
data/train/audio_00374.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/train/audio_04025.wav,right minimal joint effusion. rest of the bones around bilateral sacroiliac joints show normal marrow signal. no e/o marrow edema or erosions is seen. the articular margins and joint spaces are normal. no joint effusion is seen on left side. the visualised muscles and neurovascular bundle are normal.
data/train/audio_05102.wav,: minimal mucosal thickening in bilateral maxillary and ethmoid sinuses. nasal septum is deviated to right side with septal spur. hypertrophied bilateral inferior turbinates. concha bullosa present on right side. mild enlarged adenoids.
data/train/audio_01624.wav,mild flexor hallucis longus tenosynovitis
data/train/audio_00213.wav,"aditus to antrum is normal. the cochlea, vestibule, vestibular and cochlear aqueduct are normal. the facial nerve canal is normal. the superior, posterior and horizontal semicircular canals are normal. the internal auditory canal is normal. the external auditory canal and mastoid air cells are normal."
data/train/audio_00678.wav,polypoidal soft tissue densities are seen in bilateral nasal cavities near the middle meatus. deviated nasal septum with convexity to the right side is noted. bony walls of paranasal sinuses including orbital walls appear intact. bilateral optic nerves show normal course and are type i. olfactory fossae/ethmoid roofs are normal.
data/train/audio_03834.wav,"multiple enlarged lymph nodes noted in the preaortic, para-aortic, precaval, retrocaval and mesenteric regions, largest measuring 21 x 16 mm. multiple soft tissue density nodules noted in the visualised left lower lung parenchyma, largest measuring 16 x 15 mm. mild free fluid noted in the abdomen and pelvis. generalised anasarca noted."
data/train/audio_00338.wav,carpal bones: o appear normal in alignment and morphology o no additional fractures identified impression: 1. intra-articular distal radius fracture
data/train/audio_01026.wav,"28 x 32 mm lesion in the pouch of douglas/left adnexal region abutting the base of the urinary bladder in a known case of carcinoma ovary, post-treatment- could represent residual /recurrent lesion epigastric hernia ("
data/train/audio_05392.wav,posterior osseous structures and soft tissue structures are normal. craniovertebral junction is normal. the cervico-medullary junction appears unremarkable. no pre / paraspinal soft tissue abnormality seen.
data/train/audio_02815.wav,"prostate: measures 3.7 x 2.4 x 3.7 cm ( approx. vol: 17.2 cc) , appears normal in size, shape and echotexture. 9# few prostatic calcication are noted. : cholelithiasis with changes of cholecystitis . minimal gallbladder sludge. anechoic cystic lesion in the right lobe of liver ? simple hepatic cyst ? biliary cystadenoma 10# left renal cyst described as above. signicant postvoid residue. suggest - clinical and biochemical/mrcp correlation. ms. manisha mandar adhav"
data/train/audio_01123.wav,focal nodular area measuring about 7 x 2 mm is seen in the anterior wall of the porencephalic cyst. it shows mild diffusion restriction on diffusion weighted imaging and mild post-contrast enhancement. subtle post-contrast enhancement is also seen in the peripheral rim of the cyst.
data/train/audio_00652.wav,"kidneys & ureters both kidneys are normal in size, shape, and enhancement pattern. multiple cortical cysts noted: o largest in right kidney lower pole measuring ~27 x 26 mm o leftkidney upper pole cyst measuring ~14 x 10 mm no evidence of renal calculi. no hydronephrosis or hydroureter. bilateral vesicoureteric junctions (vuj) are normal."
data/train/audio_03491.wav,findings: cruciate ligaments: anterior cruciate ligament appears intact with normal tibial and femoral attachments and reveal normal signal intensity. no evidence of tear. partial tear with buckling and sprain involving the mid fibers of posterior cruciate ligament.
data/train/audio_03657.wav,t1-t2 hyperintense lesion measuring approximately 9.6 x 3.8 cm noted in subcutaneous plane of lower thoracic region. the lesion approximately measures 9.5 x 5.7 x 3.2 cm. lesion is seen towards the right of midline in subcutaneous plane. the lesion gets suppressed in fat-saturation sequences -
data/train/audio_03983.wav,no obvious displaced fracture in the present radiograph. rest of the visualized bones around the wrist appear normal. joint spaces and articular margins are intact. no e/o any lytic /sclerotic lesion noted.
data/train/audio_05101.wav,findings: minimal mucosal thickening noted in bilateral maxillary and ethmoid sinuses. rest of the 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.
data/train/audio_00003.wav,urinary bladder is normally distended. no evidence of stone or s.o.l. prostate is borderline enlarged in size (27 cc). no evidence of any focal lesion seen. bony pelvis appears normal. no evidence of any lytic or sclerotic lesion seen. no evidence of free fluid in peritoneal cavity.
data/train/audio_01870.wav,":- 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."
data/train/audio_02412.wav,"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/train/audio_04495.wav,lesion causing cortical destruction at medial femoral condyle with adjacent soft tissue mass. lesion appear hypointense on t1w and hyperintense on t2w and pdfs image. approximate size of bony lesion is about 7.4 x 3.8 x 3.8 cm ( cc x tr x ap).
data/train/audio_03709.wav,"rest of 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 . left circumflex artery: lcx is patent and reveals multiple eccentric calcified plaques in the proximal and mid segment causing 50%-60% luminal compromise. it gives rise to om1, om2 and terminates av groove."
data/train/audio_02915.wav,"impression moderate to severe joint effusion with minimal synovial thickening. fluid in the semimembranosus and medial head of gastrocnemius bursa (baker's cyst). minimal hyperintensity in the anteromedial fibers of the anterior cruciate ligament, suggestive of mild strain."
data/train/audio_03710.wav,suggested further evaluation with digital subtraction angiography and usg carotid doppler.
data/train/audio_04331.wav,"mri tnm staging (ajcc 8th edition): t4a , n2c m0 (based on present imaging) overall imaging stage: stage iva disease."
data/train/audio_00189.wav,"csf spaces, sulci and fissures are maintained. basal ganglia and thalami are normal. no intra-axial or extra-axial collections seen. no e/o any ring enhancing lesions, basal exudates or abnormal meningeal enhancement noted dural venous sinuses appear normal."
data/train/audio_04253.wav,at l4-l5 level: mild posterior disc bulge abutting thecal sac without any nerve root compression. at l5-s1 level: disc desiccation. diffuse disc bulge with postero-central disc protrusion indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots narrowing bilateral neural foramina indenting bilateral exiting nerve roots. mild ligamentum flavum hypertrophy noted. disc level canal diameter (mm) l1-l2 7.8 l2-l3 6.3 l3-l4 6.8 l4-l5 9.5 l5-s1 10
data/train/audio_04977.wav,urinary bladder: partially distended with preserved fat plane with the uterus. no bladder endometriotic deposit. bones: visualized bones show normal marrow signal. incidental posterior disc bulge at l5-s1. impression diffuse adenomyosis with posterior myometrial predominance. no adenoma or fibroid.
data/train/audio_01988.wav,small focal area of fissuring involving the medial facet of patella. no obvious subchondral changes. rest of the tibiofemoral and patello-femoral joints appear normal with intact articular cartilage. no obvious intraarticular loose bodies are seen. mild knee joint and suprapatellar bursal effusion with mild soft tissue edema around knee joint.
data/train/audio_04899.wav,: mildly displaced fracture of the right anterior and posterolateral wall of maxillary sinus with hemosinus. soft tissue edema and fat stranding in the right maxillary region.
data/train/audio_00535.wav,no evidence of ihbr dilatation is seen. portal vein is normal in caliber. it measures approximately 10 mm. 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.
data/train/audio_02242.wav,"a physiological cyst likely representing a corpus luteum cyst is seen in the right ovary measuring approximately 18 mm. bones and spine: visualized bones appear grossly unremarkable. mild anterior wedging of l1 and l2 vertebral bodies with central endplate depressions, likely representing schmorl's nodes. sclerotic reaction is noted along the"
data/train/audio_01162.wav,left middle cerebral artery reveals small atherosclerotic plaque causing mild luminal compromise. a1 segment of right anterior cerebral artery is hypoplastic. rest of the visualized aca's & pca's are normal bilaterally. the vertebrobasilar system is normal. :
data/train/audio_01323.wav,"postoperative changes: bilateral transpedicular screw fixation is noted at d9, d10, d12, l2, l4, and l5 vertebral levels. metallic susceptibility artifacts are present, partially limiting evaluation of adjacent structures. the hardware appears in situ without evidence of loosening or displacement."
data/train/audio_02992.wav,"mri abdomen and pelvis (plain) clinical history: suspected cervical pathology technique: multiplanar, multisequence mri of abdomen and pelvis performed including t1, t2, stir and diffusion-weighted imaging (dwi)."
data/train/audio_02027.wav,modic type ii changes are seen involving the antero-superior 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. at l1-l2 level: mild posterior disc bulge abutting thecal sac narrowing bilateral neural foramina (left more than right)
data/train/audio_02951.wav,brainstem and cerebellum are unremarkable. no focal lesions or abnormal signal intensities. sinuses: soft tissue noted in the left maxillary sinus. other paranasal sinuses are clear. orbits: orbits appear normal. no evidence of mass or abnormal signal. pituitary region: pituitary gland and surrounding structures are normal.
data/train/audio_02513.wav,: small cystic lesion (6 x 3 mm) along volar aspect of wrist anterior to fcr tendon - most consistent with a ganglion cyst. associated flexor carpi radialis tenosynovitis. no tendon tear or carpal tunnel involvement.
data/train/audio_04412.wav,t2 flair hyperintensity is seen bilateral mastoid air cell.? mastoiditis. :- mri brain reveals no significant intracranial abnormality. please correlate clinically.
data/train/audio_05541.wav,: cervical spine: curvature of the cervical spine is straightened s/o myospasm. the cervical spine is normal in alignment. the vertebral body heights are maintained. the marrow signal is unremarkable. the caliber and signal intensity of the cervical cord is within normal limits. the pre and paraspinal soft tissues are unremarkable.
data/train/audio_02190.wav,"lungs significant collapse-consolidation of the underlying left lung secondary to compressive effect of pleural effusion and pleural disease. within the collapsed left lung parenchyma, a well-defined hypodense hypoenhancing lesion is seen measuring approximately 16 x 14 mm, suspicious for underlying neoplastic deposit/primary lesion."
data/train/audio_02679.wav,"the glenohumeral joint appears normal. the middle and inferior glenohumeral ligaments appears normal the long head of biceps and its attachment appears normal the subscapularis tendons appear normal. the infraspinatus tendon, and teres minor tendon appear normal. the acromio clavicular joint appears normal. the coraco humeral ligament appears normal."
data/train/audio_01878.wav,:- fracture noted in posterior shaft of 3rd to 8th ribs on left side. fracture noted in anterolateral shaft of taken to 7th ribs on left side. comments: mild displaced fracture noted in lateral end of left clavicle with overlying soft tissue swelling.
data/train/audio_02358.wav,joints joint spaces are normal. no signs of osteoarthritis is appreciated. soft tissue soft tissues are normal normal x-ray of both foot.
data/train/audio_00011.wav,prominence of bronchovascular markings predominantly in central distribution with bilateral hilar prominence. mild cardiomegaly. bilateral mild pleural effusion. above findings are suggestive of pulomonary edema. recommendation suggested hrct chest correlation.
data/train/audio_02000.wav,"neurovascular structures visualized neurovascular bundle is unremarkable. no evidence of compressive lesion, focal collection, or abnormal signal along the course of major nerves or vessels. subcutaneous soft tissues visualized subcutaneous soft tissues are unremarkable. no focal collection, edema, or soft tissue mass lesion identified."
data/train/audio_01863.wav,"multiple hyperdense ring-like foci are seen within the diploic space, associated with expansion and widening of the diploic table. bilateral osteomeatal units are patent."
data/train/audio_03802.wav,"advanced frontotemporal atrophy, predominantly involving the high frontal lobes the superior and middle frontal gyri with markedly thinned cortex with loss of normal grey white differentiation. there is 14x8mm chronic lacunar infract seen in left corona radiata extending to external capsule."
data/train/audio_01140.wav,triangular fibrocartilage complex (tfcc) radial attachment: intact mild intrasubstance high signal at: o ulnar styloid attachment o foveal attachment ligaments scapholunate ligament: intact
data/train/audio_03499.wav,left pulmonary artery 19.5 mm cardiac size appears within normal limits patchy atherosclerotic calcifications are seen in aorta and coronary arteries no significant mediastinal or axillary lymphadenopathy visualized spine shows multilevel osteophytes with mild diffuse osteopenia and compression fracture of t5 vertebral body
data/train/audio_01651.wav,"both the iams are normal and symmetrical. vii and viii nerve complex appear normal. bilateral mastoid air cells are normal. sella: 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."
data/train/audio_04927.wav,no abnormality is detected in the prevertebral region. next the vascular structures appear normal. bilateral posterior paraspinal muscles are normal in size and reveal normal signal intensity. sagittal t2wt screening of cervical spine reveals loss of cervical lordosis.
data/train/audio_04150.wav,gall bladder is well distended and shows normal wall thickness. no definite pericholecystic fluid / mass lesion is seen. no e/o gall bladder wall thickening or pericholecystic fluid noted. (ct is not the ideal modality for detecting gall stones; correlate with usg)
data/train/audio_03795.wav,bilateral ethmoid and bilateral sphenoid sinusitis. rest of the paranasal sinuses are well pneumatized without any fluid collection/mucosal thickening. : mild chronic ischemic changes in bilateral periventricular white matter (fazekas grade i). type ii vascular conflict of aica with vii-viiith nerve complex on left side.
data/train/audio_05404.wav,"few subcentimetric right paracardiac lymph nodes are noted. multiple subcentimetre sized and enlarged lymph nodes noted in pre paratracheal, prevascular, subcarinal and bilateral hilar region. largest of them measures 20 x 12 mm in pretracheal region. crowding of ribs noted on right side. no evidence of honeycombing,"
data/train/audio_01697.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/train/audio_05333.wav,lateral collateral ligament appears normal. no evidence of laxity or tear. grade i injury involving medial patellar retinaculum. lateral patellar retinaculum appears intact. no evidence of laxity or tear. meniscus: grade ii signal change involving the anterior and posterior horns of medial meniscus. lateral meniscus appears normal in configuration and signal intensity.
data/train/audio_00583.wav,the nasolacrimal duct on either side shows mucosal thickening. bilateral maxillary ostia are obliterated the lamina papyracea on either side is normal. left paradoxical middle turbinate. left sided nasal septum deviation. no bony erosion / destruction are seen.
data/train/audio_02496.wav,visualized muscles and tendons appear grossly intact on ct. classification: radial head fracture (modified mason classification): type iii - comminuted fracture involving the entire radial head with articular surface involvement. coronoid process fracture (regan and morrey classification):
data/train/audio_01609.wav,"moderate to severe joint space narrowing is seen along the medial femorotibial compartment. anterior cruciate ligament appears intact. posterior cruciate ligament shows pdfs hyperintense signal near femoral attachment, suggestive of sprain/partial tear."
data/train/audio_02960.wav,no evidence of free fluid in the peritoneal cavity. no evidence of peritoneal mass. aorta and ivc: appear normal. no evidence of pre / paraaortic / paracaval lymphadenopathy. urinary bladder: appear normal in contour and wall thickness. no evidence of calculi. prostate: appear normal in size and density.
data/train/audio_01320.wav,"the remaining cervical vertebral bodies demonstrate maintained alignment and normal marrow signal. the cervical spinal cord appears normal in caliber and signal intensity. dorsal (thoracic) spine: a compression fracture with marrow edema is noted in the d8 vertebral body,"
data/train/audio_04658.wav,uterus and right ovary are normal in shape and size. a 2.4 x 1.8 cm sized follicular cyst noted in the left ovary. no obvious lesion detected. no adnexal mass is seen. miscellaneous: no evidence of free fluid in abdomen or pelvis.
data/train/audio_03822.wav,"dextroscoliosis of the lumbar spine with convexity to the right noted. 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:"
data/train/audio_00520.wav,"x 3.8 x 4.1 cm noted involving left splenius capitis, left splenius colli & left levator scapulae muscles. laterally the collection abuts the left sternocleidomastoid muscle. surrounding subcutaneous fat stranding present."
data/train/audio_01136.wav,"findings right kidney: right kidney measures 10x 4.6 cm. calculus measuring 2 mm in the mid pole. additional upper pole calculi, each measuring 3 mm. no hydronephrosis. no perinephric collection. left kidney: left kidney measures 11 x 3 cm. hydroureteronephrosis noted."
data/train/audio_01686.wav,minimal pericardial effusion. reactive mediastinal lymphadenopathy. recommendation: clinical correlation. sputum for afb / cbnaat to rule out tuberculosis. consider contrast-enhanced ct
data/train/audio_03798.wav,mri lumbo-sacral spine protocol multiplanar and multi-echo mri of the lumbosacral spine was performed without administration of intravenous contrast. the study shows normal curvature and alignment of the lumbo-sacral spine.
data/train/audio_02799.wav,no significant retroperitoneal or mesenteric lymphadenopathy is observed. retroperitoneal major vessels are normally visualized. no free fluid is seen in the peritoneal cavity. incidental findings degenerative changes are seen in visualized spine.
data/train/audio_04586.wav,"few prominent periportal, portacaval and intra mesenteric lymph nodes are seen these are likely reactive in nature. no evidence of any ascites seen. visualized lung bases appear unremarkable. visualized bones appear unremarkable. impression - known case of ehpvo"
data/train/audio_04556.wav,* tiny microlith in visualised left kidney. * bilateral mild perinephric fat stranding noted. * centrilobular ground-glass opacities involving right upper lobe and right middle lobe and few centrilobular nodules involving anterior segment of left upper lobe - suggestive of infective/inflammatory etiology.
data/train/audio_04540.wav,"diffuse dilatation of large bowel loops noted involving caecum, ascending colon, transverse colon, descending colon, sigmoid colon and rectum, with maximum colonic diameter measuring approximately 6.5 cm. rectum appears fluid-filled."
data/train/audio_04521.wav,bilateral hydroureteronephrosis loss of fat plane with fundus of utreus. - features are suggestive of neoplastic etiology most likely possibilities: ovarian neoplasm differential: mesenteric soft tissue neoplasm /
data/train/audio_01152.wav,"the hoffa`s fat pad reveals mild edema. osseous structure: 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. patella appears normal in position. joints:"
data/train/audio_04817.wav,"no evidence of mass lesion. both kidney: appear normal in shape, position and density. pelvicalyceal system is not dilated. 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. no evidence of peritoneal mass."
data/train/audio_00244.wav,urinary bladder is partially distended. there is minimal wall thickening of the urinary bladder is seen. this raises the possibility of chronic cystitis. in the visualized sections of lower thorax subsegmental atelectasis changes are seen in the bilateral lower lobes. minimal left pleural effusion is noted.
data/train/audio_02550.wav,mild cardiomegaly is seen (ctr:0.58). calcification is seen in mitral valve. few calcified granuloma seen in both upper lobes. pleural thicknning is seen in bilateral lower lobes.
data/train/audio_00847.wav,mild hepatosplenomegaly. mild periportal edema with thickened and edematous gb wall subcentimetric periportal lymphadenopathy - likely acute infective/ viral etiology recommendation suggested clinical correlation.
data/train/audio_03329.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."
data/train/audio_00680.wav,deviated nasal septum with right-sided convexity. clinical correlation recommended. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_01754.wav,maximum wall thickness of 9 mm. enhancement pattern - homogenous luminal narrowing - mild with mild proximal dilatation. local extension - involvement of adjacent structure - trachea and bronchi - it is abutting the trachea just prior to the division without any infiltration.
data/train/audio_00860.wav,"peritoneum: diffuse nodular peritoneal thickening is noted. omental nodularity and thickening are present. there is clumping and congregated appearance of small bowel loops, which appear collapsed and adherent, suggestive of inter-loop adhesions."
data/train/audio_02949.wav,calvarium & scalp: calvarium and scalp are unremarkable. impression small subcortical nodular or calcified lesion in the right frontal lobe (4 x 2 mm). calcified nodule in the subependymal region of the left lateral ventricle near frontal horns/body (5.4 x 5.5 mm).
data/train/audio_01799.wav,"both kidneys are normal in position, outline, size and parenchymal density. they measure 9.9 x 4.5cm and 10.2 x 4.7cm in their ls x ap dimensions on the right and left respectively. they show prompt and satisfactory contrast excretion."
data/train/audio_00357.wav,1. lateral elbow complex injury fracture of lateral humeral epicondyle associated near full-thickness tear of common extensor tendon at its origin high-grade partial tear of lateral collateral ligament complex -suggestive of posterolateral elbow instability pattern
data/train/audio_04685.wav,rest of the tibiofemoral and patello-femoral joints reveal intact articular cartilage. no obvious intraarticular loose bodies are seen. moderate knee joint and suprapatellar bursal effusion is noted. t2w and stir hyperintensities are seen in the adjacent soft tissues suggestive of edema.
data/train/audio_04566.wav,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. a small defect 20 mm is seen at umbilical region through which omentum is seen protruding out --- suggestive of umbilical hernia
data/train/audio_02975.wav,bilateral mild maxillary and ethmoid 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/train/audio_04802.wav,"x-ray - lumbosacral spine {ap/lat} straightening of lumbar spine. no evidence of erosion or destructive bone lesion is noticed in the bodies of lumbar vertebrae. the intervertebral disc spaces, the pedicles, the spinous and the transverse processes are all normal."
data/train/audio_03385.wav,20%-30% luminal compromise. small eccentric mixed plaque in the mid segment of right coronary artery causing approximately 40%-50% luminal compromise. cadrads 2 p1 suggested usg carotid doppler correlation and follow up imaging.
data/train/audio_03074.wav,"signal intensity lesion noted in hepatorenal region. inferiorly, lesion causing compression and displacement of right kidney. superiorly, lesion causing both indentation over posteroinferior surface of right lobe of liver. right adrenal gland not seen separately from the lesion. lesion appears hyperintense on t2w image"
data/train/audio_00420.wav,"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. uterus and adnexa: uterus and ovaries are normal in shape, size and enhancement pattern."
data/train/audio_05601.wav,linear t2w and stir hyperintense signal is seen involving the anterior horn of lateral meniscus not extending to the articular surface suggestive of grade ii meniscal tear grade ii signal change involving posterior horn of medial meniscus. muscles: popliteal muscle and tendon appear normal.
data/train/audio_02868.wav,"no obvious obstructive hydroureteronephrosis is noted on either side. multiple well-defined hypodense cysts are noted in the liver, the largest measuring approximately 6 x 7 cm in segment vi of the right lobe."
data/train/audio_01808.wav,liver is normal in size and measures 15.7 cm in long axis dimension. there is mild fatty infiltration of the liver parenchyma is noted. there is no focal lesions seen. liver capsule is smooth. gallbladder is partially distended without any calculus within. the gallbladder wall is normal in thickness.
data/train/audio_04277.wav,": cholelithiasis without mri evidence of acute cholecystitis. multiple filling defects within dilated common bile duct consistent with choledocholithiasis, causing upstream biliary dilatation. additional linear filling defect in distal cbd, likely elongated calculus."
data/train/audio_03808.wav,"bones & hardware: intramedullary nail fixation noted in the left humerus. evaluation of adjacent bone marrow is limited due to metallic artefact. there is a t1 hypointense, t2/stir hyperintense signal alteration surrounding the midshaft of humerus, measuring approximately 2.5 x 3.8 cm, suggestive of a perilesional fluid collection / inflammatory focus."
data/train/audio_01503.wav,lungs bilateral lungs fields show prominent bronchovascular markings airways trachea is central. tracheo-bronchial tree is normal. heart cardiac size is enlarged (ctr 0.52) others bilateral cp angles are clear.
data/train/audio_02861.wav,mrs. vithabai nathuram goregaonkar [mrn-250505959] 67 yr | female
data/train/audio_03854.wav,supraspinatus tendinosis with low-grade partial thickness tear involving less than 25% fibres noted in articular surface of supraspinatus footprint. high-grade partial thickness tear involving ~ 50% fibres noted in humeral attachment site of superior and mid fibres of subscapularis tendon.
data/train/audio_03160.wav,the pancreas is normal is size and displays normal signal intensity. there is no focal intra or peripancreatic region. the pancreatic duct is normal in caliber. the intrapancreatic portion of common bile duct is normal the peripancreatic fat is also normal
data/train/audio_00464.wav,left kidney: is normal in position and size. margins are regular. no evidence of backpressure changes seen in the pelvicalyceal system. both the ureters are seen in their entire extent displaying normal course and calibre. urinary bladder partially distended with foley's bulb in situ & few air foci in urinary bladder.
data/train/audio_02472.wav,"joints mild wrist joint effusion noted. carpal alignment is maintained. no evidence of significant chondral defect or erosive arthropathy. soft tissues mild surrounding soft tissue edema around the wrist joint, predominantly along the ulnar aspect, appearing hyperintense on t2/stir sequences."
data/train/audio_02252.wav,"tiny microliths in the upper calyx of right kidney. few hypodense cysts are noted in the right kidney, largest measuring approximately 2.4 x 2.2 cm. right kidney is otherwise normal in size, shape and position. the left kidney measures 10.1 x 5.5 cms. a 4.3 x 2.2 x 5.6 cm size"
data/train/audio_02029.wav,reduction of disc space. pseudodisc bulge noted indenting thecal sac narrowing bilateral neural foramina indenting bilateral exiting nerve roots (left more than right). rest of the changes of lumbar spondylosis as described above. suggested clinical and emg - ncs 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/train/audio_04823.wav,visualized pituitary gland appears normal. orbits: visualized orbital structures appear normal. vascular flow voids: normal flow voids are seen in the visualized intracranial arteries and venous sinuses. impression:
data/train/audio_01874.wav,":- findings: mild displaced fracture noted in lateral end of left clavicle with overlying soft tissue swelling. head, neck and greater tuberosity of humerus appear normal."
data/train/audio_00689.wav,multiple eccentric calcified plaques in the proximal and mid segment of right coronary artery causing maximum of 90% luminal compromise cadrads 4b p2. suggested further evaluation with digital subtraction angiography and usg carotid doppler.
data/train/audio_03667.wav,artery causing maximum of 50%-60% luminal compromise. few small eccentric calcified and mixed plaques in the proximal segment of left circumflex artery causing maximum of 40%-50% luminal compromise. small eccentric calcified plaques in the proximal and distal segment of right coronary artery causing approximately 10%-20% luminal compromise.
data/train/audio_02203.wav,"significant compressive collapse/consolidation of the left lung rightward mediastinal and cardiac shift small hypoenhancing lesion within the collapsed left lung parenchyma measuring approximately 16 x 14 mm, suspicious for underlying primary pulmonary neoplasm versus metastatic deposit."
data/train/audio_00921.wav,"findings: there is no focal area of abnormal signal intensity in the cerebral or cerebellar hemispheres. the grey-white matter differentiation is well maintained. the basal ganglia, thalami, brainstem and cerebellum appear normal. no focal area of restricted diffusion is seen in the brain. the ventricles, cerebral sulci and the basal cisterns are normal."
data/train/audio_02848.wav,fibrobronchiectatic and fibroatelectatic changes noted involving inferior lingular segment. atelectatic bands noted involving right middle lobe and bilateral lower lobes. rest of the lungs appear normal in volume and attenuation. rest of the pleuro-parenchymal interfaces are smooth.
data/train/audio_00134.wav,follow up ultrasound is recommended to check for the decrease in the size of the cystic lesion. tumor marker correlation is recommended.
data/train/audio_01197.wav,acute traumatic osseous injuries (extraspinal and pelvic) there is a comminuted mildly displaced fracture involving the infraspinous fossa/body of the left scapula. multiple mildly displaced fractures of the left hemithoracic ribs are noted involving:
data/train/audio_00904.wav,note is made of a rul 32x33 mm soft tissue lesion .needs dedicated cect chest study. right humeral surgical neck fracture as described. right lung lesion.needs dedicated cect chest study. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_00127.wav,few ovarian follicles are seen within. left ovary is bulky it measures 4 x 2.7 x 2.1 cm in dimension.
data/train/audio_02316.wav,at c7-t1 level: no significant disc bulge. measurements: disc level canal diameter (mm) c2-c3 12 c3-c4 11 c4-c5 10 c5-c6 11 c6-c7 11 c7-t1 12 other : no paraspinal soft tissue mass. : straightening of cervical spine - ? due to spasm. mild posterior disc bulges at c4-c5 and c5-c6 cervical levels abutting anterior thecal sac without any spinal canal compromise.
data/train/audio_04689.wav,"and encroaching the neural foramina. there is indentation over right traversing s1 and exiting l5 nerve roots. posterior elements : ligamentum flavum: thickening noted at l3-4, l4-5 & l5-s1 levels. facetal joint: arthropathy noted at l5-s1 level."
data/train/audio_00686.wav,"artery causing maximum of 90% luminal compromise. acute marginal, right posterior descending artery and right posterolateral branches have no significant stenosis. cardiac morphology: mild cardiomegaly and left ventricular hypertrophy noted. the pericardium is of normal thickness. no pericardial effusion is seen."
data/train/audio_02895.wav,"spleen is normal in size and attenuation. no focal lesion noted. pancreas: pancreas appears normal in size, contour and enhancement pattern. no focal lesion or ductal dilatation. adrenal glands: both adrenal glands appear normal. kidneys and ureters: both kidneys are normal in size, shape and enhancement pattern."
data/train/audio_03833.wav,x-ray foot ap & oblique views observation: the visualized bones appear normal. visualized joint spaces are normal. no obvious sclerotic / lytic lesion is seen. no evidence of fracture. : no significant bony abnormality seen.
data/train/audio_05435.wav,"l5-s1 disc reveals diffuse bulge. it indents the anterior epidural fat, without any significant central canal or neural foraminal narrowing. mild facetal arthropathy is detected at this level. the lower end of the spinal cord, cauda equina and filum terminale do not reveal any abnormality."
data/train/audio_02015.wav,subtle haziness involving right lower zone suggestive of pneumonitis. recommendation suggested clinical correlation.
data/train/audio_02616.wav,"c5-6 disc reveals broad based posterior protrusion. it indents the anterior subarachnoid space and causes mild narrowing of the central canal. c6-7 disc reveals right paracentral as well as foraminal herniation. the disc osteophyte complex indents the anterior surface of the spinal cord, right c7 nerve roots and causes moderate asymmetrical narrowing of the central canal"
data/train/audio_03162.wav,another t1 hyper and t2 hyperintense cyst /collection is seen in right adnexa measuring about 5.7 x 3.4 cm. this is suggestive of partially ruptured hemorrhagic cyst / hemorrhagic collection. left ovary measures about 2 x 1.7 cm . left adnexa shows t2 hyperintense t1 hypointense cyst measuring about 2.4 x 2.1 cm. this is suggestive of hemorrhagic cyst. mild free fluid is seen in pelvis. moderate to severe mesenteric edema is noted.
data/train/audio_04569.wav,mr scan of lumbosacral spine multiplanar mr imaging of the lumbar spine was performed using appears that the spine: large fov. findings there is loss of lumbar lordosis marginal osteophytes are seen at l4-l5 level.
data/train/audio_02768.wav,there is a clump of flow void areas are noted in left cerebellar hemisphere. size measures approximately 3.9 x 3.5 cm. prominent vascular channel noted in right cerebellar hemisphere.
data/train/audio_00800.wav,"displaced fractures involving the distal aspects of the capitate and hamate bones, with fracture lines extending into and communicating with the carpometacarpal joint. no obvious gross carpal dislocation identified. metacarpals: displaced fracture at the base of the third metacarpal bone, with articular extension into the carpometacarpal joint."
data/train/audio_04235.wav,moderate chronic periventricular ischemic changes. chronic lacunar infarcts as described. mild to moderate cerebral and cerebellar atrophy.
data/train/audio_01985.wav,"mri of left knee technique: multiplanar, multiecho mr of the knee joint was performed. in addition to t1w, t2w, stir and gre images in sagittal, coronal and axial neutral positions. clinical profile: complaints of pain."
data/train/audio_00040.wav,mild atherosclerotic calcifications involving arch of aorta and descending thoracic aorta. others: no obvious size significant visualised cervical or bilateral axillary lymphadenopathy. mild early degenerative changes involving the visualised spine in the form of marginal osteophytes. sternum and ribs appear normal.
data/train/audio_05005.wav,(diameter 9 mm); stenosis of bilateral lateral recesses.
data/train/audio_01848.wav,:- cardiomegaly with mild pericardial effusion small hypodense splenic lesion (~15 x 16 mm) requires clinical correlation and further evaluation (usg/cect if indicated)
data/train/audio_03859.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.
data/train/audio_00767.wav,prominent bilateral axillary lymph nodes are seen. mild cardiomegaly is noted. visualized upper abdomen shows metallic density artifacts in left upper abdomen. visualized bony thorax appears unremarkable. impression:
data/train/audio_00575.wav,both domes of diaphragm are normally placed. bony thoracic cage is normal. no soft tissue abnormality seen. mild cardiomegaly differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_03383.wav,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/train/audio_05162.wav,normal curvature and vertebral alignment is maintained. the vertebrae show normal marrow signal with no focal lesions. the dorsal intervertebral discs are normal with no significant bulging or herniation noted. the dorsal cord appears normal. pre and para vertebral soft tissues are normal. lumbar spine
data/train/audio_00684.wav,"diagonal branches have no stenosis. the lad is seen reaching up to the apex. ramus intermedius branch: the ramus is patent. left circumflex artery: lcx is patent. few eccentric calcified plaques noted in the proximal and mid segment of left circumflex artery,"
data/train/audio_04998.wav,sequestration. l1-l2:mild diffuse disc bulge abutting thecal sac. no annular fissure. l2-l3:no significant disc bulge or herniation. l3-l4:mild diffuse disc bulge with posterior annular fissure indenting thecal sac and abutting both traversing nerve roots.
data/train/audio_05094.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.
data/train/audio_03181.wav,"the bilateral common femoral arteries are reconstituted via collateral circulation. the left common femoral artery shows 60-70% luminal narrowing, while the right common femoral artery demonstrates mild narrowing (<20%)."
data/train/audio_04269.wav,"x-ray kub : 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."
data/train/audio_03760.wav,mild diffuse disc bulge at d12-l1 and l4-l5 abutting the thecal sac. no significant spinal canal stenosis.
data/train/audio_01733.wav,facet joints and ligamentum flavum are normal. pre and para vertebral soft tissues are normal. measurements of spinal canal diameter at level of disc: screening rest of the spine reveals reduced cervical lordosis with marginal osteophytic and disc desiccation changes at few levels.
data/train/audio_03229.wav,"no signs of obstructive uropathy are detected. evidence of two renal cortical cysts in left kidney largest ~14x11mm in the upper pole region. the ivc, aorta and portal vein are within normal position and calibre. no evidence of retroperitoneal lymphadenopathy or ascites."
data/train/audio_03735.wav,sinuses: right uncinate process is attached to the lamina papyracea. the infundibulum and ostium of the right maxillary sinus appear clear. the right omu is normal. right maxillary sinus is clear. accessory ostium noted.
data/train/audio_04990.wav,"adjacent structures no focal pelvic collection. surrounding musculature appears unremarkable in the visualised field. impression: mri features are suggestive of active bilateral sacroiliitis, characterised by extensive symmetrical subarticular bone marrow edema involving both sacroiliac joints with mild adjacent soft tissue edema."
data/train/audio_02443.wav,"wedging of l2 vertebral body without marrow contusion/oedema no evidence of significant retropulsion of posterior cortex or spinal canal narrowing. i.v. discs: l1-2: desiccation. mild bulge, indenting the thecal sac. no significant nerve root compression. neural foramina appear normal. l2-3:"
data/train/audio_02959.wav,"pancreas: appear normal in size, contour and density. main pancreatic duct is not dilated. no evidence of calculus / calcification. both adrenal glands: appear normal in size, shape and density. no evidence of mass lesion. right kidney: appears normal in shape, position and density."
data/train/audio_04801.wav,visualised lumbar spine screening loss of lumbar lordosis with straightening of spine is seen. normal intervertebral disc signal intensity and height. no significant disc bulge or protrusion in lower lumbar intervertebral discs. no fracture or wedging in lower lumbar vertebrae.
data/train/audio_02093.wav,"no evidence of erosion or destructive bone lesion is noticed in the bodies of lumbar vertebrae. rest of the intervertebral disc spaces, the pedicles, the spinous and the transverse processes are all normal. no evidence of an abnormal paravertebral shadow or calcification is noticed. bilateral sacro-iliac joints reveal marginal osteophytes. opinion:"
data/train/audio_00580.wav,"and neural foramina, bilaterally. mild facetal arthropathy is detected at this level. 3. desiccated and postero-central protrusion of c6-7 disc, causing mild narrowing of the central canal. 4. incidental note is made of pituitary gland appears prominent and shows partially empty sella status. thank you for referring."
data/train/audio_03996.wav,the sternocleidomastoid and digastric muscles on either side are normal. the longus colli on either side are normal. both parotids and submandibular glands are normal. cervical oesophagusand trachea appear normal. bilateral styloidprocess are within normal limit.
data/train/audio_00750.wav,at l5-s1 level: mild posterior disc bulge abutting thecal sac without any nerve root compression. mild ligamentum flavum hypertrophy and facet joint arthropathy.
data/train/audio_05516.wav,similar morphology lesion noted in the subgaleal plane of right high parietal region. it measures approximately 6 x 6 x 7 mm (tr x ap x cc). underlying bony cortex appears unremarkable. :
data/train/audio_05616.wav,another 3.1 x 2.3 x 4.5 mm (tr x ap x cc) hyperdense (hu 800) calculus in the right terminal ureter (adjacent to the above-mentioned calculus). fatty liver. 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/train/audio_00978.wav,"loss of lumbar lordosis. mild anterior wedge compression involving d11, d12, l1 and l3 vertebral bodies. small anterior marginal osteophytes at multiple dorsal levels. bone density is normal. no evidence of erosion or destructive bone lesion is noticed in the bodies of dorsal vertebrae."
data/train/audio_04606.wav,"single live fetus within gestational sac located in central peritoneal cavity (l4l5 level), posterior to uterus no intrauterine gestation identified - imaging features are consistent with advanced abdominal pregnancy 2. thickened endometrium"
data/train/audio_04832.wav,"c7-t1: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. spinal canal & neural elements: no significant central canal stenosis is seen. no definite cord compression or intramedullary signal abnormality identified."
data/train/audio_00348.wav,few prominent reactive intra-abdominal lymph nodes without any ascites. few splenic hilar omental perigastric collaterals secondary to likely chronic thrombosis sequelae of splenic vein.
data/train/audio_04550.wav,"* trachea, lobar bronchi, bronchus intermedius and segmental bronchi are normal. * no intraluminal filling defects present. * no dilated bronchi seen. pleural surfaces: * no pleural / fissural thickening seen in the sections evaluated. * no evidence of pleural effusion present."
data/train/audio_00707.wav,"mild hyperintense signal is seen involving the anterior cruciate ligament. this can represent sprain. mild hyperintense signal is seen involving the posterior cruciate ligament. this can represent sprain. there is posterior root tear of the medial meniscus. a globular hyperintense signal is seen in the posterior horn of the medial meniscus, suggestive of myxoid degeneration. the body and anterior horn of the medial meniscus is intact."
data/train/audio_04085.wav,: the curvature of the lumbosacral spine is maintained. spinal cord ends at the upper level of l2 vertebral body. there is no evidence of vertebral destruction/ spondylolisthesis.
data/train/audio_05321.wav,"multiple t2w and flair hyperintensities are noted in bilateral fronto-parietal and periventricular white matter. no restriction on dwi or blooming on gradient images is noted s/o chronic ischemic changes (fazekas grade ii). mild generalized prominence of the cortical sulci, basal cisterns and ventricular system is noted s/o cerebral atrophy."
data/train/audio_00468.wav,"sellar, suprasellar and par asellar regions appear normal. no evidence of abnormal extradural / subdural collections seen. no definite fractures identified. visualised paranasal sinuses are normal : chronic small vessel ischemic changes. advice: mri brain."
data/train/audio_05449.wav,both levator ani muscles and pelvic floor muscles appear normal. rest of the anal canal appears unremarkable. other visualized pelvic structures appear normal. no significant lymphadenopathy or ascites is seen.
data/train/audio_01608.wav,grade 2c signal intensity is seen in anterior and posterior horns of medial meniscus. grade 1/2 signal intensity is seen in anterior and posterior horns of lateral meniscus. grade 1 sprain of medial collateral ligament is noted. lateral collateral ligament appears normal.
data/train/audio_02858.wav,sella and parasellar structures appear grossly unremarkable. visualized paranasal sinuses are unremarkable. skull bones appear normal. no e/o any fracture noted impression: no obvious hemorrhage or fracture. small chronic infarct involving right frontal lobe.
data/train/audio_01284.wav,liver: liver measures approximately 15 cm and appears normal in size and attenuation. no focal lesion identified. gallbladder and biliary system: gallbladder appears normal. no biliary dilatation. spleen: spleen measures approximately 9.7 cm and appears normal.
data/train/audio_04055.wav,"terus: post-menopausal status. both the ovaries are not visualized, however adnexa appears normal on either side. no free uid is seen in cul-de-sac."
data/train/audio_02005.wav,rest of the visualized soft tissue appear normal. impression: comminuted burst fracture involving l3 vertebral body with resultant retropulsion compressing spinal canal extending to the left lamina with resultant loss of approximately 60% vertebral body height.
data/train/audio_01075.wav,few hemorhhagic contusion also seen in right high frontal region and left parietal region white matter largest 4.0mm at left high parietal region. possibility of grade i diffuse axonal injury need to be considered. interval increased in size of the hemorrhagic contusion subarachnoid haemorrhage (sah) within the sulcus spaces of right frontal lobe. mild reduced in size of sah
data/train/audio_03736.wav,"nasal septum: cartilagenous and bony nasal septum is s shaped. bony spur is noted arising on either sides, abutting on right inferior and middle turbinates on left inferior turbinate. nasal cavity: bilateral mild inferior turbinate hypertrophy noted."
data/train/audio_03956.wav,non-opacification of left dorsalis pedis artery. bilateral femoropopliteal bypass grafts noted. features suggestive of advanced pvd with bilateral critical limb ischemia (cli).
data/train/audio_00808.wav,"findings post-operative changes are detected in the form of posterior stabilization with metallic implants from l4 to s1 levels. susceptibility artefacts are arising from these implants, partially obscuring the field of vision, limiting optimal evaluation. partial laminectomy changes are seen from l4 to s1 levels."
data/train/audio_04870.wav,"the ivc, aorta and portal vein are within normal position and calibre. no evidence of retroperitoneal lymphadenopathy or ascites. the visible parts of the bowel loops show no obvious mass lesions or wall thickening. appendix appears normal."
data/train/audio_02594.wav,"distal radioulnar articulation mild joint effusion, soft tissue edema, and extensor tendon sheath fluid, suggestive of associated inflammatory changes. 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/train/audio_05316.wav,"bilateral mild neural foraminal narrowing with no compression on the nerve roots. l3-l4: there is evidence of grade-i central disc protrusion, with compression over the thecal sac. bilateral mild neural foraminal narrowing with mild compression on the bilateral exiting nerve roots. l4-l5: there is evidence of grade-ii central disc protrusion,"
data/train/audio_00257.wav,"supratentorial sulcal and cisternal spaces are normally visualized. rest of the brain stem and cerebellar hemispheres are showing normal morphology, signal intensity and outline. fourth ventricle is normal in size and midline in position. no focal or diffuse area of altered signal intensity is seen."
data/train/audio_01141.wav,bones no evidence of acute fracture or destructive lesion. few subchondral cysts noted in: o distal pole of scaphoid o capitate bone cartilage articular cartilage appears intact. joints minimal intercarpal joint effusion noted. tendons first dorsal compartment
data/train/audio_04250.wav,heterogeneous marrow signal intensity. at l2-l3 level: disc desiccation. mild posterior disc bulge indenting thecal sac and traversing nerve roots. at l5-s1 level: disc desiccation. diffuse disc bulge with postero-central disc protrusion indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots narrowing bilateral neural foramina indenting bilateral exiting nerve roots.
data/train/audio_00880.wav,"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. left circumflex artery: lcx is patent and show normal lumen. it gives rise to om1, om2 and terminates av groove."
data/train/audio_00019.wav,spleen measures 11 cm in craniocaudal dimension. both adrenal glands appear normal in size without any focal lesion. both kidneys are normal in size and location. there is no hydronephrosis. there is no focal lesion seen. there is no perinephric fat stranding seen.
data/train/audio_05155.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/train/audio_01760.wav,common bile duct is normal in caliber without any calculus within. there is no intrahepatic biliary radicle dilatation seen. pancreas appear mildly atrophic. this is related to age. main pancreatic duct appears normal in caliber.
data/train/audio_03682.wav,features are suggestive of acute calculous cholecystitis. mild central intrahepatic biliary radicle dilatation noted. common bile duct (cbd) measures ~6.1 mm (within upper normal limits) with no obvious radiodense calculus.
data/train/audio_03605.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/train/audio_00809.wav,disc prosthesis is seen at l5-s1 level. the lumbar lordosis is well maintained. the alignment of the vertebrae is normal. visualized vertebrae appear osteoporotic. marginal osteophytes are seen from l3 to l5 levels. no focal bony lesion is detected. l3-4 disc reveals broad based posterior protrusion.
data/train/audio_02516.wav,fazekas i. please correlate clinically and with other relevant investigations for confirmation and further evaluation.
data/train/audio_00120.wav,good peritoneal spillage of contrast seen on both sides : both fallopian tubes are patent.
data/train/audio_02934.wav,the pelvic cavity up to the mid-segment of the prostate gland. the collection demonstrates thick peripheral wall with mild surrounding fat stranding. these findings likely represent a large subcapsular hepatic hematoma with rupture/leakage into the peritoneal cavity and tracking of collection along the right paracolic gutter into the pelvis.
data/train/audio_01771.wav,"no dislocation is identified on the provided images. alignment of the residual ulnohumeral and radiocapitellar articulation is grossly maintained, accounting for fracture deformity. impression: comminuted displaced intra-articular fracture of the distal humerus involving:"
data/train/audio_00756.wav,"appear normal in size and density. no evidence of mass lesion. pancreas: appear normal in size, contour and density. main pancreatic duct is not dilated. no evidence of calculus / calcification. both adrenal glands: appear normal in size, shape and density. no evidence of mass lesion. both kidney:"
data/train/audio_04753.wav,x-ray right wrist (ap & lat.): mild displaced fracture noted in distal shaft of radius with adjacent soft tissue swelling. carpal and metacarpal bones appear normal. joint space appears normal. no evidence of any lytic or sclerotic lesion is seen. : mild displaced fracture noted in distal shaft of radius with adjacent soft tissue swelling.
data/train/audio_01893.wav,"epiglottis, valleculae, ae folds, pyriform sinuses appear normal. true and false vocal cords are normal in attenuation."
data/train/audio_05352.wav,"l1-l2: 10.6 mm spinal alignment and variants lumbarisation of s1 vertebra is noted. features suggestive of infective spondylodiscitis involving the lower thoracic and thoracolumbar vertebrae (d9-l2), with endplate destruction and disc involvement at d11-d12 and l1-l2 levels."
data/train/audio_02294.wav,"calcified granuloma in the right upper lobe, suggestive of healed granulomatous disease. minimal fibrosis in the lingular segments of the left lung. panacinar emphysema in the right lung, predominantly involving the right lower lobe. features suggestive of mild hypertrophy changes at multiple costovertebral junctions, suggestive of? old inflammation"
data/train/audio_01356.wav,"no focal myometrial lesion is identified. endometrium: the endometrium appears thickened, measuring approximately 14 mm. a well-defined lesion is seen within the endometrial cavity, attached broadly to the posterior wall in the mid-segment."
data/train/audio_03858.wav,"the long head of biceps and its attachment appears normal the supraspinatus and subscapularis tendons appear normal. the infraspinatus tendon, and teres minor tendon appear normal. the acromio clavicular joint appears normal. the coraco humeral ligament appears normal."
data/train/audio_04485.wav,suggestive of posterolateral elbow instability pattern 2. bone contusions in distal humerus and radial head/neck 3. moderate elbow joint effusion 4. edema in brachioradialis and anconeus muscles 5. mild strain of common flexor tendon
data/train/audio_00715.wav,signal intensity suggestive of partial tear. medial collateral ligament appears normal. no evidence of laxity or tear. medial patello-femoral ligament appears intact. medial and lateral patellar retinaculum appears intact. meniscus:- small t2 and stir
data/train/audio_01000.wav,"soft tissue soft tissues appear unremarkable. no abnormal calcification observed. alignment normal. no kyphosis, scoliosis others the sacrum and sacroiliac joints are intact. the innominate bones are normal. the hips are well preserved and normal."
data/train/audio_03157.wav,the liver is normal in size and has smooth margins. the hepatic parenchyma reveals normal signal intensity. no focal intrahepatic lesion is detected. the portobiliary radicles are normal in caliber and show normal distribution. the portal vein displays normal flow void and is normal in caliber.
data/train/audio_05361.wav,small calcified opacity in right midzone suggestive of sequelae of old infective aetiology. prominence of bronchovascular markings. recommendation suggested clinical correlation.
data/train/audio_04042.wav,"kidneys: right kidney measures 10.5 x 3.7 cm left kidney measures 11.6 x 4.0 cm both kidneys appear normal in size, shape & echotexture. no hydronephrosis or hydroureter is noted."
data/train/audio_00093.wav,"findings: osseous structures & articular cartilage: there are osteochondral lesions involving the medial femoral condyle and medial tibial condyle, characterized by focal irregularity of the articular cartilage with underlying subchondral marrow signal changes (t2/stir hyperintensity)."
data/train/audio_00472.wav,schmorl's nodes are seen at all lumbar levels. multiple marginal osteophytes are seen at all lumbar levels. the marrow within the vertebrae reveals normal signal intensity. no focal bony lesion is detected. lumbar discs are variably degenerated.
data/train/audio_00184.wav,"observation: the vertebrae is normal. few degenerative osteophytes noted. loss of lumbar lordosis. there is evidence of reduction in intervertebral disc height noted at l4-l5, l5-s1 levels. the posterior elements are normal."
data/train/audio_01230.wav,"clinical correlation and follow-up mri are recommended. mri orbits (plain) clinical history: unconsciousness. 48-year-old male. technique: mri of the orbits performed with multiplanar multisequence imaging. findings: the bilateral globes appear normal in size, contour and signal intensity. the extraocular muscles are normal in thickness and signal intensity. the optic nerves appear normal in course and caliber bilaterally."
data/train/audio_03059.wav,"observation: stir hyperintensity around tendons of the gluteus medius and minimus muscles, most prominent at the insertion on the greater trochanter on both sides. the joint space of the hip joints is normal. the capsule of hip joints is normal. no abnormality is seen in iliofemoral pubofemoral and ischiofemoral ligaments."
data/train/audio_01854.wav,":- cardiac findings: cardiomegaly with dilatation of cardiac chambers noted. mild pericardial effusion, measuring approximately 6.8 mm in thickness along the anterior aspect. great vessels: appear unremarkable."
data/train/audio_05293.wav,impression: calcium score is 1508. multiple eccentric mixed calcified plaques in the distal segment of left main artery causing 60%-70% luminal compromise. multiple eccentric calcified and mixed plaques in the proximal and mid segment of left anterior descending artery causing 90% luminal compromise.
data/train/audio_00400.wav,"no focal sol seen. cp angle cisterns are normal. fourth ventricle is central and normal in shape. no focal enhancing lesions seen. bone, scalp and sinuses: bony calvarium is normal. no evidence of fracture bony calvarium is normal. no evidence of fracture or sol is seen."
data/train/audio_01951.wav,"mri of the brain was performed using t1 and t2 weighted sequences in multiple planes, using a quadrature head coil. screening images of whole spine was performed. there is no evidence of acute infarct or hemorrhage seen. few t2 / flair hyperintense foci are seen in bilateral fronto-parietal white matter. these are hypointense on t1 weighted images."
data/train/audio_05505.wav,broad based posterior herniation with annular tear of l5-s1 disc causing mild narrowing of spinal canal. mild facetal arthropathy and ligamentum flavum thickening at l3-l4 and l4-l5 level. mild facetal arthropathy at l5-s1 level.
data/train/audio_03921.wav,"liver appears normal in attenuation pattern, no e/o focal lesion. 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 and large bowel loops appear normal."
data/train/audio_02689.wav,nasal septum is deviated to the left side with bony spur. :above x-ray findings are suggestive of- bilateral maxillary sinusitis. nasal septum is deviated to the left side with bony spur. adv ct pns if clinically indicated.
data/train/audio_04441.wav,"findings: a well-defined soft tissue lesion is noted in the deep subcutaneous plane along the plantar aspect of the foot at the level of the bases of the first and second metatarsal bones, measuring approximately 4.6 x 1.7 x 2.9 cm."
data/train/audio_01866.wav,:- clinical history: chief complaints of weakness. findings: supratentorial: both cerebral hemispheres appear normal in architecture and attenuation and enhancement. grey white matter differentiation is maintained.
data/train/audio_01278.wav,"area of gliosis in right parieto-temporal lobe, resultant mild ex vacuo dilatation of right lateral ventricle. small area of gliosis noted in left temporal lobe. right fronto-parieto-temporal craniotomy status noted. small ischemic foci in deep periventricular white matter ("
data/train/audio_05478.wav,"1. confluent area of consolidation involving right upper lobe. 2. multiple patchy ground-glass opacities involving bilateral lung parenchyma (right more than left), predominantly involving right upper lobe. 3. multiple areas of mild bronchial wall inflammation involving the segmental and subsegmental bronchi of bilateral"
data/train/audio_00476.wav,"it indents the anterior epidural fat, without any significant central canal or neural foraminal narrowing. mild facetal arthropathy is detected at this 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. the vascular structures appear normal."
data/train/audio_02878.wav,"no evidence of aneurysm. bilateral renal arteries, celiac arteries, superior mesenteric arteries and inferior mesenteric arteries appear normal. internal fixation of the right hip joint fracture noted. the right external ilac artery is 1.5 cm from the right acetabulum."
data/train/audio_05069.wav,it is seen adjacent to the main pulmonary artery with preserved fat planes. the lesion is causing indentation over the lingula and left upper lobe of lung. remaining pulmonary vasculature appears unremarkable.
data/train/audio_05124.wav,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 differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_04189.wav,"mild prominence of cerebral sulci, cisterns and ventricles is seen, suggesting mild cerebellar atrophy. there is no shift of midline structures. no mass lesion is detected. the intracranial vessels display normal flow. the orbits and calvarium appear unremarkable."
data/train/audio_05077.wav,"however, there is no infiltration into the pericardial space or serous pericardium. few prominent reactive mediastinal lymph nodes are seen. imaging features are more in favor of thymic cyst rather than pericardial cyst. mild cardiomegaly."
data/train/audio_03989.wav,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.
data/train/audio_05144.wav,no obvious adjacent inflammation. small bowel loops appear normal. large bowel loops are distended with fecal matter otherwise appear unremarkable. there is no abdominal lymphadenopathy seen. no e/o free fluid in abdomen. no e/o pleural effusion noted. visualized bones are unremarkable.
data/train/audio_02050.wav,old healed fracture noted in left inferior pubic ramus. subtle sclerotic area noted at head of left femur. no evidence of collapse of head of left femur. no evidence of fracture noted in pubic ramus on right side. rest of the visualized bones appears normal.
data/train/audio_05687.wav,"mild limb length discrepancy noted, with the right lower limb measuring approximately 1.2 cm longer than the left (right: 78.8 cm; left: 77.6 cm)."
data/train/audio_02990.wav,"findings: the liver is normal in size, contour, and signal intensity with no focal lesion. gallbladder is normally distended with normal wall thickness. pancreas appears normal in size and signal intensity. spleen appears normal."
data/train/audio_01826.wav,"no significant neural compromise. central canal measures approximately 15 mm. at l2-l3 level, central canal measures approximately 17.5 mm with no significant neural compromise. at l1-l2 level,"
data/train/audio_05453.wav,and reveal normal signal intensity. biceps tendon is seen in the bicipital groove and appears normal. mild fluid noted in the bicipital groove likely reactive. joint: mild subacromial - subdeltoid bursitis. mild shoulder joint and sub-coracoid bursal effusion is noted.
data/train/audio_02378.wav,"the facet joints appear normal. the bony spinal canal appears normal in dimensions. posterior osseous structures and soft tissue structures are normal. no pre / paraspinal soft tissue collection is seen. si joints appear normal , 36 mm cyst lower pole right kidney"
data/train/audio_04608.wav,grade ii signal change involving the anterior horn of lateral meniscus and body and posterior horn of medial meniscus. mild knee joint and suprapatellar bursal effusion with mild edema in adjacent soft tissues. 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/train/audio_00910.wav,"no cp angle lesion is detected in pain imaging. - suggested clinical correlation, 3d fiesta and contrast study for better evaluation."
data/train/audio_01060.wav,mild straightening of the lumbar spine is seen with no scoliosis. heterogenous marrow signal intensity. small schmorl's node noted at endplate of l2 and l3 vertebral levels. small anterior and lateral marginal osteophytes are seen from l3 to l5 vertebral levels. modic type ii changes are seen involving the antero-superior endplates of l3-l5 vertebrae.
data/train/audio_03355.wav,"foramina 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. the vascular structures appear normal. bilateral posterior paraspinal muscles are normal in size and reveal normal signal intensity. spinal canal measurements are within normal limits."
data/train/audio_00044.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/train/audio_00434.wav,there is no cervical rib. : degenerative changes- cervical spondylosis. advice mri c spine to look for spinal canal narrowing and cord signal.
data/train/audio_02651.wav,ischioanal / ischiorectal fossae: no abnormal fluid collection or gross inflammatory mass seen. supralevator / pelvic extension: no supralevator extension demonstrated. levator ani / pelvic floor: pelvic floor musculature appears intact.
data/train/audio_03401.wav,"sella and parasellar structures appear grossly unremarkable. visualized paranasal sinuses are unremarkable. skull bones appear normal. no e/o any fracture noted : multiple calcified granulomas involving left cerebellar hemisphere bilateral fronto-parietal lobes, left occipital lobe and left perisylvian region, largest measuring approximately 3.5 mm in right parietal lobe."
data/train/audio_01637.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/train/audio_02307.wav,others bilateral cp angles are clear. both domes of diaphragm are normally placed. scoliosis of dorsolumbar spine with convexity to the right. bony thoracic cage is normal. no soft tissue abnormality seen. prominence of bronchovascular markings with reticular opacities involving bilateral lung fields.
data/train/audio_02510.wav,"the carpal tunnel appears normal, with no evidence of median nerve compression or abnormal signal within the nerve. the remaining visualized flexor and extensor tendons appear normal in course, calibre, and signal intensity. the visualized ligaments appear intact. no significant joint effusion or soft tissue mass lesion is identified elsewhere."
data/train/audio_00682.wav,coronary artery angiogram findings: dominance of the coronary artery system: right dominant circulation. 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.
data/train/audio_03232.wav,minimal posterior disc bulge abutting thecal sac without any nerve root compression. mild ligamentum flavum hypertrophy noted and facet joint arthropathy noted. at l4-l5 level: minimal posterior disc bulge abutting thecal sac without any nerve root compression. mild ligamentum flavum hypertrophy noted and facet joint arthropathy noted at l5-s1 level:
data/train/audio_00349.wav,"technique: serial radiographs of the abdomen obtained following intravenous administration of iodinated contrast, including nephrographic and excretory phases. findings: the right kidney is normal in size, shape, and position. it demonstrates normal contrast uptake and prompt excretion"
data/train/audio_02666.wav,the vertebral arteries enter the cranial cavity normally and are symmetrical. the basilar artery is normal. : the right vertebral artery v1-v3 segments are 50% narrow in calibre compared to the contralateral side suggestive of hypoplasia.
data/train/audio_02200.wav,airways trachea is central. mild extrinsic compression over the left main bronchus by adjacent nodal disease. no endobronchial lesion identified on ct. musculoskeletal structures
data/train/audio_00151.wav,small parametrial loculated fluid collection. few reactive pelvic lymph nodes. final mri #enzian score p0 o1rt/lf t2 a0 b1 c1 fa this corresponds to mild-moderate deep infiltrating endometriosis with: posterior compartment involvement (torus uterinus + rectal wall)
data/train/audio_02227.wav,findings: ill-defined soft tissue density lesion noted in left lower lobe with internal calcification. size of the lesion measures approximately 5.3 x 4.4 x 9.4 cm (ap x tr x cc). there is obliteration of left lower lobe bronchus and segmental bronchus of posterobasal segment of left lower lobe.
data/train/audio_02076.wav,adamantinomatous type - suggested contrast evaluation for better analysis differential diagnoses 1. craniopharyngioma 2. hypothalamic/optic chiasmatic gliom 3. rathke's cleft cyst (less likely 4. suprasellar germinoma
data/train/audio_04697.wav,"tiny chronic lacunar infarcts are seen in bilateral periventricular regions the corpus callosum appears unremarkable. the cerebellum and brainstem appear normal. the pituitary gland appears normal. mucosal thickening is noted in the left maxillary sinus, right sphenoid sinus and bilateral ethmoid sinuses, suggestive of sinusitis."
data/train/audio_04290.wav,x - ray ascending uthrogram observation: small area of extravasation of contrast from the penile urethra. posterior urethra appears normal. contrast noted in the bladder.
data/train/audio_02385.wav,"mri pelvis with both hip joints technique: multiplanar mri of the pelvis with both hip joints was performed using axial se t1 and fse t2, sagittal se t1 and fse t2, and coronal stir sequences. clinical indication: left thigh pain."
data/train/audio_02644.wav,plain ct scan of brain: m.d.c.t. plain brain is performed using 1 mm axial sections through the brain parenchyma. findings: both cerebral hemispheres reveal no abnormality. no evidence of any parenchymal lesion noted.
data/train/audio_02700.wav,both nasal and zygomatic processes of maxilla appear normal. maxillary antrumappears normal in attenuation bilaterally with preserved bony walls. sinuses: mucosal thickening in bilateral maxillary and ethmoid sinuses - sinusitis.
data/train/audio_01840.wav,moderate-severe stenosis). superficial myocardial bridging noted in mid lad for a length of 10 mm. distal lad is normal. diagonals d1 and d2 are seen. d1 is a narrow caliber vessel. lcx is non-dominant system.
data/train/audio_02812.wav,"6# it shows a 2.0 x 1.7 cm sized simple cortical cyst. both kidneys appear normal in size, shape & echotexture. no hydronephrosis or hydroureter is noted. the corticomedullary differentiation is maintained."
data/train/audio_04054.wav,: mild hepatomegaly with grade i fatty liver. a fairly well-dened heterogeneously hyperechoic area seen in the right lobe of liver ? hemangioma. hepatic cyst as described above. right renal cyst. suggest - clinical correlation and further imaging if indicated.
data/train/audio_02728.wav,mr. raju vitthal kalal [mrn-260100611] 57 yr | male
data/train/audio_04668.wav,"sacroiliac joints bilateral sacroiliac joints show marginal osteophytes and vacuum phenomenon, consistent with degenerative sacroiliac arthropathy. visualized hip joints / pelvic osseous structures mild bilateral hip joint space narrowing. small marginal osteophytes along bilateral acetabular margins."
data/train/audio_04997.wav,findings vertebral bodies: normal vertebral alignment is maintained. marginal osteophytes noted from lumbar vertebrae. no acute compression fractures or vertebral collapse. no marrow signal abnormality. intervertebral discs: disc desiccation of all the lumbar intervertebral discs is noted. no intradiscal gas. no disc extrusion or
data/train/audio_05546.wav,"the cervical and lumbar spine is straightened s/o mayospasm. mild cervical, minimal lumbar and dorsal spondylosis as described. please correlate clinically and with other relevant investigations for confirmation and further evaluation."
data/train/audio_05603.wav,"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, tibial plateau and upper tibia and fibula reveal normal marrow signal. no evidence of marrow edema."
data/train/audio_04348.wav,"kidneys: both kidneys are normal in size, position, shape and cortical outline. no evidence of calculus or hydronephrosis. corticomedullary differentiation is maintained. renal pelvis appears normal. peri-nephric fat regions appear unremarkable bilaterally."
data/train/audio_02901.wav,"heart and great vessels: cardiac size appears within normal limits. great vessels appear unremarkable. chest wall: no obvious destructive bony lesion is seen in the visualized ribs, clavicles or thoracic vertebrae. upper abdomen visualized sections of liver, spleen and adrenal glands appear grossly unremarkable. impression"
data/train/audio_01676.wav,: fracture noted at calcaneum with surrounding soft tissue swelling. advice - ct scan if clinically indicated.
data/train/audio_00284.wav,"the ventricles, cerebral sulci and the basal cisterns are normal. 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. minimal mucosal thickening is seen in left sphenoid sinus"
data/train/audio_04422.wav,"few tiny centrilobular nodules in tree in bud distribution noted scattered in right middle lobe, left lingula and right lower lobe superior segment. airway and hilum: trachea, lobar bronchi, bronchus intermedius and segmental bronchi are normal."
data/train/audio_01796.wav,the muscles and tendons around the knee joint and the intermuscular planes are normal. the neurovascular bundles are intact. : mr scan reveals: grade ii signal of the posterior horn of the medial meniscus. mild sprain of the anterior cruciate ligament.
data/train/audio_00859.wav,patchy fibrobronchiectatic and fibroatelectatic changes pleural thickening involving the right upper lobe and right middle lobe suggestive of sequelae of old infective aetiology. multiple areas of mild bronchial wall inflammation involving the segmental and proximal subsegmental bronchi of bilateral lung parenchyma. no obvious signs of bronchiolitis in the present scan.
data/train/audio_00111.wav,"both kidneys reveal normal in size, shape, position and attenuation. no mass lesion, calcification or stone is seen in the renal parenchyma or collecting systems on both sides. no signs of obstructive uropathy are detected. the ivc, aorta and portal vein are within normal position and calibre."
data/train/audio_05703.wav,"left side: external auditory canal is normal. soft tissue opacification of middle ear cavity is seen involving prussak's space, sinus tymapni, extending via aditus ad antrum into mastoid air cells, causing blunting of scutum, partial erosion of middle ear ossicles with loss of ice cream cone configuration and bony erosion of lateral wall of mastoid part of left temporal bone."
data/train/audio_00737.wav,visualized bony orbits appear normal. visualized intraorbital contents show no obvious abnormality. visualized eye globes and lens show normal signal intensity. bilateral ethmoid sinusitis noted. rest of the paranasal sinuses are well pneumatized without any fluid collection/mucosal thickening. :
data/train/audio_03648.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/train/audio_02426.wav,spleen: normal size and signal intensity. adrenal glands: no focal lesion identified. kidneys/collecting systems: no hydronephrosis. no focal renal mass identified on the provided sequences. bowel: no gross abnormality identified on this study. ascites: no ascites. lymph nodes: no pathologically enlarged abdominal lymph nodes
data/train/audio_00819.wav,findings: the lumbar spine shows mild straightening of lordotic curvature. degenerative changes noted in the spine in the form of osteophyte formations and disc desiccative changes. conus ends at the upper end plate of the l1 vertebral body.
data/train/audio_04653.wav,mpd is not dilated. peripancreatic fat planes are preserved. no parenchymal lesion or intraductal calcifications seen. spleen: spleen is normal in size and parenchymal density. no focal lesion in spleen is seen. adrenals:
data/train/audio_04222.wav,menisci : a thick band of abnormal high signal intensity in the pdfs and ffe images is seen traversing the posterior horn of the medial meniscus. complex tear of posterior horn of medial meniscus with vertical component reaching tibial and femoral articular surface.
data/train/audio_01496.wav,postoperative changes in distal femur and proximal tibia with marrow edema changes advanced osteoarthritic changes predominantly involving medial compartment with cartilage loss and osteophyte formation chronic horizontal oblique tear of posterior horn of medial meniscus
data/train/audio_03090.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/train/audio_04342.wav,undisplaced fracture involving the dorsal cortex of distal end of radius near the distress tubercle. mild wrist joint effusion and soft tissue oedema noted. suggested 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/train/audio_02359.wav,anterior and posterior osteophytes are seen at multiple levels. rest of the vertebral alignment and disc spaces are normal. rest of the visualized vertebrae (lower dorsal and lumbar) are showing normal cortical outline and density. rest of the bony lumbo-sacral canal dimensions are adequate. rest of the thecal sac is well formed.
data/train/audio_04241.wav,"l4-5: desiccation. diffuse bulge, compressing the thecal sac and encroaching the neural foramina. there is indentation of bilateral traversing l5 and left exiting l4 nerve roots. l5-s1: desiccation. diffuse bulge, indenting the thecal sac and encroaching the neural foramina. no significant nerve root compression."
data/train/audio_02593.wav,"other findings: no evidence of: acute fracture focal lytic or sclerotic bone lesion remaining visualized bones and soft tissues are unremarkable. impression chronic post-traumatic deformity of the scaphoid with old comminuted fracture at the waist, associated with subchondral cystic changes."
data/train/audio_04026.wav,uncinate process: left lamellar concha noted. optic nerve canal: type iii on left and type ii on right. sinuses: diffuse polypoidal mucosal thickening involving left maxillary sinus extending into left ethmoid air cells.
data/train/audio_04438.wav,mri right foot (plain and contrast) technique: multiplanar multisequence mri of the right foot was performed before and after intravenous contrast administration.
data/train/audio_05039.wav,"visualized vertebrae, sternum and ribs appear normal. soft tissues and muscles of chest wall are normal."
data/train/audio_00728.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.
data/train/audio_04837.wav,multilevel diffuse disc bulges (c4c7) without significant neural compromise. no significant canal stenosis or cord compression. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_04665.wav,"additional vacuum disc phenomenon at d10d11 and d11d12 levels. mild multilevel posterior disc bulges in the lumbar spine, most pronounced at l5s1. no high-grade disc extrusion identified on ct."
data/train/audio_03023.wav,bilateral type ii olfactory fossa are noted. visualised bones appear grossly normal. impression: no significant abnormality in cisternography. no leak is seen. sinusitis is seen involving both frontal and both ethmoid sinuses.
data/train/audio_00558.wav,tibial plateau and upper tibia and fibula reveal normal marrow signal. no evidence of marrow edema. patella appears normal in position. joints: focal fissuring involving the medial facet of patella with. no obvious subchondral changes.
data/train/audio_02435.wav,mild thecal sac and mild bilateral lateral recess/foraminal nerve root compressions. further being compounded by mild ligamentum flavum hypertrophy. l5-s1: diffuse annular disc bulge causing mild thecal sac compression. disc spaces ap canal diameter (mm) l1 - l2 12.8 l2 - l3 13.2 l3 - l4 12.8 l4 - l5 10.0 l5 - s1 9.7 posterior osseous structures and soft tissue structures are normal. no pre / paraspinal soft tissue collection is seen.made mild degenerative changes in the lumbar spine
data/train/audio_02842.wav,"no acute infarct or bleed is seen. no focal sol is seen. midline septa not shifted. no evidence of brain herniation. no evidence of extra-axial collection is seen. intracranial arteries and venous sinuses: flow voids of the major vessels viz; intracranial ica,"
data/train/audio_01372.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/train/audio_01804.wav,"no paraaortic lymphadenopathy is seen. the adrenal gland is normal in size, shape and density bilaterally. the diaphragmatic crura are also normal. the bowel loops are normal in calibre and distribution. no obvious mural thickening is seen. no extraluminal gas is seen."
data/train/audio_02730.wav,"1# liver: measures 17.2 cm, appears mildly enlarged in size and shows raised parenchymal echogenicity. there is no evidence of solid or cystic lesion. there is no intra or extra hepatic biliary radicle dilatation. portal vein: normal."
data/train/audio_02541.wav,"multiple calculi noted in gallbladder, largest measuring 14 mm in size. the liver appears enlarged measuring 16.3 cm. the pancreas appears normal. spleen appears enlarged measuring 12 cm. kidneys appear normal. : cholelithiasis without choledocholithiasis. mild hepatosplenomegaly."
data/train/audio_04818.wav,"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: appear normal in size, contour and density. main pancreatic duct is not dilated. no evidence of calculus / calcification. both adrenal glands: appear normal in size, shape and density."
data/train/audio_02855.wav,a 4.6 mm sized hyperdense calculus noted in the lumen of gallbladder. another 2 mm sized hyperdense calculus noted in the neck region of gallbladder. no obvious signs of cholecystitis. small hiatus hernia noted.
data/train/audio_01248.wav,associated with extracapsular extension (ece). neurovascular bundles: left neurovascular bundle: thickened and infiltrated. right neurovascular bundle: appears unremarkable. seminal vesicles:
data/train/audio_03110.wav,extra-axial space & basal cisterns : normal in size and morphology for the age. cerebellum : normal. brainstem : normal paranasal sinuses & mastoid air cells : minimal mucosal thickening noted in right maxillary sinus.
data/train/audio_04787.wav,l4-l5: mild disc bulge causing indentation of ventral thecal sac. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_00801.wav,"undisplaced fracture at the base of the fourth metacarpal bone, without significant displacement. remaining visualized carpal bones appear intact. radiocarpal alignment is maintained. no obvious intra-articular loose fragments seen. soft tissue swelling noted around the wrist. impression:"
data/train/audio_05348.wav,"vertebral bodies and marrow there is t2/stir hyperintense marrow signal alteration involving the vertebral bodies of d9, d10, d11, d12, l1 and l2, suggestive of inflammatory marrow edema. at the d11-d12 level, there is t2/stir hyperintense signal involving the inferior endplate of d11"
data/train/audio_03057.wav,"major pulmonary artery, right pulmonary artery and left pulmonary artery show no abnormality. others: visualized vertebrae, sternum and ribs appear normal. soft tissues and muscles of chest wall are normal. left lung lower lobe posterior basal segment few subpleural atelectasis bands, likely lung contusion. differential diagnosis na recommendation suggested clinical correlation. ct study of abdomen & pelvis plain liver: appears normal in size and contour. the hepatic parenchyma displays homogenous attenuation pattern with no evident focal lesions. there is no dilatation of intra hepatic biliary / portal radicles. the porta hepatis appears normal. portal vein and bile duct appear normal in calibre. perihepatic spaces appears normal. gall bladder: gall bladder appears normal distended with normal wall thickness and intra luminal contents. spleen: appears normal in size and configuration. its parenchyma displays homogenous attenuation pattern. no evident focal lesions. perisplenic spaces appear normal. pancreas: appears normal in size configuration. its parenchyma displays homogenous attenuation pattern. no evident focal lesion. there is no dilatation of mpd. no evident parenchymal calcification or ductal calculi. no evidence of peripancreatic collections noted. adrenal: both adrenal glands display normal size and configuration. kidneys: b/l kidneys appear normal in size with smooth and regular contour. the renal parenchyma displays normal attenuation pattern with normal parenchymal thickness. the renal sinus appears within normal limits, with no evident pelvicalyceal dilation. the peri-renal and para-renal spaces appear normal. no evident retroperitoneal lymphadenopathy. no evidence of generalized ascites or loculated fluid collections. bowel loops: stomach, duodenum and bowel loops are normally oriented and show normal wall thickness. the small bowel mesentry appear within normal limits. visualized large bowel segment also appear within normal limits. pelvis: the urinary bladder appears normal in wall thickness. prostate is normal in size. there is no evident fluid collection in the pelvic peritoneal spaces. the abdominal wall: musculature appears within normal limits. the bony skeleton: in the scanned region appears within normal limits. : normal study of the abdomen & pelvis. ct scan of the whole spine cervical spine: normal curvature of the cervical spine noted. the normal vertebral alignment is maintained. the vertebrae show normal marrow with no focal lesions. the cervical cord, cvj and the cervico-medullary junctions are normal. pre and para vertebral soft tissues are normal. dorsal spine: normal curvature of the dorsal spine noted. the vertebrae show normal marrow with no focal lesions. the dorsal intervertebral discs are normal with no significant bulging or herniation noted. the dorsal cord appears normal. pre and para vertebral soft tissues are normal. lumbar spine normal curvature of the lumbar spine noted. the vertebrae show normal alignment and marrow. no vertebral focal lesions seen. the conus, the filum terminale and the roots of the cauda equine are normal. the pre and paravertebral soft tissues are normal. recommendation suggested clinical correlation."
data/train/audio_03688.wav,peritoneum: minimal interbowel free fluid. no significant lymphadenopathy. thorax (visualized bases): dependent atelectatic changes in lung bases. no pleural effusion.
data/train/audio_01011.wav,ureters: clumps of calculi noted in the left upper ureter measuring approximately 2.7 cm in length and 9 mm in thickness with attenuation of ~1500 hu. right ureter is unremarkable on provided details. urinary bladder:
data/train/audio_05518.wav,"no significant intracranial abnormality detected. well defined soft tissue density lesions in the subgaleal plane of bilateral parietal regions as mentioned above suggestive of benign etiology, like sebaceous cysts/pilar cysts. 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/train/audio_01480.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/train/audio_04403.wav,"soft tissues and muscles of chest wall are normal. diffuse bilateral centrilobular and paraseptal emphysematous changes with air trapping and hyperinflation changes, consistent with copd/emphysematous lung disease."
data/train/audio_03392.wav,"observation: disc desiccation noted at multiple cervical levels. loss of cervical lordosis. 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/train/audio_03479.wav,"distal ileal loop in the ileocecal region; the visualized distal ileum and cecum appear intact without evidence of contrast extravasation or active enteric leak, and no extraluminal air foci or pneumoperitoneum are identified. there is no localized intra-abdominal collection or abscess formation"
data/train/audio_01725.wav,"the lateral collateral ligament shows features of a chronic low-grade partial thickness tear with fibrosis. minimal joint effusion is present. on ct screening, there is loss of normal alignment, with the medial femoral epicondyle seen medial to the medial tibial plateau, suggestive of prior dislocation or malalignment."
data/train/audio_01131.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. the internal auditory meati are unremarkable."
data/train/audio_01781.wav,multiple peridiscal osteophytes noted in lumbar vertebrae. grade i retrolisthesis of l3 in relation to l4 vertebra. 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.
data/train/audio_00685.wav,"largest measuring approximately 5 mm causing maximum of 90% luminal compromise. it gives rise to om1, om2 and terminates av groove. right coronary artery: the right coronary artery is dominant. multiple eccentric calcified plaques noted in the proximal and mid segment of right coronary artery"
data/train/audio_03774.wav,"multiple intraparenchymal haemorrhagic contusions noted in bilateral frontal and temporal lobes. cerebellum and brainstem are normal in attenuation pattern. cerebellar folia are normal. bone, scalp and sinuses: linear undisplaced fracture noted in left occipital bone."
data/train/audio_02020.wav,"x ray: cervical spine (ap / lat views) anterior and posterior marginal osteophytes are seen at few levels. cervical curvature is maintained. cv junction is normally visualized. all the vertebrae are normal in size, shape, outline and density."
data/train/audio_05509.wav,both ureters are normal in course and caliber. loaded colon noted. mild circumferential thickening noted in lower rectum with maximum wall thickness measures 6-7 mm. thickened gerota's fascia on right side. mild mesenteric and retroperitoneal haziness is seen. no evidence of enlarged abdominal lymphadenopathy. urinary bladder is empty with foley's bulb in-situ.
data/train/audio_04049.wav,"liver: measures 15.9 cm, appears mildly enlarged in size and shows raised parenchymal echogenicity. there is no intra or extra hepatic biliary radicle dilatation. a 5.3 x 7.6 mm sized cyst seen in the left lobe of liver."
data/train/audio_01102.wav,there is increase in number of enhancing metastatic lesions. the dominant left parietal lesion appears increased in size with surrounding oedema. additional new metastatic deposits are identified overall imaging findings suggest interval disease progression.
data/train/audio_03762.wav,findings: minimal displaced fracture noted in distal end of radius and ulnar styloid process with adjacent soft tissue swelling. minimal joint effusion noted. carpal bones and proximal metacarpals appear normal. no evidence of any lytic or sclerotic lesion is seen. no evidence of any surrounding abscess or collection is seen. comments:
data/train/audio_04302.wav,"left kidney appears contracted measuring approximately 6.7 x 2.9 cm with reduced renal parenchymal volume, suggestive of chronic renal parenchymal disease. no hydronephrosis noted. urinary bladder appears partially filled. foley catheter is noted in situ."
data/train/audio_04751.wav,osteoporotic vertebrae. acute traumatic /osteoporotic wedge compression fracture involving l1 vertebral body with loss of vertebral height by about 20%-30% with associated marrow edema and slight retropulsion of posteroinferior cortex indenting thecal sac.
data/train/audio_04173.wav,the lunate bone is collapsed and displays low signal intensity in t1 sequences with few pd hyperintense focal areas noted. pdfs hyperintensity noted in ulnar attachment of triangular fibro cartilaginous complex. t2 hyperintense fluid signal lesion measuring 18 mm x 11 mm noted in palmar aspect at the level of ulnar styloid process.
data/train/audio_02135.wav,"shows partial infiltration into the right hepatic vein and posterior division of the right portal vein. the main portal vein remains patent. these hepatic lesions are suggestive of metastases. the pancreas is normal in size with mild atrophy, without focal lesion or pancreatic duct dilatation. both adrenal glands and spleen are normal."
data/train/audio_02343.wav,ct facial bones (plain + contrast) technique: ct scan of facial bones was done with administration of contrast. clinical profile: history of trauma. findings:
data/train/audio_02981.wav,"normal cervical lordosis is maintained. no evidence of vertebral body compression fracture or traumatic listhesis is seen. posterior elements including pedicles, laminae, lateral masses, transverse processes and spinous processes appear intact."
data/train/audio_04499.wav,"few ground glass opacities in apical and posterior segments of right upper, superior segment of right lower lobe- ?aspiration induced. recommendation suggested clinical correlation."
data/train/audio_04289.wav,imprerssion: small area of extravasation of contrast from the penile urethra likely suggestive of urethral injury.
data/train/audio_04255.wav,"mri: cervical spine cervical spinal curvature is reduced. disc desiccation changes are seen at multiple levels. vertebral bodies and intervertebral discs are showing normal morphology, signal intensity, height and outline."
data/train/audio_01196.wav,minimal glenohumeral joint effusion. tiny subchondral cystic changes in the humeral head. mild acromioclavicular joint arthrosis. intact rotator cuff and labrum with no evidence of tear.
data/train/audio_04622.wav,": mild to moderate amount of pneumoperitoneum noted. mild to moderate amount of free fluid with multiple air foci noted likely faecal matter. generalised anasarca noted. the right kidney normal in size and measures approximately 9.8 x 5.3 cms. right kidney is normal in shape and position. no hydronephrosis,"
data/train/audio_04911.wav,mild to moderate irregular narrowing in p2 cavernous segment of left internal carotid artery. hypoplastic a1 segment of left anterior cerebral artery. near complete occlusion of distal basilar artery.
data/train/audio_05633.wav,: hypodensity in the left temporal lobe. recommendation- mri brain for further evaluation. suggested clinical correlation.
data/train/audio_04694.wav,findings: curvature: loss of lumbar lordosis with straightening of spine. vertebral body: multiple peridiscal osteophytes. grade i anterolistheis of l4 over l5 vertebra noted. there are defects in bilateral l4 pars interarticularis with hypertrophic callus at the site of defect -
data/train/audio_02271.wav,liver and gallbladder 3.2 x 2.6 cm heterogeneously hypoenhancing lesion in the left lobe of liver - suspicious for metastasis. small focal asymmetrical enhancing lesion (7.4 mm) in the fundus of gallbladder - indeterminate. abdominal lymph nodes few small enhancing lymph nodes are seen in:
data/train/audio_00368.wav,bilateral renal calculi obstructive left mid ureteric calculus causing mild hydroureteronephrosis left renal aml left complex (bosniak type ii) and left simple (bosniak type i) renal cortical cysts differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_04078.wav,no evidence of abdominal lymphadenopathy. no evidence of free fluid in abdomen and pleural space. conclusion: no significant abnormality detected in upper abdominal study.
data/train/audio_00424.wav,"there are degenerative changes in the cervical spine, in the form of reduced intervertebral disc height at multiple levels along with ossification of the anterior longitudinal ligament (oall)."
data/train/audio_02099.wav,"diffuse subcutaneous oedema noted in ankle joint. fracture noted in base of third metatarsal bone. non-united fracture noted in body of calcaneum. multiple small bony fragmentation noted in ankle and subtalar joint. post orthopaedic implant removal status noted in distal tibia, distal fibula, talus and calcaneum."
data/train/audio_02273.wav,"small hiatus hernia noted. cardiovascular findings mild to moderate cardiomegaly. atherosclerotic wall calcifications noted in the aorta and its branches. lower thoracic and abdominal aorta mildly ectatic. 1. large conglomerate mediastinal lymph nodal masses involving prevascular, pretracheal, paratracheal"
data/train/audio_05439.wav,"sagittal t2 weighted screening of dorsal spine reveals loss of dorsal curvature seen. few schmorls nodes are seen. mild changes of spondylolysis are seen. posterior protrusion are seen at t4-5 level, indenting the anterior subarachnoid space."
data/train/audio_01839.wav,lad is type iii. proximal lad: long segment eccentric soft plaque causing maximum 50%-60% luminal narrowing (moderate stenosis). mid lad: eccentric mixed plaque causing 60%-70% luminal narrowing (
data/train/audio_04018.wav,"anteriorly, lesion compressing the posterior wall of urinary bladder with loss of fat plane. anteriorly, lesion causing compression over uterus and cervix and shows loss of fat plane with posterior wall of uterus. posteriorly, lesion causing compression over rectum with preserved fat plane."
data/train/audio_05319.wav,"the cervical cord, cvj and the cervico-medullary junctions are normal. pre and para vertebral soft tissues are normal. dorsal spine: normal curvature and vertebral alignment is maintained. d7 upper endplate mild scalloping noted. the vertebrae show normal marrow signal with no focal lesions."
data/train/audio_05605.wav,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. mild to moderate knee joint and suprapatellar bursal effusion is noted.
data/train/audio_00419.wav,terminal ileum and ic junction appear normal. soft tissue in right iliac fossa appears unremarkable. stomach is distended with normal gastric wall thickness and enhancement. c-loop of the duodenum is defined. contrast filled small and large bowel loops appear normal in calibre.
data/train/audio_01105.wav,"bilateral pleural effusion( right more than left) with basal atelectasis - features suggestive of active infective changes differential diagnosis na recommendation suggested clinical correlation, hematological evaluation & pleural fluid analysis."
data/train/audio_01822.wav,"visualized vertebrae, sternum and ribs appear normal. soft tissues and muscles of chest wall are normal. mosaic attenuation with areas of air trapping noted in bilateral upper and lower lobe segments - possibility of small airway disease for clinical correlation differential diagnosis na recommendation suggested clinical correlation."
data/train/audio_03133.wav,both domes of diaphragm are normally placed. undisplaced fracture in lateral aspect of left 9th and 10th ribs. no soft tissue abnormality seen. undisplaced fracture in lateral aspect of left 9th and 10th ribs. recommendation suggested clinical correlation.
data/train/audio_03317.wav,the cardiac silhoutte is normal. cardiothoracic ratio is normal. bones of the thoracic cage are normal. soft tissues of the chest wall are normal. : prominent bronchovascular markings
data/train/audio_00375.wav,subcutaneous soft tissues: mild subcutaneous edema noted in the leg. no subcutaneous gas or focal drainable collection is identified on this non-contrast study. neurovascular/arteries: minimal atherosclerotic calcified plaques noted in the proximal third of the anterior tibial artery.
data/train/audio_04798.wav,signal intensity. bilateral maxillary and ethmoidal sinusitis. rest of paranasal sinuses are normal. fluid densities involving bilateral mastoid air cells suggestive of mastoiditis. : few chronic lacunar infarcts involving right thalamus. mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-parietal and periventricular white matter.
data/train/audio_04693.wav,causing indentation over right traversing s1 and exiting l5 nerve roots.
data/train/audio_04729.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.
data/train/audio_04180.wav,"additionally, there are multiple scattered t2/flair hyperintensities in the bilateral periventricular white matter, non-specific in appearance. no significant mass effect or midline shift is noted. no abnormal leptomeningeal or pachymeningeal enhancement seen (if contrast given)."
data/train/audio_02597.wav,ct cervical spine clinical details: neck pain and tingling sensation. technique: non-contrast ct scan of the cervical spine with multiplanar reformats. findings: alignment: normal cervical alignment. no listhesis.
data/train/audio_02739.wav,"hyoid bone and laryngeal cartilages i.e. thyroid, cricoid and arytenoid appear normal."
data/train/audio_01098.wav,": multiple heterogeneous enhancing intra-axial lesions of varying sizes are noted in bilateral cerebral hemispheres and posterior fossa. the largest lesion is seen in the left parietal lobe, measuring approximately 1.6 x 2.3 x 2.2 cm, showing heterogeneous contrast enhancement with surrounding perilesional vasogenic oedema."
data/train/audio_04214.wav,miscellaneous: * soft tissues are unremarkable. * visualized vertebrae show no fracture or dislocation. undisplaced fracture noted in bilateral nasal bones. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_04387.wav,predominantly involving the posterior aspect. a well defined altered signal intensity collection noted involving the subcutaneous plane of lower leg region on posteromedial aspect. it measures approximately 11 x 32 x 39 mm (tr x ap x cc) (approximate volume 7 cc).
data/train/audio_04511.wav,fracture of right frontal bone. fracture of anterior and posterior wall of right maxillary sinus. soft tissue swelling at right frontal region.
data/train/audio_02909.wav,"impression: gross ascites with encapsulated clustering of bowel loops (abdominal cocoon appearance). associated mesenteric lymphadenopathy. findings are highly suggestive of infective etiology, with abdominal tuberculosis being the most likely diagnosis in the given clinical context."
data/train/audio_05206.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. no abnormal parenchymal / meningeal enhancement seen."
data/train/audio_00352.wav,"large staghorn calculus in the left renal pelvis measuring ~3.1 x 2.8 cm, with associated pelvicalyceal system dilatation and delayed excretion, suggestive of obstructive uropathy. right kidney and ureter - normal. recommendations: ct kub"
data/train/audio_05479.wav,no significant mediastinal adenopathy is observed. heart and major vessels: heart outline and size appears normal. others: degenerative changes involving the visualised spine in the form of marginal osteophytes. sternum and ribs appear normal. soft tissues and muscles of chest wall are normal. diffuse hypoattenuation of liver parenchyma noted.
data/train/audio_02400.wav,bilateral ueretes are normal and shows normal contrast excreation. a well-defined simple cortical cyst (~3 x 2 x 1 cm) noted in the interpolar region. no hydronephrosis or calculi. adrenals: bilateral adrenal glands appears normal.
data/train/audio_00761.wav,bulky uterus with soft tissue density lesion measuring approximately 5.8 x 4.3 cm noted in the region of fundus- possibly fibroid. hypodense lesion measuring 18 x 20 mm noted in cervix - ?nabothian cyst.
data/train/audio_01769.wav,"comminuted displaced fracture is noted involving the distal humerus with fracture lines extending through the medial epicondyle, lateral humeral epicondylar region, trochlea, and capitellum. multiple displaced fracture fragments are seen. there is intra-articular extension of the fracture with involvement of the elbow joint articular surface."
data/train/audio_01538.wav,"kidneys: normal. lower cord, cauda-equina: cord ends at l1 level. s.i. joints: normal. :"
data/train/audio_04903.wav,"there is no shift of midline structures the paranasal sinuses, orbits and calvarium appear unremarkable. mr angiography - mild to moderate irregular narrowing of p2 cavernous segment of left internal carotid artery is seen."
data/train/audio_04257.wav,"cord csf interface is normally visualized. no significant compression over thecal sac, spinal cord or nerve roots is observed. no intramedullary or intra/extradural pathology is seen. no evidence of any osseous or soft tissue anomaly at cranio-vertebral junction."
data/train/audio_02893.wav,"vertebral bodies the vertebral bodies and posterior elements are normal. there is no fracture or destructive lesion. disk spaces reduction in intervertebral disc height noted at l4-l5 and l5-s1 levels. spinal canal appears normal. alignment loss of lumbar lordosis. no kyphosis, scoliosis"
data/train/audio_01846.wav,:- hrct chest technique: high-resolution computed tomography (hrct) of the chest performed with thin-section axial images and multiplanar reconstructions. findings:
data/train/audio_03926.wav,impression - 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/train/audio_02598.wav,prevertebral / paraspinal soft tissues: no prevertebral soft tissue swelling. no focal paraspinal collection. craniovertebral junction: appears intact. visualized lung apices: no acute abnormality in the visualized apices.
data/train/audio_04457.wav,main pancreatic duct entering in the cyst cavity. dorsal pancreatic duct appear slightly more prominent than the ventral duct. communication between dorsal and ventral duct is maintained. no evidence of pancreatic divisum. minimal peripancreatic fat stranding are noted. no obvious evidence of peripancreatic fluid collection at present. liver and spleen
data/train/audio_02942.wav,* small perihepatic collection along segments vi-vii.
data/train/audio_02440.wav,bilateral mild ethmoid sinusitis. rest of the visualized paranasal sinuses are unremarkable. skull bones appear normal. no e/o any fracture noted impression: few chronic lacunar infarcts involving bilateral ganglio-capsular regions. mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-parietal and periventricular white matter.
data/train/audio_02515.wav,bilateral hilar prominence likely congestion. suggested clinical correlation.
data/train/audio_04443.wav,"imaging features are suggestive of a fibrous soft tissue lesion, possibility of plantar fibromatosis (deep/aggressive type) to be considered. no evidence of adjacent osseous erosion or marrow involvement. histopathological correlation is recommended for definitive diagnosis."
data/train/audio_00312.wav,features are consistent with ehpvo and resultant cavernoma formation. prominent bilateral right and left intrahepatic biliary radicals and common hepatic duct secondary to portal cavernoma formation as described represent changes of early portal biliopathy.
data/train/audio_00951.wav,"the main pulmonary trunk, right and left pulmonary arteries with the ascending and descending branches are normal. measurements main pulmonary trunk: (26) mm right pulmonary trunk: ( 16.6 ) mm left pulmonary trunk: ( 14.6) mm."
data/train/audio_01791.wav,diffuse urinary bladder wall thickening suggestive of cystitis. small physiological right ovarian cyst/follicle with mild pelvic free fluid. moderate colonic fecal loading. rest of abdominal organs appear unremarkable.
data/train/audio_00401.wav,visualized part of orbits is unremarkable. overlying scalp is normal. visualized paranasal sinuses are normal. : no significant acute abnormality is seen.
data/train/audio_00220.wav,keros type 2 olfactory fossa is seen. uncinate process: attached to lamina papyracea. optic nerve canal: type ii. sinuses: bilateral ostiomeatal units are blocked. pneumatisation of the lateral masses of the sphenoid is seen on both sides with partial dehiscence of bilateral vidian nerve. rest of the both orbits appear grossly normal.
data/train/audio_04790.wav,: blunting of left costophrenic angle suggestive of pleural effusion. rest of the lung fields appear clear. the cardiac shadow is within normal limits of size and shape. the aorta shows normal radiological features. both domes of diaphragm are normal in shape and outline. right cardiophrenic and costophrenic angles are clear. tracheal lucency is central.
data/train/audio_00322.wav,no high-grade disc extrusion identified on ct. 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.
data/train/audio_04228.wav,"impression:- near complete acl tear near femoral attachment. high signal of the fibular attachment of lateral collateral ligament, popliteofibular and lateral meniscocapsular fibers s/o sprain horizontal and vertical tear of posterior horn of medial meniscus."
data/train/audio_01359.wav,"no evidence of invasion into the myometrium. junctional zone: normal in thickness and signal intensity. cervix: normal in size, morphology, and signal intensity. ovaries:"
data/train/audio_02215.wav,prominence of ventricles and cortical sulci suggestive of age-related cerebral atrophy with mild ventricular dilatation. periventricular and deep white matter hypodensities are noted consistent with chronic small vessel ischemic changes. extracalvarial soft tissue swelling with fat stranding is seen over right frontal scalp.
data/train/audio_01594.wav,"l2-l3: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. l3-l4: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing."
data/train/audio_03788.wav,s/o chronic ischemic changes. rest of 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. no congenital mal formation noted.
data/train/audio_00985.wav,"bones extra-articular fracture of distal radius. rest of bones of forearm show normal mineralization. no fracture, sclerosis or erosion present. joints wrist and elbow joints are normal. joint spaces are normal. no signs of osteoarthritis is appreciated. no evidence of dislocation or subluxation seen."
data/train/audio_04679.wav,lateral meniscus appears normal in configuration and signal intensity. no evidence of tear noted. muscles: popliteal muscle and tendon appear normal. the quadriceps tendon and ligamentum patellae reveals mild sprain. the hoffa`s fat pad reveals edema.
data/train/audio_03263.wav,"both adrenal glands: appear normal in size, shape and density. no evidence of mass lesion. right kidney: appears normal in shape, position and density. pelvicalyceal system is not dilated. no evidence of calculus. renal sinus appears normal. perirenal and pararenal spaces appear normal. gerota's fascia appears normal."
data/train/audio_03489.wav,collateral ligaments: mild sprain involving the medial collateral ligament. no evidence of tear. lateral collateral ligament appears normal. no evidence of laxity or tear. medial patello-femoral ligament appears intact. no evidence of laxity or tear. medial and lateral patellar retinaculum appear intact. no evidence of laxity or tear.
data/train/audio_00316.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.
data/train/audio_03943.wav,left facetal protrusion at l5-s1 level.
data/train/audio_05373.wav,subscapularis tendinosis. mild acromio-clavicular joint arthrosis. minimal joint effusion. t2 hyperintense signal alteration with thickening noted in inferior gleno-humeral ligament with maximum thickness of 7 mm. the glenohumeral joint appears normal.
data/train/audio_05556.wav,"cannot be commented upon. impression suboptimal ncct head study due to excessive patient motion, causing significant image degradation. hemorrhagic lesion in the peripheral right temporal region measuring approximately 25 x 20 mm, likely representing hemorrhagic contusion / intracerebral hemorrhage"
data/train/audio_04373.wav,minimally displaced fractures involving lateral and posterior walls of sphenoid sinus with resultant sphenoid haemosinus. the brain parenchyma is normal in attenuation. basal ganglia and thalami are normal. the posterior fossa structures are normal. no evidence of infarct / sol. sella and parasellar structures appear grossly unremarkable. rest of the visualized paranasal sinuses are unremarkable.
data/train/audio_02856.wav,basal cisterns and ventricular system is noted s/o cerebral atrophy rest of the brain parenchyma is normal in attenuation. rest of the basal ganglia and thalami are normal. the posterior fossa structures are normal. no evidence of sol. no intra axial collection is seen. no midline shift is seen.
data/train/audio_01289.wav,mild to moderate colonic fecal loading suggestive of constipation. bulky uterus and cervix. no acute intra-abdominal pathology. degenerative changes in visualized spine. few fibrotic atelectatic bands in right middle lobe. recommend clinical correlation and ultrasound pelvis for further evaluation of bulky uterus and cervix.
data/train/audio_02841.wav,rest of the cerebral hemispheres are normal in signal intensity and grey and white interface is well maintained. rest of grey and white matter differentiation is maintained. basal ganglia and thalamus appear normal. bilateral insular cortex and sylvian fissures appear normal. no congenital mal formation noted.
data/train/audio_00135.wav,a well defined t2 iso to hyperintense cystic area seen in the left ovary without any post-contrast internal enhancement or solid enhancing nodule with thin peripheral wall and non-enhancing thin mesh like internal septae likely to represent hemorrhagic cyst rather than any other lesion.
data/train/audio_02696.wav,mild sclerosis of mastoid air cells no evidence of any obvious sclerosis seen. no soft tissue swelling seen. no obvious lytic lesion is appreciated. tm joints shows preserved articulation. mild sclerosis of mastoid air cells recommendation suggested clinical correlation.
data/train/audio_04986.wav,"findings uterus the uterus is anteverted and anteflexed, measuring 6.9 x 3.9 x 5.2 cm. there is asymmetric thickening of the posterior myometrial wall (~3 cm) compared to the anterior wall (~1 cm). the junctional zone appears diffusely thickened with loss of the normal interface"
data/train/audio_05442.wav,"both orbits: eyeballs, optic nerves, orbital fat and extraocular muscles appear normal. paranasal sinuses: ethmoid and sphenoidal aircells appear normal. lamina papyracea and cribriform plate appear normal. posterior fossa: medulla oblongata, pons and midbrain appear normal."
data/train/audio_02879.wav,"cect angiography pelvis clinical history technique contrast enhanced angiogram of the pelvis was performed on mdct scanner. the post processing techniques of multiplanar reformats, mip and vr were employed."
data/train/audio_00191.wav,findings: there is a clump of flow void areas are noted in left cerebellar hemisphere. size measures approximately 3.9 x 3.5 cm. prominent vascular channel noted in right cerebellar hemisphere. two tiny old petechial haemorrhages are noted in bilateral frontal lobes.
data/train/audio_04737.wav,"no abnormality is detected in the prevertebral region. the vascular structures appear normal. spinal canal measurements are within normal limits. incidental note is made of well-defined t2 hyperintense cyst seen in right adnexa. please correlate clinically and further evaluated may be done, as clinically indicated."
data/train/audio_01948.wav,these are suggestive of chronic lacunar infarcts. mild chronic periventricular changes are seen. appearance and intensity of rest of the brain parenchyma is normal. the ventricles and cisterns appear normal. there is no shift of the midline structures. no mass lesion is detected. the intracranial vessels display normal flow void. the orbits and calvarium appear unremarkable.
data/train/audio_02322.wav,joint: elbow joint alignment is maintained. articular cartilage appears preserved. no joint effusion or intra-articular loose bodies are seen. no synovial thickening.
data/train/audio_00866.wav,there is a mild displaced fracture through the distal radial epiphysis and styloid process region with intra articular exetsion. soft tissue swelling is seen at wrist. conclusion: mild displaced fracture through the distal radial epiphysis and styloid process region with intra articular extension.
data/train/audio_05519.wav,a well defined iso to hyperdense lesion noted in the subgaleal plane of parietal region in left paramedian location. it measures approximately 19 x 18 x 21 mm (tr x ap x cc). few focal calcifications noted within the lesion. underlying bony cortex appears unremarkable.
data/train/audio_04479.wav,"no evidence of distension of capsule, periarticular collection or abscess formation noted. comments: mild displaced comminuted fracture noted in head and anatomical neck of humerus. mild joint effusion noted."
data/train/audio_03170.wav,"the intrinsic muscles of the foot (dorsal and plantar interossei) show pdfs hyperintense signal alteration, suggestive of muscle strain / edema. no focal ligamentous disruption is identified on the current study (limited evaluation depending on field of view)."
data/train/audio_03237.wav,in the left ganglio-capsular region extending to superficial temporal lobe and corona radiata with mild perilesional edema. mild midline shift to the right by 3-4 mm. chronic infarct involving right temporal lobe. 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/train/audio_04193.wav,"small loculated area of hyperintensity measuring about 5 x 5 mm is seen within the medullary cavity, this may represent small abscess or marrow edema. associated periosteal thickening is seen posteriorly and posterolaterally in midshaft region. subtle cortical breach is seen posteriorly in upper shaft region."
data/train/audio_04327.wav,laryngeal framework and vocal cords appear unremarkable. infraglottic region appears normal. parotid and submandibular glands appear normal. thyroid gland appears unremarkable. major cervical vascular flow voids are maintained.
data/train/audio_02642.wav,no soft tissue abnormality seen. : no abnormality seen.
data/train/audio_04515.wav,"is noted occupying predominantly the right hypochondrial region, extending inferiorly into the abdomen and pelvis. the lesion shows heterogeneous enhancement of internal solid components. few internal calcifications are noted. inferiorly: compression over urinary bladder and uterus"
data/train/audio_03904.wav,"foci likely representing hemosiderin deposition. a post-surgical defect in the right frontal bone is also noted, in keeping with prior craniotomy. there is mild surrounding gliosis without significant mass effect or midline shift. no diffusion restriction is seen."
data/train/audio_03677.wav,it does not show any diffusion restriction. there is blooming noted on gre sequence . moderate perilesional edema is seen. the ventricles and cisterns appear normal. there is no shift of midline structures. the intracranial vessels display normal flow void.
data/train/audio_00039.wav,soft tissues and muscles of chest wall are normal. small hiatus hernia noted. small calcified opacities measuring approximately 11 x 9 mm noted in the visualised upper anterior mesentery - ? calcified lymph node. tiny microlith in visualised left kidney. bilateral mild perinephric fat stranding noted.
data/train/audio_02609.wav,"3. diffuse bulge of l3-4 disc, without any significant central canal or neural foraminal narrowing. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. bilateral facetal effusion seen at this level. 4. mild facetal arthropathy is detected at l2-3 level. 5. the vertebral marrow appears hypointense on t1"
data/train/audio_04455.wav,"distortion of the uterine contour. the imaging appearance is suggestive of an accessory cavitated uterine mass (acum), representing a non-communicating accessory uterine cavity lined by functional endometrium within the myometrium. both ovaries are normal in size and morphology. the right ovary"
data/train/audio_02967.wav,cect head clinical history- right side body weakness technique axial sections of the brain were obtained from the base of the skull to the vertex after administration of intravenous contrast on a ct scanner. no immediate adverse contrast reaction seen.
data/train/audio_03076.wav,region with size and morphological features as mentioned. right adrenal gland not seen separately from the lesion. possibility of neoplastic aetiology - ? right adrenal lesion / retroperitoneal lesion. advice: contrast study for better evaluation. cholelithiasis without cholecystitis.
data/train/audio_05573.wav,findings: agatston score: the total (aggregate) calcium score using the aj-130 method is 15 lm = zero. lad = zero lcx = 15. rca = zero. coronary artery angiogram findings: dominance of the coronary artery system: right dominant circulation.
data/train/audio_03684.wav,"pancreas: normal in size, attenuation, and enhancement. main pancreatic duct not dilated. spleen: normal in size, attenuation, and enhancement. no focal lesions."
data/train/audio_05524.wav,cortical cyst in the right kidney measuring 10 x 10 mm (mid-pole). no hydronephrosis. bowel: no gross abnormality identified on this study. vasculature: no gross aneurysm or major vascular abnormality identified on this non-angiographic study.
data/train/audio_02662.wav,in bilateral periventricular regions -- s/o chronic small vessel ischemic changes. few ill defined t2/ flair hyperintensities are seen in bilateral gcr regions -- s/o old lacunar infarcts. sulci and ventricle are mildly prominent. ----- suggested clinical correlation and follow up
data/train/audio_03217.wav,fibrocalcific changes with traction bronchiectasis: predominantly involving bilateral lower lobes also noted in apical segments of bilateral upper lobes pleura & chest wall no pleural effusion no definite rib destruction scalloping of the underlying posterior aspect of the left 6th rib adjacent to the lesion noted (
data/train/audio_00331.wav,this is highly concerning for endometriotic deposit. it also involves part of canal of nuck. no significant lymphadenopathy or ascites.
data/train/audio_02802.wav,lungs: abnormal airspace opacification/ggos in a segmental distribution involves the posterior segment of the bilateral upper lung lobe as well as the posterior and superior segments of the right lower lung lobe coalescing into consolidation in dependant segment of rul. airway and hilum:
data/train/audio_03000.wav,mild surrounding perilesional edema is noted. associated mass effect is seen in the form of: effacement of adjacent cortical sulci. compression and displacement of the left lateral ventricle. midline shift toward the right side measuring approximately 6.5 mm.
data/train/audio_00926.wav,"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. the gray white differentiation is maintained. the basal ganglia,"
data/train/audio_00997.wav,c5-c6 partial block vertebra. dorsal spine no significant abnormality detected in thoracic spine l3-l4 spondylodiscitis with paravertebral and bilateral psoas abscess formation - persistent. interval changes:
data/train/audio_02315.wav,"straightening of cervical spine. no atlantoaxial dislocation is seen. the cervical cord is normal in course, caliber and signal intensity. no abnormal pre or paravertebral soft tissue is seen. no bony or soft tissue spinal canal stenosis is noted. level by level analysis:"
data/train/audio_01881.wav,joints joint spaces are normal. no signs of osteoarthritis is appreciated. soft tissue periarticular soft tissues are normal. no significant abnormality noted.
data/train/audio_04137.wav,rest of soft tissues appear normal. opinion: displaced fracture involving the lateral margin of base of patella. mild soft tissue edema around knee joint.
data/train/audio_05257.wav,superior end plate wedge compression fracture of l4 vertebra. no retropulsed bone fragments
data/train/audio_02976.wav,no intra axial collection is seen. no midline shift is seen. sella and parasellar structures appear grossly unremarkable. deviated nasal septum to the right with bony spur. bilateral mild maxillary and ethmoid sinusitis. rest of the visualized paranasal sinuses are unremarkable. skull bones appear normal. no e/o any fracture noted
data/train/audio_01095.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 multiple lytic lesions involving the bilateral iliac bones and lower lumbar vertebrae - suspicious"
data/train/audio_04558.wav,"* focal area of fibroatelectasis and fibrobronchiectasis involving anterior segment of right upper lobe and few areas of fibroatelectasis with adjacent pleural thickening involving left upper lobe suggestive of sequelae of old infective etiology. suggested further evaluation with pet scan, histopathology and pulmonary function tests."
data/train/audio_02157.wav,"cord contusion with oedema changes. diffuse disc bulge noted at c5-c6 level causing anterior thecal sac compression, spinal canal narrowing 10 mm with bilateral neural foraminal narrowing resulting in compression of bilateral c6 exiting nerve roots. mild the posterior annular bulge noted at c4-c5 and c6-c7 levels causing anterior thecal sac indentation."
data/train/audio_00787.wav,: 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.
data/train/audio_04486.wav,"6. diffuse soft tissue edema limitations: suboptimal study due to motion artefact, limiting detailed ligamentous and cartilage evaluation."
data/train/audio_00610.wav,chronic subdural haemorrhage with maximum thickness of 3 mm noted in right frontoparietotemporal convexity. subdural haemorrhage with maximum thickness of 3 mm noted in left temporo-parietal convexity.
data/train/audio_05585.wav,omental nodularity and thickening seen- recommended usg / hpe correlation recommendation suggested clinical correlation.
data/train/audio_00395.wav,supratentorial: left frontoparietotemporal acute sdh with max. thickness of 6 mm with sulcal effacement and mildly chinked left lateral ventricle. midline shift of 4.7 mm to right. right lateral ventricle and the 3rd ventricles are normal basal ganglia and thalami are normal.
data/train/audio_00439.wav,"o no evidence of soft tissue swelling, collection, or mass lesion. o no calcification noted. impression: normal ncct appearance of bilateral sternoclavicular joints. no evidence of fracture, dislocation, degenerative, inflammatory, or infective pathology."
data/train/audio_00735.wav,"intracranial arteries and venous sinuses: flow voids of the major vessels viz; intracranial ica, basilar artery & their branches and of the venous sinuses are well seen. no evidence of aneurysm or sinus thrombosis. no arteriovenous malformation noted. calvarium and scalp:"
data/train/audio_03900.wav,"findings: there is a linear undisplaced fracture involving the right iliac wing, with the fracture line extending medially to involve the right iliac body, further propagating into the roof of the acetabulum, anterior column, and quadrilateral plate of the right acetabulum."
data/train/audio_02761.wav,"few omental collaterals noted in left lumbar and left hypochondriac region. both kidneys are normal in size, shape and position. both kidneys show prompt excretion of the contrast. no evidence of calculus or hydronephrosis. both ureters are normal in course and caliber."
data/train/audio_05317.wav,"straightening of the normal curvature of the cervical spine noted s/o paraspinal muscle spasm. the normal vertebral alignment is maintained. the vertebrae show normal marrow signal with no focal lesions. there is evidence of disc protrusions, with compression over the thecal sac and spinal cord at c3-c7 levels."
data/train/audio_00071.wav,harprit singh mri scan of pelvis plain study mri scan of pelvis has been performed using t1 and t2wt sequences in multiple planes. findings - prostate gland is mildly enlarged in size and measures 4.4 x 4 x 4.2 cm in dimension.
data/train/audio_01175.wav,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.
data/train/audio_02195.wav,prevascular region pretracheal region bilateral paratracheal regions subcarinal region paraesophageal region left hilar region largest nodal mass measures approximately 30 x 20 mm.
data/train/audio_01126.wav,focal nodular area in the anterior wall of porencephalic cyst with mild restricted diffusion and mild enhancement on post-contrast study. this is suggestive of postoperative change. spectra through the enhancing portion of the lesion reveals mild elevation of choline and presence of lipid lactate peak. this is suggestive of non-neoplastic inflammatory etiology.
data/train/audio_03828.wav,the study shows straightening of the lumbar spine due to paraspinal spasm. conus ends at the lower end plate of the l1 vertebral body. schmorl's node impressions noted in the lumbar spine. hemangioma noted in l2 vertebral body. mild degenerative changes noted in the lumbar spine in the form of anterior marginal osteophytes and mild disc desiccative changes.
data/train/audio_05685.wav,observations pelvis and hip joints: pelvic bones appear intact. bilateral hip joints are congruent with maintained joint spaces. femur: both femoral shafts appear normal in alignment without cortical irregularity. knee joints:
data/train/audio_05084.wav,suggested musculoskeletal ultrasound / mri correlation to rule out plantar fasciitis. 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/train/audio_01685.wav,likely sequelae of chronic or ongoing infective/inflammatory process. bilateral mild pleural effusion (l > r) with compressive atelectasis. pneumonia in background emphysematous lung
data/train/audio_03751.wav,prevertebral soft tissues are normal. : straightening of lumbar spine likely due to muscular spasm. suggested clinical correlation & follow up.
data/train/audio_02180.wav,"sella, parasellar structures and orbits reveal no significant abnormality. no abnormal parenchymal / meningeal enhancement seen. impression: a well defined lesion in the right cerebellum abutting the 4th ventricle showing signal drop on gre and hypointense signal on t2/flair"
data/train/audio_04191.wav,"left maxillary, bilateral ethmoidal and sphenoidal sinusitis is seen. incidentally partial empty sella status seen. cervical internal carotid, external carotid and common carotid arteries are normal bilaterally. the intracranial portions of internal carotid in both anterior and middle cerebral arteries are normal."
data/train/audio_05151.wav,soft tissue shadows and bony thorax appear to be normal. opinion: bilateral hilar prominence - ? lymphadenopathy. to rule out koch's. reticular opacities involving bilateral lung fields - likely interstitial lung abnormality. suggested hrct chest with contrast 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/train/audio_04186.wav,mr venogram is normal with no evidence of cvst possibility of postpartum angiopathy / rcvs spectrum to be ruled out differential diagnosis reversible cerebral vasoconstriction syndrome (rcvs) / postpartum angiopathy
data/train/audio_01980.wav,"the urinary bladder is distended with smooth outlines. 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. gall bladder is distended and appears normal. cbd is non dilated. pancreas appears normal in attenuation pattern."
data/train/audio_03492.wav,meniscus: medial and lateral menisci appear normal in configuration and signal intensity. no evidence of tear noted. muscles: popliteal muscle and tendon appear normal. the quadriceps tendon and ligamentum patellae appear normal. the hoffa`s fat pad reveals mild edema.
data/train/audio_02732.wav,"spleen: measures 10.8 cm, appears normal in size & echogenicity. no focal lesion seen."
data/train/audio_05258.wav,ct scan of the pelvis and both hip joints technique: helical axial sections of the pelvis in bone algorithm with coronal and sagittal reformats are obtained without contrast. : ct shows a neo-articulation between a left mega apophysis transverse and the sacral bone.
data/train/audio_04162.wav,normal appearance. no wall thickening or intraluminal lesion. no focal or diffuse airway narrowing apart from thyroid-related compression. larynx: true and false vocal cords: normal in morphology and position. no evidence of focal lesion with limitation of plain scan or vocal cord paralysis.
data/train/audio_00248.wav,impression - ct study reveals liver is enlarged in size and mild lobular capsular margins are seen. no other features of chronic liver parenchymal disease are seen. follow up is recommended. there is no focal arterial phase enhancing lesion is seen which shows washout on the venous phase images.
data/train/audio_01868.wav,":- csf spaces, sulci and fissures are maintained. basal ganglia and thalami are normal. no intra-axial or extra-axial collections seen. no e/o any ring enhancing lesions, basal exudates or abnormal meningeal enhancement noted"
data/train/audio_02072.wav,"transependymal csf seepage secondary to obstructive hydrocephalus. posteriorly, the lesion indents and compresses adjacent brainstem structures. superiorly, the lesion abuts the fornix. third and fourth ventricles: unremarkable except for upstream obstruction as described. basal ganglia, thalami and internal capsules:"
data/train/audio_05448.wav,the internal opening is located approximately 9.4 mm above the anal verge. the tract shows peripheral fibrous wall and measures approximately 1.4 cm in length and 2.6 mm in width. no associated abscess or secondary collection is seen.
data/train/audio_03861.wav,"mild anterior wedge compression deformity of the c5 vertebral body is noted. subtle stir hyperintensity is seen within the odontoid process of c2, suggestive of focal marrow edema."
data/train/audio_00619.wav,"mild facetal arthropathy and ligamentum flavum thickening are detected at this level. sagittal t2 weighted screening of cervical spine revealsposterior bulges at c3-4, c4-5 and c5-6 levels, indenting the anterior subarachnoid spaces."
data/train/audio_05226.wav,the sinus lateralison either side show no abnormality. the lamina papyracea on either side is normal. both middle turbinates exhibit normal curvature. deviation of nasal septum towards left side with bony septal spur impinging on left inferior turbinate. right inferior turbinate appears hypertrophied.
data/train/audio_02584.wav,"bilateral facetal effusion is seen at this level. l4-5 disc reveals broad based posterior protrusion, with annular tear. it indents the thecal sac, both l5 nerve roots and causes mild narrowing of the central canal and lateral recesses, bilaterally. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. bilateral facetal effusion is seen at this level. l5-s1 disc"
data/train/audio_03318.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/train/audio_05552.wav,bony thoracic cage is normal. no soft tissue abnormality seen. prominence of bronchovascular markings. haziness involving bilateral mid and lower zones suggestive of pneumonitis. recommendation suggested clinical correlation.
data/train/audio_04985.wav,with the outer myometrium. no focal fibroid or adenomyoma is seen. these findings are suggestive of adenomyosis. endometrium appears normal. it measures 4mm in thickness. cervix and vagina: appear unremarkable. right adnexa right ovary appears bulky with a tubo-ovarian complex
data/train/audio_04517.wav,"anteriorly: compression of bilateral rectus abdominis and right internal & external oblique muscles posteriorly: compression of right psoas muscle and bilateral ureters, resulting in bilateral hydroureteronephrosis posteroinferiorly: loss of fat plane with the fundus of utreus."
data/train/audio_00139.wav,"few t2 iso- to hypointense and t1 hyperintense cysts are seen within the ovary, the largest measuring 7 x 12 mm, consistent with endometriotic cysts. two additional ~3 mm endometriotic cysts are noted."
data/train/audio_02147.wav,exiting nerve root. left grade 2 neural foraminal narrowing with abutment of left exiting nerve root. l5-s1 level shows no significant neural compromise. impression: lumbosacral transitional vertebra with partial sacralization of l5 and associated right convex scoliosis.
data/train/audio_00241.wav,there is no focal enhancing lesion seen in the pancreatic parenchyma. calculus is seen in the proximal duct from the ampulla measures 1.7 cm in length and 1 cm in width another large calculus seen in the intraductal location at the head and neck region measures 2.9 cm in length and 1.3 cm in width.
data/train/audio_02894.wav,there is no radiographic evidence of instability. soft tissue paravertebral soft tissues are normal. joints the sacrum and both sacro-iliac joints are normal. features suggestive of degenerative lumbar disc disease. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_03780.wav,articular margins are smooth and intact. soft tissues appear normal. opinion: old fracture involving lateral shaft of clavicle. mild sclerosis involving greater tubercle of humerus - ? due to supraspinatus tendinopathy.
data/train/audio_04557.wav,* nodular soft tissue density areas along bilateral major fissures (right > left) - indeterminate. needs further evaluation. * mediastinal lymphadenopathy as mentioned. * multiple patchy areas of mosaic attenuation involving bilateral lung parenchyma likely suggestive of air trapping - ? small airway disease.
data/train/audio_04623.wav,"left kidney is otherwise normal in shape and position. the urinary bladder is distended with smooth outlines. prostate is normal in size and attenuation pattern. rest of the small and large bowel loops appear unremarkable with limitation of plain scan. appendix appears normal. liver appears normal in attenuation pattern, no e/o focal lesion."
data/train/audio_04356.wav,: low-grade partial thickness tear involving < 25% fibres noted in articular surface of superior fibres of subscapularis tendon 10 mm proximal to the humeral attachment. supraspinatus tendinosis changes seen.
data/train/audio_04116.wav,ct brain + intracranial & neck angiography protocol: mdct cerebral angiography was performed on ultrafast ct scanner. clinical profile: known case of intraparenchymal hemorrhage. previous mri
data/train/audio_00694.wav,"no definite enhancing solid mural nodule identified. left ovary: appears enlarged, showing a well-defined cystic lesion measuring ~3.3 x 2.5 cm. lesion is t2 hyperintense with internal t1 hyperintense areas, suggestive of hemorrhagic content."
data/train/audio_04978.wav,"extension into the muscularis layer and superficial submucosa (~3 mm depth). location: upper rectum, approximately 13 cm from the anal verge, involving the 10-1 o'clock position. these findings are consistent with deep infiltrating endometriosis. the remainder of the rectum appears unremarkable."
data/train/audio_00690.wav,observation linear blind ending sinus tract noted in right para-median location near the upper part of the natal (gluteal) cleft. sinus tract measures 5.9 cm in length with maximum thickness of 18mm and ends blindly in subcutaneous plane near tip of coccyx. few air pockets seen.
data/train/audio_01888.wav,generalized corticocerebral atrophy. no fresh infarct or intracranial s.o.l.
data/train/audio_02010.wav,"visualized soft tissue shadow appears normal, no gross soft tissue swelling seen. please correlate clinically."
data/train/audio_02629.wav,"no abnormal soft tissue mass, collection, or airway compromise is seen. impression: bilateral tonsilloliths, largest on the right side (~5 mm), which may correlate with symptoms of dysphagia and pain."
data/train/audio_05346.wav,"x-ray kub : 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. : no significant abnormality. adv : usg abd - pelvis if cinically indicated."
data/train/audio_01055.wav,overlying right frontoparietotemporal convexity. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_04935.wav,: small calcified opacity in right lower zone suggestive of sequelae of old infective etiology. blunting of left costophrenic angle suggestive of pleural effusion. rest of the lung fields appear clear. the cardiac shadow is within normal limits of size and shape. the aorta shows normal radiological features. both domes of diaphragm are normal in shape and outline.
data/train/audio_03640.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/train/audio_05049.wav,"kidneys: right kidney measures 10.6 x 4.2 cm left kidney measures 9.9 x 4.7 cm both kidneys appear normal in size, shape & echotexture. no hydronephrosis or hydroureter is noted. the corticomedullary differentiation is maintained."
data/train/audio_02256.wav,small hiatus hernia noted. bilateral mild hydrocele noted. reduction of disc space at l5-s1 level with vacuum phenomenon. degenerative changes involving the visualised spine in the form of marginal osteophytes. rest of the visualized bones are unremarkable. small umbilical hernia measuring almost 11.4 mm with herniation of omentum within noted.
data/train/audio_02046.wav,m.d.c.t. scan of pelvis with both hip joints with 3-d reconstruction: m.d.c.t. scan of both hip joints is performed using volume acquisition of data and 3-d reconstruction. findings: generalised osteoporosis noted.
data/train/audio_01007.wav,"visualized vertebrae, sternum and ribs appear normal. soft tissues and muscles of chest wall are normal. linear fibrotic strands in bilateral upper lobe apical segments. subpleural linear fibrotic changes in bilateral lower lobe posterior basal segments. fibrotic band in left lingula."
data/train/audio_02334.wav,"and causes mild to moderate narrowing of central canal and neural foramina, bilaterally. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. l3-4 disc reveals small broad based posterior protrusion. it indents the thecal sac, both l4 nerve roots and causes mild narrowing of central canal. mild facetal arthropathy and ligamentum flavum thickening are detected at this level."
data/train/audio_03365.wav,"similar patchy marrow signal alteration noted within the proximal tibial metaphysis, showing t1 hypointensity with pdfs hyperintensity. knee joint: visualized joint appears unremarkable. no significant joint effusion. muscles and soft tissues:"
data/train/audio_00943.wav,"findings: thyroid gland: right lobe of thyroid is not well visualized in its expected anatomical location, suggestive of atrophy / hypoplasia / prior involution. left lobe of thyroid appears normal in size and attenuation, measuring approximately 2.7 x 3.1 cm, with preserved margins."
data/train/audio_00804.wav,clinical profile- pain in abdomen right kidney measures 6.2 x 4.8 x 10.6 cm (ap x tr x cc). there is no calculus / hydroureter / perinephric fat stranding. right ureter is undilated.
data/train/audio_00625.wav,multiple right renal cortical cysts and few left renal cortical cysts - likely simple cysts (bosniak i). prostatomegaly (~31 cc). no evidence of hydronephrosis or significant obstructive uropathy.
data/train/audio_04779.wav,"naso-pharyngeal air passage, suggestive of enlarged adenoids. thickness of soft tissue column is 1.4 cm from base of skull. : enlarged adenoids. nasal septum is mildly deviated to right side. no evidence of mucosal thickening in bilateral paranasal sinuses."
data/train/audio_01711.wav,"facetal joint: arthropathy noted at l3-4, l4-5 & l5-s1 levels. lumbar canal diameters at disc levels are as follows: para-spinal structures: muscles: normal."
data/train/audio_02373.wav,"visualised paranasal sinuses - mucoperiosteal thickening in b/l frontal sinuses- likely s/o sinusitis. : age-related cerebral atrophy. chronic small vessel ischemic changes. 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."
data/train/audio_02393.wav,"impression mild to moderate bilateral hip osteoarthrosis characterized by: mild joint space narrowing, marginal osteophyte formation, and minimal bilateral hip joint effusions. mild chronic degenerative cystic change involving the right femoral neck."
data/train/audio_03991.wav,"* no significant mediastinaladenopathy is observed. heart and major vessels: * heart outline and size appears normal. others: * visualized vertebrae, sternum and ribs appear normal. * soft tissues and muscles of chest wall are normal."
data/train/audio_04013.wav,"both lobes of thyroid are normal in architecture, attenuation and enhancement. the isthmus is normal. the nasopharynx, oropharynx and hypopharynx appear normal. no pharyngeal wall thickening or intraluminal lesion noted. no evidence of diffuse or focal narrowing seen."
data/train/audio_00598.wav,microlith noted in lower pole of right kidney. well defined soft tissue density lesion measuring 2.8 x 2.6 cm noted in anterior wall of uterus. : right renal microlith. fatty liver. well defined soft tissue density lesion measuring 2.8 x 2.6 cm noted in anterior wall of uterus - possibly fibroid.
data/train/audio_00907.wav,"both the visualized kidneys, pancreas, adrenal glands and spleen are normal in bulk and signal characteristics. cholelithiasis differential diagnosis na recommendation suggested clinical correlation"
data/train/audio_02305.wav,mrcp shows normal caliber intrahepatic and extrahepatic biliary ducts without evidence of obstruction or choledocholithiasis.
data/train/audio_00188.wav,posterior fossa: cerebellum and brainstem are normal in attenuation and enhancement 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.
data/train/audio_01282.wav,rest of the visualized soft tissue appear normal. impression: comminuted burst fracture involving l3 vertebral body with resultant retropulsion compressing spinal canal extending to the left lamina with resultant loss of approximately 60% vertebral body height. mildly displaced fracture involving antero-inferior endplate of d12 vertebra and mildly displaced fracture involving the spinous process and right lamina at this level.
data/train/audio_01519.wav,ligamentum flavum appears normal. bilateral facetal joints appear normal. the axial diameters of the lumbar spinal canal are as follows (in mm): conus medullaris and cauda equina appear normal. no obvious abnormal pre / paravertebral soft tissues.
data/train/audio_03903.wav,"the right obturator internus muscle appears bulky with increased attenuation, suggestive of intramuscular hematoma. no obvious hip joint dislocation is seen. joint spaces are maintained. impression:"
data/train/audio_01312.wav,"3. ossified intra-articular fragment between the femoral head and posterior acetabular lip, likely representing a fracture fragment related to the prior dislocation. 4. undisplaced fracture of the inferior wall of the right acetabulum. 5. left gluteal muscle edema/hematoma secondary to trauma."
data/train/audio_04512.wav,the internal auditory meati are unremarkable. both orbits appear unremarkable. communited fracture of posterior wall of right frontal sinus and anterior wall of right frontal sinus. fracture of right frontal bone. fracture of anterior and posterior wall of right maxillary sinus.
data/train/audio_00404.wav,maxilla appears normal on both sides. alveolus and palate appear normal. nasal bones are normal. nasal septum is normal. paranasal sinuses are normal. orbital rim and walls or orbit are normal on both sides. no radio-opaque foreign body is seen in the orbits.
data/train/audio_05414.wav,visualized part of orbits is unremarkable. overlying scalp is normal. visualized paranasal sinuses are normal. impression: no significant intracranial abnormality seen. 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/train/audio_05447.wav,findings:- a linear t2 hyperintense fistulous tract is seen in the right ischioanal fat pad with its external opening corresponding to the marker site at approximately 9 o'clock position. the tract extends superiorly into the intersphincteric plane and demonstrates a partly obliterated internal opening at approximately 10 o'clock position.
data/train/audio_02101.wav,"changes of tendinitis in distal part of tendo-achilles. reduction of joint space with subchondral sclerosis noted in subtalar joint (predominantly in posterior aspect), possibility of changes of osteoarthritis."
data/train/audio_03580.wav,visualized part of orbits is unremarkable. overlying scalp is normal. bilateral maxillary and ethmoid sinusitis. rest of the visualized paranasal sinuses are normal. impression: no significant intracranial abnormality seen. bilateral maxillary and ethmoid sinusitis. suggested clinical and eeg 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/train/audio_04336.wav,"mri neck (plain study) clinical details: follow-up case of carcinoma left buccal mucosa - postoperative status. comparison: previous mri neck study available for comparison. technique: multiplanar, multisequence mri of the neck performed without intravenous contrast."
data/train/audio_04213.wav,"mandible: * body, angle and symphysismenti of mandible appear normal. * alveolar process appear unremarkable. * both coronoid and condylar processes of mandible appear normal in attenuation. * temporomandibular articulation appears normal. no evidence of dislocation."
data/train/audio_01910.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."
data/train/audio_05464.wav,"no evidence of extracapsular extension, seminal vesicle invasion, or significant pelvic lymphadenopathy. diffuse urinary bladder wall thickening, likely related to chronic cystitis/chronic outlet obstruction changes."
data/train/audio_01160.wav,no shift of midline is noted. the paranasal sinuses and visualised orbits are normal. mr angiograms were obtained for neck and cranial vessels using 3d tof sequences: the aortic arch appears normal. the origin of great vessels from the arch appears normal and does not show any significant narrowing/stenosis.
data/train/audio_04766.wav,"hrct temporal bones clinical history technique contiguous high resolution, thin axial and coronal sections were obtained through the temporal bone on ct scanner and images were reviewed in soft tissue and bone window settings."
data/train/audio_02262.wav,"there is no radiographic evidence of instability. soft tissue paravertebral soft tissues are normal. joints the sacrum and both sacro-iliac joints are normal. reduction in interveretbral disc height at l3-l4, l4-l5 levels - degenerative disc disease. differential diagnosis na recommendation suggested clinical correlation."
data/train/audio_05465.wav,recommendation: correlation with serum psa levels and urological evaluation is recommended. targeted trus-guided biopsy / histopathological confirmation of the pi-rads 4 lesion is advised. keyimages
data/train/audio_05004.wav,mildly diffuse disc bulge at l4-l5 with posterior annular fissure indenting thecal sac and abutting both traversing nerve roots; stenosis of bilateral lateral recess. moderate diffuse disc bulge at l5-s1 with broad-based posteriro central disc herniation compression of thecal sac and both traversing nerve roots; spinal canal stenosis
data/train/audio_05668.wav,"c3-c4: there is evidence of diffuse disc bulge with anterior thecal sac indentation however no significant central canal stenosis, or neural foraminal narrowing. c4-c5: there is evidence of diffuse disc bulge with anterior thecal sac indentation however no significant central canal stenosis, or neural foraminal narrowing."
data/train/audio_04686.wav,"s/o chronic spondylolysis. i.v. discs: l1-2: desiccation. reduced disc height. diffuse bulge, compressing the thecal sac add encroaching the left neural foramina. there is compression over left traversing l2 and exiting l1 nerve roots. l2-3: desiccation."
data/train/audio_02850.wav,"pleural surfaces: bilateral mild pleural thickening noted. no evidence of pleural effusion present. mediastinum: thoracic oesophagus and other mediastinal structures appears normal. multiple lymph nodes noted involving prevascular, pretracheal, paratracheal and subcarinal regions, some of them are calcified."
data/train/audio_05527.wav,impression cholelithiasis: 7.5 mm gallbladder calculus with no pericholecystic inflammatory changes. normal cbd with no choledocholithiasis. bilateral renal cortical cysts as described. tiny 4 mm hepatic cyst as described.
data/train/audio_05561.wav,findings: lungs: small non enhancing calcified nodule measuring approximately 7.4 x 7.1 mm noted involving inferior lingula segment. few areas of fibrobronchiectasis noted involving posterior segment of right upper lobe and lateral segment of left lower lobe.
data/train/audio_04270.wav,"mrcp technique: multiplanar multisequence mri abdomen with mr cholangiopancreatography sequences was performed. observation: gallbladder appears distended with multiple t2 hypointense calculi within the lumen, largest measuring approximately 15 mm."
data/train/audio_04662.wav,"findings: fibrocalcific changes noted in right lower lobe. fibrotic changes noted in right middle lobe and left lower lobe. no evidence of active areas of consolidation noted. no evidence of parenchymal nodule noted. no evidence of honeycombing, cavity or abscess formation noted. no evidence of reticular or nodular thickening of interstitium noted."
data/train/audio_01242.wav,"atherosclerotic calcifications are seen along the walls of the visualized aorta. the visualized bony structures appear grossly unremarkable. impression: cardiomegaly with mild dilatation of the pulmonary arteries, likely suggestive of pulmonary hypertension. bilateral moderate pleural effusions with bilateral perihilar consolidations, ground-glass opacities,"
data/train/audio_00856.wav,mpd is dilated (4 mm) secondary to mass effect from liver lesions. b/l renal cysts largest measures 15x14 mm in right kidney at midpole. stomach is collapsed with a polypoidal gastric lesion in antrum measuring 30x45 mm. no definite perigastric stranding to suggest serosal spread.
data/train/audio_01964.wav,"l5-s1: right paracentral disc bulge causing thecal sac indentation, narrowing of right neural foramen with exiting nerve root indentation.mild spinal canal narrowing. for clinical correlation. sumit kumar gosh mbbs, md, dnb radio diagnosis counsaltantradiologist 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/train/audio_05234.wav,"no bony or soft tissue spinal canal stenosis is seen. lumbosacral: the lumbar vertebral bodies & their alignment appearnormal. rest of the intervertebral disc spaces,transverse processes and spinous processes appear normal. no abnormal para-vertebral soft tissue swelling seen. no abnormal calcification seen."
data/train/audio_02290.wav,findings: thin strip of acute subdural haemorrhage noted in right anterior temporal convexity with maximum width measures 2.5 mm. few tiny haemorrhagic contusions noted in right temporal lobe. both cerebral hemispheres reveal no other abnormality. no evidence of any parenchymal lesion noted. no evidence of mass effect or midline shift. both lateral & third ventricles appear normal.
data/train/audio_02751.wav,h.r.c.t. chest: h.r.c.t. of lungs is performed with thin high resolution sections from apex of the lung to dome of diaphragm. findings: very minimal pleural effusion noted on either side.
data/train/audio_00771.wav,lungs extensive reticular opacities involving bilateral lung fields. airways trachea is central. tracheo-bronchial tree is normal. heart cardiac silhouette is normal. unfolding of arch of aorta and aortic knuckle calcifications.
data/train/audio_00162.wav,"spleen: measures 6.8 cm, appears normal in size & echogenicity. no focal lesion seen. pancreas: normal size and echotexture. no focal diffuse lesion. kidneys: right kidney measures 10.1 x 3.7 cm"
data/train/audio_04307.wav,mild perilesional oedema is seen. interventricular extension of haemorrhage in to the right lateral ventricle. mass-effect is seen with compression of the body of the right lateral ventricle and midline shift to the left of 9mm at the level of the septum pellucidum and effacement of the right frontal and parietal sulci.
data/train/audio_02478.wav,"both kidneys are normal in position, outline, size and parenchymal density. mild left perinephric fat stranding is seen with thickening of pararenal fasciae. mild urothelial thickening of pelvicayceal system is seen."
data/train/audio_03473.wav,"multiple hypodensities are noted in bilateral fronto-parietal and periventricular white matter s/o chronic ischemic changes. mild generalized prominence of the cortical sulci, basal cisterns and ventricular system is noted s/o cerebral atrophy rest of the brain parenchyma is normal in attenuation. rest of the basal ganglia and thalami are normal. the posterior fossa structures are normal. no evidence of sol."
data/train/audio_01100.wav,": multiple heterogeneous enhancing intra-axial lesions involving bilateral cerebral hemispheres and cerebellum, consistent with intracranial metastatic deposits in a known case of metastatic breast carcinoma (tnbc). dominant lesion in left parietal lobe measuring 1.6 x 2.3 x 2.2 cm with surrounding vasogenic oedema."
data/train/audio_04459.wav,pancreatitis with pseudocyst formation. advice: serum amylase and lipase correlation for acute component. prominent cbd - likely due to compression of distal cbd by pseudocyst of pancreas.
data/train/audio_00781.wav,the jugular vein flow voids are well visualized. no vascular abnormality is seen. the middle and external ears are also normal bilaterally. bilateral mastoids are well pneumatised and appear normal. the mastoid air cells appear mildly sclerotic on both side. ct cuts through right temporal bone do not reveal any significant abnormality.
data/train/audio_04982.wav,"the left ovary is closely apposed to the posterolateral uterine wall, suggestive of adhesions. deep pelvic endometriosis an ill-defined t2 hypointense minimally enhancing lesion is seen at the torus uterinus, measuring 0.9 x 0.8 cm. the lesion is inseparable from the anterior rectal wall and demonstrates"
data/train/audio_05606.wav,t2w and stir hyperintensities are seen in the adjacent soft tissues s/o edema. : mild early osteoarthritic changes involving the knee joint as mentioned above. mild sprain involving the anterior cruciate ligament.
data/train/audio_05163.wav,"the vertebrae show normal marrow signal with no focal lesions. the cervical intervertebral discs appear normal. no significant bulge noted. the cervical cord, cvj and the cervico-medullary junctions are normal. pre and para vertebral soft tissues are normal. dorsal spine:"
data/train/audio_05567.wav,knee joint and patellofemoral articulation: bony ankylosis of the patella with the femur is noted. extensive osteoarthritic changes are present in the left knee joint with significant subarticular sclerosis predominantly involving the medial joint space. no acute fracture is identified.
data/train/audio_03836.wav,"liver is enlarged and measures approximately 19 cm. it is otherwise normal with limitation of plain scan. no evidence of focal lesion with limitation of plain scan. 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."
data/train/audio_03354.wav,with annular tear. it indents are thecal sac and both l3 nerve roots. it causes mild narrowing of spinal canal. mild facetal arthropathy seen at this level. l4-l5 intervertebral disc reveals broad based posterior protrusion. it indents thecal sac and both l5 nerve roots. it causes mild narrowing of spinal canal. mild facetal arthropathy seen at this level.
data/train/audio_04754.wav,: mild displaced fracture noted in distal shaft of radius with adjacent soft tissue swelling.
data/train/audio_03962.wav,"ramus intermedius branch: the ramus is patent. left circumflex artery: lcx is patent. eccentric calcified plaque noted in the proximal segment of left circumflex artery causing 50%-60% luminal compromise. it gives rise to om1, om2 and terminates av groove."
data/train/audio_00833.wav,"displaced fractures of the bilateral nasal bones and the nasal septum with ethmoid hemosinus. fractures of the bilateral nasal processes of maxilla with screw fixations. bilateral preseptal, periorbital, premaxillary, perizygomatic and premandibular soft tissue contusions with emphysema noted."
data/train/audio_05289.wav,clinical profile: chest pain. findings: agatston score: the total (aggregate) calcium score using the aj-130 method is 1508. lm = 55. lad = 1066
data/train/audio_04732.wav,there is mass effect in the form of effacement of left lateral ventricle and midline shift of 1 mm towards the right side. postoperative changes noted in left parietal bone. - compared to the preoperative ct there is mild reduction in size of haemorrhage. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_04897.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 right side. : haziness noted in bilateral frontal and maxillary sinuses, possibility of changes of sinusitis. nasal septum is mild deviated to right side."
data/train/audio_03270.wav,-rotation+ lungs prominent broncho-vascular markings are noted bilaterally. rest of the bilateral lungs fields are clear. airways trachea is central. tracheo-bronchial tree is normal. heart cardiac silhouette is normal. others bilateral pleural thickening both domes of diaphragm are normally placed.
data/train/audio_02171.wav,both the medial and lateral retinaculae are normal. the articular cartilage is normal in signal intensity with no evidence of any chondromalacia. impression: mild joint effusion. mild linear pdfs hyperintensity in posterior horn of medial meniscus.? grade i signal changes.
data/train/audio_04363.wav,"anterior and posterior marginal osteophytes are seen at few levels. lumbo-sacral transitional vertebra in the form of sacralization of l5. tiny hemangioma is seen at l4 vertebra. lumbar spinal curvature is maintained. vertebral bodies are showing normal height, alignment, curvature and marrow signal intensity pattern."
data/train/audio_03712.wav,liver: appears normal in size and contour. the hepatic parenchyma displays homogenous attenuation pattern with no evident focal lesions. there is no dilatation of intra hepatic biliary / portal radicles. the porta hepatis appears normal. portal vein and bile duct appear normal in calibre. perihepatic spaces appears normal.
data/train/audio_01691.wav,significant nerve root compression. ligamentum flavum appears normal. bilateral facetal joints appear normal. l5-s1 level: grade i disc dessication changes with diffuse disc bulge causing grade i anterior thecal sac indentation. there is bilateral grade i neural foramina narrowing with resultant impingement of bilateral exiting l5 nerve roots.
data/train/audio_02304.wav,"mild splenomegaly (~12.5 cm). grossly distended gallbladder with minimal pericholecystic edema and surrounding fat stranding in the right hypochondrial region, raising suspicion for early inflammatory changes. clinical correlation recommended. minimal fluid signal in the porta hepatis."
data/train/audio_04343.wav,3d ct right wrist (plain) technique: ct scan of wrist was done without administration of contrast. clinical profile: history of trauma. : undisplaced fracture involving the distal pole and waist of scaphoid.
data/train/audio_00592.wav,"impression cholelithiasis with chronic cholecystitis changes. mobile vesical calculus. grade ii prostatomegaly. suggested : clinical correlation and further evaluation, if clinically indicated."
data/train/audio_02899.wav,"measuring approximately 5.8 x 5.3 cm is noted in the right inguinal region, likely representing nodal / soft tissue metastatic deposit in the clinical context. scrotum: bilateral hydrocele is noted. bowel and mesentery: visualized bowel loops appear unremarkable. no significant mesenteric"
data/train/audio_04181.wav,"there is extension of hemorrhage into the left lateral ventricle. another well-defined hemorrhagic focus (gre blooming) measuring approximately 15 x 18 mm is noted in the left cerebellar hemisphere, abutting the fourth ventricular margin, without intraventricular extension."
data/train/audio_03701.wav,"no evidence of periappendiceal fat stranding.no appendicolith identified.no periappendiceal fluid collection or abscess formation. liver is normal in size, shape and attenuation on present unenhanced scan. the porta hepatis is normal. no ihbr or cbd dilatation"
data/train/audio_03988.wav,"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."
data/train/audio_03940.wav,mild facetal arthropathy and ligamentum flavum thickening is seen at this level further adding to early canal narrowing. bilateral facetal effusion seen at this level l5-s1 intervertebral disc reveals broad based posterior herniation with annular tear. it indents thecal sac and both s1 nerve.
data/train/audio_02204.wav,"extensive mediastinal and left hilar necrotic lymphadenopathy involving prevascular, paratracheal, subcarinal, paraesophageal, and hilar stations with associated mass effect on adjacent mediastinal structures."
data/train/audio_00754.wav,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:
data/train/audio_01542.wav,whole spine screening cervical: loss of cervical lordosis with straightening of spine. desiccation of all cervical intervertebral discs. multiple peridiscal osteophytes noted.
data/train/audio_03777.wav,visualized part of orbits is unremarkable. overlying scalp - scalp hematoma in left parieto-occipital region. visualized paranasal sinuses are normal. : acute subdural haemorrhage with maximum thickness of 7 mm noted in left occipital convexity extending into the left retrocerebellar region.
data/train/audio_00612.wav,. coronary artery calcification is noted. no obvious pericardial effusion. the trachea and mainstem bronchi are normal. no size significant hilar or mediastinal lymphadenopathy is seen. small hiatus hernia noted. rest of the visualized abdominal organs are normal.
data/train/audio_02853.wav,fibrobronchiectatic and fibroatelectatic changes involving inferior lingular segment suggestive of sequelae of old infective etiology. 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/train/audio_05599.wav,no focal lytic / sclerotic lesion seen. pubic symphysis appears normal in articulations. quadrilateral plate and acetabular cup appear normal in configuration bilaterally. femoral head and fovea centralis appear normal in shape and size with preserved cortical contour bilaterally.
data/train/audio_02149.wav,lateral patellar retinaculum appear intact. no evidence of laxity or tear. meniscus: focal grade i signal change involving anterior horn of lateral meniscus. focal grade ii signal change involving posterior horn of medial meniscus.
data/train/audio_04705.wav,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/train/audio_03957.wav,ct lower limb peripheral angiogram known case of peripheral vascular disease - previous images or reports not available for comparison. diffuse atherosclerotic narrowing is noted in the infrarenal abdominal aorta causing less than 10% luminal narrowing.
data/train/audio_02636.wav,"findings: oropharynx appears normal. valleculae and pyriform fossae are well defined with no focal lesion. larynx and infraglottic region appear normal. visualised upper oesophagus appears unremarkable. bilateral tonsillar regions show hyperdense foci consistent with tonsilloliths, largest measuring approximately 5 mm on the right side."
data/train/audio_00193.wav,conclusion: * aforementioned abnormal signal area in the left cerebellar hemisphere is likely to be a arteriovenous malformation. * prominent vascular channel in right cerebellar hemisphere. advice: thin mri post-contrast images / ct angiography study for detailed evaluation of arterial feeder and venous drainage.
data/train/audio_05496.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. chronic calcific pancreatitis with large calculi in the region of proximal main pancreatic duct in the uncinate process and head of pancreas.
data/train/audio_05672.wav,"x-ray lumbar spine ap & lateral views observation: the vertebrae is normal. few degenerative osteophytes noted. loss of lumbar lordosis. there is evidence of reduction in intervertebral disc height noted at l4-l5, l5-s1 levels. the posterior elements are normal."
data/train/audio_01750.wav,mild atherosclerotic changes in the abdominal aorta are noted. visualized bones appear mildly osteoporotic without any sclerotic or lytic lesions within. impression - findings are consistent with known carcinoma of esophagus involving mid and lower third of esophagus measuring 1.7 cm in length and maximum wall thickness of 9. 0 mm.
data/train/audio_02781.wav,ct - brain (plain + contrast) technique: ct scan of brain was done with administration of contrast. clinical profile: chief complaints of left sided weakness and slurred speech.
data/train/audio_04284.wav,hrct chest (plain) 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. clinical history: chief complaints of cough and breathlessness.
data/train/audio_03981.wav,joint space appears normal. no evidence of any lytic or sclerotic lesion is seen. : fracture noted in distal end of radius and ulnar styloid process.
data/train/audio_04152.wav,conclusion: * 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/train/audio_02281.wav,"findings oropharynx / tongue base: an ill-defined soft tissue density lesion is seen involving the right side of the posterior one-third of the tongue, showing minimal to mild heterogeneous post-contrast enhancement, measuring approximately 35 x 27 x 37 mm. the lesion extends to involve adjacent soft palate and uvula."
data/train/audio_00250.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/train/audio_01128.wav,findings: alignment: cervical alignment is maintained. no listhesis. vertebral bodies: vertebral body heights are maintained. marginal osteophytes are noted involving the cervical vertebrae. intervertebral disc spaces: no significant disc space narrowing is seen on these views. facet joints / uncovertebral joints:
data/train/audio_01694.wav,"spondylodegenerative 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/train/audio_00906.wav,there are no intrinsic lesions in the cystic and common bile ducts. the visualized pancreatic duct is unremarkable. the liver is normal in bulk and signal characteristics. there is no focal or diffuse area of altered signal intensity. there is no intrahepatic biliary radicle dilatation. the intrahepatic venous architecture is normal.
data/train/audio_02136.wav,"both kidneys are normal in size, shape, and position. extrarenal pelvis is noted. minimal perinephric fat stranding is present. multiple enlarged periportal, portocaval, and aortocaval lymph nodes are seen, the largest measuring 2.4 cm in short-axis diameter in the periportal region, suggestive of nodal metastases."
data/train/audio_00587.wav,"ventricular system, basal cisterns and sulci are prominent - diffuse cerebral atrophy. the fourth ventricle shows normal size, shape and position. both the c.p angles are clear. the medulla, pons and midbrain show normal signals in both the sequences."
data/train/audio_04856.wav,"no significant mediastinal adenopathy is observed. heart and major vessels: heart outline and size appears normal. others: visualized vertebrae, sternum and ribs appear normal. soft tissues and muscles of chest wall are normal. multiple patchy ground-glass opacities involving lateral segment of"
data/train/audio_04555.wav,* mild early degenerative changes involving the visualised spine in the form of marginal osteophytes. sternum and ribs appear normal. * soft tissues and muscles of chest wall are normal. * small hiatus hernia noted. * small calcified opacities measuring approximately 11 x 9 mm noted in the visualised upper anterior mesentery - ? calcified lymph node.
data/train/audio_05555.wav,"in the appropriate clinical setting. assessment of calvarial fractures is not possible due to motion artefacts. repeat ct head with adequate immobilization is recommended for better evaluation, particularly for assessment of skull fractures and associated intracranial injuries."
data/train/audio_02450.wav,"traversing s1 and exiting l5 nerve roots. whole spine screening cervical: loss of cervical lordosis with straightening of spine. desiccation of all cervical intervertebral discs. multiple peridiscal osteophytes noted. diffuse bulge of c3-c4 and c4-c5 discs, indenting the thecal sac and"
data/train/audio_01307.wav,"an ossified fragment is visualized between the femoral head and the posterior lip of the acetabulum, suggestive of a fracture fragment, likely related to the prior dislocation. tiny subchondral cystic changes are noted in the left femoral neck, likely degenerative or post-traumatic in nature."
data/train/audio_04735.wav,"bilateral facetal effusion seen at this level. l3-4 disc reveals broad based posterior and left paracentral protrusion. it indents the thecal sac, both l4 nerve roots and causes mild narrowing of central canal and left lateral recess. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. bilateral facetal effusion seen at this level. l4-5"
data/train/audio_05201.wav,"without any significant central canal or neural foraminal narrowing. spinal cord is normal in thickness and reveals normal signal intensity. no focal area of abnormal signal is detected within the cord. no intraspinal mass lesion is detected. the cranio-vertebral junction appears normal. there is no evidence of atlanto-axial dislocation, tonsillar herniation or syringomyelia."
data/train/audio_03919.wav,"the right kidney measures 9 x 4 cms. a 6.5 x 4 x 8 mm sized hyperdense (hu 1500) obstructive calculus noted in the right midureter (approximately 3 cm above the right iliac crossing, at l3-l4 level) with resultant back pressure"
data/train/audio_04707.wav,"posterior cruciate, medial collateral and lateral collateral ligaments are normal in morphology, signal intensity and outline. no obvious ligamentous tear is seen. 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."
data/train/audio_02064.wav,"no evidence of internal enhancing soft tissue component or fat component or calcification. lesion abutting the right lateral wall of urinary bladder and adjacent small bowel loops. posteriorly, lesion abutting the right psoas muscle."
data/train/audio_05213.wav,right parieto-occipital pericranial soft tissue contusion. please correlate clinically and with other relevant investigations for confirmation and further evaluation.
data/train/audio_00232.wav,: degenerative changes- cervical spondylosis. advice mri c spine to look for spinal canal narrowing and cord signal.
data/train/audio_00890.wav,visualized lower chest sections are unremarkable. atherosclerotic changes involving the visualised aorta and its branches in the form of wall calcifications and intimal thickening. no obvious stenosis. mild anterolisthesis of l4 over l5 noted. degenerative changes involving the visualised spine in the form of marginal osteophytes.
data/train/audio_02211.wav,radioulnar articular surfaces (frykman classification type viii). displaced fracture involving the ulnar styloid process. small chip fracture involving the distal pole of scaphoid bone. undisplaced fracture involving the base of fourth metacarpal bone. mild wrist joint effusion with soft tissue oedema. 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/train/audio_00960.wav,undisplaced fracture with marrow edema involving fibular head. focal marrow edema involving medial aspect of medial femoral condyle. 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/train/audio_05378.wav,x-ray report - abdomen erect observation: gaseous distension involving the colon. the soft tissue outlines of solid abdominal organs are normal. no radio opaque shadow seen.
data/train/audio_05506.wav,"spinal canal measurements are within normal limits. impression - mr scan reveals, broad based posterior protrusion of l3-l4 disc causing mild narrowing of spinal canal. broad based posterior herniation of l4-l5 disc causing moderate narrowing of spinal canal."
data/train/audio_05474.wav,"surrounding marrow oedema changes are noted. associated smooth solid periosteal reaction is seen along the adjacent cortex. no evidence of cortical destruction, soft tissue mass, sequestrum, cloaca or sinus tract formation noted."
data/train/audio_04972.wav,"this pattern is typical of posterior compartment die with rectal involvement, which is important for gynecologic surgical planning and possible colorectal consultation."
data/train/audio_04374.wav,comminuted displaced fractures involving bilateral occipital bones involving the posterior walls of foramen magnum and involving right bilateral temporal bones. left sided haemomastoideum noted. comminuted mildly displaced fracture involving right zygomatic arch. minimally displaced fracture involving the bony nasal septum. bilateral ethmoid haemosinus noted.
data/train/audio_02753.wav,comments: very minimal pleural effusion noted on either side. active infective aetiology in form of few discrete nodular infiltrates as mentioned above. mosaic attenuation in bilateral lung fields. mild cardiomegaly.
data/train/audio_02449.wav,encroaching the neural foramina. cranio-vertebral junction appears normal. no focal abnormal signal noted in the cervical spinal cord. dorsal: desiccation of all dorsal intervertebral discs is seen. few peridiscal osteophytes are noted. no significant disc bulge or protrusion. grade ii wedging noted in d11 and d12 vertebral body without marrow contusion
data/train/audio_05701.wav,mucinous cystadenoma serous cystadenoma psuedocyst recommendation suggested clinical correlation & follow up imaging.
data/train/audio_00138.wav,"the right fallopian tube is mildly dilated (~6 mm) showing t2 iso- to hypointense signal and t1 hyperintensity with minimal peripheral wall enhancement, representing hematosalpinx."
data/train/audio_02433.wav,in the form of anterior marginal osteophytes and mild disc desiccative changes. l4-l5: diffuse annular disc bulge with mild posterior central circumferential annular tear causing mild thecal sac and mild bilateral lateral recess/foraminal nerve root compressions. further being compounded by mild ligamentum flavum hypertrophy.
data/train/audio_00414.wav,"no peri-cholecystic collection / fluid or fat stranding seen. pancreas: pancreas is normal in size, shape, density and contrast enhancement. mpd is not dilated. peripancreatic fat planes are preserved."
data/train/audio_03848.wav,the ventricular system appears normal in size and configuration. no evidence of hydrocephalus. the brainstem appears normal. the cerebellum and other infratentorial structures appear unremarkable. no extra-axial collection is seen. calvarium appears unremarkable.
data/train/audio_00845.wav,"impression moderate right hydroureteronephrosis due to obstructive mid ureteric calculus (10.3 x 5.8 mm, hu 900) large cortical cyst in the upper pole of right kidney (45 x 50 mm) diffuse fatty infiltration of liver"
data/train/audio_04936.wav,right cardiophrenic and costophrenic angles are clear. tracheal lucency is central. soft tissue shadows and bony thorax appear to be normal. opinion: small calcified opacity in right lower zone suggestive of sequelae of old infective etiology. blunting of left costophrenic angle suggestive of pleural effusion. to rule out 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/train/audio_05337.wav,it causes moderate narrowing of the central canal and both neural foramina. mild facetal and uncovertebral arthropathy are seen at this level. c5-6 intervertebral disc reveals broad based posterior herniation. it indents anterior subarachnoid space. it causes mild narrowing of central canal. mild facetal arthropathy is detected at this level.
data/train/audio_05468.wav,"neurovascular bundles appear maintained. no significant pelvic lymphadenopathy noted. urinary bladder is partially distended and shows diffuse circumferential wall thickening, maximum wall thickness measuring approximately 4 mm, likely related to chronic cystitis/chronic bladder outlet obstruction changes."
data/train/audio_01718.wav,left mastoid air cell is well pneumatized. left osseous septations within the mastoids is normally visualized. aditus ad antrum is normally seen. left eustachian tube is normally visualized. vestibulo-cochlear apparatus and semi-circular canals are bilaterally normal.
data/train/audio_05212.wav,findings: suspicious mildly displaced fracture involving the base of fifth metatarsal bone. rest of the visualized bones appear normal. no e/o any lytic/sclerotic lesion noted within. visualized joint spaces appear normal. soft tissues appear normal.
data/train/audio_00132.wav,this most likely represent hemorrhagic cyst rather than solid lesion. this needs follow up imaging with ultrasound to look for the decrease in the size and tumor marker correlation left ovarian stroma is seen stretched along the above-mentioned cyst. there is no significant lymphadenopathy.
data/train/audio_02970.wav,ectopic pregnancy. thickened endometrium with fluid signal intensity areas. bilateral parametrial vessels appear prominent suggestive of pelvic congestion. suggested further evaluation with beta hcg and hysteroscopy. 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/train/audio_05463.wav,"diffusion restricting lesion in the intravesical component arising from the base of prostate measuring 14 x 13 mm, suspicious for - pi-rads 4 lesion. ill-defined t2 hypointense wedge-shaped lesion in right posterolateral peripheral zone at mid gland level without definite diffusion restriction or abnormal enhancement - pi-rads 3 lesion."
data/train/audio_01130.wav,": few contusions in right frontal bone, largest of size 3mm. no evidence of intracranial hemorrhage, mass effect or midline shift. the gray-white matter differentiation is maintained. periventricular white matter hypodensities are identified, suggestive of chronic small vessel ischemia."
data/train/audio_00636.wav,". anterior osteophytes are seen from l1 to l5 vertebral bodies. no focal bony lesion is detected. l2-3 disc reveals broad based posterior protrusion. it indents the thecal sac, both l3 and causes mild narrowing of the central canal. mild facetal arthropathy and ligamentum flavum thickening are detected at this level."
data/train/audio_04406.wav,both cp angles are clear. the basal cisterns are normal. normal flow void is seen in the major dural venous sinuses and arteries. : in this operated case of left fronto-temporo-parietal craniotomy: -
data/train/audio_01887.wav,there is no shift of the midline structures. no evidence of any intracranial space occupying lesion. : small ischemic foci in deep periventricular white matter (fazekas grade-i).
data/train/audio_03177.wav,while the right peroneal artery shows mild narrowing (~15%). the right dorsalis pedis artery demonstrates minimal narrowing (75%)
data/train/audio_04816.wav,liver: normal in size. intrahepatic biliary radicles appear normal. portal vein appears normal. 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
data/train/audio_02179.wav,"otherwise there is no focal area of abnormal signal intensity in the cerebral or cerebellar hemispheres. mild cerebral atrophic changes. the grey-white matter differentiation is well maintained. the basal ganglia, thalami, brainstem and cerebellum appear normal."
data/train/audio_04480.wav,medial (ulnar) collateral ligament: appears grossly intact tendons: common extensor tendon: near full-thickness tear at humeral (lateral epicondylar) attachment site common flexor tendon: grade i strain (mild tendinous edema without tear)
data/train/audio_04799.wav,bilateral maxillary and ethmoid sinusitis. bilateral mild mastoiditis. 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/train/audio_02946.wav,findings: haziness involving right upper zone with cavitations and shift of trachea to the right. few fibrotic changes involving left upper zone with adjacent pleural thickening. unfolding of arch of aorta and aortic knuckle calcification. bilateral hila are normal. both costo-phrenic and cardio-phrenic angles appear clear.
data/train/audio_04149.wav,"both kidneys are normal in size, outline, position & attenuation. pelvicalyceal systems of both the kidneys appear normal. no obvious calculi /calcifications seen. urinary bladder is empty and foleys bulb in situ. prostate and seminal vesicles appear normal."
data/train/audio_04267.wav,visualized part of orbits is unremarkable. overlying scalp is normal. visualized paranasal sinuses are normal. : prominent left retrocerebellar csf space causing remodeling and mild thinning of the underlying bone- p/o arachnoid cyst. recommendation suggested clinical correlation.
data/train/audio_00094.wav,extensor mechanism: quadriceps tendon and patellar tendon are intact. soft tissues: mild subcutaneous edema is noted in the anterior aspect of the knee. no collection or abscess is seen. impression:
data/train/audio_00015.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/train/audio_05705.wav,right side: external ear: external auditory canal is normal. prussaks space is clear. no evidence of any soft tissue density lesion is seen in the antrum and epitympanum scutum appears normal with no obvious erosion. mastoid air cells show normal pneumatization.
data/train/audio_04195.wav,"associated with periosteal reaction and subtle cortical breach. this is likely suggestive of osteomyelitis. suggest clinical correlation, follow up mri to rule out underlying malignant etiology."
data/train/audio_00522.wav,"mastoid air cells are well pneumatised. no soft tissue thickening or bony erosion. dural plates appear intact. inner ear and auditory canal: left side: bony cochlea, vestibule, and semicircular canals appear intact. no evidence of semicircular canal dehiscence or labyrinthine fistula"
data/train/audio_05490.wav,main portal vein is prominent and measure 1.3 cm in diameter it shows normal opacification. splenic vein is normal in caliber in the retropancreatic region and it is replaced by multiple collaterals in the hilum of spleen. multiple perigastric and omental collaterals are also seen these findings likely represent sequelae to prior splenic vein thrombosis.
data/train/audio_04428.wav,"heart and major vessels: heart outline and size appears normal. major pulmonary artery, right pulmonary artery and left pulmonary artery show no abnormality. others: visualized vertebrae, sternum and ribs appear normal. soft tissues and muscles of chest wall are normal."
data/train/audio_02201.wav,degenerative spondylotic changes in the visualized spine with marginal osteophyte formation. no obvious destructive osseous lesion identified in the visualized bony thorax. impression
data/train/audio_00732.wav,supra sellar and chiasmatic cisterns are normal. no para sellar abnormality. no hypothalamic lesion. sphenoid sinus appears normal. visualized basal cisterns are within normal limits. supratentorial: both the cerebral hemispheres are normal in signal intensity and grey and white interface is well maintained.
data/train/audio_00486.wav,no evidence of sol. no intra axial collection is seen. no midline shift is seen. sella and parasellar structures appear grossly unremarkable. bilateral ethmoid and left sphenoid sinusitis. rest of the visualized paranasal sinuses are unremarkable. skull bones appear normal. no e/o any fracture noted
data/train/audio_01425.wav,mri right ankle : pdfs hyperintense signal alteration noted at the calcaneal attachment of plantar fascia with associated subjacent marrow oedema in the inferior calcaneum. mild thickening of plantar fascia at the calcaneal attachment site measuring approximately 5 mm.
data/train/audio_05615.wav,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 (just adjacent to the right vesicoureteric junction) with resultant mild back pressure changes.
data/train/audio_00545.wav,"posterior fossa: cerebellum and brainstem are normal in attenuation and enhancement 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:"
data/train/audio_02209.wav,lungs haziness in bilateral lower lobes. airways trachea is central. tracheo-bronchial tree is normal. heart cardiac silhouette is increased others bilateral cp angles are clear. both domes of diaphragm are normally placed. bony thoracic cage is normal. no soft tissue abnormality seen. haziness in bilateral lower lobes.
data/train/audio_05097.wav,no abnormality is detected in the prevertebral region. the vascular structures are normal. bilateral posterior paraspinal muscles are normal in size and reveals normal signal intensity. spinal canal measurements are within normal limits.
data/train/audio_02797.wav,"bowel: there is evidence of dilatation of small bowel loops, caecum, ascending colon, transverse colon & proximal descending colon with multiple air fluid levels. .? subacute intestinal obstruction. adv: contrast study."
data/train/audio_00329.wav,no endometrial lesion seen. right ovary appears normal. a well defined t2 iso to hyperintense cystic area seen in the left ovary without any post-contrast internal enhancement or solid enhancing nodule with thin peripheral wall and non-enhancing thin mesh like internal septae likely to represent hemorrhagic cyst rather than any other lesion.
data/train/audio_01547.wav,"m.r.i. lumbo-sacral spine: imaging sequences: se t1w axials & sagittal, fse t2w sagittal & axials, stir coronals"
data/train/audio_04069.wav,"parapharyngeal, carotid, pterygoidandbuccalspaces show normal appearances. the pre-glottic, glotticand subglottic spaces of larynx appear normal. epiglottis, valleculae, ae folds, pyriform sinuses appear normal. true and false vocal cords are normal in attenuation."
data/train/audio_05187.wav,"the lung parenchyma shows linear fibrotic strands in the bilateral upper lobes involving the apical segments. an additional fibrotic band is noted in the right middle lobe. no focal enhancing pulmonary mass or suspicious nodular lesion is identified. there are multiple enlarged mediastinal lymph nodes noted in the paratracheal, para-aortic,"
data/train/audio_05286.wav,2 subserosal fibroids are seen in the anterior wall. another ill-defined t2 hypointense area seen along the serosa of right lateral and anterior wall in the mid segment with serosal involvement of postero-superior aspect of the urinary bladder representing deep endometriotic deposit. mild thickening of the junctional zone raises the possibility of early adenomyosis changes.
data/train/audio_03663.wav,"causing maximum of 40%-50% luminal compromise. it gives rise to om1, om2 and terminates av groove. right coronary artery: the right coronary artery is dominant. small eccentric calcified plaques noted in the proximal and distal segment of right coronary artery causing approximately 10%-20% luminal compromise. acute marginal, right posterior descending artery and right"
data/train/audio_00555.wav,mild sprain involving the lateral collateral ligament. medial collateral ligament appears normal. no evidence of laxity or tear. chronic partial tear involving the medial patello-femoral ligament. grade i injury involving medial and lateral patellar retinaculum. no evidence of laxity or tear.
data/train/audio_00738.wav,"fibroatelectatic bands noted involving right middle lobe, lingular segment and bilateral lower lobes. dependant areas of subpleural ground-glass opacities and interstitial thickening noted likely senile interstitial lung abnormality. rest of the lung parenchyma is normal in attenuation."
data/train/audio_04308.wav,"ncct head supratentorial: right sided large acute intracerebral hematoma of size 9.0x4.1x4.3 cm (apxtrxcc), with its epicenter in the right basal ganglia and right corona radiata with extension into right frontal and temporal lobe."
data/train/audio_03439.wav,lungs bilateral lungs fields - prominent bronchovascular markings seen. 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/train/audio_01934.wav,c2-c3 level: no significant abnormality detected. spinal canal ap diameter: ~11.8 mm. c3-c4 level: there is mild disc bulge indenting the anterior subarachnoid space. no significant neural foraminal narrowing or neural compromise is seen. spinal canal ap diameter: ~11.9 mm.
data/train/audio_00283.wav,"there is no focal area of abnormal signal intensity in the cerebral or cerebellar hemispheres. the grey-white matter differentiation is well maintained. the basal ganglia, thalami, brainstem and cerebellum appear normal. no focal area of restricted diffusion is seen in the brain."
data/train/audio_00247.wav,hepatic artery proper divides into left hepatic artery and right hepatic artery. segment iv artery is a branch right hepatic artery. 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.
data/train/audio_02217.wav,"findings: bilateral mild to moderate pleural effusion with collapse consolidation of underlying lung parenchyma. consolidation with air bronchogram within noted involving left upper lobe, right middle lobe and right lower lobe. patchy ground-glass opacities involving the visualised bilateral lung parenchyma. few fibrobronchiectatic and fibroatelectatic changes"
data/train/audio_03772.wav,skull base appears grossly normal. overlying scalp is normal. no focal lesion or swelling noted. orbits and paranasal sinuses: visualized bony orbits appear normal. visualized intraorbital contents show no obvious abnormality
data/train/audio_05047.wav,"liver: measures 14.2 cm, appears normal in size and shape. it shows raised parenchymal echogenicity. multiple ( 5-6) anechoic well-dened cystic lesions are noted scattered in the liver parenchyma with few septae noted within,"
data/train/audio_05508.wav,prostate is normal in size and enhancement. no evidence of any focal lesion seen. bony pelvis appears normal. no evidence of any lytic or sclerotic lesion seen. no evidence of free fluid in peritoneal cavity. calcified atheromatous changes noted in the visualised aorta and its branches. spondylotic changes noted in dorsolumbar spine. :
data/train/audio_04992.wav,mild posterior disc bulge abutting thecal sac encroaching bilateral lateral recess abutting traversing nerve roots encroaching bilateral neural foramina abutting bilateral exiting nerve root. mild ligamentum flavum hypertrophy noted. at l5-s1 level: no significant disc bulge. disc level canal diameter (mm) l1-l2 15.4 l2-l3 14.2 l3-l4 14.5 l4-l5 13.4 l5-s1 14.1 on whole spine screening: small anterior osteophytes are seen from c4-c6 vertebral levels.
data/train/audio_00300.wav,"left ovarian cystic lesions, including hemorrhagic and endometriotic cysts. bilateral ovarian adhesions to the uterus, suggestive of pelvic endometriosis-related adhesions."
data/train/audio_02369.wav,the dorsal intervertebral discs are normal with no significant bulging or herniation noted. the dorsal cord appears normal. pre and para vertebral soft tissues are normal. lumbar spine the normal curvature of the lumbar spine is maintained. disc dessicative changes with diffuse disc bulge at l4-5 level indenting gthe thecal sac
data/train/audio_00893.wav,"left renal simple cyst (bosniak 1). increased attenuation in the central root of mesentery, predominantly on left side with multiple subcentimetre sized non-necrotic lymph nodes consistent with mesenteric panniculitis. right sided direct inguinal hernia."
data/train/audio_04194.wav,"mild soft tissue edema is seen in midshaft region. visualized portions of hip joint appears normal. neurovascular bundles reveal no abnormality. impression - mr scan reveals, ill-defined diffuse altered marrow signal intensity changes in upper and mid diaphysis of right femur with post-contrast enhancement"
data/train/audio_00013.wav,findings - pancreas appears diffusely bulky in the entire extent with more enlargement seen in the head and uncinate process and neck region. it shows mild heterogeneous t2 signal intensity changes in the entire pancreatic parenchyma. minimal peripancreatic fluid is noted.
data/train/audio_05200.wav,no abnormality is detected in the prevertebral region. the vascular structures are normal. bilateral posterior paraspinal muscles are normal in size and reveals normal signal intensity. spinal canal measurements are within normal limits. mild degenerative changes are seen involving the atlanto-axial joint. : 1. broad based posterior and bilateral foraminal herniation
data/train/audio_00090.wav,soft tissue hematoma over left temporal region with adjacent subcutaneous soft tissue edema. hematoma measures approximately 19 x 9 mm. : * small focal subdural hemorrhage along right parietal region. no obvious mass effect.
data/train/audio_05650.wav,loss of cervical lordosis is noted. small anterior osteophytes are seen from c3 to c6 vertebral levels. schmorls nodes are seen at the endplates of c7-c6 vertebral bodies. no atlantoaxial dislocation is seen.
data/train/audio_01263.wav,"no significant disc bulge or protrusion. l3-4: normal intervertebral disc signal intensity and height. no significant disc bulge or protrusion. l4-5: desiccation. annular tear. diffuse bulge, broad based dorsal protrusion, compressing the thecal sac and encroaching the neural foramina."
data/train/audio_04960.wav,"right adnexa right ovary appears bulky with a tubo-ovarian complex measuring 2.7 x 2.5 x 2.5 cm. few t2 iso- to hypointense and t1 hyperintense cysts are seen within the ovary, the largest measuring 7 x 12 mm, consistent with endometriotic cysts. two additional ~3 mm endometriotic cysts are noted."
data/train/audio_01894.wav,"hyoid bone and laryngeal cartilages i.e. thyroid, cricoid and arytenoid appear normal. no abnormal asymmetry or enhancement seen."
data/train/audio_02289.wav,"acute subdural hematoma (sdh) is noted in the left parietotemporal region, measuring approximately 10 mm in maximum thickness. subarachnoid hemorrhage (sah) is seen along the suprasellar cistern and left sylvian fissure. hemorrhagic contusion is noted in the left frontal lobe. subarachnoid hemorrhage is also seen in the bilateral basifrontal regions."
data/train/audio_04731.wav,"posterior fossa: cerebellum and brainstem are normal in attenuation pattern. cerebellar folia are normal. no focal sol seen. cp angle cisterns are normal. fourth ventricle is central and normal in shape. bone, scalp and sinuses: postoperative changes noted in left parietal bone."
data/train/audio_02310.wav,findings: mild straightening of the lumbar spine is seen with no scoliosis. schmorl's nodes are seen at the endplates of l2 and l3 vertebral bodies. small anterior and lateral marginal osteophytes are seen from l3 to l5 vertebral levels. modic type ii changes are seen involving the endplates of l3-l5 vertebrae. the pre and paravertebral soft tissues appear normal.
data/train/audio_03502.wav,"near complete destruction and collapse of left lung with extensive fibrocavitary and bronchiectatic changes and volume loss, likely sequelae of old chronic infective process. milder fibrocavitary and bronchiectatic changes in right lung with compensatory hyperinflation of remaining lung."
data/train/audio_02103.wav,"(predominantly in medial aspect) findings suggest possibility of infective aetiology - ? osteomyelitis. advice: contrast study for better evaluation. non-visualization of flexor hallucis longus tendon just distal to level of subtalar joint, suggestive of complete tear."
data/train/audio_00541.wav,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.
data/train/audio_03637.wav,"both kidneys: normal in size, shape, and signal intensity. no hydronephrosis. uterus: measures approximately 6.2 x 4.3 cm. the endometrial cavity is distended with abnormal thickening measuring up to 2.5 cm."
data/train/audio_00228.wav,"there are degenerative changes in the cervical spine, in the form of reduced intervertebral disc height at multiple levels along with ossification of the anterior longitudinal ligament (oall). the visualized salivary glands, carotid spaces, parapharyngeal spaces, and major vascular structures appear unremarkable."
data/train/audio_01825.wav,"at l4-l5 level, diffuse disc bulge is seen indenting anterior thecal sac with bilateral grade 2 neural foraminal narrowing and abutment of exiting nerve roots. central canal measures approximately 10 mm. at l3-l4 level, mild diffuse disc bulge indenting anterior thecal sac with bilateral grade 1 neural foraminal narrowing."
data/train/audio_02091.wav,ncct: head there is evidence of ill-defined hyperdense area measuring ~ 4 x 2.9 x 3.5cms (apxtrxcc) (avhu ~ 56) with surrounding hypodense area --- edema /clot retraction noted in right external capsule
data/train/audio_04313.wav,no evidence of breaks in pars intra articularis. opinion: mild central wedge compression involving d10 vertebral body
data/train/audio_05272.wav,a 21 x 16 x 16 mm sized well defined smooth marginated rounded opacity in the upper and outer quadrant of left breast. rest of the architecture of the breast appears maintained. no evidence of abnormal calcification. there is no retraction of skin or nipple noted.
data/train/audio_02389.wav,"small subcortical cystic changes with chronic degenerative alterations are noted involving the right femoral neck. minimal bilateral hip joint effusion is present. mild t2/stir hyperintense soft tissue edema is seen adjacent to bilateral greater trochanters, likely representing mild trochanteric enthesopathic/peritrochanteric inflammatory change."
data/train/audio_04596.wav,: nodular opacities involving right mid and lower zones suggestive of consolidations. mild cardiomegaly. unfolding of arch of aorta aortic and knuckle calcifications noted. both domes of diaphragm are normal in shape and outline. both cardiophrenic and costophrenic angles are clear. tracheal lucency is central.
data/train/audio_00842.wav,mild peribronchial cuffing in bilateral lower lobes- - ?respiratory bronchiolitis- ild . few micronodular infiltrates and early patches of consolidation in bilateral lower lobes- ?infective bronchiolitis. recommendation suggested clinical correlation.
data/train/audio_03176.wav,"along its entire course. the left popliteal artery shows minimal narrowing (<10%). the left anterior tibial and dorsalis pedis arteries show mild narrowing (<15%), while the posterior tibial artery shows mild narrowing (~20%)."
data/train/audio_00477.wav,bilateral posterior paraspinal muscles are normal in size and reveal normal signal intensity. spinal canal measurements are within normal limits. sagittal t2 weighted screening of cervical spine reveals loss of cervical lordosis. mild changes of spondylolysis are seen.
data/train/audio_01810.wav,there is no focal lesion seen. both kidneys are normal in size shape and location. the adrenal gland appears normal in size. visualized small and large bowel loops appear unremarkable. visualized bones appear normal in signal intensity without any focal lesion. there is no abnormal bowel dilatation of small and large bowel loops.
data/train/audio_05051.wav,"free fluid: no evidence of free uid. urinary bladder: well distended and shows normal wall thickness. there is no obvious evidence of calculus or mass. uterus: post-menopausal status. both the ovaries are not visualized, however adnexa appears normal on either side."
data/train/audio_04369.wav,"there is no abdominal lymphadenopathy seen. no e/o free fluid in abdomen and pelvis. ct chest report is attached separately. : nect abdomen reveals, no obvious pneumoperitoneum or hemoperitoneum. mildly bulky uterus."
data/train/audio_00674.wav,degenerative cervical spondylosis. recommendation suggested clinical correlation.
data/train/audio_00614.wav,above findings are likely suggestive of pulmonary edema. mild cardiomegaly. suggested clinical correlation.
data/train/audio_04087.wav,diffuse disc bulge noted causing grade i anterior thecal sac indentation. there is narrowing of left lateral recess and left neural foramina causing resultant compression of traversing and exiting nerve roots. right neural foramina and lateral recess appear normal.
data/train/audio_04151.wav,no significant mesenteric or retroperitoneal lymphadenopathy detected. 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/train/audio_05229.wav,large bowel loops are loaded with fecal matter and otherwise appear unremarkable. appendix appears normal. there is no abdominal lymphadenopathy seen. no e/o free fluid in abdomen and pelvis. mild atherosclerotic calcifications involving the visualised abdominal aorta. few soft tissue granulomas noted in
data/train/audio_02244.wav,superior endplate of s1 vertebral body. lower chest (visualized): visualized lung bases appear normal. impression: multiple bilateral renal calculi with largest measuring ~8 mm in left kidney and ~5.1 mm in right kidney. mild right hydronephrosis and hydroureter without demonstrable obstructing ureteric calculus
data/train/audio_00253.wav,"both globes appear normal in size, shape with homogeneous contents. the lens on either side appears normal in size, shape and position. the extra-ocularmuscles are normal. the optic nerve is symmetrical and normal in bulk on either side."
data/train/audio_04629.wav,/consolidation of underlying lung parenchyma noted. mild degenerative changes involving the visualised spine in the form of marginal osteophytes. rest of the visualized bones are unremarkable. ryle's tube appears coiled up in lower thoracic cavity. consider repositioning. : mild to moderate amount of pneumoperitoneum. mild to moderate amount of free fluid with multiple air foci likely faecal matter.
data/train/audio_02311.wav,at l5-s1 level: no significant disc bulge. mild ligamentum flavum hypertrophy noted. disc level canal diameter (mm) l1-l2 12.4 l2-l3 10.3 l3-l4 10.9 l4-l5 9.6 l5-s1 11.1 on dorsal spine screening: anterior osteophytes are seen at multiple dorsal levels. mild posterior disc bulges are seen at few dorsal levels indenting thecal sac. on screening of bilateral sacro-iliac joints: no significant abnormality detected.
data/train/audio_00320.wav,no evidence of acute compression deformity. endplate sclerosis at l2-l3. multiple anterior and lateral marginal osteophytes involving l3 to l5 vertebral levels. no focal lytic or sclerotic destructive osseous lesion. intervertebral discs
data/train/audio_04144.wav,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. conclusion:
data/train/audio_04918.wav,"both kidneys otherwise appear normal in size, shape, attenuation, enhancement, and excretory function. no hydronephrosis seen. both ureters are normal in course and caliber."
data/train/audio_02164.wav,"extensive prevertebral soft tissue edema/collection extending from c1 to c7 levels interspinous ligament injury at c4-c5, c5-c6, and c6-c7 levels long segment spinal cord contusion with edema extending from c3 to c7 levels"
data/train/audio_04971.wav,small parametrial loculated fluid collection. few reactive pelvic lymph nodes. final mri #enzian score p0 o1rt/lf t2 a0 b1 c1 fa
data/train/audio_00336.wav,findings: distal radius: o comminuted displaced fracture involving distal radius o fracture line extends into the articular surface - suggestive of intra-articular fracture
data/train/audio_02441.wav,"desiccation. no significant disc bulge or protrusion. l3-4: desiccation. diffuse bulge, compressing the thecal sac and encroaching the neural foramina. there is indentation over bilateral traversing l4 nerve roots and left exiting l3 nerve roots. l4-5: desiccation. diffuse bulge, compressing the thecal sac and encroaching the neural foramina."
data/train/audio_03092.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/train/audio_04945.wav,this needs follow up imaging with ultrasound to look for the decrease in the size and tumor marker correlation left ovarian stroma is seen stretched along the above-mentioned cyst. there is no significant lymphadenopathy. urinary bladder is partially distended without any focal lesion. small and large bowel loops appear unremarkable.
data/train/audio_01014.wav,"abdominal aorta / major vessels: no aneurysm described. lymph nodes: few para-aortic lymph nodes noted, largest measuring 11.1 mm. few mesenteric lymph nodes noted in the right iliac fossa, largest measuring 8.2 mm. peritoneum / mesentery:"
data/train/audio_05590.wav,associated diffuse subcutaneous soft tissue edema. no additional fracture or dislocation identified in the remaining visualized bones of the foot and ankle.
data/train/audio_00895.wav,urinary bladder is distended and reveal normal walls. no obvious calculus or mass lesion. post turp status. rest of the prostate appears unremarkable. seminal vesicles are normal. small bowel loops appear normal. large bowel loops are distended
data/train/audio_02721.wav,predominantly along the right lateral wall. uterus - unremarkable. impression: heterogeneously enhancing hepatic lesion in segment iii - suggestive of metastatic deposit. extensive abdominopelvic lymphadenopathy causing bilateral mild hydroureteronephrosis.
data/train/audio_02202.wav,"extensive left-sided pleural-based malignant appearing disease characterized by diffuse nodular pleural thickening and multiple heterogeneously enhancing pleural masses, associated with: large left pleural effusion (~1400 cc)"
data/train/audio_01929.wav,"c4-c5 level: there is mild diffuse disc bulge indenting the anterior subarachnoid space and abutting the cervical cord, without intrinsic cord signal changes. there is mild left neural foraminal narrowing without significant neural compromise. spinal canal ap diameter: ~12 mm. c5-c6 level:"
data/train/audio_05116.wav,bilateral mild ethmoid sinusitis. rest of the visualized paranasal sinuses are normal. impression: no significant intracranial abnormality seen. mildly deviated nasal septum to the left. bilateral mild ethmoid 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/train/audio_02482.wav,the gall bladder is fairly distended with clear luminal density. no gall stone or any pericholecystic fluid is seen. the cbd is not dilated. the spleen is normal in size and shows a homogeneous parenchymal density and enhancement pattern.
data/train/audio_04640.wav,"interlobular septal thickening is also noted bilaterally. these findings favor pulmonary edema in the setting of congestive cardiac failure. few tiny calcified pulmonary nodules are seen in the superior segment of the right lower lobe, likely sequelae of prior granulomatous disease."
data/train/audio_00628.wav,lungs subtle haziness involving left midzone 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.
data/train/audio_01959.wav,"bilateral si joints appear normal. - lumbar scoliosis with convexity to the right side. multilevel marginal osteophytes ,disc dehydrative changes,facet joint arthopathy and schmorl nodes . l3 vertebral body hemangioma. l5-s1 type ii modic end plate changes"
data/train/audio_00548.wav,"technique: multiplanar, multisequence mri of the left foot performed. findings: a well-defined area of marked susceptibility artefact is noted in the plantar aspect of the forefoot, located just inferior to the head of the first metatarsal, consistent with a retained metallic foreign body."
data/train/audio_00898.wav,"incus and stapes are normal with normal articulation. the round and oval windows are normal. aditus to antrum is normal. the cochlea, vestibule, vestibular and cochlear aqueduct are normal. the facial nerve canal is normal. the superior, posterior and horizontal semicircular canals are normal. the internal auditory canal is normal."
data/train/audio_00905.wav,the gallbladder is well-distended and shows solitary 14 mm calculus within the visualized hepatic ducts and cystic duct is normal in its course and caliber. the common bile duct is well-visualized 5 mm in max diameter in its entire course up to its insertion into the duodenum and is of normal caliber.
data/train/audio_02518.wav,"sella, parasellar structures and orbits reveal no significant abnormality. mucosal polyps noted in the bilateral maxillary sinuses. right middle turbinate concha bullosa noted. mild bilateral ethmoid sinusitis. impression: age-related cerebral and cerebellar atrophic changes. mild bilateral fronto-parietal periventricular and deep white matter ischemic changes--"
data/train/audio_05580.wav,diffuse omental nodularity and thickening seen. there is no evidence of any abdominal lymphadenopathy. gross ascites is seen. pelvic vasculature is normal in course and caliber with normal flow voids. enlarged uterus with multiple leiomyomas (fibroids) involving anterior and posterior myometrium
data/train/audio_03763.wav,mri brain plain protocol multiplanar and multi-echo mri of the brain was performed without administration of intravenous contrast. : posterior fossa: cerebellum and brainstem are normal. cerebellar folia are normal. no evidence of tonsillar herniation.
data/train/audio_03380.wav,"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. small eccentric mixed plaque measuring approximately 3.1 mm noted in the mid segment of right coronary artery causing approximately 40%-50% luminal compromise. acute marginal, right posterior descending artery and right posterolateral"
data/train/audio_05328.wav,small eccentric plaques involving bilateral carotid bulb extending into proximal segments of bilateral internal carotid arteries causing 20% luminal compromise. rest of the bilateral common carotid arteries are normal in course and caliber with normal flow signal intensity. common carotid arteries are bifurcating normally in both sides.
data/train/audio_05083.wav,"no acute osseous abnormality identified in the right foot. no evidence of fracture, dislocation, focal osseous lesion, or joint effusion."
data/train/audio_03683.wav,few calculi at the fundus (largest ~9.3 mm) appear likely adherent. gallbladder wall is mildly thickened (5-6 mm) with increased enhancement. mild pericholecystic fat stranding and minimal fluid noted.
data/train/audio_02811.wav,"3# gall bladder: over distension with mild wall thickness ( measuring 4 mm) . multiple mobile calculi seen in the lumen of gallbladder, average sized of 5-6 mm. minimal sludge noted. cbd: couldn't be visualized due to excessive bowel gases 4# spleen: measures 11.5 cm, appears normal in size & echogenicity. no focal lesion. a 1.6 x 1.3 cm sized splenunculus noted near the upper pole. 5# pancreas: visualized head and body of pancreas appears normal in size and echotexture. no focal diffuse lesion. kidneys: right kidney measures 11.1 x 5.1 cm left kidney measures 10.5 x 5.4 cm."
data/train/audio_01907.wav,airways trachea is central. tracheo-bronchial tree is normal. heart mild cardiomegaly noted. unfolding of arch of aorta and aortic knuckle calcifications noted.
data/train/audio_00485.wav,"parietal and periventricular white matter s/o chronic ischemic changes. mild generalized prominence of the cortical sulci, basal cisterns and ventricular system is noted s/o cerebral atrophy rest of the brain parenchyma is normal in attenuation. rest of the basal ganglia and thalami are normal."
data/train/audio_04748.wav,findings - there is loss of lumbar lordosis. vertebrae appear osteoporotic. central wedge compression fracture of l1 vertebral body is seen with loss of vertebral height by about 20%-30%.mild retropulsion of posteroinferior cortex is seen.
data/train/audio_05031.wav,"pre-void vol. - 308 cc; post-void vol. - 15 cc (not signicant) prostate: measures 4.5 x 3.6 x 4.2 cm (approx. vol: 25-26 cc), appears borderline enlarged in size, normal in shape and echotexture."
data/train/audio_00968.wav,"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. acute marginal, right posterior descending artery and right posterolateral branches have no significant stenosis. cardiac morphology:"
data/train/audio_02838.wav,"vii and viii nerve complex appear normal. bilateral mastoid air cells are normal. sella: 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."
data/train/audio_05046.wav,"prostate: measures 3.6 x 3.1 x 4.0 cm (approx. vol: 23.9 cc), appears normal in size, shape and echotexture. : grade i fatty liver. mild peri-portal cufng is noted."
data/train/audio_05308.wav,rest of the soft tissues appear normal. opinion: mildly displaced fracture involving the radial head involving the radiocapitellar articular surface. mild soft tissue oedema around elbow.
data/train/audio_02347.wav,both zygomatic arches appear normal without any fracture. both orbital walls appear intact with normal eye globes. no lytic or sclerotic osseous lesion noted. rest of the soft tissues are unremarkable. visualised vertebrae show no fracture or dislocation.
data/train/audio_02961.wav,noted in lower pole of left kidney. another calculi measuring 16mm x 11mm noted in lower pole of left kidney. left pelvi-calyceal system appear prominent. renal sinus appears normal. perirenal and pararenal spaces appear normal. gerota's fascia appears normal. peritoneum:
data/train/audio_04827.wav,small focal areas of diffusion restriction in bilateral frontal white matter suggestive of acute/subacute ischemic foci. t2/flair hyperintense lesion in the right frontal lobe with central non-suppression on flair and no associated diffusion restriction likely chronic gliotic focus / encephalomalacic change.
data/train/audio_04237.wav,vertebral body: few peridiscal osteophytes. altered marrow signal intensity noted in l4 and l5 vertebral bodies. it appears hypointense on t1w and iso to hypointense on t2w images. it appears hyperintense on stir image.
data/train/audio_03088.wav,bilateral inferior turbinate hypertrophy. bilateral concha is seen on both sides.
data/train/audio_01830.wav,"multilevel lumbar spondylotic changes with disc desiccation, osteophytes, modic changes and posterior annular tears at l4-l5 and l5-s1. disc bulges at l4-l5 and l5-s1 causing bilateral foraminal narrowing with nerve root abutment."
data/train/audio_05199.wav,"c6-7 disc reveals broad based posterior and bilateral foraminal herniation. it indents the anterior subarachnoid space, both c6 nerve roots and causes moderate narrowing of the central canal and neural foramina, bilaterally. mild facetal arthropathy is detected at this level. c6-7 disc reveals diffuse bulge. it indents the anterior subarachnoid space,"
data/train/audio_01069.wav,a well defined iso to hyperdense lesion noted in the subgaleal plane of parietal region in left paramedian location. it measures approximately 19 x 18 x 21 mm (tr x ap x cc). few focal calcifications noted within the lesion.
data/train/audio_00028.wav,wall thickness of urinary bladder is normal. perivesical fat planes are preserved. retroperitoneum: no significant retroperitoneal lymphadenopathy. retroperitoneal fat planes appear unremarkable. uterus and adnexa:
data/train/audio_03595.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/train/audio_01326.wav,"bilateral facetal arthropathy with associated ligamentum flavum hypertrophy is noted at the l4-l5 and l5-s1 levels, contributing to degenerative lumbar canal narrowing. spinal cord and conus: the visualized spinal cord appears normal in signal intensity. the conus medullaris terminates at the l1 level and appears normal."
data/train/audio_03311.wav,loss of cervical lordosis is noted. mild retrolisthesis of c3 over c4 noted. small anterior osteophytes are seen from c3 to c7 vertebral levels. schmorl's nodes are seen at the endplates of c3 to c5 vertebral bodies.
data/train/audio_00576.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."
data/train/audio_05315.wav,"grade 1 anterolisthesis of l5 noted. l1-l2: there is evidence of grade-i central disc protrusion with small peripheral annular tear, with compression over the thecal sac. l2-l3: there is evidence of grade-i central disc protrusion with small peripheral annular tear, with compression over the thecal sac and cauda equina."
data/train/audio_00391.wav,"soft tissue swelling noted in frontal region, bilateral periorbital and premaxillary region. : facial bone fractures as mentioned above."
data/train/audio_05178.wav,disc desiccation changes are seen at few levels. anterior and posterior marginal osteophytes are seen at few levels. schmorls node noted at multiple levels.
data/train/audio_04436.wav,findings: hepatic and splenic shadows appear within normal limits. gastric fundal gas bubble appears normal. bowel gas pattern is unremarkable with gas seen in large bowel loops. no evidence of air-fluid levels to suggest bowel obstruction. no free air under diaphragm to suggest perforation.
data/train/audio_04397.wav,mild to moderate knee joint and suprapatellar bursal effusion with diffuse soft tissue edema around knee joint. 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/train/audio_04031.wav,bilateral ostiomeatal units frontal recesses are blocked. mild right sphenoid sinusitis. normal anatomical variants as mentioned.
data/train/audio_05422.wav,degenerative changes in cervical spine. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_02617.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. mild scoliosis of the cervical spine is seen, with convexity to the right. few marginal osteophytes are seen from c4 to c7 vertebral levels. the marrow within the vertebrae reveals normal signal intensity."
data/train/audio_04901.wav,"no radio-opaque foreign body is seen in the orbits. zygomatic bone arch are normal. temporal bone and process of temporal bone are normal. no significant abnormality seen in mastoids and external auditory canal on both sides. petrous temporal bone, middle and inner ear structures are normal."
data/train/audio_00719.wav,tibiofemoral and patello-femoral joints appear normal with intact articular cartilage. no obvious intraarticular loose bodies are seen. minimal knee joint effusion noted. : low-grade tear involving anterior cruciate ligament. no significant retraction.
data/train/audio_04386.wav,"tear involving the soleus muscle. mild to moderate soft tissue edema involving the leg region, predominantly involving the posterior aspect. small well defined collection involving the subcutaneous plane of lower leg region on posteromedial aspect likely degloving injury. 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/train/audio_02763.wav,prostate is normal in size and enhancement. no evidence of any focal lesion seen. bony pelvis appears normal. no evidence of any lytic or sclerotic lesion seen. minimal free fluid noted in pelvis.
data/train/audio_02326.wav,common flexor tendon (medial epicondyle): intact with normal signal; no evidence of medial epicondylitis. common extensor tendon (lateral epicondyle): intact with normal signal; no evidence of lateral epicondylitis.
data/train/audio_05697.wav,urinary bladder is distended and reveals normal wall thickness and contents. uterus - post operative status. there is no evidence of any abdominal lymphadenopathy. pelvic vasculature is normal in course and caliber with normal flow voids.
data/train/audio_03018.wav,mild posterior disc bulges are seen at few dorsal levels indenting thecal sac. on screening of bilateral sacro-iliac joints: no significant abnormality detected. : at l2-l3 level: diffuse disc bulge indenting thecal sac and traversing nerve roots. narrowing bilateral neural foramina abutting bilateral exiting nerve roots.
data/train/audio_00058.wav,"there is minimal urinary bladder wall thickening is seen. please correlate for cystitis. few prominent periportal, portacaval and intra mesenteric lymph nodes are seen these are likely reactive in nature. no evidence of any ascites seen. visualized lung bases appear unremarkable."
data/train/audio_03818.wav,"prominent left supraclavicular lymph node measuring 8 x 7 mm - indeterminate, metastatic involvement cannot be excluded. few enlarged bilateral level ii and iii lymph nodes noted, largest measuring 8 x 8 mm in left level ii. these are borderline in size; morphology needs correlation."
data/train/audio_04028.wav,a bony spur is seen arising from the chondrovomer junction on left side. nasal cavity: bilateral mild inferior turbinate hypertrophy noted. rest of the turbinates appear unremarkable. diffuse mucosal thickening involving bilateral nasal cavities. few tonsilloliths noted on right side.
data/train/audio_01054.wav,"transfalcine herniation and midline shift to right side, mild uncal herniation. thin sdh along falx. linear undisplaced fracture of right parietal bone extending to squamous part of right temporal bone, roof and posterolateral wall of right orbit. displaced fracture of right zygomatic arch . scalp hematoma overlying"
data/train/audio_05533.wav,"findings suggestive of early acute interstitial (edematous) pancreatitis, characterized by: o mildly bulky edematous pancreas o minimal peripancreatic fluid o minimal peripancreatic inflammatory changes (evaluation limited due to very low visceral fat)"
data/train/audio_01880.wav,the bones forming ankle joint are normal. the articular surfaces are normal. no fracture or dislocation is present. visualized bones show normal mineralization.
data/train/audio_02995.wav,recommendations: histopathological confirmation
data/train/audio_00462.wav,fibrosis with traction bronchiectatic changes noted in right upper lobe posterior segment - postinfective changes . undisplaced hairline fracture noted in lateral aspect of left fifth rib. no evidence of haemo /pneumothorax. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_00790.wav,empty sella status seen. there is no shift of midline structures. mild mucosal thickening is seen in left maxillary sinus. orbits and calvarium appears normal. there is mild irregular narrowing of petrocavernous segment of right internal carotid artery. the left internal carotid artery appears normal.
data/train/audio_01118.wav,both cp angles are clear. the basal cisterns are normal. normal flow void is seen in the major dural venous sinuses and arteries. :in this operated case of tbueculoma of brain
data/train/audio_01918.wav,"pancreatic parenchyma appears atrophic with dilatation of main pancreatic duct. maximum diameter measures 6.5 mm in body region. minimal peripancreatic fat stranding noted. tiny signal void of size about 2-3 mm noted in mpd at neck region, suggestive of calculus."
data/train/audio_04391.wav,lateral patello-femoral ligaments. grade ii injury involving the lateral patellar retinaculum. grade i injury involving medial patellar retinaculum. meniscus:- grade ii signal change involving body and posterior horn of medial meniscus. lateral meniscus appears normal in configuration and signal intensity. no evidence of tear noted.
data/train/audio_05596.wav,"comminuted displaced fracture of right iliac blade is seen. right iliacus appears bulky subcutaneous fat stranding is seen along right lateral pelvic wall rest of pelvic bones including left ilium, ischium and pubis appear normal in density, outline and morphology bilaterally."
data/train/audio_04448.wav,"located about 3 cm posterior to the nasion, as demonstrated on ct screening. on mr cisternographic sequences, there is evidence of csf signal intensity extending through this defect, with mild inferior herniation of adjacent brain parenchyma into the defect, suggestive of a small meningoencephalocele."
data/train/audio_05111.wav,"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. mildly deviated nasal septum to the left."
data/train/audio_02627.wav,visualized part of orbits is unremarkable. overlying scalp is normal. visualized paranasal sinuses are normal. : no significant abnormality is seen. differential diagnosis na recommendation suggested clinical correlation. mri brain if indicated.
data/train/audio_01862.wav,the lesion demonstrates homogenous low attenuation component (~ -66 hu) probably soft tissue swelling-lipoma.
data/train/audio_04811.wav,"soft tissues and muscles of chest wall are normal. tiny microlith in upper calyx of right kidney. small hiatus hernia noted. visualised upper abdomen reveals caudate lobe hypertrophy, surface irregularity of liver parenchyma, heterogeneous attenuation of liver parenchyma and enlarged spleen."
data/train/audio_04863.wav,ct pelvis with both hips technique: ct scan of pbh was done without administration of contrast. clinical profile: history of trauma. chief complaints of left hip pain. findings: osseous structures diffuse osteopenia is noted involving the visualized pelvic bones and proximal femora.
data/train/audio_04392.wav,joints:- no evidence of osteoarthritic changes. tibiofemoral and patello-femoral joints appear normal with intact articular cartilage. no obvious intraarticular loose bodies are seen. mild to moderate knee joint and suprapatellar bursal effusion is noted. t2w and stir hyperintensities are seen in the adjacent soft tissues s/o edema.
data/train/audio_02327.wav,extensor and flexor muscle groups: normal bulk and signal intensity without edema or atrophy. nerves: ulnar nerve in the cubital tunnel appears normal in caliber and signal. no evidence of nerve compression or displacement. radial and median nerves appear unremarkable.
data/train/audio_03387.wav,prominent broncho-vascular markings - congestion. recommendation suggested clinical correlation
data/train/audio_04287.wav,: lungs: few fibronodular and centrilobular opacities in right upper lobe in adjacent pleural thickening and bronchial wall inflammation. rest of the lungs appear normal in volume and attenuation. rest of the pleuro-parenchymal interfaces are smooth. no evidence of air trapping seen.
data/train/audio_05682.wav,findings: base of tongue region appears normal. genioglossus and genoihyoid muscles appear normal. bilateral tonsillar fossa appears unremarkable. oropharyngeal region reveal no abnormality. pharyngeal mucosal space appears normal. bilateral masticator space and buccal space appear normal.
data/train/audio_04388.wav,"it appears isointense on t1, hyperintense on t2 and stir sequences. no obvious underlying marrow changes. rest of the visualised bones show normal marrow signal. no e/o marrow edema. the visualized joints and articular margins are normal. rest of the visualised muscles and neurovascular bundle are normal."
data/train/audio_05061.wav,"liver: measures 11.5 cm, appears normal in size and shape. it shows raised parenchymal echogenicity. there is no evidence of solid or cystic lesion. there is no intra or extra hepatic biliary radicle dilatation. portal vein: normal."
data/train/audio_00149.wav,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/train/audio_00721.wav,findings: few small well-defined flair hyperintensities are seen in bilateral corona radiata regions -- s/o old lacunar infarcts.
data/train/audio_04733.wav,multiplanar mr imaging of the lumbar spine was performed using a phased-array spine coil and large fov. the lumbar lordosis is well maintained. the alignment of the vertebrae is normal. visualized vertebrae appear osteoporotic. degenerative endplate changes are seen at l2-3 level. multiple marginal osteophytes are seen
data/train/audio_00153.wav,"gall bladder: minimally distended. a 4.0 x 3.0 mm sized hyperechoic foci noted at lateral wall of gallbladder ? polyp/?calculus. cbd: normal. spleen: measures 9.9 cm, appears normal in size & echogenicity. no focal lesion seen."
data/train/audio_02962.wav,no soft tissue abnormality seen. diffusely prominent bilateral bronchovascular markings - chronic bronchitis cardiomegaly recommendation suggested clinical correlation.
data/train/audio_03026.wav,"the muscles around the knee joint and the intermuscular planes are normal. there is no abnormal soft tissue component or fluid collection. the neurovascular bundles are intact. impression - mr scan reveals, altered marrow signal intensity changes along medial femoral condyle and anterior medial tibial plateau, suggestive of traumatic marrow contusions."
data/train/audio_02192.wav,ct - thorax (hrct + post contrast) technique: ct scan of chest was done before and after administration of contrast. clinical profile: chief complaints of left sided chest pain and difficulty in breathing.
data/train/audio_04514.wav,"adrenal glands appear normal. both kidneys are normal in size and enhancement. bilateral pelvicalyceal systems appear prominent, with mild dilatation of proximal and mid ureters, suggestive of bilateral hydroureteronephrosis. a large well-defined solid-cystic lesion measuring approximately 15.5 x 22.1 x 18.6 cm"
data/train/audio_04220.wav,mri scan of left knee technique: multiecho mr imaging of the left knee done on 1.5 tesla superconducting magnet clinical profile: history of trauma. findings:-
data/train/audio_02672.wav,nect pns protocol: plain ct of the paranasal sinuses has been performed on multidetector ct scanner. clinical profile: chief complaints of headache and giddiness. findings: nasal septum: cartilagenous and bony nasal septum is s shaped with a bony spur on either sides.
data/train/audio_00367.wav,a calculus ms~11x5mm (hu~680) is seen in left mid ureter with mild upstream hydroureteronephrosis. mild perinephric fat stranding is seen with thickening of perinephric fasciae. few tiny subcentimetric simple cortical cysts are seen in left kidney.
data/train/audio_03149.wav,"liver: liver is grossly enlarged (measures ~_19.2cms in craniocaudal span), parenchymal density, attenuation and contrast enhancement. no focal or diffuse liver lesion seen. no evidence of ihbr dilatation is seen. portal vein is normal in caliber. no evidence of any intraluminal filling defect."
data/train/audio_00243.wav,multiple perigastric and omental collaterals are also seen these findings likely represent sequelae to prior splenic vein thrombosis. splenic artery shows slight prominence with maximum diameter of 7 mm. common hepatic artery appears normal in caliber. it further divides into gastroduodenal artery and hepatic artery proper.
data/train/audio_02646.wav,: no evidence of intraparenchymal or extra-axial haemorrhage related region. fracture noted in anterior wall of right maxillary sinus with haemosinus within.
data/train/audio_05654.wav,normal x-ray of shoulder.
data/train/audio_05515.wav,lungs bilateral lungs fields are clear. 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.
data/train/audio_01177.wav,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. no congenital mal formation noted. no acute infarct or bleed is seen.
data/train/audio_03097.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/train/audio_04806.wav,"few areas of fibrobronchiectasis and fibroatelectasis involving right middle lobe. rest of the lungs appear normal in volume and attenuation. airway and hilum: trachea, lobar bronchi, bronchus intermedius and rest of the segmental bronchi are normal. no intraluminal filling defects present. no dilated bronchi seen."
data/train/audio_02665.wav,the left and right posterior cerebral arteries have normal origin off the basilar tip. : the right vertebral artery v4 segment is 50% narrow in calibre compared to the contralateral side suggestive of hypoplasia. mra of the neck without contrast
data/train/audio_05368.wav,the lesion demonstrates predominant fat attenuation with internal specks of calcification and no appreciable post-contrast enhancement. the right ovary is inseparable from this lesion. imaging features are most suggestive of a mature cystic teratoma (dermoid cyst). left ovary shows few specks of calcification without a definite associated mass lesion.
data/train/audio_01949.wav,c5-6 and c6-7 discs reveal posterior protrusions indenting anterior subarachnoid spaces. sagittal t2 weighted screening of dorsal spine reveals: there is loss of thoracic curvature. hemangioma is seen on t3 vertebral body. mild changes of spondylosis are seen. sagittal t2 weighted screening of lumbar spine reveals:
data/train/audio_02675.wav,mild right inferior turbinate hypertrophy. mild mucosal thickening involving bilateral nasal cavities. bilateral moderate tonsillar hypertrophy causing moderate luminal compromise. small right maxillary sinus polyp and bilateral mild ethmoid sinusitis. normal anatomical variants as mentioned.
data/train/audio_01667.wav,remaining visualised tendons and ligaments appear intact. visualised muscles appear normal in bulk and signal intensity. no focal fluid collection or abscess noted. : focal posterior heel soft tissue inflammatory changes with subcutaneous edema and skin puckering
data/train/audio_04617.wav,bony thoracic cage is normal. tip of rt tube noted in lower thoracic cavity in midline. no soft tissue abnormality seen. prominence of bronchovascular markings. bilateral pleural effusion. tip of rt tube in lower thoracic cavity in midline.
data/train/audio_02255.wav,(tr x ap x cc) hyperdense (average hu 500) staghorn calculus noted in the left renal pelvis extending into all calyces with resultant back pressure changes in the form of mild hydronephrosis. mild fat stranding in parapelvic and perinephric regions. mild perinephric fluid also noted.
data/train/audio_04067.wav,"cervical lymph nodes noted, measuring 5-6 mm in sad. no calcifications. cervical oesophagus and trachea appear normal. bilateral styloidprocess are within normal limit. the visualized vertebrae are normal in density and trabecular pattern. no significant abnormality seen in the neck. recommendation suggested clinical correlation."
data/train/audio_05065.wav,urinary bladder: well distended and shows normal wall thickness. there is no evidence of calculus or mass. pre-void vol measures 310 cc ; post-void vol measures- 52 cc (signicant).
data/train/audio_03158.wav,the gallbladder is well distended. no hypointensities are seen within it to suggest presence of calculi. the wall is normal in thickness. the mass lesion. the common bile duct is normal in course and caliber. no intraluminal filling defects are visualized.
data/train/audio_02791.wav,bilateral axillae show no significant lymphadenopathy. impression: no mri evidence of diffusion restricting focal breast lesion. imaging features are within normal limits for age. birads category i - negative study.
data/train/audio_05052.wav,no free uid is seen in cul- de-sac. : grade i fatty liver. multiple anechoic well-dened cystic lesions in the liver parenchyma with few septae noted within -
data/train/audio_04493.wav,retinaculum & plicae: normal. hoffa's fat pad: normal. postero-lateral structures: normal. osseous structures: ill-defined intramedullary altered signal intensity lesion noted in medial aspect of distal femoral metaphysis with extension in diaphysis and epiphysis.
data/train/audio_04488.wav,ground-glass opacities in left upper lobe - suggestive of active inflammatory changes/reactivation; correlate clinically and microbiologically mild cardiomegaly
data/train/audio_05066.wav,"right kidney: measures 10.4 x 4.8 cm, appears normal in size and shape. cortico medullary differentiation is well maintained. there is no evidence of calculi or hydronephrosis."
data/train/audio_05461.wav,"mri prostate (multiparametric mri prostate with contrast) technique: multiplanar multisequence mri of the prostate was performed including t1, t2, dwi, adc and dynamic post-contrast sequences following intravenous contrast administration."
data/train/audio_04360.wav,"superior labral tear of the labrum of the superior glenoid rim without a biceps tendon tear, located at the 11-to 1-o'clock position (type iia). the labrum is not completely detached. mild acromio-clavicular joint arthrosis. minimal joint effusion. keyimages"
data/train/audio_00954.wav,mild degenerative changes noted in the dorsal spine. few small calcified granulomas noted in the segment viii of liver. no evidence of pulmonary thromboembolism. diffuse patchy central and subpleural ground glass with interlobular interstitial septal thickening in the bilateral lungs--features likely suggestive of
data/train/audio_02614.wav,no abnormality is detected in the prevertebral region. the vascular structures are normal. bilateral posterior paraspinal muscles are normal in size and reveals normal signal intensity. spinal canal measurements are within normal limits. incidental note is made of small t2 hyperintense lesion measuring approximately 1.9 x 1.5 cm is seen in subcutaneous plane in the back region at the level of
data/train/audio_00925.wav,bony thoracic cage is normal. no soft tissue abnormality seen. no abnormality detected suggested clinical correlation.
data/train/audio_05367.wav,no ascites or pneumoperitoneum. no mesenteric lymphadenopathy. vessels: abdominal aorta and its major branches appear normal in caliber and course. no aneurysm or thrombosis is seen. pelvic organs: a well-defined lesion measuring approximately 38 x 31 x 29 mm is seen in the right adnexal region.
data/train/audio_02744.wav,"urinary bladder: minimally distended. 5# uterus: post-menopausal status; both the ovaries are not visualized, however adnexa appears normal on either side. minimal amount of uid seen in abdominal and pelvic cavity. few anterior abdominal wall collaterals are noted. 6# : altered echotexture of liver. advice lft correlation. mild splenomegaly. mild periportal cufng is noted. pseudothickening of the gallbladder wall. minimal ascites( non tappable) #7 suggest - clinical and biochemical correlation/ further imaging if indicated."
data/train/audio_04979.wav,"parametrium : a loculated parametrial fluid collection measuring 1.3 x 2.9 x 1.3 cm is seen, appearing t2 hyperintense, without surrounding inflammatory fat stranding. prominent parametrial vessels are noted. lymph nodes few subcentimeter reactive pelvic lymph nodes, largest 8 mm in the left external iliac region."
data/train/audio_00994.wav,"observations vertebrae & disc altered marrow signal involving inferior endplate of l3 and superior endplate of l4 with intervening disc involvement. lesions appear t1 hypointense and stir hyperintense, consistent with spondylodiscitis. findings are grossly similar in distribution compared to prior study."
data/train/audio_00981.wav,"x-ray pns: haziness is seen in bilateral frontal and maxillary sinuses, possibility of sinusitis. no evidence of bony erosion. nasal septum is deviated to right side. : haziness is seen in bilateral frontal and maxillary sinuses, possibility of sinusitis. nasal septum is deviated to right side."
data/train/audio_04628.wav,hydroureter or calculus is seen. the left kidney is small in size and measures approximately 6.7 x 4.3 cms. drainage catheter noted through left lumbar region traversing through descending colon and left kidney with tip in midline in preaortic region (possible site of bowel perforation).
data/train/audio_03035.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/train/audio_02522.wav,parieto-occipital horns of bilateral lateral ventricles appear prominent. no other significant intracranial abnormality seen. suggested further evaluation with mri brain. 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/train/audio_00448.wav,multilevel diffuse disc bulges (c4-c7) without significant neural compromise. no significant canal stenosis or cord compression. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_04473.wav,there is no free fluid seen in the abdomen. visualized bones appear normal. visualized small and large bowel loops appear unremarkable. impression - mr scan reveals imaging findings concerning for acute interstitial pancreatitis. further correlation with serum pancreatic enzymes markers is recommended.
data/train/audio_01113.wav,"diffuse bulge of c3-c4, c4-c5, c5-c6 & c6-7 discs, indenting the thecal sac and encroaching the neural foramina. there is compression over bilateral exiting c4, c5, c6 and c7 nerve roots."
data/train/audio_04299.wav,": mri features suggestive of chronic liver disease/cirrhosis with portal hypertension, evidenced by surface nodularity, splenomegaly and multiple portosystemic collaterals. massive ascites."
data/train/audio_02303.wav,"portal vein, hepatic veins, and inferior vena cava appear patent. impression hepatomegaly (liver measuring ~18.7 cm) with periportal cuffing - possibility of acute hepatitis to be ruled out suggested clinical correlation and cytological analysis."
data/train/audio_01111.wav,"otherwise, the vertebral bodies reveal normal morphology and signal characteristics. cranio-vertebral junction appears normal. cervical canal diameters at disc levels are as follows: c2-3 - 8.0 mm. c3-4 - 7.3mm."
data/train/audio_02207.wav,"suggested pleural fluid cytology, image-guided pleural/pleural mass biopsy and correlation with pet-ct. 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/train/audio_05640.wav,"show normal mr morphology, signal intensity and gray - white matter differentiation. rest of the basal nuclei, thalami and corpus callosum are showing normal signal intensity pattern. septum pellucidum and falx cerebri are in midline. no mass effect or midline shift is seen. brain stem and cerebellar hemispheres are showing normal morphology, signal intensity and outline."
data/train/audio_05330.wav,"craniotomy defect involving right fronto-parietal bones. a 1.9 x 1.2 cm in size altered signal intensity area noted in right thalamus with mild perilesional edema. it appears isointense on t1, iso to hypointense on t2 and flair sequences. it shows blooming on gradient images."
data/train/audio_01963.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/train/audio_03994.wav,"visualized part of hard palate, soft palate and uvula appears normal. parapharyngeal, carotid, pterygoid and buccalspaces show normal appearances. the pre-glottic, glotticand subglottic spaces of larynx appear normal."
data/train/audio_01051.wav,"cerebellar folia are normal. no focal sol seen. cp angle cisterns are normal. fourth ventricle is central and normal in shape. bone, scalp and sinuses: linear undisplaced fracture of right parietal bone is seen extending to squamous part of right temporal bone,"
data/train/audio_02687.wav,"in the given traumatic setting, hemothorax is a possibility. mediastinum and heart: cardiac size and mediastinal structures appear within normal limits. chest wall and bones: left side: comminuted fracture of the left scapula, predominantly involving the body region. fracture of the medial part of the left clavicle. fractures of the anterior and anterolateral"
data/train/audio_01812.wav,the maximum thickness of deep subcutaneous tissue a 6 cm and on the right side it is 5 cm. there is no obvious solid lesion is seen. it is t2 and t1 hyperintense with fat suppression on t1 fat sat images. there is no obvious nodularity seen.
data/train/audio_03695.wav,extra-axial spaces/meninges: no extra-axial collection. no mass effect or midline shift. sellar/suprasellar region: pituitary gland and stalk appear within normal limits. no sellar or suprasellar mass. corpus callosum: normal thickness and signal.
data/train/audio_02926.wav,no e/o free fluid in abdomen and pelvis. no e/o pleural effusion noted. vacuum disc phenomenon noted at lower dorsal levels. degenerative changes involving the visualised spine in the form of marginal osteophytes. rest of the visualized bones are unremarkable. small umbilical hernia measuring approximately 6.2 mm with herniation of omentum within noted.
data/train/audio_05492.wav,"there is no evidence of any focal lesion seen. prominent periportal, portacaval and left para-aortic lymph nodes are seen. small and large bowel loops appear normal in caliber. there is no abnormal wall enhancement or thickening seen. fecal loading is seen in the colon. there is no ascites seen."
data/train/audio_03779.wav,x-ray - left shoulder joint {ap/lat} old fracture involving lateral shaft of clavicle. mild sclerosis involving the greater tubercle of humerus. joint space appears normal.
data/train/audio_00600.wav,. maximum thickness measures approximately 6.4 mm. mild mass effect on underlying brain parenchyma. mild subdural hemorrhage along falx and bilateral tentorium. mild subdural hemorrhage along right high frontal region. maximum thickness measures approximately 4 mm.
data/train/audio_03296.wav,"visualized lower chest sections are unremarkable. visualized bones appear unremarkable. : cect abdomen reveals, above findings are suggestive of acute appendicitis. mild hepatomegaly . 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/train/audio_04184.wav,impression: multifocal hemorrhagic infarcts involving: left peritrigonal/periventricular region with intraventricular extension left cerebellar hemisphere (adjacent to fourth ventricle) background bilateral periventricular white matter hyperintensities
data/train/audio_04201.wav,undisplaced fracture noted in bilateral nasal bones. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_03353.wav,findings - there is loss of lumbar lordosis. vertebral alignment is maintained. marginal osteophytes are seen from l1-l5 vertebral bodies. l1-l2 intervertebral disc reveals diffuse bulge. it indents thecal sac without any significant spinal canal or neural foraminal narrowing. l2-l3 intervertebral disc reveals postero-central protrusion
data/train/audio_04247.wav,findings: mild straightening of the lumbar spine is seen with no scoliosis. heterogeneous marrow signal intensity. small anterior and lateral marginal osteophytes are seen from l2 to l5 vertebral levels. modic type ii changes are seen involving the antero-superior endplates of l3-l5 vertebrae. small t1 and t2 hyperintense haemangioma noted at s1 vertebral body.
data/train/audio_05408.wav,lungs: small fibrotic bands in the bilateral apices. rest of lungs appear normal in volume and attenuation. the peripheral as well as the peribronchovascularinterstitium shows no thickening or nodularity. no ground glass opacification seen. the pleuro-parenchymal interfaces are smooth. no evidence of air trapping seen.
data/train/audio_03941.wav,there is loss of lumbar lordosis. alignment of vertebrae is normal. marrow within the vertebrae reveal normal signal intensity. placement anterior osteophytes are seen from l2-l5 vertebral levels. all intervertebral discs are degenerated.
data/train/audio_05227.wav,"pancreas appears normal in attenuation pattern. both adrenal glands appear unremarkable. both kidneys are normal in size, shape, attenuation pattern. both ureters are normal in course and caliber. urinary bladder is distended and appears normal. prostate is normal in size and attenuation. small loops appear normal."
data/train/audio_02349.wav,there is fraying of the anteroinferior glenoid labrum adjacent to the bony injury. glenoid and humeral head a minimally displaced fracture is seen involving the anteroinferior portion of the glenoid with associated marrow oedema. there is depressed fracture with marrow oedema changes involving the greater tuberosity of proximal humerus. a hill-sachs defect is noted
data/train/audio_04242.wav,"para-spinal structures: muscles: normal. kidneys: normal. lower cord, cauda-equina: cord ends at l1 level. s.i. joints: normal."
data/train/audio_01179.wav,"no evidence of extra-axial collection is seen. intracranial arteries and venous sinuses: flow voids of the major vessels viz; intracranial ica, basilar artery & their branches and of the venous sinuses are well seen. no evidence of aneurysm or sinus thrombosis."
data/train/audio_04573.wav,mild facetal arthropathy and ligamentum flavum thickening at this level. diffuse bulge of l3-l4 disc. mild facetal arthropathy at this level.
data/train/audio_02956.wav,x-ray chest pa view finding. there is increase bilateral vascular marking with hazziness in bilateral lung fields. ? cardiogenic pulmonary edema the cardiac size is enlarge - cardiomegaly. cardiothoracic ratio measures -0.52
data/train/audio_02296.wav,"minimal fibrotic changes are noted in the lingular segments of the left lung. panacinar emphysematous changes are seen in the right lung, predominantly involving the right lower lobe. trachea and bronchi: trachea and main bronchi appear patent. pleura: no pleural effusion or pneumothorax is seen. mediastinum and hila:"
data/train/audio_01966.wav,"mild bulge of c3-c4 & c6-7 discs, indenting the thecal sac. no significant nerve root compression. neural foramina appear normal. left paracentral bulge of c5-c6 disc, indenting the thecal sac and encroaching the right neural foramina. there is abutment over left exiting c6 nerve root."
data/train/audio_03732.wav,small hiatus hernia noted. atherosclerotic calcifications involving the visualised aorta and its branches noted. degenerative changes involving the visualised spine in the form of marginal osteophytes. rest of the visualized bones are unremarkable.
data/train/audio_02003.wav,findings: comminuted burst fracture involving l3 vertebral body with resultant retropulsion compressing spinal canal. there is extension to the left lamina. there is loss of approximately 60% vertebral body height.
data/train/audio_03382.wav,tiny eccentric calcified plaque noted at the origin of d1 branch of left anterior descending artery causing 20% luminal compromise. rest of 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. left circumflex artery:
data/train/audio_04319.wav,ct pns without contrast clinical history technique axial sections of the paranasal sinuses were obtained without administration of intravenous contrast on a ct scanner. both maxillary sinuses and both frontal sinuses are normal.
data/train/audio_02888.wav,3. post-radiotherapy white matter changes in bilateral cerebral hemispheres. 4. no fresh lesion or new abnormal enhancing focus is seen. keyimages
data/train/audio_01184.wav,"acromio-clavicular joint appears normal. glenohumeral joint appears normal with intact articular surfaces. glenoid labrum appears intact and shows normal signal intensity. coraco-acromial arch appears normal. bones:- head of humerus, rest of the glenoid,"
data/train/audio_03662.wav,"right dominant circulation. left main: the left main is a normal caliber vessel which gives rise to the lad and circumflex arteries. the left main has no stenosis. left anterior descending artery: multiple eccentric calcified and mixed plaques noted in proximal and mid segment of left anterior descending artery, largest measuring 4 mm causing maximum of 50%-60%"
data/train/audio_01220.wav,the carpal bones show normal signal intensities and normal alignment. no evidence of avascular necrosis is seen. the intercarpal joints appear normal. both the intrinsic and extrinsic carpal ligaments appear normal. the tendons of the flexor and extensor compartment appear normal.
data/train/audio_00922.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. note is made of: t2 hyperintensity in bilateral mastoid air cells- ?mastoiditis"
data/train/audio_04861.wav,"small focal calcification adjacent to the left greater trochanter, likely enthesopathic/calcific tendinopathic in nature. no hip joint effusion identified. articular alignments are maintained."
data/train/audio_02286.wav,grey and white matter differentiation maintained. no focal lesions identified in the brain parenchyma. brain stem and cerebellum appear normal. no evidence of midline shift seen. : acute left parietotemporal subdural hematoma (sdh). left frontal hemorrhagic contusion. hemorrhagic contusion is noted in the left frontal lobe.
data/train/audio_01143.wav,lunotriquetral ligament: intact carpal tunnel carpal tunnel and contents are unremarkable median nerve: normal ulnar nerve (guyon's canal) ulnar nerve is unremarkable no mass effect soft tissues
data/train/audio_01010.wav,renal calculi / pelvicalyceal systems: calculus measuring 10 x 6.4 mm noted at the left pelvi-ureteric junction with attenuation of ~1300 hu. remaining calyceal systems are otherwise unremarkable on provided details.
data/train/audio_00788.wav,no significant hypertrophy of turbinates is seen. nasal septum is deviated to the left side :above x-ray findings are suggestive of- bilateral maxillary sinusitis. nasal septum is deviated to the left side adv ct pns if clinically indicated.
data/train/audio_04328.wav,": large infiltrative heterogeneously enhancing lesion involving the tongue predominantly on the right side with crossing of midline, involving both anterior two-thirds and posterior one-third of tongue, with extension into uvula and right tonsillar fossa and infiltration of bilateral genioglossus and right hyoglossus muscles -"
data/train/audio_02499.wav,humeral head shows no contour deformity. no fracture / dislocation is seen. neurovascular structures are unremarkable. : mild supraspinatus and subscapularis tendinosis. minimal shoulder joint and subcoracoid bursal effusion. mild marrow oedema involving the anterior aspect of humeral head. 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/train/audio_04559.wav,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/train/audio_02840.wav,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. no bony lytic lesion or break in continuity. supra sellar and chiasmatic cisterns are normal. no para sellar abnormality. no hypothalamic lesion.
data/train/audio_03752.wav,bony thoracic cage is normal. no soft tissue abnormality seen. no abnormality detected
data/train/audio_02635.wav,"paranasal sinuses (visualised) show minimal mucosal thickening in bilateral maxillary sinuses, suggestive of mild sinusitis. cervical spine shows loss of normal cervical lordosis, likely positional or due to muscle spasm."
data/train/audio_02953.wav,"no evidence of perilesional edema. soft tissue in the left maxillary sinus. differential diagnosis: subependymal calcified nodule/ frontal lobe nodule: differential includes tuberous sclerosis (especially with history of seizures), idiopathic calcification, or sequelae of prior infection."
data/train/audio_04672.wav,"loss of lumbar lordosis grade i l4 over l5 anterolisthesis l2l3 degenerative disc disease with disc space narrowing, vacuum disc phenomenon, and endplate sclerosis multilevel marginal osteophytosis (l3l5)"
data/train/audio_02769.wav,the ventricular systems and basal systems are normal. the brainstem and cerebellum are normal. there is no shift of the midline structures. conclusion:
data/train/audio_04243.wav,"posterior elements : ligamentum flavum: thickening noted at l3-4, l4-5 & l5-s1 levels. facetal joint: arthropathy noted at all lumbar levels."
data/train/audio_05511.wav,"findings: liver is shrunken in size (12 cm) with irregular nodular margin. approximately 2.0 x 2.0 cm size suspicious hypodense focus noted in segment ivb of left lobe of liver. no evidence of dilated ihbr. portal vein is dilated,"
data/train/audio_02184.wav,"shallow, flattened acetabula right femoral head lateral displacement left femoral head superolateral displacement right hip synovitis with minimal joint effusion keyimages"
data/train/audio_01883.wav,"m.r.i. - brain: protocol: t1w sag & axials, t2w coronals, flair axials, dw & swip axials."
data/train/audio_05228.wav,"the subcutaneous plane of right gluteal region. ct chest and spine reports are attached separately. : nect abdomen reveals, no obvious hemoperitoneum or pneumoperitoneum. no obvious fracture. mild fatty liver. no other significant abnormality detected. 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/train/audio_01286.wav,"no evidence of hydronephrosis. urinary bladder: minimally distended. bowel: appendix appears normal. mild to moderate colonic fecal loading is noted, suggestive of constipation. visualized small bowel loops appear unremarkable. pelvic organs:"
data/train/audio_05589.wav,both maxillary sinuses shows mild mucosal thickening with blockage of omc. both frontal sinuses are normal. ethmoid / sphenoid sinuses appear normal. bilateral fronto-nasal recess appear unremarkable. the nasolacrimal duct on either side shows mucosal thickening.
data/train/audio_04133.wav,no definite imaging evidence of transmural extension or adjacent organ ) invasion. mild bilateral pelvicalyceal prominence likely secondary to gravid uterine compression.
data/train/audio_05242.wav,basal ganglia and thalami are normal. the posterior fossa structures are normal. no evidence of sol. no intra axial collection is seen. no midline shift is seen. sella and parasellar structures appear grossly unremarkable.
data/train/audio_05274.wav,bilateral axillary lymphadenopathy. category: birads - 2. the following are suggested: - regular self-breast examination. - regular clinical examination by referring physician every 3 - 4 months.
data/train/audio_02298.wav,"kidneys both kidneys appear normal in size, shape, and signal intensity. no evidence of hydronephrosis or focal lesion. bowel visualized bowel loops appear unremarkable. mesentery and peritoneal cavity there is fat stranding noted in the right hypochondrial region. no significant ascites is seen. vascular structures"
data/train/audio_00850.wav,"parenchymal bleed in the left frontal and parietal lobes with minimal perilesional edema. gliotic area in the left basal frontal and temporal lobe. subdural hematoma in the left fronto-temporal parietal convexity (maximum thickness 7.2 mm), containing csf densities and air foci."
data/train/audio_02125.wav,"nerve roots narrowing bilateral neural foramina. mild ligamentum flavum hypertrophy and facetal joint arthropathy noted. at l3-l4 level: partial disc desiccation, mild posterior disc bulge indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots narrowing bilateral neural foramina abutting bilateral exiting nerve root. mild ligamentum flavum hypertrophy and facetal joint arthropathy noted."
data/train/audio_00566.wav,the posterior fossa structures are normal. no evidence of sol. sella and parasellar structures appear grossly unremarkable. bilateral maxillary and ethmoid sinusitis. rest of the visualized paranasal sinuses are unremarkable. edentulous status of upper central incisors and canines.
data/train/audio_02891.wav,"findings: the penile urethra appears normal in calibre and contour without evidence of irregularity, filling defect, or extravasation. the bulbar urethra is normal in calibre and shows smooth mucosal margins. no focal narrowing or irregularity is identified in the bulbar segment. at the level of the membranous urethra, there is mild focal narrowing noted."
data/train/audio_04983.wav,"the right fallopian tube is mildly dilated (~6 mm) showing t2 iso- to hypointense signal and t1 hyperintensity with minimal peripheral wall enhancement, representing hematosalpinx. the right ovary is seen adherent to the posterolateral uterine wall, suggestive of pelvic adhesions. left adnexa the left ovary is bulky, measuring"
data/train/audio_03819.wav,tiny hypodense lesion in right thyroid lobe (4 x 3 mm) - indeterminate; consider multifocal disease vs benign nodule. prominent left supraclavicular lymph node (8 x 7 mm) and bilateral level ii-iii nodes -
data/train/audio_04097.wav,intraventricular lipoma / lipomatous tumor. dermoid cyst teratoma central neurocytoma with fatty component liposarcoma (extremely rare intraventricular)
data/train/audio_02505.wav,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. at l1-l2 level: mild diffuse disc bulge indenting thecal sac encroaching bilateral neural foramina (left more than right). mild ligamentum flavum hypertrophy and facetal joint arthropathy noted. at l2-l3 level:
data/train/audio_05020.wav,"gall bladder: normal distended and wall thickness. there is no calculus or mass. cbd: normal. spleen: measures 10.2 cm, appears normal in size & echogenicity. no focal lesion seen."
data/train/audio_02056.wav,"no definite fracture, erosion or sclerosis is seen. no evidence of disc bulge or herniation is seen. no intrinsic cord abnormality is seen. : disc osteophyte complex causing mild indentation over anterior thecal sac without significant narrowing of bilateral neural foramina at c5-6 and c6-7 disc levels."
data/train/audio_01681.wav,patchy opacity is noted in the lingular segment. bilateral bronchiectasis and bronchiolectasis are present with associated subtle ggos. centrilobular and paraseptal emphysematous changes are seen in both lungs. right posterior basal atelectasis is noted.
data/train/audio_02829.wav,"subpleural fibrotic changes noted in basal segments of bilateral lower lobe. no evidence of parenchymal nodule noted. no evidence of honeycombing, cavity or abscess formation noted. no evidence of reticular or nodular thickening of interstitium noted."
data/train/audio_00621.wav,"mild facetal arthropathy and ligamentum flavum thickening are detected at this level. 2. broad based posterior protrusion of l3-4 disc, causing mild narrowing of central canal. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. left facetal effusion seen at this level."
data/train/audio_01285.wav,pancreas: appears normal in size and attenuation. kidneys and ureters: both kidneys appear normal in size and morphology. multiple bilateral variable-sized non-obstructing renal calculi are seen. largest calculus measures approximately 9.5 mm in the right kidney (mid pole) and 6.9 mm in the left kidney (mid pole).
data/train/audio_04312.wav,"mild central wedge compression involving d10 vertebral body. normal curvature of dorsal spine is maintained bone density is normal. no evidence of erosion or destructive bone lesion is noticed in the bodies of dorsal vertebrae. the intervertebral disc spaces, the pedicles, the spinous and the transverse processes are all normal. no evidence of an abnormal paravertebral shadow or calcification is noticed."
data/train/audio_00782.wav,"visualized portion of the brain parenchyma reveals no abnormality. impressions: mr scan reveals, mildly sclerotic mastoid air cells on both sides. otherwise no significant abnormality detected."
data/train/audio_00451.wav,it is hyperintense on flair images. this is suggestive of acute infarct in basilar artery territory. few patchy areas of diffusion restriction is seen in right cerebellar hemisphere and left vermis. these are hyperintense on flair images. these are suggestive of acute lacunar infarcts in superior cerebellar artery territory.
data/train/audio_02870.wav,"ct kub (plain) clinical history: evaluation for renal cystic disease / flank pain technique: non-contrast ct scan of kidneys, ureters, and urinary bladder performed with axial sections and multiplanar reformations."
data/train/audio_02346.wav,comminuted mildly displaced fracture involving the right hemimandible reaching up to the alveolar socket of right lower canine and central incisors. mild to moderate soft tissue hematoma over right maxillary and mandibular region with adjacent subcutaneous inflammation. involved area measures approximately 2.6 x 1.4 cm.
data/train/audio_04453.wav,"well-defined t1 hyperintense cavitating lesion within the right lateral myometrial wall measuring approximately 2.7 x 1.5 cm, not communicating with the endometrial cavity, suggestive of accessory cavitated uterine mass (acum). keyimages"
data/train/audio_00993.wav,"note: ct is not the modality of choice for detailed evaluation of the cerebellopontine angle region. if clinically indicated (e.g., suspicion of vestibular schwannoma or small cp angle lesions), mri with contrast is recommended for better assessment."
data/train/audio_04951.wav,a well defined t2 iso to hyperintense cystic area seen in the left ovary without any post-contrast internal enhancement or solid enhancing nodule with thin peripheral wall and non-enhancing thin mesh like internal septae likely to represent hemorrhagic cyst rather than any other lesion. follow up ultrasound is recommended to check for the decrease in the size of the cystic lesion. tumor marker correlation is recommended.
data/train/audio_05688.wav,"hipkneeankle (hka) angle demonstrates varus malalignment, measuring 6.8 degrees on the right side and 5.3 degrees on the left side, consistent with medial compartment load-bearing osteoarthritis."
data/train/audio_04602.wav,"no cholelithiasis. common bile duct is normal in caliber. pancreas: normal in size, contour, and signal intensity. no focal lesion or ductal dilatation. spleen: normal in size and signal intensity. no focal lesion. adrenal glands:"
data/train/audio_03173.wav,"there is diffuse narrowing of bilateral common iliac, internal iliac, and external iliac arteries, causing >50% luminal stenosis. the left external iliac artery shows more severe narrowing (approximately 75-80%)."
data/train/audio_02539.wav,"observation: the intra hepatic biliary radicles, the hepatic ducts and the common hepatic duct are not dilated. measurements right hepatic duct - 1.4 mm. left hepatic duct - 1.6 mm. common hepatic duct - 1.8 mm. proximal common bile duct - 3 mm. mid common bile duct -"
data/train/audio_05500.wav,findings - there is loss of lumbar lordosis. mild scoliosis of lumbar spine with convexity toward left is seen. few marginal osteophytes are seen from l3-l5 levels.
data/train/audio_04756.wav,"subcutaneous tissues & intramuscular and intermuscular planes distribution: medial compartment, anterior compartment & lateral compartment of the visualized left thigh hip joint evaluation joint space: normal articulation: preserved articular margins: smooth and intact no significant joint effusion identified"
data/train/audio_05329.wav,small eccentric plaques involving bilateral carotid bulb extending into proximal segments of bilateral internal carotid arteries causing 20% luminal compromise. no major vessel occlusion. suggested clinical and usg carotid doppler 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/train/audio_00699.wav,findings: right: mild hip joint space reduction noted. small acetabular osteophytes noted. hip joint otherwise reveals normal articulation and articular margins. femoral head is normal in contour and reveal no evidence of focal or diffuse signal abnormality.
data/train/audio_01968.wav,"few peridiscal osteophytes noted in cervical spine. otherwise, the vertebral bodies reveal normal morphology and signal characteristics. cranio-vertebral junction appears normal. cervical canal diameters at disc levels are as follows: c2-3 - 8.7 mm. c3-4 - 8.5 mm. c4-5 - 7.9 mm. c5-6 - 8.0 mm. c6-7 - 8.0 mm prevertebral soft tissue also appears normal. spinal cord and subarachnoid space appear normal. no evidence of focal lesion in the cord. :"
data/train/audio_05313.wav,"l4-l5: there is evidence of grade-ii central disc protrusion, with compression over the thecal sac and cauda equina. bilateral mild neural foraminal narrowing with mild compression on the bilateral exiting and right traversing nerve roots. l5-s1: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing."
data/train/audio_05009.wav,"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. : no significant acute abnormality is seen."
data/train/audio_02955.wav,"the domes of the diaphragms are normal in position,and show smooth outline. : the cardiac size is enlarge - cardiomegaly. cardiothoracic ratio measures -0.52 adv : urgent cardiology conultation and 2d echo."
data/train/audio_04320.wav,ethmoid / sphenoid sinuses appear normal. 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.
data/train/audio_02366.wav,mri screening of the whole spine
data/train/audio_02370.wav,ill defined hypodensities are noted in bilateral periventricular regions s/o ischemic demyelination. no sah. sulcal and gyral pattern appears normal. grey and white matter differentiation maintained. brain stem and cerebellum appear normal.
data/train/audio_03958.wav,luminal narrowing is noted in bilateral common iliac arteries causing approximately 30% luminal narrowing. mild narrowing causing less than 20% luminal narrowing is noted in bilateral internal iliac arteries. vascular stents are noted in bilateral external iliac arteries and left common femoral artery.
data/train/audio_03207.wav,findings: comminuted displaced fracture involving the right hemimandible. undisplaced fracture noted involving the maxillary arch in the midline. displaced fractures involving bilateral mandibular condyles with dislocation of temporomandibular joint. mildly displaced fractures involving the mandibular condylar fossa. mildly displaced fractures involving medial and lateral pterygoid plates.
data/train/audio_03928.wav,findings - prostate gland is mildly enlarged in size and measures 4.4 x 4 x 4.2 cm in dimension. there are few patchy wedge shaped areas of t2 iso to hypointensity seen in the peripheral zone on both the sides these are likely to represent changes related to sequelae of prostatitis. no areas of diffusion restriction are seen.
data/train/audio_01088.wav,"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. cp angle cisterns are normal. fourth ventricle is central and normal in shape. bone, scalp and sinuses:"
data/train/audio_04590.wav,": post ercp status, cbd stent noted in situ with proximal tip in the right hepatic duct and lower tip in the duodenum. no obvious calculus along the stent. gallbladder is well distended and reveals multiple calculi in the lumen, average size measures 4-5 mm. mild gallbladder wall thickening noted"
data/train/audio_04035.wav,"schmorl's nodes are present along the endplates of c4 to c6 vertebral bodies, suggestive of chronic degenerative changes. intervertebral discs: mild reduction in intervertebral disc height at the c5-c6 level. remaining disc spaces appear preserved. degenerative changes:"
data/train/audio_00110.wav,"pancreas, spleen and both adrenals are normal in size, shape and attenuation on present unenhanced scan. gall bladder reveals normal lumen and walls with normal size and shape. no mass lesion, calcification or stone is seen within the lumen."
data/train/audio_05602.wav,patella appears normal in position. joints: mild reduction of lateral knee joint space with small marginal tibio-femoral and patellar osteophytes. small articular cartilage defect measuring approximately 2 mm noted involving the medial femoral condyle.
data/train/audio_02819.wav,with contrast and appear normal. bilateral lung bases appear normal. visualized skeletal structures appears unremarkable. left sided inguinal hernia with herniation of omentum within noted. neck of the hernia is medial to the inferior epigastric vessels and measures approximately 18 mm.
data/train/audio_04163.wav,"shows multiple heterogeneous nodules with variable internal calcifications. largest nodule measures approximately 6.5 x 5.5 cm. retrosternal extension noted, extending inferiorly by approximately 5.4 cm. mass effect: trachea deviated to the right with mild luminal narrowing."
data/train/audio_03264.wav,"left kidney: appears normal in shape, position and density. pelvicalyceal system is not dilated. 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. no evidence of peritoneal mass. aorta and ivc: appear normal."
data/train/audio_01261.wav,suspicious for metastatic / myeloma deposits - neoplastic pathology. femoral neck fracture with intramedullary fixation changes with surrounding soft tissue component and hematoma. diffuse subcutaneous soft tissue edema in bilateral lower limbs.
data/train/audio_05156.wav,mildly displaced fracture involving bilateral zygomatic arches. comminuted displaced fractures involving the region of cribriform plate extending to anterior and posterior walls of frontal sinuses with resultant frontal haemosinus. comminuted mildly displaced fracture involving all walls of both orbits with resultant mild pneumo-orbit.
data/train/audio_03655.wav,"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. diffuse disc bulge with postero-central annular tear noted at l3-l4 level causing anterior thecal sac indentation,"
data/train/audio_04447.wav,"there is fluid signal intensity seen extending into the left ethmoid air cells, left maxillary sinus, and bilateral sphenoid sinuses, consistent with csf leak in the appropriate clinical setting. the supratentorial brain parenchyma - flair hyperintensities showing leptomeningeal enhancement seen in sulcal spaces of bilateral fronto-parietal region."
data/train/audio_02760.wav,"mild fluid collection noted in lesser sac. few collaterals noted in gastrohepatic and gastro splenic region. rest of the pancreas shows normal in size and post-contrast enhancement. spleen is normal in size and enhancement. non-visualisation of splenic vein, suggestive of chronic thrombosis."
data/train/audio_04143.wav,"observations: liver is normal in size, outline and attenuation. there is no evidence of any dilatation of intrahepatic biliary radicles/cbd. the portal veins & hepatic veins appear normal. gall bladder is well distended and shows normal wall thickness. no definite pericholecystic fluid / mass lesion is seen."
data/train/audio_00069.wav,is noted s/o cerebral atrophy rest of the brain parenchyma is normal in attenuation. rest of the basal ganglia and thalami are normal. the posterior fossa structures are normal. no evidence of sol. no intra axial collection is seen. no midline shift is seen. sella and parasellar structures appear grossly unremarkable. bilateral mild ethmoid sinusitis noted.
data/train/audio_04138.wav,x-ray - right knee joint {ap/lat} displaced fracture involving the lateral margin of base of patella. mild soft tissue edema around knee joint. joint space appears normal. articular margins are smooth and intact.
data/train/audio_01228.wav,"multiple symmetrical hemorrhagic foci with associated areas of restricted diffusion involving bilateral frontal, parietal and occipital lobes with blooming on susceptibility sequences. acute lacunar infarct in the right thalamus. tiny chronic lacunar infarcts are seen in bilateral periventricular regions paranasal sinusitis involving left maxillary,"
data/train/audio_02306.wav,to rule out interstitial lung abnormality. haziness involving right lower zone suggestive of pneumonitis. mild cardiomegaly. recommendation suggested hrct chest correlation.
data/train/audio_05702.wav,"tympanic membrane appears thickened and retracted. the superior, horizontal and posterior semicircular canals and the vestibule are normal. cochlea is normal. facial canal bony facialcanal is normal. internal auditory canal and jugularcanal are normal."
data/train/audio_02181.wav,without perilesional edema and without any post contrast enhancement- likely benign calcified lesion. mild cerebral atrophic changes.
data/train/audio_02088.wav,ganglio capsular region and causing mass effect in the form of midline shift measuring ~3.3mm towards left side and mild effacement of ipsilateral lateral ventricle--- s/o intra-parenchymal hemorrhage.
data/train/audio_04324.wav,mri tongue and neck with contrast clinical details: tongue lesion evaluation. technique: multiplanar multisequence mri of tongue and neck was performed before and after intravenous contrast administration. diffusion-weighted imaging with adc mapping was also obtained.
data/train/audio_02078.wav,no soft tissue abnormality seen. prominence of bronchovascular markings. haziness involving right mid and lower zones in perihilar regions suggestive of pneumonitis. recommendation suggested hrct chest correlation.
data/train/audio_05218.wav,"the plantar fascia appears unremarkable. no evidence of joint effusion at the first metatarsophalangeal joint. impression: retained metallic foreign body in the plantar soft tissues below the head of the first metatarsal, with prominent susceptibility artefact."
data/train/audio_02432.wav,the study shows straightening of the lumbar spine due to paraspinal spasm. conus ends at the lower end plate of the d12 vertebral body. focal t1/t2 hyperintensities noted involving the antero-superior corner of the l4 vertebra likely representing shiny corner sign. mild degenerative changes noted in the lumbar spine in the form of anterior marginal osteophytes
data/train/audio_01226.wav,"the cerebellum and brainstem appear normal. the pituitary gland appears normal. mucosal thickening is noted in the left maxillary sinus, right sphenoid sinus and bilateral ethmoid sinuses, suggestive of sinusitis. left otomastoiditis changes are also noted. no significant midline shift or large space-occupying lesion is identified. impression:"
data/train/audio_05287.wav,an ill-defined t2 hypointense and t1 hypointense enhancing focal lesion seen involving the part of internal oblique lateral to the rectus abdominis muscle in the suprapubic location of anterior pelvic wall/abdominal wall. this is highly concerning for endometriotic deposit. it also involves part of canal of nuck. no significant lymphadenopathy or ascites.
data/train/audio_01610.wav,popliteus tendon and muscle appear normal. quadriceps and patellar tendons are intact. chondromalacia patellae (grade 3-4) is seen. loss of articular cartilage is noted in patellofemoral and femorotibial compartments at multiple areas.
data/train/audio_05695.wav,left main: the left main is a normal caliber vessel which gives rise to the lad and circumflex arteries. the left main has no stenosis. left anterior descending few small eccentric soft plaques noted in the proximal segment of left anterior descending artery causing 10%-20% luminal compromise. rest of left anterior
data/train/audio_04915.wav,"pancreatic measurements are as follows: head: ~2.7 cm body: ~4.1 cm tail: ~3.5 cm no evidence of pancreatic necrosis, organized collection, pseudocyst, or vascular complication identified."
data/train/audio_03891.wav,mild sprain involving medial patello-femoral ligament and medial collateral ligament. no evidence of laxity or tear. medial and lateral patellar retinaculum appear intact. no evidence of laxity or tear.
data/train/audio_00573.wav,above x-ray film findings suggestive of congestive cardiac changes. advise 2d echo correlation. advise hrct thorax to rule out infective etiology. advice-complete blood count
data/train/audio_05423.wav,vertebral bodies marginal osteophytes are seen at few levels. normal in height with preserved alignment and curvature. there is no fracture or destructive lesion. the vertebral bodies and posterior elements are normal. disk spaces
data/train/audio_02484.wav,"the pancreatic head, body and tail are normal in size and show homogeneous parenchymal density, as well as normal enhancement pattern. the paraaortic areas are normal. no paraaortic lymphadenopathy is seen. the adrenal gland is normal in size, shape and density bilaterally."
data/train/audio_00611.wav,findings: left sided mild right sided minimal pleural effusion noted. multiple areas of smooth interlobular septal thickening and ground-glass attenuation noted involving bilateral lower lobes. patchy areas of fibroatelectatic changes noted involving bilateral upper and lower lobes.
data/train/audio_05353.wav,d5-d6: 13.4 mm d6-d7: 12.7 mm d7-d8: 13.1 mm d8-d9: 12.8 mm d9-d10: 10 mm d10-d11: 10.6 mm d11-d12: 10 mm (due to epidural collection)
data/train/audio_02128.wav,findings: mild straightening of the lumbar spine is seen with no scoliosis. heterogeneous marrow signal intensity. schmorl's nodes are seen at the inferior endplates of d12 to l2 vertebral bodies. small anterior and lateral marginal osteophytes are seen from l1 to l5 vertebral levels. modic type ii changes are seen involving the endplates of l3-l5 vertebrae.
data/train/audio_01941.wav,"findings liver is small in size (9.8cm), nodular in outline and shows normal attenuation on present unenhanced scan. the porta hepatis is normal. no ihbr or cbd dilatation pancreas, spleen and both adrenals are normal in size, shape and attenuation on present unenhanced scan."
data/train/audio_03294.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/train/audio_02923.wav,"findings: postoperative changes noted in the right chest wall, consistent with prior mastectomy. no evidence of enhancing soft tissue lesion is seen in the right chest wall to suggest local recurrence. pleural thickening is noted along the anterior aspect of the right lower pleura. minimal right-sided pleural effusion is seen with adjacent basal subsegmental atelectasis."
data/train/audio_05389.wav,"brain stem and cerebellum appear normal. no evidence of midline shift seen. sellar, suprasellar and par asellar regions appear normal. no evidence of abnormal extradural / subdural collections seen. no definite fractures identified."
data/train/audio_05531.wav,"findings pancreas: the pancreas appears mildly bulky with diffuse parenchymal edema. there is minimal peripancreatic fluid noted. subtle peripancreatic fat stranding is suspected, however evaluation is limited due to very low visceral fat, making inflammatory changes less conspicuous."
data/train/audio_03929.wav,bones reveal normal signal intensity. there is no focal lesion seen. there is no significant lymphadenopathy. there is no evidence of any ascites. visualized muscles appear unremarkable. major neurovascular bundles appear normal. visualized portion of rectum or anal canal and rectosigmoid colon appears unremarkable.
data/train/audio_00165.wav,"left kidney measures 10.0 x 5.1 cm. a 1.6 x 1.4 cm sized simple cortical cyst seen in in the interporal region. both kidneys appear normal in size, shape & echotexture. mild pelvi-calyceal fullness seen in both kidneys."
data/train/audio_04119.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 ventricle. midline shift to right by 6.4 mm. subfalcine herniation to the right add left uncal herniation noted. basal cisterns are effaced."
data/train/audio_04560.wav,": the right kidney measures 9.7 x 5.2 cms. a 4.2 x 3.4 x 4.8 mm hyperdense (hu 158) obstructive calculus noted in the left lower ureter (approximately 5-6 cm from the left vesicoureteric junction,"
data/train/audio_02086.wav,foci of atherosclerotic calcified plaques in the abdominal aorta and iliac arteries. degenerative changes in the lumbar spine. calcified nodule in the lower lobe (visualized lung base). uterus and both ovaries are normal.
data/train/audio_03899.wav,findings: cruciate ligaments: diffuse sprain involving the anterior cruciate ligament. no evidence of tear. mild buckling and sprain involving posterior cruciate ligament. no evidence of tear. collateral ligaments: lateral collateral ligament appears normal. no evidence of laxity or tear.
data/train/audio_00816.wav,"broad based posterior and right foraminal herniation of c4-5 disc, causing moderate narrowing of the central canal and right neural foramen. mild facetal and uncovertebral arthropathy is detected at this level. 3. broad based posterior protrusion of c3-4 disc, causing mild narrowing of the central canal. mild facetal arthropathy is seen at this level."
data/train/audio_04291.wav,"mucosal thickening is seen in right maxillary sinus. rest of the visualized paranasal sinuses are normal. : no definitive abnormality seen incidentally noted is sclerosis of the left mastoid air cells and ? soft tissue contents in the left middle ear , suggest hrct temporal bone differential diagnosis na recommendation suggested clinical correlation."
data/train/audio_03093.wav,soft tissue reveals no obvious abnormality. comments: no significant abnormality detected.
data/train/audio_03915.wav,"rest of 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. left circumflex artery: lcx is patent and show normal lumen. it gives rise to om1, om2 and terminates av groove."
data/train/audio_04543.wav,no evidence of focal transition point identified in the visualised bowel loops. no evidence of pneumoperitoneum. urinary bladder appears partially distended with foley's catheter in situ. prostate measures approximately 23 cc in volume.
data/train/audio_01614.wav,moderate to severe medial compartment osteoarthritis with cartilage loss and joint space narrowing. pcl sprain/partial tear with intact acl. meniscal degeneration involving medial and lateral menisci. grade 1 mcl sprain. chondromalacia patellae (grade 3-4).
data/train/audio_00487.wav,"impression: small hypodensity involving left insular cortex likely acute non-haemorrhagic infarct. multiple chronic lacunar infarcts in right hemipons, bilateral ganglio-capcular regions and corona radiata."
data/train/audio_02503.wav,"diffuse disc bulge indenting thecal sac narrowing bilateral neural foramina abutting bilateral exiting nerve root. small annular tear, mild ligamentum flavum hypertrophy and facet joint arthropathy noted. at l3-l4 level: diffuse disc bulge indenting thecal sac narrowing bilateral neural foramina abutting bilateral exiting nerve root. small annular tear, mild ligamentum flavum hypertrophy and facet joint arthropathy noted."
data/train/audio_05558.wav,"airway and hilum: trachea, lobar bronchi, bronchus intermedius and rest of segmental bronchi are normal. no intraluminal filling defects present. both hilar regions appear normal. no significant hilar lymphadenopathy is observed."
data/train/audio_04337.wav,"no significant cervical lymphadenopathy identified. visualized airway, prevertebral, and parapharyngeal spaces appear normal. major vascular structures of the neck appear patent and normally located."
data/train/audio_03668.wav,cadrads 3 p2 suggested usg carotid doppler and digital subtraction angiography.
data/train/audio_04519.wav,"degenerative subserosal fibroid with malignant degeneration simple hepatic cyst (segment vii) umbilical hernia suggestion: mri pelvis with contrast for better tissue characterization and organ of origin tumor markers (ca-125, cea, ca 19-9). keyimages"
data/train/audio_04720.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."
data/train/audio_03131.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/train/audio_01845.wav,plv branches appear normal. visualised rima and lima appear normal. : severe multi-vessel coronary artery disease with critical stenoses requiring urgent intervention left main coronary artery: mild disease (5%-10% stenosis)
data/train/audio_02066.wav,no evidence of ascites. right renal stone without obstructive changes.
data/train/audio_05252.wav,hoffa's fat pad: normal. articular cartilage: normal. osseous structures: avulsion of tibial attachment of pcl with adjacent marrow contusion / edema. marrow contusion/oedema noted in posterior aspect of medial femoral epicondyle.
data/train/audio_00302.wav,p0 o1rt/lf t2 a0 b1 c1 fa
data/train/audio_01183.wav,biceps tendon is seen in the bicipital groove and appears normal. mild fluid noted in the bicipital groove likely reactive. joint:- minimal shoulder joint and sub-coracoid bursal effusion is noted. mild fluid noted in the subacromial - subdeltoid bursa suggestive of bursitis.
data/train/audio_05312.wav,"the vertebrae appear normal in height, signal intensity and show normal alignment. no osseous destruction noted. the signal from the marrow of the visualized vertebrae is normal. the visualized spinal cord shows normal mr morphology and signal characteristics. disc spaces: l1-l2:"
data/train/audio_00798.wav,no signs of osteoarthritis is appreciated. soft tissue soft tissues are normal normal x-ray of elbow. suggested clinical correlation.
data/train/audio_02302.wav,"no focal pancreatic lesion identified. main pancreatic duct main pancreatic duct measures approximately 1 mm, within normal limits. no ductal dilatation noted. spleen spleen appears mildly enlarged measuring approximately 12.5 cm. no focal splenic lesion identified. adrenal glands both adrenal glands appear normal in size and morphology."
data/train/audio_04113.wav,": mildly displaced fractures left transverse process of l1 vertebra, both transverse processes of l2 vertebra, both transverse processes of l3 vertebra and both transverse process of l4 vertebra. mildly displaced fractures involving the spinous process of l2-l4 vertebral levels."
data/train/audio_00210.wav,"right: the right 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. the malleus, incus and stapes are normal with normal articulation. the round and oval windows are normal."
data/train/audio_01641.wav,cranio-vertebral junction appears normal. cervical canal diameters at disc levels are as follows: c2-3 - 13.0 mm. c3-4 - 12.5mm.
data/train/audio_00186.wav,"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. bilateral mild ethmoid sinusitis noted. rest of the visualized paranasal sinuses are normal."
data/train/audio_04125.wav,"the posterior inferior cerebellar arteries, anterior inferior cerebellar arteries and superior cerebellar arteries are normal in course and caliber on both sides. both posterior cerebral arteries (pca) are normal in course and caliber. no obvious evidence of aneurysm/vascular malformation seen in cerebral arteries"
data/train/audio_02980.wav,ct cervical spine (plain) technique: non-contrast multidetector ct scan of the cervical spine was performed with multiplanar reformatted images. findings alignment and vertebrae cervical vertebral bodies are normal in height and alignment.
data/train/audio_05471.wav,mri right leg technique: multiplanar multisequence mri of the leg was performed. findings: a linear t1 hypointense and stir hyperintense fracture line is noted involving the posterior cortex of the distal tibial shaft.
data/train/audio_00549.wav,". the exact size and morphology are obscured due to blooming artefact. 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"
data/train/audio_04322.wav,floor of mouth spaces appear maintained. no definite extension into submandibular spaces noted. multiple enlarged bilateral cervical lymph nodes noted involving level ib and bilateral level ii and iii nodal stations.
data/train/audio_00441.wav,spino-laminar line is well maintained. the uncovertebral joints are normal. cranio-vertebral region is normal. the prevertebral and pretracheal soft tissue spaces are normal. there is no cervical rib. : no significant abnormality detected.
data/train/audio_03471.wav,no intra axial collection is seen. no midline shift is seen. sella and parasellar structures appear grossly unremarkable. visualized paranasal sinuses are unremarkable. skull bones appear normal. no e/o any fracture noted impression: chronic infarct involving right temporo-occipital lobes. multiple chronic lacunar infarcts involving bilateral
data/train/audio_00034.wav,"few areas of fibroatelectasis with adjacent pleural thickening involving left upper lobe. fibrotic changes with adjacent pleural thickening are seen involving bilateral apices. atelectatic bands with adjacent pleural thickening involving right middle lobe, lingular segment and bilateral lower lobes."
data/train/audio_05184.wav,no pleural effusion or pneumothorax is identified. the visualized upper abdominal structures appear unremarkable within the limits of this study. : fibrotic changes in bilateral upper lobes and right middle lobe - likely sequelae of prior infection multiple mediastinal lymph nodes with calcific foci - suggestive of healed granulomatous lymphadenopathy.
data/train/audio_05595.wav,comminuted displaced fracture of right iliac blade differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_01928.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 right side. no peritoneal spillage of contrast seen on left side. : left tubal block (at fimbrial end). 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/train/audio_02755.wav,mediastinal window does not show any mediastinal or hilar lymphadenopathy. no evidence of obvious mediastinal mass lesion seen. ryle's tube noted in situ. aortic wall calcification noted. approximately 4 x 5 mm sized radiodense calculus noted in gallbladder.
data/train/audio_02680.wav,right renal calculus as mentioned. suggested usg / ct kub correlation. adv : usg abd - pelvis if cinically indicated.
data/train/audio_02448.wav,"diffuse bulge of l3-l4 disc, causing indentation over bilateral traversing l4 nerve roots and left exiting l3 nerve roots. diffuse bulge of l4-l5 disc, causing compression of bilateral exiting l4 & traversing l5 nerve roots. diffuse bulge of l5-s1 disc, causing indentation over bilateral"
data/train/audio_02028.wav,"c3-c4, c4-c5 and c5-c6 cervical levels indenting the anterior thecal sac. anterior osteophytes with modic changes are seen at multiple dorsal levels. mild posterior disc bulges are seen at few dorsal levels indenting thecal sac. on screening of bilateral sacro-iliac joints: no significant abnormality detected. on screening of bilateral hip joints: no significant abnormality detected."
data/train/audio_01153.wav,mild soft tissue edema involving semimembranosus noted. there is mild reduction of the medial knee joint and patella-femoral joint spaces with small adjacent tibio-femoro-patellar osteophytes. t2w and stir hyperintensity is noted involving the intercondylar region of tibia and femur.
data/train/audio_00200.wav,the shows mild myometrium like enhancement. there is a ill-defined t2 hypointense 1.3 x 1.2 cm size sized serosal deep endometriotic deposit seen in the right lateral and anterior wall at mid segment with involvement of the postero-superior aspect of urinary bladder.
data/train/audio_02390.wav,"intermuscular fat planes are well maintained. no focal collection or soft tissue mass lesion. pelvic viscera uterus is small in size, in keeping with postmenopausal status. both adnexa appear unremarkable. visualized urinary bladder is unremarkable."
data/train/audio_00882.wav,the aortic valve is tricuspid. impression: calcium score is zero. normal coronary cta without evidence of significant coronary artery stenosis. cadrads 0 p0.
data/train/audio_00987.wav,:- thyroid gland is normal in intensity without any focal lesion. no evidence of any abnormal soft tissue mass around the thyroid gland. fat planes between the thyroid gland and longus coli muscles are well preserved. the major cervical blood vessels appear normal. no evidence of cervical lymphadenopathy. larynx and trachea also appear normal.
data/train/audio_04041.wav,"liver: measures 13.8 cm, appears normal in size, shape and echogenicity. there is no intra or extra hepatic biliary radicle dilatation."
data/train/audio_02071.wav,"suggesting that the lesion is primarily suprasellar in origin. the lesion causes compression and superior displacement of the optic chiasm. superior extension results in compression of the foramina of monro, resulting in dilatation of bilateral lateral ventricles. periventricular t2/flair hyperintensity is noted, consistent with"
data/train/audio_01611.wav,"multiple loose bodies are seen within the knee joint. mild to moderate joint effusion is noted with extension into suprapatellar bursa. soft tissue edema is seen around the knee joint. popliteal (baker's) cyst is seen measuring approximately 38 x 16 x 28 mm with internal septations,"
data/train/audio_00369.wav,nodular soft tissue density areas along bilateral major fissures (right > left) - indeterminate. needs further evaluation. mediastinal lymphadenopathy as mentioned.
data/train/audio_05563.wav,impression: small non enhancing calcified nodule involving inferior lingula segment. no other 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.
data/train/audio_03911.wav,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:
data/train/audio_04146.wav,"abdomen ncct: observations: liver is normal in size, outline and attenuation. there is no evidence of any dilatation of intrahepatic biliary radicles/cbd. the portal veins & hepatic veins appear normal."
data/train/audio_02043.wav,main pancreatic duct measures approximately 1.9 mm. spleen measures approximately 10 cm and appears normal. both kidneys are normal in size and morphology. a simple cortical cyst measuring ~3 x 2.8 cm is noted in the lower pole of the left kidney. no hydronephrosis. no significant ascites noted.
data/train/audio_05630.wav,"visualised osseous structures appear unremarkable. no lytic or sclerotic bony lesion. the extra-abdominal and paraspinal soft tissues are normal. lung bases are clear. no basal pleural effusion. impression * previously mentioned radiodense foreign body in the gastric pylorus region not seen in present scan. suggested : clinical correlation and further evaluation, if clinically indicated."
data/train/audio_02041.wav,"centered at the confluence of right and left hepatic ducts and the origin of the common hepatic duct (hilar region). the common hepatic duct is not separately visualised. there is dilatation of bilateral intrahepatic biliary radicles, with left hepatic duct measuring ~12 mm and right hepatic duct measuring ~11 mm,"
data/train/audio_00653.wav,bowel intraluminal polypoidal lesion measuring approximately 13 x 8 mm noted arising from the jejunal wall towards the left upper abdomen. no significant adjacent wall thickening. no obvious post-contrast enhancement. large bowel loops show significant fecal loading.
data/train/audio_03832.wav,both ischiorectal fossa and ischioanal fossa appears normal in signal intensity. the visualised bones show normal marrow signal. the visualised muscles and neurovascular bundle are normal. visualised pelvic organs are normal.
data/train/audio_00778.wav,full thickness tear of medial patellar retinaculum and partial tear of lateral patellar retinaculum. extensive bone contusions involving predominantly lateral femoral condyle and tibial plateau with possible avulsion fracture of lateral tibial condyle. mild quadriceps tendon sprain at patellar attachment.
data/train/audio_02954.wav,"traches is deviated towards right side with splaying of carina. - suggestive of left atrial enlargement. the pleural spaces are normal. both hila are normal in size, have equal density and bear normal relationship."
data/train/audio_02367.wav,"the cervical cord, cvj and the cervico-medullary junctions are normal. pre and para vertebral soft tissues are normal. dorsal spine: normal curvature and vertebral alignment is maintained. the vertebrae show normal marrow signal with no focal lesions."
data/train/audio_05013.wav,"no evidence of pancreatic duct dilatation seen. no intraductal/ parenchymal calcifications seen. spleen is normal in size, outline & attenuation. no focal lesion seen. splenoportal axis is normal. both kidneys are normal in size, outline, position & attenuation."
data/train/audio_03973.wav,"right hepatic duct ( 4.6 mm), left hepatic duct ( 4.7 mm) and cystic duct and pancreatic duct are normal in course and caliber. liver, spleen and pancreas are normal in size, morphology and signal characteristics."
data/train/audio_00655.wav,2. small intraluminal jejunal polypoidal lesion (~13 x 8 mm) - likely neoplastic; possible primary lesion (correlate with enteroscopy/biopsy). 3. multiple bilateral renal cortical cysts - likely benign (bosniak i).
data/train/audio_01017.wav,diffuse urinary bladder wall thickening. diffuse fatty liver. mild splenomegaly (13 cm). few mildly enlarged para-aortic lymph nodes (up to 11.1 mm) and mesenteric lymph nodes in right iliac fossa (
data/train/audio_04068.wav,"hyoid bone and laryngeal cartilages i.e. thyroid, cricoid and arytenoid appear normal. the sternocleidomastoid and digastric muscles on either side are normal. the longuscolli on either side are normal. both parotids and submandibular glands are normal. few small volume bilateral level ib, ii, iii and iv"
data/train/audio_04792.wav,bilateral insular cortex and sylvian fissures appear normal. no congenital mal formation noted. no acute infarct or bleed is seen. no focal sol is seen. midline septa not shifted. no evidence of brain herniation. no evidence of extra-axial collection is seen. intracranial arteries and venous sinuses:
data/train/audio_01574.wav,mri of right thigh technique:- mri scan of right thigh was performed using t1 and t2wt sequences in multiple planes. :-
data/train/audio_01189.wav,the thalami and internal capsules are normal on both sides. the extra cerebral spaces are clear. the orbits and the visualized sinuses appear normal. the pituitary gland and optic chiasm are normal. : cerebral atrophy.
data/train/audio_00208.wav,2 subserosal fibroids are seen in the anterior wall. another ill-defined t2 hypointense area seen along the serosa of right lateral and anterior wall in the mid segment with serosal involvement of postero-superior aspect of the urinary bladder representing deep endometriotic deposit.
data/train/audio_00397.wav,"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. supratentorial: both cerebral hemispheres show normal cerebral sulci, fissures and basal cisterns. grey white matter differentiation is maintained."
data/train/audio_00578.wav,"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/train/audio_01016.wav,10 x 6.4 mm calculus at the left pelvi-ureteric junction (approx. 1300 hu). clumps of calculi in the left upper ureter (approx. 2.7 cm length and 9 mm thickness;
data/train/audio_04814.wav,multiple areas of paraseptal emphysematous changes involving bilateral upper lobes and small paraseptal emphysematous bulla involving left lower lobe. multiple subpleural interstitial thickening noted involving bilateral upper lobes and right middle lobe likely suggestive of interstitial lung abnormality. suggested clinical and pulmonary 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/train/audio_01096.wav,for metastatic / myeloma deposits - neoplastic pathology. femoral neck fracture with intramedullary fixation changes with surrounding soft tissue component and hematoma. diffuse subcutaneous soft tissue edema in bilateral lower limbs.
data/train/audio_00502.wav,postoperative changes noted in left parietal bone. 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
data/train/audio_04774.wav,"abnormal communication between right mastoid air cells and external auditory canal is seen. associated right mastoid reactive sclerotic changes and surrounding soft tissue inflammatory changes. left middle ear cavity soft tissue opacification with suspected erosive changes involving stapes and vestibular bony wall, likely representing early/chronic otomastoiditis changes."
data/train/audio_03621.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/train/audio_04089.wav,the axial diameters of the lumbar spinal canal are as follows (in mm): conus medullaris and cauda equina appear normal. no obvious abnormal pre / paravertebral soft tissues. bilateral sacroiliac joints within normal limits. no evidence of edema/erosions noted. :
data/train/audio_03116.wav,"an extra-axial csf attenuation lesion in the left parietal region , causing mass effect on the brain parenchyma and bony remodelling- likely arachnoid cyst. chronic lacunar infarctions in bilateral capsulo-ganglionic regions."
data/train/audio_04868.wav,vascular atherosclerotic calcifications involving the visualized abdominal aorta and branch vessels. visualized bowel and pelvic contents visualized large bowel loops are distended with fecal matter. remaining visualized pelvic organs are unremarkable on this non-contrast study.
data/train/audio_05029.wav,kidneys: right kidney measures 11.6 x 5.6 cm. mild to moderate hydronephrosis with proximal hydroureter is seen in right kidney - ? mid/distal ureteric obstruction. minimal peri-nephric free uid seen within.
data/train/audio_03008.wav,"mild atherosclerotic irregularity is noted involving cavernous and supraclinoid segments of bilateral internal carotid arteries. bilateral external carotid arteries and their major branches appear normal. vertebral and basilar arteries bilateral vertebral arteries are normal in course, caliber, and flow signal intensity."
data/train/audio_05675.wav,fat-suppressed sequences may be considered if clinically indicated.
data/train/audio_02943.wav,"impression * large subcapsular hematoma involving the right hepatic lobe (segments v, vi, vii, viii) measuring approximately 20 x 11 x 12.3 cm, causing mass effect on adjacent liver parenchyma. * extrahepatic rupture/leakage of the hematoma with intraperitoneal extension,"
data/train/audio_04625.wav,"moderate soft tissue oedema noted in intramuscular and subcutaneous plane of left lumbar region with multiple air foci. dj stent noted on left side with proximal tip in left renal pelvis and lower tip in urinary bladder. multiple air foci noted in left pelvicalyceal system. multiple hyperdense non-obstructive calculi noted in left kidney, average size measures 4-5 mm."
data/train/audio_01281.wav,"displaced fractures involving both transverse processes of l1 vertebra, 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/train/audio_04027.wav,nect pns protocol: plain ct of the paranasal sinuses has been performed on multidetector ct scanner. clinical profile: cold and nasal block. findings: nasal septum: cartilagenous and bony nasal septum is s shaped.
data/train/audio_02485.wav,the diaphragmatic crura are also normal. the bowel loops are normal in calibre and distribution. no obvious mural thickening is seen. no extraluminal gas is seen. no ascites is seen. the visualised lung bases are clear.
data/train/audio_00836.wav,comminuted displaced fractures of all the walls of the bilateral maxillary sinuses with hemosinus. comminuted displaced fractures of the bilateral medial and lateral pterygoid plates. comminuted displaced fracture of the right zygomatic arch. undisplaced fracture of the left zygomatic arch. displaced fractures of the bilateral nasal bones nd the nasal septum with ethmoid hemosinus.
data/train/audio_04612.wav,", tibial plateau and upper tibia and fibula reveal normal marrow signal. no evidence of marrow edema. patella appears normal in position. joints: there is mild reduction of the medial knee joint and patella-femoral joint spaces with small adjacent tibio-femoro-patellar osteophytes. t2w and stir hyperintensity is noted"
data/train/audio_01984.wav,meniscus: grade iii tear involving body and posterior horn of medial meniscus. it is reaching up to the inferior articular surface. focal grade i signal change involving anterior horn of lateral meniscus.
data/train/audio_04841.wav,"impression: large staghorn calculus in the left renal pelvis measuring ~3.1 x 2.8 cm, with associated pelvicalyceal system dilatation and delayed excretion, suggestive of obstructive uropathy. right kidney and ureter normal. recommendations: ct kub"
data/train/audio_01801.wav,"with homogenous density. no intramural filling defect or mass is seen. no wall thickening is noted. the prostate gland is normal. the liver is normal sized, measuring 13.6cm in its craniocaudal span at the mcl. it shows normal homogeneous parenchymal density, smooth outline and intact capsule,"
data/train/audio_00648.wav,"( modified ct severity index - 6/10 , moderate) mild ascites. minimal pleural effusion left side."
data/train/audio_00246.wav,small and large bowel loops appear normal in caliber. there is no abnormal wall enhancement or thickening seen. fecal loading is seen in the colon. there is no ascites seen. visualized bones appear normal in density without any sclerotic or lytic lesion. prostate gland is borderline enlarged in size and measures 4.5 cm in transverse dimension.
data/train/audio_02821.wav,"prostate is normal in shape, size and enhancement pattern. seminal vesicles and peri-prostatic region appears unremarkable. miscellaneous: no evidence of free fluid in abdomen or pelvis. no significant mesenteric or retroperitoneal lymphadenopathy detected. aorta its major branches, ivc and its tributaries are well opacified"
data/train/audio_00299.wav,peritoneum: no significant free fluid noted. no evidence of hemoperitoneum lymph nodes: no significant abdominopelvic lymphadenopathy. impression:
data/train/audio_01858.wav,ct pns without contrast technique axial sections of the paranasal sinuses were obtained without administration of intravenous contrast on a ct scanner. type ii keros olfactory fossa. agger nasi cells on right side.
data/train/audio_01219.wav,pdfs hyperintense signal alteration noted at ulnar attachment site of triangular fibrocartilage ligament. minimal joint effusion noted.
data/train/audio_02806.wav,mr. shyam laxmandas ahuja [mrn-250504920] 68 yr | male
data/train/audio_03307.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/train/audio_05203.wav,"3. diffuse bulge of c3-4 and c6-7 discs, without any significant central canal or neural foraminal narrowing. 4. visualized vertebrae appear mildly osteoporotic. 5. mild degenerative changes are seen involving the atlanto-axial joint. thank you for referring."
data/train/audio_01004.wav,lungs: linear fibrotic strands in bilateral upper lobe apical segments. subpleural linear fibrotic changes in bilateral lower lobe posterior basal segments. fibrotic band in left lingula. no ground glass opacification seen. the pleuro-parenchymal interfaces are smooth. no evidence of air trapping seen.
data/train/audio_01979.wav,: a 6.6 x 4.6 x 9.6 mm 30 tr x ap x cc) hyperdense (hu 700) obstructive calculus in the right upper ureter (approximately 3.6 cm from the right pelviureteric junction) with resultant mild back pressure changes. suggested clinical and 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/train/audio_02630.wav,"no significant abnormality in the oropharynx, larynx, or upper oesophagus on the plain study. mild bilateral maxillary sinusitis. loss of cervical lordosis, likely secondary to muscle spasm recommendation: clinical correlation and ent evaluation if symptoms persist."
data/train/audio_01187.wav,sulci and ventricles are mildly prominent. well defined t2/ flair hyperintensities are seen in bilateral periventricular regions -- s/o chronic small vessel ischemic changes. few ill defined t2/ flair hyperintensities are seen in bilateral corona radiata -- s/o old lacunar infarcts.
data/train/audio_03896.wav,t2w and stir hyperintensities are seen in the adjacent soft tissues s/o edema. : grade iii tear involving body and posterior horn of medial meniscus reaching up to the posterior root with few small subcentimetre sized adjacent parameniscal cysts.
data/train/audio_02569.wav,"small bowel loops (both jejunum and ileum) are mildly dilated (largest diameter ~2.8cm) with marked reduction of bowel wall enhancement, especially at the jejunum. no significant small bowel wall thickening. small bowel feces sign within the distal jejunum at the left iliac fossa"
data/train/audio_02040.wav,"in addition, a filling defect is noted within the main portal vein, suspicious for portal vein thrombosis - contrast evaluation recommended for confirmation. areas of omental thickening are noted in the peritoneal cavity, raising suspicion for peritoneal involvement. pancreas appears normal."
data/train/audio_00125.wav,"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 show posterior parietal hematoma with max. thickness of 7 mm."
data/train/audio_04044.wav,"gall bladder: minimally distended. spleen: measures 9.0 cm, appears normal in size & echogenicity. no focal lesion seen. a 6.0 x 5.0 mm sized splenunculus seen. pancreas: normal in size and echotexture. no focal diffuse lesion."
data/train/audio_04355.wav,"supraspinatus tendinosis changes seen. superior labral tear of the labrum of the superior glenoid rim without a biceps tendon tear, located at the 11-to 1-o'clock position (type iia). the labrum is not completely detached."
data/train/audio_04019.wav,advice: histopathological correlation. few homogeneously enhancing mildly enlarged lymph nodes in left inguinal region.
data/train/audio_02344.wav,all the visualised paranasal sinuses show intact walls. the nasal bone and bony nasal septum appear normal. rest of the mandible and maxillary alveolus also appear normal. both tm joints appear normal. no e/o dislocation.
data/train/audio_03142.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/train/audio_00864.wav,"possibility of peritoneal tuberculosis to be ruled out suggested further evaluation. possible differential diagnosis - peritoneal carcinomatosis. suggested contrast study for better evaluation. recommendations clinical correlation for fever, weight loss, night sweats. check esr, crp, mantoux, igra."
data/train/audio_02668.wav,normal variations: haller cell: noted bilaterally. onodi cell: absent. middle turbinate: lamellar concha noted on left side. keros type 2 olfactory fossa is seen.
data/train/audio_01085.wav,mild to moderate knee joint and suprapatellar bursal effusion is noted. t2w and stir hyperintensities are seen in the adjacent soft tissues s/o edema. : mild early osteoarthritic changes involving the knee joint as mentioned above. mild sprain involving the anterior cruciate ligament.
data/train/audio_02363.wav,lungs calcified opacities involving bilateral midzones. 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/train/audio_03159.wav,the uterus is bulky in size. it measures 15.3 x 5.7 x 8.8 cm in craniocaudal antero-posterior and transverse dimensions. it is anteverted and anteflexed. the myometrium displays normal signal intensity.
data/train/audio_02628.wav,"thyroid gland appears normal in size and attenuation with no focal lesion. no significant cervical lymphadenopathy is identified. paranasal sinuses (visualised) show minimal mucosal thickening in bilateral maxillary sinuses, suggestive of mild sinusitis. cervical spine shows loss of normal cervical lordosis, likely positional or due to muscle spasm."
data/train/audio_00187.wav,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/train/audio_00333.wav,another ill-defined t2 hypointense area seen along the serosa of right lateral and anterior wall in the mid segment with serosal involvement of postero-superior aspect of the urinary bladder representing deep endometriotic deposit.
data/train/audio_00117.wav,"prevertebral soft tissue also appears normal. : diffuse bulge of c3-c4 disc, causing compression over left exiting c4 and indentation over right exiting c4 nerve root. diffuse bulge of c5-c6 disc superimposed with left foraminal protrusion,"
data/train/audio_03381.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: small eccentric calcified and mixed plaques noted in the proximal segment of left anterior descending artery causing approximately 20%-30% luminal compromise.
data/train/audio_00169.wav,mildly thickened and irregular urinary bladder wall - advice: urine routine correlation. omental umbilical hernia as described above. suggest - clinical and biochemical correlation/ further imaging if indicated.
data/train/audio_04126.wav,"impression: acute intraparenchymal hemorrhage (approximate volume 62 cc) involving left thalamocapsular region extending to left half of midbrain and corona radiata with mild perilesional edema, mass effect and intraventricular extension as mentioned."
data/train/audio_03839.wav,"nect abdomen reveals, fairly large well defined heterogeneous solid cystic lesion noted arising from the pelvis in the midline and extending in the abdomen with peripheral nodular thickening involving the walls of the lesion compressing and displacing adjacent small and large bowel loops likely neoplastic etiology. bilateral mild hydronephrosis with proximal hydroureter likely mass effect from pelvic mass."
data/train/audio_02952.wav,"the subependymal region of the left lateral ventricle near the frontal horns/body. no evidence of perilesional edema. no acute infarct, hemorrhage, or mass lesion is seen. no abnormal enhancement. normal gray-white matter differentiation. no evidence of diffusion restriction."
data/train/audio_02558.wav,mild mosaic attenuation pattern that is associated with peripheral micro-nodules and few ggo seen in bilateral lower lobe s/o small air way diseases. dd: constrictive bronchiolitis /acute infective bronchitis with bronchiolitis.
data/train/audio_02699.wav,ncct facial bones technique axial sections of the face were obtained without administration of intravenous contrast on a ct scanner. calvarium: bothzygomatic arches appear normal without any fracture.
data/train/audio_04943.wav,pre and para vertebral soft tissues are normal. screening rest of the spine reveals reduced cervical lordosis with marginal osteophytic changes at few levels. mild pivd is seen at c4-5 & c6-7 levels. l4-5: diffuse disc bulge causing indentation of
data/train/audio_00632.wav,", causing mild narrowing of the central canal and lateral recesses, bilaterally. moderate facetal arthropathy and ligamentum flavum thickening at this level, adding to central canal stenosis. 2. broad based posterior herniation of l3-4 disc, causing moderate narrowing of central canal and right lateral recess."
data/train/audio_02379.wav,"findings: tendons:- partial articular surface avulsion tear noted involving the supraspinatus tendon near its insertion. low-grade partial tear involving the subscapularis tendon near its insertion. mild supraspinatus and subscapularis tendinosis. infraspinatus, teres minor, teres major tendons appear"
data/train/audio_02425.wav,"findings: gallbladder: gallbladder calculus measuring 14.5 mm, appearing hypointense. gallbladder is otherwise distended without wall thickening or pericholecystic fluid. intrahepatic bile ducts: dilatation of intrahepatic biliary radicals in both lobes. common hepatic duct: visualized and dilated in keeping with upstream biliary dilatation."
data/train/audio_04203.wav,ct head without contrast clinical history- trauma technique axial sections of the brain were obtained from the base of skull to the vertex without administration of intravenous contrast on a ct scanner.
data/train/audio_02626.wav,"supratentorial: tiny calcification noted along falx cerebri 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/train/audio_02059.wav,portal vein is normal in size and 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.
data/train/audio_05266.wav,both domes of diaphragm are normally placed. bony thoracic cage is normal. no soft tissue abnormality seen. fibrocalcific changes involving right upper and midzones with adjacent pleural thickening suggestive of sequelae of old infective aetiology. recommendation suggested clinical correlation.
data/train/audio_02517.wav,"no focal area of restricted diffusion is seen in the brain. a small t1/t2 hyperintense focus measuring 6 x 2 mm noted in the anterior falx--likely lipoma. the ventricles, cerebral sulci and the basal cisterns are prominent. there is no shift of the midline structures or herniation. no evidence of any intracranial space occupying lesion or hemorrhage."
data/train/audio_01241.wav,"granulomatous disease. in the visualized upper abdominal sections, bilateral perinephric fat stranding is noted, suggesting possible renal inflammatory / medical renal changes. the left adrenal gland appears mildly bulky compared to the right, and further evaluation may be considered if clinically indicated."
data/train/audio_04537.wav,"focal cortical irregularity/scarring noted in upper pole of right kidney, likely representing postoperative/post-treatment changes. no definite enhancing recurrent mass lesion identified in right kidney on present study."
data/train/audio_02257.wav,no obvious ureteric calculus. possibility of recent passage of calculus. right renal non-obstructive calculi. bilateral renal non-obstructive microliths. bilateral renal cysts. vesical calculi as mentioned. bilateral mild hydrocele. small omental umbilical hernia. suggested prone imaging and 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/train/audio_02602.wav,"both l5 nerve roots and causes moderate narrowing of central canal. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. l5-s1 disc reveals broad based posterior and bilateral foraminal herniation with inferior migration. it indents the anterior epidural fat, both s1 nerve roots and abuts both l5 nerve roots and causes moderate narrowing of central canal"
data/train/audio_00805.wav,left kidney measures 5.6 x 4.3 x 11.6 cm (ap x tr x cc). there is no calculus / hydroureter / perinephric fat stranding. left ureter is undilated. urinary bladder is distended. no calculus seen.
data/train/audio_01027.wav,defect 2.7 cm) with herniation of omental fat. calcified atherosclerotic plaques in the abdominal aorta and iliac arteries. left duplex collecting system with fusion at the upper ureter. degenerative changes in the dorsolumbar spine. post-operative status of the uterus.
data/train/audio_04937.wav,"x-ray - chest {pa} clinical profile: suspected case of koch's. : haziness involving left lower zone suggestive of consolidation. the cardiac shadow is within normal limits of size and shape. the aorta shows normal radiological features. 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. opinion: haziness involving left lower zone suggestive of consolidation, 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/train/audio_04378.wav,findings: mildly displaced fracture involving the right transverse process of c7 vertebra involving the right neural foramina. undisplaced fracture involving the anterior arch of c1 vertebra. minimally displaced fracture involving anterior and posterior margins of right neural foramina of c6 vertebra. diffuse soft tissue edema with multiple air foci
data/train/audio_01164.wav,few chronic lacunar infarcts involving bilateral ganglio-capsular regions. complete non-visualisation of right middle cerebral artery. suggested clinical and usg carotid doppler correlation.
data/train/audio_03666.wav,luminal compromise. rest of 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 ii. left circumflex artery: lcx is patent. few small eccentric calcified and mixed plaques noted in the proximal segment of left circumflex artery
data/train/audio_02126.wav,"at l4-l5 level: partial disc desiccation, posterior disc bulge indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots narrowing bilateral neural foramina (left more than right) abutting left exiting nerve root. mild ligamentum flavum hypertrophy and facet joint arthropathy noted. at l5-s1 level:"
data/train/audio_02906.wav,cect abdomen with oral & iv contrast technique: contrast-enhanced ct scan of the abdomen performed after administration of oral and intravenous contrast. multiplanar reformatted images reviewed. findings: peritoneal cavity: gross free fluid (ascites) is noted throughout the abdomen and pelvis.
data/train/audio_01322.wav,a chronic anterior wedge compression fracture is seen in the d11 vertebral body with approximately 75% loss of vertebral height and anterior thecal sac indentation. no retropulsed fragment causing significant spinal canal compromise is observed. t2 stir hyperintense foci noted in posterior process of d7
data/train/audio_00664.wav,"sella and parasellar structures appear grossly unremarkable. left maxillary, bilateral ethmoid and left sphenoid sinusitis. rest of the visualized paranasal sinuses are unremarkable. skull bones appear normal. no e/o any fracture noted"
data/train/audio_00675.wav,gall bladder- a 1.5 x 1.4 cm sized hyperdense calculus noted within gb. gb appears contracted with thickened wall. no evidence of peri-gb free fluid or fat stranding. right extrarenal pelvis noted.
data/train/audio_01246.wav,"prostate gland: the prostate measures approximately 3.9 x 4.3 x 4.8 cm, with an estimated volume of approximately 42 cc. there is diffuse t2 hypointense signal alteration involving both the peripheral and transitional zones. multiple nodular lesions are noted in the bilateral transitional zones demonstrating diffusion restriction and avid post-contrast enhancement."
data/train/audio_00627.wav,grade ii anterolisthesis of c3 over c4. features suggestive of degenerative cervical spondylosis. recommendation suggested clinical correlation.
data/train/audio_02123.wav,the pre and paravertebral soft tissues appear normal. the visualized lower conus and cord appears normal. at l1-l2 level: mild posterior disc bulge abutting thecal sac without any nerve root compression. mild ligamentum flavum hypertrophy noted. at l2-l3 level: mild posterior disc bulge indenting thecal sac narrowing bilateral lateral recess abutting traversing
data/train/audio_00509.wav,1. small focal areas of diffusion restriction in bilateral frontal white matter - suggestive of acute/subacute ischemic foci. 2. t2/flair hyperintense lesion in the right frontal lobe with central non-suppression on flair and no associated diffusion restriction -
data/train/audio_05241.wav,visualized paranasal sinuses are unremarkable. skull bones appear normal. no e/o any fracture noted mild subgaleal soft tissue thickening over right temporal region. maximum thickness measures approximately 5 mm.
data/train/audio_03557.wav,"of the adjacent lateral ventricle suggestive of chronic infarct. rest of the brain parenchyma is normal in attenuation. right basal ganglia and thalami are normal. rest of the cortical sulci, basal cisterns and ventricular system are normal. the posterior fossa structures are normal. no evidence of infarct / sol."
data/train/audio_04914.wav,": liver: liver is mildly enlarged, measuring approximately 16 cm in craniocaudal dimension. diffuse hypoattenuation of the hepatic parenchyma is noted, suggestive of fatty infiltration. no focal hepatic lesion seen. normal enhancement pattern noted."
data/train/audio_04905.wav,"these are suggestive of chronic lacunar infarcts. mild chronic periventricular ischemic changes are seen. mild prominence of cerebral sulci, cisterns and ventricles is seen cleft, suggestive of mild cerebral atrophy. partial empty sella status is seen."
data/train/audio_00746.wav,impression: no significant intracranial abnormality seen. defect in the right lamina papyracea with dehiscence of orbital fat. bilateral maxillary and ethmoid sinusitis. suggested clinical correlation.
data/train/audio_02408.wav,"in order to provide better evaluation of the anatomy and disease process, advanced off-line 3-d post-processing techniques, including multiplanar reconstruction; maximal intensity projections; curved reconstructions; and volume rendering were performed."
data/train/audio_02621.wav,"suggestive of tendinosis. mild hyperintense signal is seen involving the left hamstring tendon at the site of its attachment to the ischial tuberosity, suggestive of tendinosis. mild subcutaneous edema is seen in left hip region. altered marrow signal intensity changes are seen in left gluteus maximus muscle. this may suggest muscle edema / contusion. please correlate clinically the alignment of the visualized bones is normal. the hip joint is normal, with smooth articular margins."
data/train/audio_02259.wav,: a 4.3 x 2.2 x 5.6 cm size (tr x ap x cc) hyperdense (average hu 500) staghorn calculus in the left renal pelvis extending into all calyces with resultant back pressure changes as mentioned. right sided mild hydronephrosis and entire hydroureter.
data/train/audio_05157.wav,comminuted displaced fractures involving bilateral nasal bones and bony nasal septum with resultant bilateral ethmoid haemosinus. mildly displaced fractures involving bilateral medial and lateral pterygoid plates. comminuted mildly displaced fracture of the maxillary arch involving the alveolar sockets of upper central incisors.
data/train/audio_02120.wav,lungs prominence of bronchovascular markings. plate atelectasis involving left lower zone. airways trachea is central. tracheo-bronchial tree is normal. heart cardiac silhouette is normal. unfolding of arch of aorta and aortic knuckle calcifications. others bilateral cp angles are clear. both domes of diaphragm are normally placed.
data/train/audio_02786.wav,"bilateral maxillary, bilateral ethmoid, left sphenoid and left frontal sinusitis. rest of the visualized paranasal sinuses are unremarkable. skull bones appear normal. no e/o any fracture noted"
data/train/audio_01844.wav,long segment concentric soft plaque further distally causing 80%-90% luminal narrowing (severe stenosis). posterior descending artery (pda): long segment concentric soft plaque causing 30%-40% luminal narrowing (mild-moderate stenosis).
data/train/audio_03796.wav,"l5-s1: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing."
data/train/audio_02632.wav,ct neck (plain + contrast) clinical history: complaints of dysphagia and right-sided neck pain. no history of trauma. technique: non-contrast ct scan of the neck performed with multiplanar reconstructions.
data/train/audio_01299.wav,c-loop of the duodenum is defined. 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.
data/train/audio_00514.wav,". no signs of obstructive uropathy are detected. the ivc, aorta and portal vein are within normal position and calibre. no evidence of retroperitoneal lymphadenopathy or ascites. the visible parts of the bowel loops show no obvious mass lesions or wall thickening. appendix appears normal."
data/train/audio_00303.wav,"right hematosalpinx pelvic adhesions this pattern is typical of posterior compartment die with rectal involvement, which is important for gynecologic surgical planning and possible colorectal consultation."
data/train/audio_04641.wav,"atherosclerotic calcifications are seen along the walls of the visualized aorta. the visualized bony structures appear grossly unremarkable. impression: cardiomegaly with mild dilatation of the pulmonary arteries, likely suggestive of pulmonary hypertension."
data/train/audio_04764.wav,"without any nerve root compression. at l4-l5 level: no significant disc bulge. at l5-s1 level: no significant disc bulge. mild facetal joint arthropathy noted. disc level canal diameter (mm) l1-l2 11.4 l2-l3 10.8 l3-l4 12.3 l4-l5 12.5 l5-s1 16 on whole spine screening: loss of cervical lordosis noted. posterior disc bulges are seen at c3-c4, c4-c5,"
data/train/audio_01683.wav,cardiovascular system: heart size is within normal limits. minimal pericardial effusion is noted. great vessels appear normal in course and caliber. trachea & bronchi: trachea and bilateral main bronchi appear normal in caliber and bifurcation.
data/train/audio_02154.wav,mildly displaced fracturewith marrow edema involving the medial facet of patella. rest of the bones reveal normal signal intensity. no evidence of marrow edema. patella appears normal in position. joints: no evidence of osteoarthritic changes.
data/train/audio_03965.wav,multiple eccentric calcified and mixed plaques noted in the proximal and mid segments of left anterior descending artery causing maximum of 60% luminal compromise. rest of 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/train/audio_02945.wav,"few fibrotic changes involving left upper zone with adjacent pleural thickening sequelae of old infective etiology. suggested clinical correlation. many thanks for referral,"
data/train/audio_04627.wav,left sided dj stent in situ. multiple air foci noted in left pelvicalyceal system likely post-procedure. left renal non-obstructive calculi. gallbladder sludge. bilateral mild pleural effusion. 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/train/audio_05456.wav,no evidence of marrow edema. articular cartilage is intact with smooth margins. humeral head shows no contour deformity. no fracture / dislocation is seen. neurovascular structures are unremarkable. impression: mild supraspinatus and subscapularis tendinosis.
data/train/audio_05276.wav,"observation: cardiothoracic ratio appears increased, suggestive of cardiomegaly. diffuse increased reticulonodular opacites noted in bilateral hilum and lower zone, suggestive of septal interstitial thickening,"
data/train/audio_00354.wav,articular surfaces appear maintained (within limitations of motion artefact). ligaments: lateral ligament complex (lcl): o high-grade partial thickness tear noted medial (ulnar) collateral ligament: o appears grossly intact
data/train/audio_04325.wav,"the lesion involves both anterior two-thirds and posterior one-third of tongue and crosses the midline with extension into the left side of tongue. lesion has a depth of invasion of 4 cm. posteriorly, the lesion extends into and infiltrates the uvula with extension into the right tonsillar fossa."
data/train/audio_03805.wav,"the calvarium, pituitary fossa and cervicomedullary junction appear unremarkable. the visualized paranasal sinuses and mastoid air cells are clear. the seventh and eighth nerve root complexes are normal. : frontotemporal atrophy. moderate periventricular and deep white matter ischemic changes (fazeka grade ii)."
data/train/audio_00532.wav,liver: mild surface irregularity noted involving the liver parenchyma with mild caudate lobe hypertrophy. mild periportal cuffing noted. it is otherwise normal in size and shape. few tiny calcified granulomas noted in the right lobe of liver. no focal or diffuse liver lesion seen with limitation of plain scan.
data/train/audio_02260.wav,"findings: a subtle sclerotic line is seen along the neck of the left femur, raising suspicion for an impacted fracture. no obvious cortical break or displacement is identified. hip joint space appears maintained. no focal lytic lesion or areas of bone destruction are seen. the visualized acetabulum, proximal femur, and adjacent pelvic bones appear otherwise unremarkable. impression:"
data/train/audio_01915.wav,no obvious articular surface extension. medial meniscus appears normal in configuration and signal intensity. no evidence of tear noted. muscles: popliteal muscle and tendon appear normal. the quadriceps tendon and ligamentum patellae reveals mild sprain. the hoffa`s fat pad reveals mild edema. osseous structure:
data/train/audio_05134.wav,"arteries are normal in course and caliber with normal flow signal intensity. common carotid arteries are bifurcating normally in both sides. bilateral internal carotid arteries are normal in course, caliber and flow signal. bilateral external carotid arteries and its major branches are normal in course and caliber. left vertebral artery appears hypoplastic."
data/train/audio_04004.wav,* the longus colli on either side are normal. * both parotids and submandibular glands are normal. * cervical oesophagusand trachea appear normal. * bilateral styloidprocess are within normal limit.
data/train/audio_00108.wav,"findings previously mentioned radiodense foreign body not seen in present scan. bowel loops appear normal. liver is normal in size, shape and attenuation on present unenhanced scan. the porta hepatis is normal. no ihbr or cbd dilatation"
data/train/audio_02024.wav,indenting bilateral exiting nerve roots (left more than right). mild ligamentum flavum hypertrophy and facetal joint arthropathy noted. disc level canal diameter (mm) l1-l2 13.4 l2-l3 11.6 l3-l4 9.4 l4-l5 8.9 l5-s1 10 on whole spine screening: loss of cervical lordosis with disc desiccation of all the cervical intervertebral discs is noted. small anterior osteophytes are seen from c3 to c7 vertebral levels. posterior disc bulges are seen at
data/train/audio_04311.wav,"x-ray pns: haziness seen in bilateral frontal and maxillary sinuses, possibly with changes of sinusitis. no evidence of bony erosion. nasal septum is deviated to right side. : haziness seen in bilateral frontal and maxillary sinuses, possibly with changes of sinusitis. nasal septum is deviated to right side."
data/train/audio_00970.wav,10%-20% luminal compromise. no evidence of significant coronary artery stenosis. cadrads 1 p0.
data/train/audio_04073.wav,"liver is normal in size, shape and attenuation on present unenhanced scan. the porta hepatis is normal. no ihbr or cbd dilatation segment viii speck of calcification? granulomatous. pancreas, spleen and both adrenals are normal in size, shape and attenuation on present unenhanced scan."
data/train/audio_03245.wav,above findings are suggestive of mild osteoarthritic changes involving both hip joints and sacro-iliac joints. no obvious fracture.
data/train/audio_04636.wav,normal intervertebral disc height and signal intensity. no significant disc bulge or protrusion. no evidence of fracture or wedging. no focal abnormal signal noted in the dorsal spinal cord. lumbar: loss of lumbar lordosis with straightening of spine is seen. sacralization of l5 vertebra noted.
data/train/audio_00498.wav,"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. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. 6."
data/train/audio_00919.wav,"superficial and deep palmar arches show no significant contrast opacification, indicating severe distal hypoperfusion. left upper limb arterial system: left subclavian, axillary, brachial, radial, and ulnar arteries appear normal in course, caliber, and contrast opacification."
data/train/audio_02084.wav,lymph nodes: no pathologically enlarged abdominopelvic lymph nodes. abdominal aorta and major vessels: foci of atherosclerotic calcified plaques noted in the abdominal aorta and iliac arteries. no aneurysmal dilatation. retroperitoneum: no retroperitoneal collection or mass.
data/train/audio_01481.wav,"plantar fascia shows mild thickening at the calcaneal attachment site, measuring approximately 5 mm, without significant surrounding edema - suggestive of early plantar fasciitis. subtalar joint appears unremarkable. tibiotalar joint appears unremarkable."
data/train/audio_00714.wav,findings: cruciate ligaments:- low-grade tear involving the proximal fibres of anterior cruciate ligament. no significant retraction. mild sprain involving the posterior cruciate ligament. no evidence of tear. collateral ligaments lateral collateral ligament reveals mild laxity with increased t2 and pdfs
data/train/audio_02613.wav,"and right neural foramen. mild facetal arthropathy is seen at this level. spinal cord is normal in thickness and reveals normal signal intensity. no focal area of abnormal signal is detected within the cord. no intraspinal mass lesion is detected. the cranio-vertebral junction appears normal. there is no evidence of atlanto-axial dislocation, tonsillar herniation or syringomyelia."
data/train/audio_04366.wav,": liver appears normal in attenuation pattern, no e/o focal lesion. 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. bilateral adnexa appear unremarkable. both kidneys are normal in size, shape, attenuation pattern."
data/train/audio_04127.wav,midline shift to right by 6.4 mm. normal ct angiogram study. mild increased in size as compared to previous mri report.
data/train/audio_02916.wav,"menisci: medial and lateral menisci are normal in morphology and signal. no evidence of meniscal tear or degeneration. ligaments: posterior cruciate ligament is intact. minimal hyperintensity noted in the anterior cruciate ligament in the anteromedial fibers, suggestive of mild strain. medial and lateral collateral ligaments are intact."
data/train/audio_05523.wav,"cystic duct: patent. no filling defect seen. gallbladder: calculus measuring 7.5 mm noted, appearing hypointense on t2 and t1 images. no gallbladder wall thickening. no evidence of pericholecystic inflammatory changes. liver: normal size and contour."
data/train/audio_01229.wav,right sphenoid and bilateral ethmoid sinuses with left otomastoiditis. possible considerations for the above hemorrhagic and diffusion abnormalities include: hemorrhagic transformation of infarcts primary hemorrhages with surrounding infarction metabolic or hypoglycemia-related brain injury pres-related / hypoxic-ischemic changes
data/train/audio_01190.wav,well defined t2/ flair hyperintensities are seen in bilateral periventricular regions -- s/o chronic small vessel ischemic changes. few ill defined t2/ flair hyperintensities are seen in bilateral corona radiata -- s/o old lacunar infarcts. ----- suggested clinical correlation and follow up
data/train/audio_02221.wav,"no obvious pericardial effusion noted. the trachea and mainstem bronchi are normal. multiple subcentimetre sized discrete lymph nodes noted involving prevascular, pretracheal, paratracheal and subcarinal regions. no obvious size significant hilar or mediastinal lymphadenopathy is seen. no obvious size significant visualised cervical or bilateral axillary lymphadenopathy."
data/train/audio_05472.wav,no evidence of aggressive periosteal reaction or soft tissue component. rest of the visualised osseous and muscular structures appear unremarkable.
data/train/audio_00266.wav,"rest of the vertebral bodies are showing normal height, alignment, curvature and marrow signal intensity pattern. rest of the intervertebral discs and neural foramina are showing normal mr morphology and signal intensity pattern. lower dorsal spinal cord and conus medullaris are showing normal morphology, outline and signal intensity"
data/train/audio_04953.wav,"cerebellar folias are prominent with prominent csf space around the cerebellum s/o premature cerebellar atrophy. rest of the cerebral hemispheres show normal mr morphology, signal intensity and gray - white matter differentiation."
data/train/audio_04835.wav,"facets & posterior elements: apart from the noted pars interarticularis fracture at c2, the remaining posterior elements appear unremarkable. soft tissues: no significant prevertebral or paravertebral soft tissue abnormality. impression:"
data/train/audio_02736.wav,"epiglottis, valleculae, ae folds, pyriform sinuses appear normal. true and false vocal cords appear normal in attenuation."
data/train/audio_01310.wav,the left hip joint shows post-reduction alignment with intra-articular fracture fragments as described. no gross joint effusion is identified on ct. soft tissues soft tissue swelling is noted around the left hip. no evidence of active hemorrhage or soft tissue gas is seen.
data/train/audio_02794.wav,"urinary bladder is distended. wall thickness is normal. perivesical fat planes clear. prostate appears enlarged in size, measuring ~ 3.9 x 4.9 x 3.8cm vol ~ 36cc."
data/train/audio_03320.wav,liver: normal in size and signal intensity. no focal diffusion-restricting lesion identified. gallbladder: appear unremarkable. pancreas: appear unremarkable. spleen: appear unremarkable.
data/train/audio_00360.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/train/audio_01824.wav,"mild facet joint arthropathy and ligamentum flavum hypertrophy are seen at lower lumbar levels. at l5-s1 level, diffuse disc bulge is seen indenting anterior thecal sac and abutting bilateral traversing nerve roots with bilateral grade 2 neural foraminal narrowing and abutment of exiting nerve roots. central canal measures approximately 11 mm."
data/train/audio_02922.wav,"fibrotic lung changes with traction bronchiectasis in right middle lobe and mosaic attenuation with air trapping in bilateral lungs. diffuse subcutaneous oedema involving left chest wall and breast. comparison: compared with prior imaging, pleural effusion - suggested pleural fluid evaluation to rule out pleural metastasis."
data/train/audio_04109.wav,"lumbosacral: sacralization of l5 vertebra (castellvi classification type iv). mildly displaced fractures left transverse process of l1 vertebra, both transverse processes of l2 vertebra, both transverse processes of l3 vertebra and both transverse process of l4 vertebra."
data/train/audio_00708.wav,"a linear hyperintense signal is seen in the posterior horn of the lateral meniscus, not reaching the articular surface, suggestive of grade ii signal. the body and anterior horn of the lateral meniscus is intact. hyperintensity is detected around the medial collateral ligament, however the ligament appears intact."
data/train/audio_01852.wav,":- areas of mosaic attenuation are noted in both lungs, suggesting associated small airway disease or perfusion abnormalities. no obvious pneumothorax. no significant endobronchial lesion identified."
data/train/audio_03494.wav,tibiofemoral and patello-femoral joints appear normal with intact articular cartilage. no obvious intraarticular loose bodies are seen. minimal knee joint and suprapatellar bursal effusion with mild soft tissue edema around knee joint.
data/train/audio_00556.wav,meniscus: partial root tear involving the anterior root of lateral meniscus. grade iii tear involving the body and posterior horn of medial meniscus reaching up to the posterior root. extrusion of body by 3 mm. muscles:
data/train/audio_00503.wav,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. postoperative changes noted in left parietal bone. - compared to the preoperative ct there is mild reduction in size of haemorrhage. differential diagnosis
data/train/audio_05355.wav,". there is posterior extension of the collection into the spinal canal at the d11-d12 level, causing spinal canal narrowing measuring approximately 11 mm, resulting in mild compression of the thoracic spinal cord. no abnormal intramedullary t2 signal alteration is seen within the thoracic cord to suggest cord edema or myelomalacia. psoas muscles"
data/train/audio_04968.wav,urinary bladder: partially distended with preserved fat plane with the uterus. no bladder endometriotic deposit. bones: visualized bones show normal marrow signal. incidental posterior disc bulge at l5-s1.
data/train/audio_03754.wav,remaining visualized vertebral body heights are maintained. no suspicious focal marrow lesion. intervertebral discs: mild diffuse disc bulge at d12-l1 abutting the thecal sac. mild diffuse disc bulge at l4-l5 abutting the thecal sac. no focal disc extrusion identified at other levels.
data/train/audio_02843.wav,"no defect, sclerotic or lytic skull lesion noted. skull base appears grossly normal. overlying scalp is normal. no focal lesion or swelling noted. orbits and paranasal sinuses: visualized bony orbits appear normal. visualized intraorbital contents show no obvious abnormality."
data/train/audio_01170.wav,"on screening of bilateral sacro-iliac joints: no significant abnormality detected. on screening of bilateral hip joints: no significant abnormality detected. : at l4-l5 level: partial disc desiccation,"
data/train/audio_02507.wav,no significant abnormality detected. on screening of bilateral hip joints: mild hip joint space reduction. no other significant abnormality detected. : heterogeneous marrow signal intensity. 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
data/train/audio_00879.wav,dominance of the coronary artery system: right dominant circulation. left main: the left main is a normal caliber vessel which gives rise to the lad and circumflex arteries. the left main has no stenosis. left anterior descending artery:
data/train/audio_01828.wav,"mild posterior disc bulges are seen at c2-c3, c3-c4, c4-c5 and c5-c6 levels indenting anterior subarachnoid space. no significant spinal canal stenosis. vertebral body heights and disc heights are maintained."
data/train/audio_04229.wav,complex vertical tear of posterior horn of lateral meniscus. high t2 signal intensity involving the bone marrow of posterior medial/lateral tibial condyles and lateral femoral is in keeping with bone bruising. a minimally depressed lateral femoral condyle osterochondral fracture is seen - type 2 osteochondral injury. moderate joint effusion. please correlate clinically and with other relevant investigations for confirmation and further evaluation
data/train/audio_01067.wav,2. few centrilobular nodules involving lateral segment of right middle lobe. 3. right sided mild pleural effusion (approximate volume 140 cc). above findings are suggestive of infective aetiology. to rule out koch's. suggested usg guided pleural fluid analysis correlation.
data/train/audio_03175.wav,"the right superficial femoral artery (sfa) shows mild diffuse narrowing (<15%). the right popliteal artery demonstrates moderate narrowing (~40-50%). the right anterior tibial and posterior tibial arteries show mild diffuse narrowing (~30-35%),"
data/train/audio_05365.wav,"hydronephrosis, or focal mass lesion is seen. bilateral ureters are normal in course and caliber. urinary bladder: urinary bladder is well distended with smooth walls and no intraluminal lesion. bowel: stomach, small bowel, and large bowel loops appear normal in caliber with no abnormal wall thickening or obstruction. appendix appears normal. peritoneum and mesentery:"
data/train/audio_05483.wav,"these findings are sequelae to previous portal vein thrombosis. there is no enhancing focal lesion seen in the region of left hepatic duct, common bile duct or common hepatic duct. mild prominence of right hepatic duct and its anterior and posterior segmental branches noted. there is narrowing at the terminal portion of the common bile duct likely due to the calculus in the main pancreatic duct reaching up to the common pancreaticobiliary channel."
data/train/audio_02301.wav,"2.5 mm distal cbd: ~2 mm no evidence of biliary ductal dilatation, filling defect, or choledocholithiasis is seen. gallbladder gallbladder appears grossly distended. there is minimal pericholecystic edema noted. no obvious intraluminal calculus identified. pancreas pancreas appears normal in size and signal intensity."
data/train/audio_04709.wav,there is associated marrow edema seen. there is no evidence of retropulsion of posterior cortex. there is no associated soft tissue component. fluid signal intensity is seen within intervertebral disc at t12-l1 level. this is likely due to degenerative change.
data/train/audio_02121.wav,bony thoracic cage is normal. no soft tissue abnormality seen. prominence of bronchovascular markings - congestion. plate atelectasis involving left lower zone. recommendation suggested clinical correlation.
data/train/audio_05282.wav,there is a ill-defined t2 hypointense 1.3 x 1.2 cm size sized serosal deep endometriotic deposit seen in the right lateral and anterior wall at mid segment with involvement of the postero-superior aspect of urinary bladder.
data/train/audio_04933.wav,: blunting of right costophrenic angle suggestive of pleural effusion. prominence of bronchovascular markings likely congestion. the cardiac shadow is within normal limits of size and shape. unfolding of arch of aorta and aortic knuckle calcifications. both domes of diaphragm are normal in shape and outline. both cardiophrenic and costophrenic angles are clear.
data/train/audio_04129.wav,"bilateral pelvicalyceal systems appear mildly prominent, likely secondary to physiological compression by gravid uterus. no significant adnexal mass lesion is seen. visualized bowel loops are unremarkable. : complete placenta previa (posterior placenta covering internal os)."
data/train/audio_00107.wav,"not adequately opacified on the current study. urinary bladder: not adequately assessed in this study. impression: normal anterior urethra. non-opacification of posterior urethra, likely physiological / technical no definite evidence of urethral stricture in the visualized segments. recommendation: correlate clinically."
data/train/audio_00465.wav,uterus: is not visualized. post operative status (as per history given by the patient) no free fluid is seen in the peritoneal cavity. incidental findings:- degenerative changes are seen in visualized spine.
data/train/audio_05657.wav,"left lower limb: the left popliteal artery, posterior tibial artery, and peroneal artery appear normal in calibre and opacification. there is mild luminal narrowing noted in the proximal segment of the left anterior tibial artery. distal opacification of the vessel is maintained. bones"
data/train/audio_01142.wav,abductor pollicis longus (apl) and extensor pollicis brevis (epb) appear: o bulky o increased t2/stir signal o mild surrounding fluid other extensor tendons remaining dorsal extensor tendons: intact
data/train/audio_04276.wav,"pancreas, spleen and both adrenal glands appear unremarkable. cortical cyst measuring approximately 3 x 2.6 cm noted in interpolar region of left kidney. right kidney appears unremarkable. no ascites or significant lymphadenopathy noted."
data/train/audio_01288.wav,few fibrotic atelectatic bands are seen in the medial segment of right middle lobe. bones: visualized spine shows degenerative changes in the form of multilevel osteophytes and vacuum phenomena. impression: multiple bilateral non-obstructing renal calculi largest measuring 9.5 mm in right kidney and 6.9 mm in left kidney.
data/train/audio_01631.wav,displaced fracture of left nasal bone and frontal process of maxilla with surrounding soft tissue edema. both maxillary sinuses and both frontal sinuses are normal. right concha bullosa. paradoxical right middle turbinate. ethmoid / sphenoid sinuses appear normal.
data/train/audio_05440.wav,"posterior bulges are seen at t10-11 and t11-12 levels, indenting the anterior subarachnoid spaces. : postero-central protrusion of l1-2 disc, causing mild narrowing of central canal. mild facetal arthropathy is detected at this level."
data/train/audio_02169.wav,"both the anterior and posterior horns of lateral menisci are normal in mr morphology and signal intensity. posterior cruciate, medial collateral and lateral collateral ligaments are normal in morphology, signal intensity and outline. no obvious ligamentous tear is seen."
data/train/audio_04081.wav,"findings: gall bladder is not seen - cholecystectomy status. cbd is normal in size (6-7 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/train/audio_03881.wav,frontal and maxillary sinuses appear normal. no evidence of any bony abnormality seen. soft tissues appear normal. mild deviation of nasal septum to right.
data/train/audio_01843.wav,concentric focal narrowing causing 90%-95% luminal narrowing (critical stenosis). concentric calcific plaque distal to above with subtle contrast enhancement causing 90%-95% luminal narrowing (critical stenosis - probable chronic total occlusion or near-occlusion).
data/train/audio_04263.wav,no intra-axial or extra-axial collections seen. posterior fossa: prominent left retrocerebellar csf space causing remodeling and mild thinning of the underlying bone. cerebellum and brainstem are normal in attenuation pattern.
data/train/audio_04219.wav,"grade ii sprain noted involving the fibres of the deltoid ligament. bone marrow contusional oedema changes noted in the medial malleolus of distal tibia. minimal ankle joint effusion noted. the calcaneofibular ligament, posterior talofibular ligament, spring ligament complex, and syndesmotic ligaments appear intact."
data/train/audio_05340.wav,it indents the anterior subarachnoid space. it causes mild narrowing of the central canal. mild facetal arthropathy is seen at this level. c4-5 intervertebral disc reveals broad based posterior and bilateral foraminal herniation. disc osteophyte complex at this level indents anterior subarachnoid space and both c5 nerve roots.
data/train/audio_02324.wav,"ligaments: ulnar collateral ligament (ucl): anterior, posterior, and transverse bundles are intact with normal signal intensity and thickness. radial collateral ligament (rcl): intact without discontinuity or abnormal signal."
data/train/audio_01569.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/train/audio_02643.wav,"x-ray left elbow (ap & lat.): no evidence of any fracture or dislocation is seen. lower end of humerus, coronoid process of ulna and head of radius appear normal. no evidence of any lytic or sclerotic lesion is seen."
data/train/audio_00967.wav,left anterior descending artery causing 10%-20% luminal compromise. rest of 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. left circumflex artery: lcx
data/train/audio_00276.wav,"there is a comminuted displaced fracture of the right sacral ala extending into the right s1, s2, and s3 sacral segments, with involvement of the right s1 and s2 neural foramina. a minimally displaced fracture of the left sacral ala is also seen. pelvic ring fractures include:"
data/train/audio_04524.wav,comminuted avulsion fracture involving the posterior tibial plateau. undisplaced intra-articular fracture of the posterior aspect of the medial tibial condyle. schatzker classification type iv.
data/train/audio_00143.wav,"endometriotic cyst measuring 1.7 x 1.2 x 1.7 cm, appearing t2 hypointense and t1 hyperintense, with thin internal septations and minimal peripheral enhancement. small hemorrhagic cyst (~7 mm) showing t1 and t2 hypointensity."
data/train/audio_04576.wav,garvik ct abdomen and pelvis pre and post-contrast ct abdomen and pelvis has been performed using multislice ct scanner. clinical profile - case of ehpvo findings - liver is mildly enlarged in size and measure 10.8 cm in long axis dimension.
data/train/audio_02778.wav,left kidney shows a well-defined non-enhancing cortical cyst (2.2 x 1.8 cm) in the interpolar region. no evidence of renal calculi or hydronephrosis on either side. urinary bladder appears normal in outline with mild diffuse wall thickening (maximum ~5 mm).
data/train/audio_02489.wav,"altered marrow signal intensity changes on humeral head, suggestive of degenerative / traumatic marrow edema. mild changes of osteoarthritis involving the glenohumeral joint. mild degenerative changes in the acromio-clavicular joint. minimal fluid in subacromial - subdeltoid and subcoracoid bursae and also along the biceps tendon."
data/train/audio_04810.wav,heart and major vessels: heart outline and size appears normal. atherosclerotic calcifications involving the visualised aorta and its branches. coronary artery calcifications noted. others: degenerative changes involving the visualised spine in the form of marginal osteophytes. sternum and ribs appear normal.
data/train/audio_00128.wav,rest of the myometrium appears normal. endometrium measures 5 mm in maximum thickness. cervix appear normal. vagina appears normal. right ovary is normal in size and measure approximately 3. 1 x 2 x 2.6 cm in dimension.
data/train/audio_00656.wav,recommendations correlation with tumor markers (cea elevated). further evaluation of jejunal lesion: o ct enterography / capsule endoscopy / enteroscopy. pet-ct for staging. histopathological confirmation (liver lesion biopsy or jejunal lesion biopsy).
data/train/audio_02783.wav,no evidence of sol. no intra axial collection is seen. no midline shift is seen. dural venous sinuses are well opacified. sella and parasellar structures appear grossly unremarkable.
data/train/audio_03905.wav,"mr spectroscopy does not demonstrate significant elevation of choline peak or features suggestive of high-grade metabolic activity. chronic small vessel ischemic changes are noted in the bilateral frontal white matter. the hippocampi show normal signal intensity and volume. the basal ganglia, thalami, and internal capsules are normal."
data/train/audio_02102.wav,diffuse oedema in muscles of all compartments of ankle. diffuse subcutaneous oedema noted in ankle joint. fracture in base of third metatarsal bone. patchy areas of pdfs hyperintensities noted in tarsal bones - likely sclerosis.
data/train/audio_05053.wav,finding likely suggestive of ? hepatic cyst / ? biliary cystadenoma. suggest - clinical and biochemical correlation/ further imaging if indicated.
data/train/audio_02612.wav,"2. posterocentral herniation of c4-5 disc, and causes mild narrowing of the central canal. mild facetal arthropathy at this level. 3. broad based posterior protrusion of c5-6 disc, causing mild narrowing of the central canal. 4. posterocentral bulge of c3-4 disc, without any significant central canal or neural foraminal narrowing."
data/train/audio_02750.wav,"2# portal vein: measures 11 mm. mild periportal cufng is noted. gall bladder: partially distended and shows pseudothickening of the wall. spleen: measures 13.3 cm, appears mildly enlarged in size and normal in echogenicity. 3# no focal lesion seen. pancreas: normal size and echotexture. no focal diffuse lesion. kidneys: right kidney measures 10.6 x 4.9 cm left kidney measures 10.4 x 3.8 cm."
data/train/audio_00308.wav,"no evidence of any pancreatic divisum or calcification seen. mild narrowing at the terminal portion of the common bile duct which which causes mild dilatation of common bile duct, common hepatic duct and intrahepatic biliary radicals."
data/train/audio_00235.wav,findings - liver is enlarged in size and measures 17.7 cm in long axis dimension. liver capsule is mildly lobulated. left lobe of liver predominantly in the left lateral segment including segment ii and segment 3 are relatively small in size.
data/train/audio_05007.wav,basal ganglia and thalami are normal. no intra-axial or extra-axial collections seen. no focal enhancing lesions seen. posterior fossa: no tonsillar herniation seen. cerebellar tonsils are placed well above the level of foramen magnum/mac rae line.
data/train/audio_05109.wav,soft tissues mild soft tissue edema/swelling noted over the lateral malleolar region. no focal soft tissue collection or soft tissue gas identified. remaining visualized soft tissues are unremarkable on this non-contrast study.
data/train/audio_04305.wav,"no area of abnormal attenuation is seen in the left cerebral hemispheres. posterior fossa: both the cerebellar hemispheres and brainstem show normal attenuation. the fourth ventricle is in midline, normal in shape and size. basal cisterns appear normal."
data/train/audio_01782.wav,"orthopaedic implant with screws noted in l3 and l5 vertebral body. facetal arthropathy noted at multiple lumbar levels. otherwise, vertebral bodies appear normal. no evidence of any retropulsion of posterior bony fragments. no evidence of paravetebral collection or abscess formation."
data/train/audio_04023.wav,: above findings are suggestive of mild osteoarthritic changes involving both sacro-iliac joints. 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/train/audio_03734.wav,nect pns protocol: plain ct of the paranasal sinuses has been performed on multidetector ct scanner. clinical profile: chief complaints of frontal headache. findings:
data/train/audio_03564.wav,x-ray fistulogram report clinical history: suspected perianal fistula. technique: contrast was instilled through the external opening followed by serial radiographs. findings:
data/train/audio_02978.wav,"impression: small hypodensity in the right thalamocapsular region extending to corona radiata suggestive of acute to subacute non-haemorrhagic infarct. few chronic lacunar infarcts involving bilateral ganglio-capsular regions, bilateral corona radiata and pons. mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-parietal and periventricular white matter."
data/train/audio_00174.wav,suggested 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/train/audio_01832.wav,clinical profile patient complaints of chest pain. no other significant history available. calcium score total calcium score: 205 (moderate calcified plaque burden - increased cardiovascular risk)
data/train/audio_04297.wav,pancreas appears normal in size and signal intensity. main pancreatic duct is not dilated. right kidney measures approximately 9.6 x 4.8 cm and appears normal in signal intensity and corticomedullary differentiation.
data/train/audio_04105.wav,impression: no obvious acute infarct or hemorrhage. few chronic lacunar infarcts involving pons and bilateral gangliocapsular regions. mild chronic ischemic changes involving bilateral periventricular white matter. no other significant intracranial abnormality seen. suggested clinical correlation and further evaluation with mri if clinically indicated.
data/train/audio_02826.wav,"size, position, shape and cortical outline. no evidence of calculus or hydronephrosis. 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:"
data/train/audio_00683.wav,"left anterior descending artery: multiple eccentric calcified plaques noted in the proximal segment of left anterior descending artery, largest measuring approximately 7.7 mm causing maximum of 80% luminal compromise. rest of the left anterior descending artery is normal in calibre and have no significant stenosis."
data/train/audio_01746.wav,this represent complex cyst. no solid enhancing components seen. correlation with tumor markers is recommended. rest of the pancreas appear normal . spleen is normal in size without any focal lesion. both adrenal glands appear normal in size without any focal lesion.
data/train/audio_02940.wav,"para-aortic, aortocaval and ileocolic lymph nodes are noted, likely reactive. bones visualized bones appear normal without lytic or sclerotic lesions. moderate right pleural effusion with underlying collapse of right lung is seen there is no obvious demonstrable diagphragmatic injury seen."
data/train/audio_02469.wav,"findings: bones and marrow undisplaced fracture noted involving the lateral aspect of the base of the fifth metacarpal bone, associated with surrounding marrow edema. mild marrow edema noted within the scaphoid bone, without definite cortical disruption or displaced fracture identified."
data/train/audio_05254.wav,"lateral meniscus: normal. cruciate ligament: anterior cruciate: pdfs hyperintensity noted in anterior cruciate ligament without disruption of fibres, suggestive of intrasubstance oedema. posterior cruciate: avulsion of tibial attachment of pcl."
data/train/audio_01256.wav,"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. popliteal and leg arteries right lower limb: the right popliteal artery,"
data/train/audio_02708.wav,: lungs: lungs appear normal in volume and attenuation. the peripheral as well as the peribronchovascular interstitium shows no thickening or nodularity. no ground glass opacification seen. the pleuro-parenchymal interfaces are smooth. no evidence of air trapping seen. airway and hilum:
data/train/audio_00328.wav,mr scan reveals a slightly ill-defined t2 hypointense focal area with t2 hyperintensity is seen within is seen in the posterior wall of uterus in the mid segment with loss of interface between the junctional zone and this lesion. this most likely represent focal adenomyoma.
data/train/audio_01316.wav,"d11 vertebral body with approximately 75% height reduction. l1 and l3 vertebral bodies with approximately 25% height reduction each. postoperative status with bilateral transpedicular screw fixation at d9, d10, d12, l2, l4, and l5 levels."
data/train/audio_04110.wav,"mild loss of lumbar lordosis. small anterior and lateral marginal osteophytes are seen from l1 to l5 vertebral levels. modic type ii changes are seen involving the antero-superior endplates of l3-l5 vertebrae. partial disc desiccation at l1-l2, l2-l3 and l3-l4 levels."
data/train/audio_04218.wav,"visualised achilles tendon, plantar fascia, tibialis posterior, flexor tendons, peroneal tendons, and extensor tendons appear unremarkable. rest of the visualised tarsal bones, metatarsal bones, and phalanges appear unremarkable."
data/train/audio_03369.wav,"recommendations: detailed hematological workup is advised, including: complete blood count (cbc) with peripheral smear serum iron profile, ferritin vitamin b12 and folate levels esr / crp"
data/train/audio_02468.wav,"mri - left wrist technique: multiplanar and multi-echo mri of the wrist was performed without administration of intravenous contrast. axial se t1/fse t2, sagittal se t1/fse t2, stir coronal. clinical profile: history of sports injury."
data/train/audio_05670.wav,"c5-c6: there is evidence of right foraminal and right subarticular disc protrusion with neural foraminal narrowing, exit nerve compression and right canal stenosis. c6-c7: there is evidence of diffuse disc bulge with anterior thecal sac indentation however no significant central canal stenosis, or neural foraminal narrowing."
data/train/audio_00324.wav,"transverse and spinous processes are intact. no pars defect identified. sacroiliac joints bilateral sacroiliac joints show marginal osteophytes and vacuum phenomenon, consistent with degenerative sacroiliac arthropathy"
data/train/audio_01739.wav,bones no fracture or dislocation is present. no focal sclerotic or lytic lesion seen. visualized bones show normal mineralization. joints joint spaces are normal. no signs of osteoarthritis is appreciated. soft tissue soft tissues are normal normal x-ray of hand.
data/train/audio_04057.wav,"urinary bladder: minimally distended. prostate: grossly appears normal in size, shape and echotexture. a 1.6 cm sized anterior abdominal wall defect is seen at the umbilical region with fat as its content with herniating sac measures 3.6 x 1.7 cm."
data/train/audio_00339.wav,2. associated displaced ulnar styloid fracture 3. moderate wrist joint effusion with surrounding soft tissue edema - comminuted displaced intra-articular distal radius fracture with associated ulnar styloid fracture and joint effusion.
data/train/audio_05137.wav,emg-ncv correlation and dedicated imaging of lumbosacral spine. 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/train/audio_02127.wav,"mild posterior disc bulges are seen at few dorsal levels indenting thecal sac. on screening of bilateral sacro-iliac joints: no significant abnormality detected. : heterogeneous marrow signal intensity. at l5-s1 level: partial disc desiccation, diffuse disc bulge with postero-central disc protrusion indenting thecal sac"
data/train/audio_03786.wav,vascular loop of aica is seen abutting left vii-viiith nerve complex and reaching up to the internal acoustic meatus (< 50%) - type ii. no significant indentation or thinning of nerve. vii and viii nerve complex appears normal on right side. bilateral mastoid air cells are normal. sella:
data/train/audio_02038.wav,"the lesion shows inferior extension into the gallbladder fossa, with encasement and compression of the gallbladder fundus, and extrahepatic extension into the subhepatic region, where it abuts the hepatic flexure of colon and anteriorly the stomach. there is compression of the intrahepatic portion of the portal vein."
data/train/audio_02835.wav,"impression: mason type iii comminuted fracture of the radial head with multiple displaced fragments. avulsion/chip fracture of the lateral epicondyle of the humerus. multiple intra-/peri-articular loose bony fragments. adjacent soft tissue edema involving skin, subcutaneous tissue, and muscles."
data/train/audio_05597.wav,"acetabular femoral joint space is maintained bilaterally. femoral neck, bilateral greater and lesser trochanters including proximal femur are normal in shape and attenuation. cortical contour is smooth with no evidence of breach in cortex bilaterally."
data/train/audio_04168.wav,"reduction of disc spaces at c3-c4, c4-c5 and c5-c6 cervical levels with variable disc calcifications. schmorl's node noted at endplates of c2, c3, c4, c5 and c6 cervical levels. visualized paraspinal muscles: unremarkable."
data/train/audio_03665.wav,findings: agatston score: the total (aggregate) calcium score using the aj-130 method is 128 lm = zero. lad = 50 lcx = 73. rca = 5. coronary artery angiogram findings: dominance of the coronary artery system:
data/train/audio_01802.wav,as well as normal enhancement pattern. no demonstrable intrahepatic mass lesion is seen. the intrahepatic and extrahepatic ducts are not dilated. the gall bladder is fairly distended with clear luminal density. no gall stone or any pericholecystic fluid is seen. the cbd is not dilated.
data/train/audio_03045.wav,internal opening: it is placed just above external anal orifice and opening at 1-2 'o clock position. side tracts: no evidence of side tracts seen on either side. abscess: no evidence of any abscess seen. sphincters: external sphincter and internal sphincter are intact.
data/train/audio_01639.wav,"disc spaces are maintained. posterior elements are normal. b/l s. i. joints are normal. 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/train/audio_05244.wav,ct - brain (plain) technique: ct scan of brain was done without administration of contrast. clinical profile: to rule out cerebrovascular accident. findings: subtle hyperdense areas with adjacent hypodensities involving right temporal lobe.
data/train/audio_00510.wav,encephalomalacic change. differentials may include a chronic demyelinating plaque or sequelae of prior insult. clinical correlation is advised. 3. t2/flair hyperintense lesions in the right frontal lobe and bilateral periventricular/deep white matter without diffusion restriction -
data/train/audio_01120.wav,"chief complaints of bilateral hip pain. bilateral mild hip joint space reduction noted. small osteophytes over bilateral acetabular margins, greater trochanteric, ischial tuberosities and pubic symphysis. bilateral sacro-iliac joints reveal marginal osteophytes. rest of the joint space appears normal."
data/train/audio_04808.wav,multiple areas of paraseptal emphysematous changes noted involving bilateral upper lobes. small paraseptal emphysematous bulla involving left lower lobe. multiple subpleural interstitial thickening noted involving bilateral upper lobes and right middle lobe.
data/train/audio_02686.wav,"aspects of the left 4th, 5th and 6th ribs. right side: fractures of the anterior aspects of the right 2nd, 3rd and 4th ribs. spine: vertebral bodies appear intact and maintained. fractures of spinous processes are noted involving c6, c7, t1, t2, t3, t4 and t5 vertebrae."
data/train/audio_03547.wav,no e/o intralesional calcification /fat.ovary is not seen separately mild free fluid in the pelvis. lung bases are clear. no basal pleural effusion. impression right adnexal lesion as mentioned above.
data/train/audio_04047.wav,"prostate: measures 3.2 x 3.6 x 4.2 cm (approx. vol: 20.0 cc), appears normal in size, shape and echotexture. minimal free uid is noted in the abdominal and pelvic cavity (non-tappable)."
data/train/audio_05416.wav,findings: a well defined extra axial isointense mass lesion ms~14.5x12.5x7.5mm is seen along falx cerebri abutting bilateral high parietal lobes. multiple t2/flair hyperintense foci are seen in bilateral supratentorial white matter.
data/train/audio_03992.wav,no significant abnormality detected. recommendation suggested clinical correlation.
data/train/audio_01172.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.
data/train/audio_00783.wav,"findings the inner ear structures namely the cochlea, vestibule and the semi circular canals appear normal. the viith - viiith nerve complexes are normal, bilaterally. the internal auditory canals are also normal in dimensions. the cochlear and vestibular aqueducts are well visualized and appear normal, bilaterally."
data/train/audio_02650.wav,"findings anal canal / sphincter complex: anal canal is maintained. internal and external anal sphincters are preserved without focal defect. fistulous tracts: fistulous tract with an internal opening at approximately 6 o'clock position,"
data/train/audio_04171.wav,"significant retrosternal extension (~5.4 cm) with associated mass effect, including: rightward deviation of trachea with mild luminal compromise displacement of esophagus with moderate luminal compromise abutment of major vascular structures ("
data/train/audio_04704.wav,: haziness involving left lower zone. the cardiac shadow is within normal limits of size and shape. unfolding of arch of aorta and aortic knuckle calcifications. both domes of diaphragm are normal in shape and outline. both cardiophrenic and costophrenic angles are clear. tracheal lucency is central.
data/train/audio_01038.wav,minimal bilateral pleural effusion with partial passive basal atelectasis. a small air cyst in lingula. few small calcified granulomas in basal segments of right lower lobe. comminuted displaced fracture of right clavicle recommendation suggested clinical correlation.
data/train/audio_05275.wav,"few mildly enlarged lymph nodes in left axillary region. impression- well defined smooth marginated opacity in the left breast likely benign lesion. however, further evaluation with sonomammography is recommended for confirmation."
data/train/audio_02225.wav,maximum thickness measures approximately 6-7 mm. impression: few areas of subarachnoid hemorrhage involving left temporo-parietal lobes. mild generalized cerebral atrophy with chronic ischemic changes in bilateral periventricular white matter. suspicious minimally displaced fracture involving the left nasal bone. subgaleal soft tissue swelling over left lateral fronto-temporo-parietal regions.
data/train/audio_05098.wav,the marrow within the vertebrae reveals normal signal intensity. no focal bony lesion is seen. c6-7 intervertebral disc shows broad based posterior protrusion indenting thecal sac and left c7 nerve root.it causes mild narrowing of central canal and left neural foramen.
data/train/audio_04594.wav,"post ercp status, cbd stent in situ. no obvious calculus along the stent. cholelithiasis with mild changes of cholecystitis. small omental umbilical hernia. 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/train/audio_01271.wav,"thoracic oesophagus and other mediastinal structures appears normal. multiple prominent lymph nodes noted involving prevascular, pretracheal, paratracheal and subcarinal regions, some of them are calcified. no significant mediastinal adenopathy is observed. heart and major vessels: mild cardiomegaly noted."
data/train/audio_03824.wav,l1-l2: diffuse annular disc bulge with posterior central disc protrusion causing mild thecal sac compression. l2-l3: diffuse annular disc bulge with posterior central circumferential annular tear causing mild thecal sac compression. l3-l4: modic type 2 end plate degenerative changes noted.diffuse annular disc bulge causing mild thecal sac compression and mild bilateral lateral recess
data/train/audio_05431.wav,findings there is loss of normal lumbar lordosis seen. the alignment of the vertebrae is normal. schmorls nodes are seen at all lumbar levels. multiple marginal osteophytes are seen at all lumbar levels. the marrow within the vertebrae reveals normal signal intensity. no focal bony lesion is detected.
data/train/audio_00172.wav,rest of the visualized bones are unremarkable. 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.
data/train/audio_00818.wav,". please correlate clinically and further evaluation may be done, as clinically indicated. 8. incidental note is made of patchy hyperintense signal noted in both femoral heads, left femoral head appears flattened. however, it is partially imaged on the present study. please correlate clinically and further evaluation may be done, as clinically indicated. 9. visualized vertebrae appear osteoporotic."
data/train/audio_03241.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/train/audio_04585.wav,there is no evidence of radiodense calculus. there is no perinephric fat stranding seen. there is no hydronephrosis seen. small and large bowel loops appear unremarkable. no abnormal dilatation seen. urinary bladder is distended. there is minimal urinary bladder wall thickening is seen. please correlate for cystitis.
data/train/audio_00826.wav,; patient in rotation. lungs prominence of bronchovascular markings noted. haziness involving bilateral upper zones (left more than right) likely pneumonitis. airways trachea is central. tracheo-bronchial tree is normal.
data/train/audio_01202.wav,"thoracic, and lumbar spine, including grade i l4 over l5 anterolisthesis. suggested clinical correlation and mri for further evaluation."
data/train/audio_00152.wav,"bilateral ovarian disease right hematosalpinx pelvic adhesions this pattern is typical of posterior compartment die with rectal involvement, which is important for gynecologic surgical planning and possible colorectal consultation."
data/train/audio_01875.wav,:- no evidence of any lytic or sclerotic lesion is seen. no evidence of bony erosion or destruction. glenoid fossa appears normal. left shoulder joint reveal no obvious c.t. abnormality.
data/train/audio_04052.wav,"a 6.3 x 4.8 mm sized simple cortical cyst seen in mid pole. left kidney measures 9.7 x 5.3 cm both kidneys appear normal in size, shape & echotexture."
data/train/audio_02933.wav,"a small perihepatic collection is seen along segments vi-vii with maximum thickness of 1.25 cm. gallbladder and biliary system gallbladder is partially distended without evidence of calculi. common hepatic duct appears normal in caliber. pancreas pancreas is normal in size, density, and enhancement."
data/train/audio_00259.wav,incidental findings mucosal thickening is seen in bilateral maxillary & ethmoid sinus. :- cerebellar folias are prominent with prominent csf space around the cerebellum.s/o premature cerebellar atrophy. please correlate clinically.
data/train/audio_05481.wav,"lung parenchyma. above findings are suggestive of infective etiology, likely bacterial etiology. diffuse hypoattenuation of liver parenchyma. suggested liver function tests and usg elastography correlation. 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/train/audio_00747.wav,mild straightening of the lumbar spine is seen with no scoliosis. the pre and paravertebral soft tissues appear normal. the visualized lower conus and cord appears normal. at l1-l2 level: minimal posterior disc bulge abutting thecal sac without any nerve root compression.
data/train/audio_02588.wav,"l4-5 disc, with annular tear, causing mild narrowing of the central canal and lateral recesses, bilaterally. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. bilateral facetal effusion is seen at this level. 3. right paracentral and right foraminal bulge of l3-4 disc, causing mild narrowing of the right lateral recess. mild facetal arthropathy and"
data/train/audio_05649.wav,: at c4-c5 level: mild diffuse disc bulge indenting anterior thecal sac encroaching bilateral neural foramina (right > left) without any nerve root compression.
data/train/audio_02849.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."
data/train/audio_01904.wav,v. bronchovascular markings are prominent. v. cardiac shadow appears to be normal. v. domes of diaphragm appear to be normal. v. both c.p. angles are clear v. rest of the bones are normal.
data/train/audio_02805.wav,"mediastinum: thoracic oesophagus and other mediastinal structures appears normal. no significant mediastinaladenopathy is observed. heart and major vessels: mpa-33 mm, asc. aorta-30 mm. heart outline and size appears normal. central venous catheter in situ."
data/train/audio_03402.wav,"patient name: daraksha rain examination: cect abdomen and pelvis (plain and contrast study) contrast-enhanced ct of the abdomen and pelvis was performed using axial sections with multiplanar reconstructions following intravenous and oral contrast administration. : the liver is normal in size (~13.5 cm) with smooth contour and normal attenuation and enhancement. no focal lesion or volume redistribution is seen. no ihbr seen. the gallbladder appears unremarkable. the common bile duct is normal in caliber measuring approximately 5.3 mm. the spleen is normal in size (~10.3 cm) with homogeneous enhancement and no focal lesion. the pancreas is normal in size and enhancement without focal lesion or ductal dilatation. both adrenal glands appear normal. both kidneys are normal in size, shape, and enhancement without hydronephrosis, calculus, or focal lesion. ureters are normal in caliber. the urinary bladder is adequately distended without wall thickening or focal lesion. the uterus appears unremarkable. the left ovary is normal. the right ovary shows a well-defined approximately 3.0 x 2.7 cm isodense, non-enhancing cystic lesion, likely representing a hemorrhagic cyst, for which ultrasound follow-up is recommended. orally administered contrast is seen opacifying the small and large bowel loops up to the rectum. there is chronic inflammatory wall thickening involving the cecum, ascending colon, transverse colon, and splenic flexure with submucosal fat deposition. a short segment near-circumferential wall thickening is noted in the terminal ileum over a length of approximately 3.6 cm with maximum single wall thickness of about 2.1 cm. this segment shows mild homogeneous enhancement with prominent vasa recta and mild pre-stenotic prominence (up to ~2.4 cm), along with significant luminal narrowing. the remaining small bowel loops appear unremarkable. the appendix is not well visualized. no features of bowel obstruction are seen. multiple enlarged lymph nodes are noted in the mesenteric root, periportal, portocaval, peripancreatic, pre- and paraaortic, aortocaval, retrocaval, and right iliac regions, with the largest measuring approximately 1.6 cm in short axis. a prominent enlarged lymph node measures approximately 2.1 cm. many of these lymph nodes show central necrosis. no ascites is seen. visualized bones appear normal. the visualized lower thorax shows no pleural effusion or focal lesion. : ct study reveals, short segment near-circumferential wall thickening of the terminal ileum with mild enhancement, prominent vasa recta, and mild pre-stenotic dilatation causing luminal narrowing. chronic inflammatory changes involving the cecum, ascending colon, transverse colon, and splenic flexure with submucosal fat deposition. multiple enlarged intra-abdominal lymph nodes with central necrosis, more suggestive of infective etiology (likely tubercular); however, lymphoma remains a differential consideration. no evidence of bowel obstruction, ascites, or hepatosplenomegaly. likely hemorrhagic cyst in the right ovary; ultrasound follow-up is recommended."
data/train/audio_00718.wav,"minimal adjacent marrow oedema noted. rest of the 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. patella appears normal in position. joints:- no evidence of osteoarthritic changes."
data/train/audio_02633.wav,"no abnormal soft tissue mass, collection, or airway compromise is seen. impression: enhancing polypoidal thickening noted in posterior third of tongue on right side measuring 2 x 3 mm and in lateral wall of right epiglottic vallecula measuring 3 x 3 mm."
data/train/audio_02237.wav,"findings: liver: liver appears normal in size, contour and attenuation. no focal enhancing lesion. gallbladder and biliary tree: gallbladder appears normal. no biliary dilatation. spleen: spleen appears normal. pancreas: pancreas appears normal. adrenal glands: both adrenal glands appear normal. kidneys and ureters:"
data/train/audio_00182.wav,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.
data/train/audio_00547.wav,": no significant intracranial abnormality seen. bilateral maxillary (right more than left), bilateral ethmoid and bilateral sphenoid sinusitis. suggested clinical correlation."
data/train/audio_04993.wav,mild posterior disc bulge abutting the anterior thecal sac at c5-c6 cervical level. anterior osteophytes are seen at few dorsal levels. mild posterior disc bulges are seen at few dorsal levels indenting thecal sac. mri of both sacro-iliac joint report is attached separately. : t1 and t2 hypointense heterogeneous marrow signal intensity.
data/train/audio_02384.wav,mild supraspinatus and subscapularis tendinosis. mild to moderate acromio-clavicular joint arthropathy. mild shoulder joint and sub-coracoid bursal effusion. 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/train/audio_03161.wav,"the endometrial cavity is overdistended and filled with t2 hyperintense collection measuring about 14.5 x 3.5 into 6.4 cm, volume approximately measuring about 150-200 cc. the collection appears to extend into the cervical canal and upper vagina. the lower vagina cannot be visualized distinctly,"
data/train/audio_00425.wav,"impression: findings are suggestive of a prevertebral abscess at c3-c4 level, causing significant oropharyngeal airway narrowing, with associated inflammatory myositis of bilateral longus capitis muscles. associated bilateral cervical lymphadenopathy, likely reactive."
data/train/audio_05369.wav,"findings: liver: normal in size, shape, and attenuation. no focal hepatic lesion is identified. intrahepatic biliary radicles are not dilated. gallbladder and biliary tree: gallbladder is well distended with no evidence of wall thickening or calculi. common bile duct is normal in caliber. pancreas: normal in size and attenuation with preserved lobulated contour."
data/train/audio_03003.wav,posterior fossa structures including cerebellum and brainstem appear unremarkable. intracranial vessels and venous sinuses demonstrate preserved flow voids. paranasal sinuses and orbits mild bilateral ethmoid sinus mucosal thickening is noted suggestive of mild ethmoid sinusitis.
data/train/audio_00988.wav,":- mr scan reveals, no significant abnormality detected."
data/train/audio_05238.wav,"mild soft tissue edema over back region on right side. small chip fracture over left humeral head. atelectatic bands noted involving right middle lobe, lingular segment and left lower lobe. rest of lung parenchyma is normal in attenuation. the heart, great vessels, trachea and mainstem bronchi are normal."
data/train/audio_04582.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/train/audio_04449.wav,supporting active csf rhinorrhoea. minimal left mastoid air cell fluid - likely mastoiditis. flair hyperintensities showing leptomeningeal enhancement seen in sulcal spaces of bilateral fronto-parietal region - possibility of meningitis to be ruled out recommendations:
data/train/audio_02604.wav,"and neural foramina, bilaterally. mild facetal arthropathy is detected at this level. minimal subcutaneous edema is seen in the lumbar region, posteriorly. there is minimal atrophy of the posterior paraspinal muscles seen in lower lumbar region. 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/train/audio_00179.wav,mild dilatation of the main pulmonary artery measuring approximately 33 mm is noted. the right pulmonary artery measures approximately 21 mm and the left pulmonary artery measures approximately 24 mm. upper abdomen: visualized upper abdominal organs appear grossly unremarkable. bones: visualized spine shows degenerative changes with multilevel osteophyte formation.
data/train/audio_01926.wav,"appendix appears unremarkable. multiple mildly enlarged lymph nodes noted in the mesenteric, largest measuring approximately 17 x 9 mm. minimal interbowel free fluid noted. visualized lower chest sections are unremarkable. visualized bones appear unremarkable. : cect abdomen reveals,"
data/train/audio_05119.wav,fibrosis with traction bronchiectatic changes noted in right upper lobe posterior segment - postinfective changes . undisplaced hairline fracture noted in lateral aspect of left fifth rib. no evidence of haemo /pneumothorax.
data/train/audio_05662.wav,multiple lytic lesions involving the bilateral iliac bones and lower lumbar vertebrae suspicious for metastatic / myeloma deposits - neoplastic pathology. femoral neck fracture with intramedullary fixation changes with surrounding soft tissue component and hematoma. diffuse subcutaneous soft tissue edema in bilateral lower limbs.
data/train/audio_02270.wav,old fractures involving right 4th to 6th ribs (lateral aspect) diffuse osteopenia of visualised bones vertebrae central wedge compression fracture with lytic areas involving d7 vertebral body with 30-40% vertebral height loss - significance to be correlated. mild central wedge compression of d9 vertebral body.
data/train/audio_02080.wav,both domes of diaphragm are normally placed. bony thoracic cage is normal. no soft tissue abnormality seen. prominence of bronchovascular markings noted. right costophrenic angle appears blunted suggestive of pleural effusion. recommendation suggested usg correlation.
data/train/audio_02079.wav,lungs prominence of bronchovascular markings noted. right costophrenic angle appears blunted suggestive of pleural effusion. airways trachea is central. tracheo-bronchial tree is normal. heart cardiac silhouette is normal. unfolding of arch of aorta and aortic knuckle calcifications. others left cp angle is clear.
data/train/audio_02229.wav,"contrast study for better evaluation. multiple soft tissue density lesions of varying sizes are noted in bilateral lung fields, possibility of metastatic nodules. advice: clinical and pathological correlation."
data/train/audio_02155.wav,mildly displaced fracture with marrow edema involving the medial facet of patella. moderate knee joint and suprapatellar bursal effusion with fat fluid levels suggestive of lipohaemarthrosis with diffuse soft tissue edema around knee joint. 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/train/audio_05397.wav,"c7-t1: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. cervical spinal cord shows normal mr morphology and signal characteristics."
data/train/audio_04357.wav,mild acromio-clavicular joint arthrosis. minimal joint effusion. the glenohumeral joint appears normal. the middle and inferior glenohumeral ligaments appears normal the long head of biceps and its attachment appears normal
data/train/audio_03993.wav,"both lobes of thyroid are normal in architecture and attenuation. the isthmus is normal. the nasopharynx, oropharynx and hypopharynxappears normal. no pharyngeal wall thickening or intraluminal lesion noted. no evidence of diffuse or focal narrowing seen."
data/train/audio_02145.wav,left grade 2 neural foraminal narrowing with abutment of exiting nerve root. right grade 1 neural foraminal narrowing without significant nerve root compression. l4-l5 level shows diffuse disc bulge indenting anterior thecal sac and abutting bilateral traversing nerve roots. right grade 3 neural foraminal narrowing with indentation of right
data/train/audio_00351.wav,urinary bladder appears normal in outline and shows uniform contrast filling. no filling defects are seen. no abnormal calcifications are seen along the course of the ureters on either side apart from the described left renal calculus. impression:
data/train/audio_05269.wav,bilateral digital mammogram protocol: bilateral digital mammograms were obtained in craniocaudal (cc) and mediolateral oblique (mlo) projections on high frequency equipment using low radiation dose.
data/train/audio_05691.wav,calcium score is zero. few small eccentric soft plaques in the proximal segment of left anterior descending artery causing 10%-20% luminal compromise. no evidence of significant coronary artery stenosis.
data/train/audio_02338.wav,"4. diffuse bulge of l4-5 disc, without any significant central canal or neural foraminal narrowing. mild facetal arthropathy and ligamentum flavumthickening are detected at this level. 5. diffuse bulge of l5-s1 disc, without any significant central canal or neural foraminal narrowing."
data/train/audio_00986.wav,soft tissue mild soft tissues swelling extra-articular fracture of distal radius. recommendation suggested clinical correlation.
data/train/audio_02519.wav,"findings: age-related cerebral and cerebellar atrophic changes noted. mild bilateral fronto-parietal periventricular and deep white matter ischemic changes noted--fazekas i. there is no focal area of abnormal signal intensity in rest of the cerebral or cerebellar hemispheres. the grey-white matter differentiation is well maintained. the basal ganglia, thalami, brainstem and cerebellum appear normal."
data/train/audio_00007.wav,: left vuj stone with mild hydroureteronephrosis. borderline prostatomegaly.
data/train/audio_01759.wav,the liver capsule is smooth. there is no volume redistribution seen. the liver parenchyma shows normal post-contrast enhancement. hepatic veins and portal veins appear normal in opacification. there is no portal vein thrombosis seen. gallbladder is partially distended without any radiodense calculus within.
data/train/audio_01194.wav,"the articular surfaces of the glenohumeral joint are preserved. the glenoid appears normal. the visualized bone marrow signal of the humeral head, glenoid, clavicle, acromion, and scapula is unremarkable, except for the tiny subchondral cystic changes described above. no evidence of fracture, contusion, or focal marrow-replacing lesion is noted."
data/train/audio_00589.wav,"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 suggestive of acute infarcts."
data/train/audio_02944.wav,"* segmental sigmoid colonic wall edema with loss of fat plane with the pelvic collection, likely reactive inflammatory change. * prostate gland enlargement with heterogeneous enhancement and loss of fat plane with adjacent collection, raising the possibility of inflammatory involvement (prostatitis)."
data/train/audio_00991.wav,bilateral cp angles appear normal and symmetrical. no evidence of mass lesion or abnormal enhancing lesion in the cp angle regions. internal auditory canals appear grossly unremarkable. enhancement pattern: no abnormal parenchymal or extra-axial enhancement. calvarium & skull base:
data/train/audio_02356.wav,"attachment of inferior glenohumeral ligament. tendinosis of subscapularis, infraspinatus and teres minor tendons. mild acromioclavicular joint arthrosis."
data/train/audio_02111.wav,visualized intraorbital contents show no obvious abnormality. visualized eye globes and lens show normal signal intensity. mild right inferior turbinate hypertrophy. bilateral mild ethmoid sinusitis. rest of the paranasal sinuses are well pneumatized without any fluid collection/mucosal thickening. : no significant intracranial abnormality detected.
data/train/audio_02589.wav,adjacent carpal bones subarticular regions of distal radius and ulna carpal alignment & stability: scapholunate dissociation is present. widened scapholunate interval (~5 mm).
data/train/audio_00068.wav,rest of the visualized paranasal sinuses are unremarkable. skull bones appear normal. no e/o any fracture noted impression: small hypodensity in the left corona radiata - ? infarct. needs further evaluation. few chronic lacunar infarcts involving bilateral ganglio-capsular regions.
data/train/audio_02196.wav,"these nodes produce mass effect over: pulmonary veins esophagus descending thoracic aorta left main bronchus cervical and axillary regions multiple subcentimeter discrete homogeneously enhancing non-necrotic lymph nodes are noted in bilateral cervical and axillary regions,"
data/train/audio_05545.wav,"vertebral bodies show anterior osteophytes. disc desiccation is seen at multiple levels. t1-t2 through t11-t12: disc height are within normal limits. there is no significant disc protrusion, central canal or neural foraminal narrowing. lumbar spine: curvature of the lumbar spine is straightened s/o myospasm."
data/train/audio_02048.wav,"no evidence of fracture noted at head, neck or intertrochanteric region of right femur. no evidence of periarticular collection or abscess formation noted. no evidence of hip joint effusion. comments: generalised osteoporosis noted."
data/train/audio_03428.wav,"impression gallbladder mass eccentric thickening involving the fundus with extension into the cystic duct and common hepatic duct up to the confluence, with involvement of the right hepatic duct. this is concerning for gall bladder carcinoma rather than cholangiocarcinoma."
data/train/audio_00455.wav,"the right internal carotid artery, appear left anterior cerebral artery, both middle cerebral arteries appear normal. left vertebral artery is hypoplastic. near total occlusion of distal basilar artery is seen in pontine cistern. proximal basilar artery, vertebrobasilar junction appears normal. both posterior cerebral arteries are normal. impression -"
data/train/audio_05480.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. mediastinum: thoracic oesophagus and other mediastinal structures appears normal.
data/train/audio_01873.wav,:- m.d.c.t. scan of left shoulder joint with 3-d reconstruction: spiral c.t. scan of left shoulder joint is performed using volume acquisition of data and 3-d reconstruction.
data/train/audio_02552.wav,"ct angiography of pulmonary arteries technique: peripheral angiogram was performed using contrast in a ct scanner. the post processing techniques of multiplanar reformats, mip and 3-d surface shaded display were employed."
data/train/audio_02618.wav,"no focal bony lesion is seen. c3-4 disc reveals posterocentral bulge. it indents the anterior subarachnoid space, without any significant central canal or neural foraminal narrowing. c4-5 disc reveals posterocentral herniation. it indents the anterior subarachnoid space, and causes mild narrowing of the central canal. mild facetal arthropathy is seen at this level."
data/train/audio_00977.wav,"c5-c6 disc causing moderate narrowing of central canal and both neural foramen, left more than right. broad based posterior and left foraminal protrusion of c6-c7 disc causing mild narrowing of spinal canal left neural foramen. mild facetal arthropathy at c3-c4, c4-c5 and c5-c6 level."
data/train/audio_00196.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/train/audio_05402.wav,and its branches. comments: ill-defined area of dense consolidation in right lower lobe and right middle lobe with cut off of subsegmental bronchus. hypodense soft tissue noted in right anterior chest wall at the level of seventh and eighth rib - ? communication with right lung fields. mild volume loss noted in right lung field.
data/train/audio_00974.wav,left more than right. c6-c7 intervertebral disc reveals broad based posterior and left foraminal protrusion. it indents anterior subarachnoid space and left c7 nerve root. it causes mild narrowing of central canal and left neural foramen. spinal cord is normal in thickness and reveals normal signal intensity. no focal area of abnormal signal is detected
data/train/audio_04844.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/train/audio_03180.wav,left lower limb: severe diffuse disease in superficial femoral artery (>75%) moderate disease in common femoral artery (60-70%) right lower limb: moderate stenosis in popliteal artery (40-50%)
data/train/audio_00456.wav,"impression - mr scan reveals, acute wedge shaped infarct in right hemipons. patchy areas of acute infarct in right cerebellar hemisphere and left vermis. gliotic area with encephalomalacic changes in right medial occipital region . mild chronic periventricular ischemic changes."
data/train/audio_05048.wav,"gall bladder: minimally distended. spleen: measures 9.6 cm, appears normal in size & echogenicity. no focal lesion seen. pancreas: normal size and echotexture. no focal diffuse lesion."
data/train/audio_02162.wav,"bilateral neural foraminal narrowing and abutting bilateral d12 exiting nerve roots. lumbar spine diffuse disc bulge noted at l4-l5 level causing anterior thecal sac indentation, bilateral lateral recess narrowing and abutting bilateral l5 traversing nerve roots. diffuse disc bulge noted at l5-s1 level causing anterior thecal sac indentation,"
data/train/audio_04708.wav,quadriceps tendon and patellar ligament are normal. periarticular musculotendinous attachments and vascular flow voids are unremarkable. both the medial and lateral retinaculae are normal. the articular cartilage is normal in signal intensity with no evidence of any chondromalacia.
data/train/audio_02979.wav,"parietal and periventricular white matter s/o chronic ischemic changes. mild generalized prominence of the cortical sulci, basal cisterns and ventricular system is noted s/o cerebral atrophy rest of the brain parenchyma is normal in attenuation. rest of the basal ganglia and thalami are normal. the posterior fossa structures are normal. no evidence of sol."
data/train/audio_03852.wav,midline shift of about 3.8 mm toward left. mild chronic periventricular ischemic changes. mild cerebral atrophy.
data/train/audio_05233.wav,"findings: cervical: the cervical vertebral bodies & their alignment appearnormal. rest of the intervertebral disc spaces and spinous processes appear normal. no e/o fracture or dislocation is seen. visualized soft tissue appear normal. dorsal: mildly displaced fractures involving the right 1st, 5th, 10th and 11th ribs."
data/train/audio_04656.wav,no significant mesenteric or retroperitoneal lymphadenopathy detected. major abdominal vessels appear unremarkable. bilateral lung bases appear normal. no pleural effusion is seen on either side. mild retrolisthesis of l5 over s1 noted.
data/train/audio_03421.wav,"the gallbladder is overdistended (maximum transverse dimension ~4.2 cm) due to cystic duct obstruction by the lesion. multiple signal void foci are seen within the lumen, consistent with calculi and sludge, the largest calculus measuring 8 mm. distal common bile duct is normal in caliber."
data/train/audio_00884.wav,"rest of the intervertebral disc spaces, transverse processes and spinous processes appear normal. no abnormal para-vertebral soft tissue swelling seen. no abnormal calcification seen. no e/o fracture or dislocation is seen. bilateral sacroiliac joints appear normal. impression:"
data/train/audio_01049.wav,supratentorial: left frontoparietotemporal sdh with thickness of ~3mm is seen. multiple hemorrhagic contusions with mild perifocal edema and surrounding sah seen in left parietotemporal lobe. mass effect seen in the form of compression of left lateral and thrid ventricles
data/train/audio_00078.wav,masticator space: medial and lateral pterygoid muscles and deep head of temporalis muscles appear normal. pterygopalatine fossa: medial and lateral pterygoid plates appear normal. pterygopalatine fossae appear normal. sphenopalatine foramen appears normal.
data/train/audio_00325.wav,visualized hip joints / pelvic osseous structures mild bilateral hip joint space narrowing. small marginal osteophytes along bilateral acetabular margins. degenerative changes also noted at the pubic symphysis. paravertebral soft tissues no abnormal paravertebral soft tissue swelling.
data/train/audio_03711.wav,causing maximum of 90% luminal compromise. multiple eccentric calcified plaques in the proximal and mid segment of left circumflex artery causing 50%-60% luminal compromise. few eccentric calcified plaques in the mid and distal segments of right coronary artery causing 80%-90% luminal compromise. cadrads 4a p0.
data/train/audio_04696.wav,"acute lacunar infarct in the right thalamus. tiny chronic lacunar infarcts are seen in bilateral periventricular regions paranasal sinusitis involving left maxillary, right sphenoid and bilateral ethmoid sinuses with left otomastoiditis."
data/train/audio_02521.wav,bones no fracture or dislocation is present. no focal sclerotic or lytic lesion seen. visualized bones show normal mineralization. joints joint spaces are normal. no signs of osteoarthritis is appreciated. soft tissue soft tissues are normal normal x-ray of wrist. differential diagnosis na recommendation
data/train/audio_04368.wav,both ureters are normal in course and caliber. urinary bladder is distended and appears normal. uterus is mildly bulky in size. bilateral adnexae are clear. small bowel loops appear normal. large bowel loops are distended with fecal matter and otherwise appear unremarkable. appendix appears normal.
data/train/audio_01922.wav,"advice: lft correlation to rule out changes of liver parenchymal disease. patel dax rajeshbhai md,mbbs. consultant radiologist reg.no-g-62286 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/train/audio_02890.wav,narrowing cannot be completely excluded. suggested clinical correlation and further evaluation with uroflowmetry and/or urethroscopy if clinically indicated.
data/train/audio_05618.wav,old fracture 6th and 7th ribs on the right and 8the rib on the left no soft tissue abnormality seen. old fracture 6th and 7th ribs on the right and 8the rib on the left fibrosis in bilateral upper zones bilateral cp angles are blunted recommendation
data/train/audio_05248.wav,bilateral maxillary ostia are normal. the sinus lateralis on either side show no abnormality. the lamina papyracea on either side is normal. both inferior and middle turbinate are normal. both middle turbinates exhibit normal curvature.
data/train/audio_03405.wav,and hypo to isointense on t1 fs image. no evidence of true diffusion restriction. portal and billiary radicals are normal. major abdominal blood vessels are normal in caliber. no evidence of abdominal lymphadenopathy. no evidence of free fluid in abdomen and pleural space. conclusion: large altered signal intensity lesion in hepatorenal
data/train/audio_02852.wav,others: degenerative changes involving the visualised spine in the form of marginal osteophytes. small sclerotic focus measuring approximately 6 mm noted involving l1 vertebral body. sternum and ribs appear normal. soft tissues and muscles of chest wall are normal. a 11 x 11 mm sized hypodense nodule in the left lobe of thyroid gland.
data/train/audio_04251.wav,"the pre and paravertebral soft tissues appear normal. the visualized lower conus and cord appears normal. at l1-l2 level: partial disc desiccation. mild posterior disc bulge indenting thecal sac and abutting traversing nerve root. small annular tear, mild ligamentum flavum hypertrophy and facet joint arthropathy noted."
data/train/audio_05550.wav,"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. 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/train/audio_03758.wav,sacroiliac joints (visualized): visualized portions appear unremarkable. impression old wedge compression fracture of d12 vertebral body with approximately 50% height loss and inferior endplate schmorl's node; no marrow edema.
data/train/audio_01176.wav,sellar margins are well maintained. no bony lytic lesion or break in continuity. supra sellar and chiasmatic cisterns are normal. no para sellar abnormality. no hypothalamic lesion. sphenoid sinus appears normal. visualized basal cisterns are within normal limits. supratentorial:
data/train/audio_00157.wav,"liver: measures 15.0 cm, appears normal in size, shape and echogenicity. there is no evidence of solid or cystic lesion. there is no intra or extra hepatic biliary radicle dilatation. portal vein: normal."
data/train/audio_05347.wav,"the collection extends laterally into bilateral psoas muscles, forming psoas abscesses: left psoas collection measuring approximately 11 x 4.5 cm right psoas collection measuring approximately 3 x 1.5 cm both collections demonstrate t2/stir hyperintense signal with peripheral post-contrast enhancement,"
data/train/audio_00599.wav,"findings: multiple hemorrhagic contusions with adjacent edema seen involving, midbrain bilateral fronto-temporo-parietal lobes (right more than left), largest measuring approximately 16 x 13 mm. extradural hemorrhage along right temporo-parietal lobe."
data/train/audio_05598.wav,"pelvic musculatures, as well as, glutei and proximal quadriceps muscles appear normal in attenuation and morphology. soft tissues around hip joint appear normal. there is no gross para-articular pathology. no evidence of joint effusion."
data/train/audio_04957.wav,mri pelvis with contrast patient: neha koli technique mri pelvis performed using multiplanar t1-weighted and t2-weighted sequences before and after intravenous contrast administration.
data/train/audio_02928.wav,": the right kidney measures 9.7 x 4.6 cms. multiple (at least 4) hyperdense non-obstructive calculi noted in the mid calyx of right kidney, largest measuring approximately 6.5 mm (hu 350). focal area of scarring in the interpolar region of right kidney."
data/train/audio_03438.wav,prominent bronchovascular markings seen - possibly bronchiolitis. recommendation suggested clinical correlation.
data/train/audio_03813.wav,"lesion abutting the radial nerve, however nerve evaluation is inconclusive due to artefact. recommendations: high-resolution ultrasound"
data/train/audio_01306.wav,"left hip the left femoral head is well seated within the acetabulum, consistent with post-reduction status of a previously dislocated posterior hip. a displaced fracture is noted involving the inferomedial aspect of the left femoral head, with the fracture line extending to and communicating with the articular surface, indicating an intra-articular injury."
data/train/audio_00920.wav,"o minimal collateral-dependent opacification of radial and ulnar arteries o non-opacification of superficial and deep palmar arches - features are suggestive of extensive acute-on-chronic arterial thrombosis / embolic occlusion, resulting in critical right upper limb ischemia."
data/train/audio_00335.wav,an ill-defined t2 hypointense and t1 hypointense enhancing focal lesion seen involving the part of internal oblique lateral to the rectus abdominis muscle in the suprapubic location of anterior pelvic wall/abdominal wall.
data/train/audio_04074.wav,"gall bladder is not visualised? post chole. right kidney is small in size (6.3x2.3 cm) with grade iv hdn with prominent extra renal plevis and few 2-3 mm concretions at lower pole. left kidney reveals normal in size, shape, position and attenuation."
data/train/audio_03164.wav,no evidence of abnormal parenchymal contrast enhancement seen. urinary bladder is well seen and appears normal. no mass lesion is seen within it. its wall reveals normal thickness. the major pelvic blood vessels are normal. there is no lymphadenopathy. the visualized bowel loops do not reveal any obvious abnormality.
data/train/audio_01932.wav,c6-c7 level: there is mild diffuse disc bulge indenting the anterior subarachnoid space. no significant neural compromise is seen. spinal canal ap diameter: ~11.5 mm. impression: loss of cervical lordosis with mild dextroscoliosis of the cervical spine. multilevel cervical spondylotic changes with disc desiccation and osteophytes.
data/train/audio_05539.wav,"prominent ventricles, with out an obstructive lesion. the ventricles are large compared to the sulci, with somewhat prominent sylvian fissures. (both lateral ventricle 20mm and 3rd ventricle 10mm). advanced frontotemporal atrophy, predominantly involving the high frontal lobes the superior and middle frontal gyri with"
data/train/audio_03248.wav,"findings: bones: the visualized pelvic bones including the iliac bones, pubic rami, ischium, and proximal femora demonstrate normal alignment and cortical outlines. no evidence of acute fracture, lytic or sclerotic lesion. femoral heads and necks: femoral heads are normal in contour and density. no evidence of collapse, flattening, sclerosis, or subchondral lucency."
data/train/audio_00437.wav,"findings: sternoclavicular joints (bilateral): o joint alignment is normal and symmetric. o articular surfaces are smooth and well maintained. o no evidence of joint space narrowing, erosions, or subluxation/dislocation. bones:"
data/train/audio_04503.wav,postoperative changes at right lamina of c6 vertebra. rest of the cervical vertebral bodies & their alignment appear normal. rest of the intervertebral disc spaces and spinous processes appear normal. no e/o fracture / dislocation is seen.
data/train/audio_00219.wav,rest of the cribriform plate and lamina papyracea are intact. optic nerve canals and carotid canals are well corticated.
data/train/audio_02864.wav,"2# the mid and distal supercial femoral vein, popliteal, anterior tibial and posterior tibial veins appear normal in course and caliber. they show normal color ow."
data/train/audio_03696.wav,major intracranial flow voids: preserved flow voids in the major intracranial arteries and dural venous sinuses. orbits: globes and optic nerves appear grossly unremarkable on this study. paranasal sinuses: no significant mucosal thickening or air-fluid levels. mastoid air cells: clear bilaterally.
data/train/audio_01819.wav,"lungs: mosaic attenuation with areas of air trapping noted in bilateral upper and lower lobe segments. no ground glass opacification seen. the pleuro-parenchymal interfaces are smooth. no evidence of air trapping seen. airway and hilum: trachea, lobar bronchi, bronchus intermedius and segmental bronchi are normal."
data/train/audio_05536.wav,: there is 30x20mm old infract with encephalomalacic changes and adjacent gliosis seen in right frontal lobe and right centrum semiovale consistent with an old right mca territory infarct. there is t2w/flair hyperintense signal seen in right cerebral peduncle consistent with wallerian degeneration. mri demonstrates
data/train/audio_03681.wav,"liver: normal size, attenuation, and enhancement pattern. a 12 x 7 mm flash-filling hemangioma noted in segment iii of left lobe. no suspicious focal lesion. portal vein: normal course and caliber."
data/train/audio_02235.wav,"no evidence of diffuse or focal narrowing seen. visualized part of hard palate, soft palate and uvula appears normal. parapharyngeal, carotid, pterygoidandbuccal spaces show normal appearances. the pre-glottic, glotticand subglottic spaces of larynx appear normal. epiglottis, valleculae, ae folds,"
data/train/audio_01314.wav,cervical spine: disc desiccation is noted at multiple cervical levels. loss of normal cervical lordosis is seen. a mild posterior annular bulge is noted at the c4-c5 level causing indentation of the anterior thecal sac without significant neural foraminal narrowing or cord compression.
data/train/audio_05057.wav,appears moderately enlarged in size with mild heterogenous echotexture. few prostatic calcications seen within. : bilateral kidneys show minimally increase cortical echogenicity with maintained corticomedullary differentiation. advice rft correlation.
data/train/audio_02336.wav,"changes of spondylolysis are seen. c5-6 disc reveals posterior protrusion, indenting the anterior surface of spinal cord. c4-5 and c6-7 discs reveal small posterior protrusions. incidental note is made of partially empty sella. sagittal t2 weighted screening of thoracic spine reveals mild changes of spondylolysis."
data/train/audio_01022.wav,no hydronephrosis. no renal calculus is seen. right kidney and ureter are unremarkable. urinary bladder: a 28 x 32 mm soft tissue lesion is noted in the pouch of douglas/left adnexal region abutting the base of the urinary bladder. urinary bladder wall otherwise appears unremarkable on ct.
data/train/audio_04881.wav,: no significant abnormality is seen. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_03937.wav,retroperitoneum: no significant retroperitoneal lymphadenopathy. retroperitoneal fat planes appear unremarkable. prostate: normal in shape and size. no obvious lesion detected. miscellaneous:
data/train/audio_00428.wav,"basal cisterns, sulcal spaces and ventricular system is prominent. 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 basal ganglia, thalami, brainstem and cerebellum appear normal. no focal area of restricted diffusion is seen in the brain."
data/train/audio_04597.wav,"soft tissue shadows and bony thorax appear to be normal. opinion: nodular opacities involving right mid and lower zones suggestive of consolidations, likely koch's. mild cardiomegaly. 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/train/audio_05106.wav,findings osseous structures small plantar and posterior (dorsal/achilles insertional) calcaneal enthesophytes/spurs are noted. no evidence of acute fracture or dislocation.
data/train/audio_01636.wav,"few foci of blooming on swi are seen in left parietal lobe. left parietal bone appears depressed. 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 basal ganglia, thalami, brainstem and cerebellum appear normal."
data/train/audio_03430.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/train/audio_05396.wav,"c5-c6: mild disc bulge with left paracentral component seen indneting thecal sac obliterating the perineural fat pad without any root indentation. c6-c7: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing."
data/train/audio_05326.wav,"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. mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-parietal and periventricular white matter."
data/train/audio_04225.wav,the lateral tibial and femoral condyles reveal kissing contusions with marrow edema at posterior aspect of tibia. a minimally depressed lateral femoral osterochondral fracture is seen - type 2 osteochondral injury with lateral femoral notch. patello-femoral joint shows no significant abnormality.
data/train/audio_03014.wav,neural foramina indenting bilateral exiting nerve roots. mild ligamentum flavum hypertrophy and facet joint arthropathy noted. at l4-l5 level: diffuse disc bulge indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots narrowing bilateral neural foramina indenting bilateral exiting nerve roots. mild ligamentum flavum hypertrophy and facet joint arthropathy noted.
data/train/audio_03843.wav,"impression: multiple conglomerate and discrete ring-enhancing lesions in the right fronto-temporal region with surrounding oedema, gre blooming, and minimal diffusion restriction, consistent with known tuberculomas."
data/train/audio_02536.wav,"mild prominence of cerebral sulci, cisterns and ventricles is seen, suggesting mild cerebellar atrophy. there is no shift of midline structures. no mass lesion is detected. the paranasal sinuses orbits and calvarium appear unremarkable. incidental partial empty sella status seen."
data/train/audio_05117.wav,undisplaced hairline fracture noted in lateral aspect of left fifth rib. mosaic attenuation with areas of air trapping noted in bilateral upper lobe apical segments - possibility of small airway disease.
data/train/audio_01917.wav,"findings: gall bladder is partially distended and shows oedematous wall. no calculus seen within it. cbd is normal in size ( 4.0 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/train/audio_05499.wav,"opinion: haziness involving right upper zone suggestive of consolidation, likely koch's. 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/train/audio_05344.wav,"broad based posterior and bilateral foraminal herniation of c4-5 disc, causing moderate narrowing of the central canal and both neural foramina. mild facetal and uncovertebral arthropathy are seen at this level. broad based posterior herniation of c5-6 disc, causing mild narrowing of central canal."
data/train/audio_01946.wav,"these are suggestive of chronic lacunar infarcts. mild chronic periventricular changes. incidental note is made of partial empty sella. incidental note is made of polypoid mucosal thickening in right maxillary sinus and mild mucosal thickening in left maxillary sinus and right frontal sinus. shefali joshi mbbs dnb radiology reg. no. - 2011/08/2720 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/train/audio_02985.wav,no evidence of significant bony spinal canal stenosis. no significant abnormality detected on the present ct examination. needs further evaluation with mri if clinically indicated
data/train/audio_04380.wav,soft tissue edema involving right supraclavicular region. comminuted mildly displaced fracture involving the right first rib. mildly displaced fracture involving the right transverse process of c7 vertebra involving the right neural foramina. 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/train/audio_04676.wav,"mri of right knee technique: multiplanar, multiecho mr of the knee joint was performed. in addition to t1w, t2w, stir and gre images in sagittal, coronal and axial neutral positions. clinical profile: history of trauma."
data/train/audio_01330.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."
data/train/audio_01264.wav,"there is mild compression of bilateral traversing l5 nerve roots. l5-s1: desiccation. 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/train/audio_04736.wav,"from l1 to l5 levels. no focal bony lesion is detected. all the intervertebral discs are desiccated. l2-3 disc reveals broad based posterior protrusion. it indents the thecal sac, both l3 nerve roots and causes mild narrowing of central canal. mild facetal arthropathy and ligamentum flavum thickening are detected at this level."
data/train/audio_02759.wav,cbd is normal in size. distal body and tail of pancreas appears mild bulky and shows homogeneous post-contrast enhancement. few peripherally enhancing intercommunicating loculated collections noted in intrapancreatic and peripancreatic region.
data/train/audio_00310.wav,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/train/audio_00829.wav,": 1. broad based posterior and bilateral foraminal herniation of c5-6 disc, causing moderate narrowing of the central canal and neural foramina, bilaterally. mild facetal and uncovertebral arthropathy is detected at this level."
data/train/audio_05279.wav,"shama shaikh mri scan of pelvis with contrast mri scan of pelvis with contrast has been performed using t1 and t2wt sequences in multiple planes. 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."
data/train/audio_00633.wav,"mild facetal arthropathy and ligamentum flavum thickening are detected at this level, adding to central canal stenosis. 3. broad based posterior and right foraminal protrusion of l4-5 disc, causing mild to moderate narrowing of central canal and right neural foramen. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. 4."
data/train/audio_01270.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. mediastinum:
data/train/audio_01127.wav,chronic lacunar infarcts as described. multiple chronic hemorrhages as described mild cerebral atrophy.
data/train/audio_01856.wav,":- impression: multiple cavitary lesions with upper lobe predominance, associated with: peribronchial scarring fibro-atelectatic changes numerous centrilobular/subcentimetric nodules"
data/train/audio_01573.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/train/audio_03984.wav,x-ray left wrist - ap/ lateral findings: diffuse soft tissue edema involving the visualised forearm and wrist. diffuse osteopenia involving the visualised bones. small loose body is noted adjacent to radial styloid.
data/train/audio_02800.wav,"dilatation of small bowel loops, caecum, ascending colon, transverse colon & proximal descending colon with multiple air fluid levels. .? subacute intestinal obstruction. adv: contrast study. prostatomegaly grade i. adv: psa correlation please correlate clinically."
data/train/audio_01755.wav,aorta - it has < 90% abutment with loss of fat plane pericardium - there is no infiltration into the peri cardium however there is focal loss of fat plane. vertebral body -no diaphragm -no lymph nodes -no significant cervical or supraclavicular lymph nodes are seen.
data/train/audio_04570.wav,no abnormality is detected in the prevertebral region. the vascular structures appear normal. bilateral posterior paraspinal muscles are normal in size and reveal normal signal intensity screening of bilateral hip joints reveal minimal bilateral hip joint effusion.
data/train/audio_02971.wav,"there is no evidence of pelvic lymphadenopathy. a 14 x 12 mm size t2 and stir hyperintense tarlov cyst noted at s2 level. well defined t2 and stir hyperintense cystic area in the lower endocervical canal in the region of lscs scar likely suggestive of gestational sac, possibility of scar"
data/train/audio_00150.wav,"right tubo-ovarian endometriotic complex with hematosalpinx and multiple small endometriotic cysts. left ovarian cystic lesions, including hemorrhagic and endometriotic cysts. bilateral ovarian adhesions to the uterus, suggestive of pelvic endometriosis-related adhesions."
data/train/audio_04273.wav,"additional linear filling defect measuring approximately 11 mm noted in distal common bile duct, possibly representing elongated calculus pancreatic duct is not significantly dilated. liver appears normal in size and signal intensity. no focal hepatic lesion noted."
data/train/audio_04166.wav,"thyroid gland right lobe: normal in size, measuring approximately 15 x 13 x 27 mm. few small hypodense nodules noted, largest measuring ~6 mm. left lobe: markedly enlarged (bulky), measuring approximately 54 x 59 x 83 mm."
data/train/audio_05484.wav,liver capsule is mildly lobulated. left lobe of liver predominantly in the left lateral segment including segment ii and segment 3 are relatively small in size. mild prominence of caudate lobe is noted. there is no evidence of arterial phase enhancing lesion which shows washout on the venous phase images is seen.
data/train/audio_01047.wav,bony calvarium is normal. no evidence of fracture or sol is seen. visualized part of orbits is unremarkable. overlying scalp - left parietal scalp contusion seen. visualized paranasal sinuses are normal. : no significant abnormality is seen. no evidence of acute intracranial hemorrhage
data/train/audio_02691.wav,:above x-ray findings are suggestive of- bilateral maxillary sinusitis. adv ct pns if clinically indicated.
data/train/audio_02537.wav,"right antero-inferior cerebellar artery lies in close proximity with right seventh eighth nerve complexes. this is suggestive of grade i neurovascular conflict. impression - mr scan reveals, no evidence of acute infarct or hemorrhage seen. chronic lacunar infarcts as described."
data/train/audio_05175.wav,adjacent tethering of the right upper lobe fissure with associated atelectatic bands is noted. focal subpleural area of ill-defined consolidative opacity is seen in the apical segment of the right upper lobe. mild adjacent air trapping is noted in the right upper lobe.
data/train/audio_01057.wav,", volume and preserved signal intensity. 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."
data/train/audio_02866.wav,there is no evidence of varicose veins. no evidence of any dvt is seen in the visualized segment of veins in present scan.
data/train/audio_01159.wav,"mild generalized prominence of the cortical sulci, basal cisterns and ventricular system is noted s/o cerebral atrophy. rest of the brain parenchyma is normal in signal intensity. rest of the bilateral basal ganglia and thalami appear normal. posterior fossa structures appear normal. intracranial vessels and venous sinuses show normal flow voids."
data/train/audio_00668.wav,"findings: there is loss of cervical lordosis with straightening of spine. all cervical intervertebral discs exhibit signal changes - s/o partial desiccation. mild bulge of c6-7 disc, indenting the thecal sac. pu"
data/train/audio_04769.wav,no obvious intracranial extra-axial collection is identified on provided sections. left side: medial bowing/retraction of left tympanic membrane is seen. mild to moderate soft tissue density thickening/opacification is seen in left middle ear cavity.
data/train/audio_02065.wav,"another similar characteristic lesion of size about 4.0 x 5.3 x 6.0 cm (ap x tr x cc) noted in left ovary. lesion abutting the descending colon and left lateral wall of urinary bladder. posteriorly, lesion abutting the left psoas muscle."
data/train/audio_02328.wav,"impression: normal mri of the right elbow. no evidence of ligamentous injury, tendon tear, marrow abnormality, or joint pathology."
data/train/audio_03167.wav,"mild free fluid in pelvis. moderate to severe mesenteric edema. mild hydroureteronephrosis of left kidney, likely due to back pressure changes due to enlarged uterus."
data/train/audio_00775.wav,"bone marrow: extensive marrow edema involving bilateral femoral condyles and adjacent metaphyseal region, predominantly lateral femoral condyle - suggestive of bone contusions. medial femoral condyle relatively spared. bone marrow edema/contusions involving tibial plateau, metaphysis and adjacent diaphyseal region."
data/train/audio_04382.wav,"findings: right sided minimal pneumothorax noted. right sided minimal hemothorax noted. patchy ground-glass opacities involving apical region of right upper lobe likely lung contusions. multiple areas of septal thickening and consolidation with adjacent ground-glass opacities involving bilateral lung parenchyma, predominantly involving bilateral lower lobes likely due to aspiration."
data/train/audio_00540.wav,urinary bladder is minimally distended and foley's bulb is noted in situ. gastrointestinal tract stomach is distended with normal gastric wall thickness. c-loop of the duodenum is defined. visualized small and large bowel loops appear normal in calibre.
data/train/audio_02742.wav,multiple subcentimetric sized level ii and iii cervical lymph nodes noted. no significant abnormality seen. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_00429.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:"
data/train/audio_02772.wav,aforementioned abnormal signal area in the left cerebellar hemisphere is likely to be a arteriovenous malformation. prominent vascular channel in right cerebellar hemisphere.
data/train/audio_03174.wav,"there is a long segment non-enhancing intraluminal filling defect noted in the infrarenal abdominal aorta, extending for approximately >9.5 cm up to the aortic bifurcation, suggestive of thrombus, resulting in significant luminal compromise."
data/train/audio_04695.wav,"findings: multiple linear and curvilinear hemorrhagic foci are seen predominantly in bilateral frontal, parietal and adjacent occipital lobes, appearing fairly symmetrical in distribution. these areas show mixed regions of diffusion restriction on dwi/adc images."
data/train/audio_03055.wav,left lung lower lobe posterior basal segment few subpleural atelectasis bands noted. the peripheral as well as the peribronchovascular interstitium shows no thickening or nodularity. no ground glass opacification seen. the pleuro-parenchymal interfaces are smooth.
data/train/audio_02982.wav,spinal canal and neural foramina bony spinal canal is adequately maintained throughout. no evidence of significant bony canal stenosis. visualized neural foramina appear patent. soft tissues prevertebral and paravertebral soft tissues appear normal.
data/train/audio_01301.wav,"mucosal thickening is seen completely filing bilateral maxillary, ethmoid, sphenoid & frontal sinuses with few hyperdense contents within. complete blockage of bilateral osteomeatal complexes and fronto-ethmoid recesses are seen with widening of ostias. mild thinning / remodeling of ethmoid bone & turbinates thinning of cribriform plate is seen.?"
data/train/audio_04795.wav,"(fazekas grade i). mild generalized prominence of the cortical sulci, basal cisterns and ventricular system is noted s/o cerebral atrophy. rest of 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."
data/train/audio_02030.wav,"few stir hyperintense cysts noted in the left kidney, largest measuring 18 x 14 mm in the interpolar region. suggested usg correlation. : at l3-l4 level: diffuse disc bulge indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots narrowing bilateral neural foramina (right more than left) compressing right exiting nerve root. at l5-s1 level:"
data/train/audio_00321.wav,"reduced intervertebral disc height at l2-l3 with associated vacuum disc phenomenon. additional vacuum disc phenomenon at d10-d11 and d11-d12 levels. mild multilevel posterior disc bulges in the lumbar spine, most pronounced at l5-s1."
data/train/audio_00691.wav,no evidence of communication with sacral bone. no signal alteration noted in sacrum / coccyx. : features suggestive of pilonidal sinus. no evidence of osteomyelitis in sacrum / coccyx.
data/train/audio_02814.wav,8# pre-void vol. measures 351 cc; post-void vol. measures 90 cc ( signicant)
data/train/audio_00848.wav,"findings calvarium and scalp: craniotomy bony defect is seen in the left frontotemporoparietal region. drainage tube is in situ. extra-axial spaces: subdural hematoma is noted in the left fronto-temporal parietal convexity, measuring up to 7.2 mm in maximum thickness, showing csf densities and air foci within."
data/train/audio_04829.wav,prominent ventricles and cortical sulci suggestive of age-related cerebral atrophy.
data/train/audio_00507.wav,"no midline shift. basal ganglia / thalami: bilateral basal ganglia and thalami appear normal. brainstem & posterior fossa: midbrain, pons, and medulla oblongata appear normal. cerebellar hemispheres and vermis appear normal."
data/train/audio_05211.wav,: suspicious mildly displaced fracture involving the base of fifth metatarsal bone. suggested clinical correlation. many thanks for referral.
data/train/audio_04108.wav,"mildly displaced fractures involving the spinous process of l2-l4 vertebral levels. undisplaced fractures involving bilateral lamina of d8, d9 and d10 vertebral levels. spina bifida defect at l5 level. no obvious herniation."
data/train/audio_03897.wav,"mri of left knee technique: multiplanar, multiecho mr of the knee joint was performed. in addition to t1w, t2w, stir and gre images in sagittal, coronal and axial neutral positions. clinical profile: chief complaints of pain."
data/train/audio_02634.wav,enhancing polypoidal thickening noted in posterior third of tongue on right side measuring 2 x 3 mm and in lateral wall of right epiglottic vallecula measuring 3 x 3 mm. thyroid gland appears normal in size and attenuation with no focal lesion. no significant cervical lymphadenopathy is identified.
data/train/audio_03685.wav,gastrointestinal tract: small bowel loops: unremarkable. large bowel loops: distended with fecal matter; no focal abnormality. appendix: normal. small hiatus hernia noted.
data/train/audio_04995.wav,at l3-l4 level: mild posterior disc bulge abutting thecal sac encroaching bilateral neural foramina abutting bilateral exiting nerve root. at l4-l5 level: mild posterior disc bulge abutting thecal sac encroaching bilateral lateral recess abutting traversing nerve roots encroaching bilateral neural foramina abutting bilateral exiting nerve root.
data/train/audio_03791.wav,"flow voids of the major vessels viz; intracranial ica, basilar artery & their branches and of the venous sinuses are well seen. no evidence of aneurysm or sinus thrombosis. no arteriovenous malformation noted. calvarium and scalp: bony calvarium shows normal signal and diploic space. no mri evidence of fracture or sol is seen."
data/train/audio_04541.wav,"mild circumferential mural thickening noted involving descending colon, sigmoid colon and rectum with maximum wall thickness measuring approximately 6 mm. associated loss of normal haustral pattern noted in descending and sigmoid colon."
data/train/audio_00629.wav,no soft tissue abnormality seen. subtle haziness involving left midzone likely consolidation. suggested clinical correlation and further evaluation with hrct chest.
data/train/audio_02352.wav,in the posterolateral aspect of the humeral head with approximately 1.3% bone loss. hill-sachs interval measures approximately 12 mm. glenoid track measures approximately 16.5 mm. these measurements suggest the hill-sachs lesion lies within the glenoid track (on-track lesion).
data/train/audio_03021.wav,with disc desiccation of all the cervical intervertebral discs is noted. small anterior osteophytes are seen from c3 to c7 vertebral levels. posterior disc bulges are seen at multiple cervical levels indenting the anterior thecal sac. schmorl's nodes are noted at few cervical levels. anterior osteophytes with modic changes are seen at multiple dorsal levels.
data/train/audio_00467.wav,"observations: ventricular system, basal cisterns and sulci are normal ill defined hypodensities are noted in bilateral periventricular and subcortical white matter sulcal and gyral pattern appears normal. grey and white matter differentiation maintained. brain stem and cerebellum appear normal. no evidence of midline shift seen."
data/train/audio_00309.wav,there is no evidence of cholelithiasis or choledocholithiasis. gallbladder is distended with mild reactive wall thickening with minimal sludge. few prominent reactive intra-abdominal lymph nodes are seen. no ascites.
data/train/audio_04439.wav,"the lesion appears predominantly t1 hyperintense and t2 hypointense with relatively homogeneous post-contrast enhancement. superiorly, the lesion abuts the anterior aspect of the plantar fascia with extension deep to the fascia into the flexor digitorum brevis muscle."
data/train/audio_05054.wav,"both kidneys appear normal in size, shape & shows minimally increase cortical echogenicity with maintained corticomedullary differentiation. tiny bilateral renal concretions seen. no hydronephrosis or hydroureter is noted. urinary bladder: well distended and shows normal wall thickness."
data/train/audio_05168.wav,left kidney: is normal in position and size. margins are regular. no evidence of backpressure changes seen in the pelvicalyceal system. both the ureters are seen in their entire extent displaying normal course and calibre. urinary bladder partially distended with foleys bulb in situ & few air foci in urinary bladder.
data/train/audio_00608.wav,undisplaced fracture noted in right parietal bone extending into squamous part of right temporal bone. : resolving intraparenchymal haemorrhagic contusions with surrounding oedema noted in left fronto-parietal lobe causing mass effect in the form of effacement of left lateral ventricle and midline shift of 2 mm towards right side.
data/train/audio_04649.wav,"ct pelvis (plain) technique: the study was done by taking axial sections on a ct scanner from domes of diaphragm till pubic symphysis without administration of intravenous contrast. clinical history: chief complaints of lower abdominal pain. recordimg 1 : liver: liver is normal in shape, size and parenchymal density. no focal or diffuse liver lesion seen. no evidence of ihbr dilatation is seen. portal vein is normal in caliber. gallbladder:"
data/train/audio_02884.wav,o shows nodular patchy enhancement on contrast. o no evidence of diffusion restriction. post-treatment changes: o focal encephalomalacia and gliosis with hemosiderin staining again involving bilateral frontal lobes with ex-vacuo dilatation of adjacent lateral ventricles.
data/train/audio_02251.wav,": the right kidney measures 8.7 x 5.1 cms. right sided mild hydronephrosis and entire hydroureter. mild perinephric and periureteric fat stranding. no obvious ureteric calculus. few (at least 3-4) hyperdense non-obstructive calculus in the mid and lower calyces of right kidney, largest measuring 9.7 mm."
data/train/audio_02481.wav,"the liver is normal sized it shows normal homogeneously reduced parenchymal density, lobulated outline with volume redistribution and intact capsule, as well as normal enhancement pattern. no demonstrable intrahepatic mass lesion is seen. the intrahepatic and extrahepatic ducts are not dilated."
data/train/audio_04778.wav,: lung fields appear clear. the cardiac shadow is within normal limits of size and shape. unfolding of arch of aorta and aortic knuckle calcification. 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/train/audio_03842.wav,t2/flair hyperintensity in the right temporal lobe likely represents post-treatment changes. encephalomalacia with gliotic changes in the left parietal region (postcentral gyrus). chronic lacunar infarct in the right thalamocapsular region.
data/train/audio_00560.wav,subarticular portions suggestive of marrow edema. rest of the tibiofemoral and patello-femoral joints reveal intact articular cartilage. no obvious intraarticular loose bodies are seen. a 1.5 x 2.1 x 3.7 cm (tr x ap x cc) sized
data/train/audio_03603.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/train/audio_02590.wav,"bones: the scaphoid is deformed, showing features of a chronic comminuted fracture at the waist. multiple subchondral cystic changes are noted within the scaphoid, consistent with long-standing post-traumatic degenerative changes. additional small subchondral cysts are seen involving:"
data/train/audio_02648.wav,"secondary tracts / extensions: small stir hyperintense focus noted around 5 o'clock position, measuring approximately 2 mm. abscess / collections: no definite perianal or ischioanal abscess collection identified."
data/train/audio_03678.wav,a well defined nodular lesion is seen in left high parietal parasagittal region. it is hypointense on t2wt images and hyperintense on t1wt images with central hypointensity. it measures approximately 1 x 0.9 cm.
data/train/audio_03801.wav,the facet joints appear normal. the bony spinal canal appears normal in dimensions. posterior osseous structures and soft tissue structures are normal. no pre / paraspinal soft tissue collection is seen. normal study recommendation suggested clinical correlation.
data/train/audio_04048.wav,: hepatic lesions as described above. needs further evaluation with triple phase ct for characterization of lesion. minimal ascites (non-tappable). suggest - clinical and biochemical correlation/further imaging if indicated.
data/train/audio_05436.wav,no abnormality is detected in the prevertebral region. the vascular structures appear normal. bilateral posterior paraspinal muscles are normal in size and reveal normal signal intensity. spinal canal measurements are within normal limits.
data/train/audio_05540.wav,pituitary fossa and cervicomedullary junction appear unremarkable. the visualized paranasal sinuses and mastoid air cells are clear. the seventh and eighth nerve root complexes are normal. : overall pattern favoring parkinsonism with normal pressure hydrocephalus (parkinson plus syndrome).
data/train/audio_02097.wav,"pdfs hyperintense marrow oedema noted in distal tibia, talus and calcaneum. there is evidence of ill-defined soft tissue arising from mid part of calcaneum with extension in plantar aspect of foot. skin thickening with irregularity noted in medial aspect of foot, at the level of calcaneum."
data/train/audio_01200.wav,"o multiple lumbar transverse process fractures involving l1, l2, bilateral l3, and l4 o complex sacral fractures, predominantly comminuted displaced right sacral ala fracture extending into s1-s3 segments with involvement of right s1 and s2 neural foramina o minimally displaced left sacral ala fracture o left inferior pubic ramus fracture"
data/train/audio_05281.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/train/audio_05246.wav,suggested clinical correlation and further evaluation with mri brain 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/train/audio_02863.wav,"1# right sapheno-femoral junction, common femoral vein and proximal supercial femoral vein could not be evaluation due to overlying dressing."
data/train/audio_04178.wav,t2 hyperintense fluid signal lesion measuring 18 mm x 11 mm noted in palmar aspect at the level of ulnar styloid process.- possibly ganglion cyst / synovial cyst.
data/train/audio_04869.wav,"lymph nodes multiple small subcentimeter bilateral inguinal lymph nodes, nonspecific/reactive in appearance. impression minimally displaced acute/subacute fracture of the left inferior pubic ramus. degenerative changes involving both hip joints and sacro-iliac joints as mentioned. suggested clinical correlation and sos 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/train/audio_04182.wav,"mri brain with mr venography report clinical history: 26-year-old female, postpartum, presenting with severe headache and vertigo technique: mri brain performed with multiplanar sequences including t1, t2, flair, dwi/adc, gre/swi."
data/train/audio_00626.wav,grade ii anterolisthesis of c3 over c4. the vertebral bodies evidence of osteoporosis with multiple degenerative osteophytes noted. the inter-vertebral discs - reduction in intervertebral disc height seen at multiple cervical levels.
data/train/audio_02729.wav,"the real time, b mode, gray scale sonography of the abdominal organs was performed."
data/train/audio_04931.wav,sagittal t2wt screening of lumbar spine reveals loss of lumbar lordosis. posterior protrusions are seen at l4-l5 and l5-s1 levels indenting thecal sac.
data/train/audio_02782.wav,"subcentimeter sized hypodense areas of csf attenuation are seen in pons, bilateral ganglio-capsular regions and corona radiata suggestive of chronic lacunar infarcts. multiple hypodensities are noted in bilateral fronto-parietal and periventricular white matter s/o chronic ischemic changes."
data/train/audio_02542.wav,: no significant abnormality detected in the brain parenchyma. hippocampus and parahippocampal structures are normal.
data/train/audio_00645.wav,"thickened gerota's fascia on either side. spleen is normal in size and enhancement. splenic vein is normal in size and 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/train/audio_04761.wav,the pre and paravertebral soft tissues appear normal. the visualized lower conus and cord appears normal. at l1-l2 level: mild posterior disc bulge abutting thecal sac without any nerve root compression. at l2-l3 level: mild posterior disc bulge abutting thecal sac without any nerve root compression. at l3-l4 level: mild posterior disc bulge abutting thecal sac
data/train/audio_03570.wav,"bone, scalp and sinuses: large craniectomy defect involving right fronto-temporo-parietal bones. undisplaced fracture involving the right temporo-parietal bones. rest of the bony calvarium appears unremarkable. visualized part of orbits is unremarkable. subdural hematoma over right fronto-temporo-parietal region."
data/train/audio_04929.wav,"schmorl's node is seen along superior endplate c7 vertebral body. posterior protrusion is seen at c4-c5 level indenting anterior subarachnoid space. sagittal t2wt screening of dorsal spine reveals hemangiomas at t6 and t7 vertebral bodies. impression - mr scan reveals,"
data/train/audio_00868.wav,"spleen: normal size and signal intensity. other abdominal structures: no abnormal findings noted in the visualized portions of the kidneys, bowel, or vasculature. impression calculus measuring 16 x 15 mm in the neck of the gallbladder, hypointense on t2 and stir images."
data/train/audio_05237.wav,"mildly displaced fractures involving the right 1st, 5th, 10th and 11th ribs. mild anterior wedge compression involving d3 vertebral body. mild soft tissue edema over back region on right side. small chip fracture over left humeral head. 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/train/audio_02965.wav,posterior fossa: cerebellum and brainstem are normal in attenuation pattern. cerebellar folia are normal. no focal sol seen. cp angle cisterns are normal. fourth ventricle is central and normal in shape.
data/train/audio_03770.wav,no evidence of aneurysm or sinus thrombosis. no arteriovenous malformation noted. calvarium and scalp: bony calvarium shows normal signal and diploic space. no mri evidence of fracture or sol is seen. no sclerotic or lytic skull lesion noted.
data/train/audio_02661.wav,well defined t2/ flair hyperintensities are seen in bilateral periventricular regions -- s/o chronic small vessel ischemic changes. few ill defined t2/ flair hyperintensities are seen in bilateral gcr regions -- s/o old lacunar infarcts. sulci and ventricle are mildly prominent.
data/train/audio_00171.wav,: undisplaced fracture noted involving the distal pole and waist of scaphoid. undisplaced fracture involving the dorsal cortex of distal end of radius near the distress tubercle. mild wrist joint effusion and soft tissue oedema noted.
data/train/audio_04548.wav,hrct chest (plain) 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. clinical history: for pulmonary evaluation. : lungs:
data/train/audio_04303.wav,"cholelithiasis with mild pericholecystic oedematous changes. clinical correlation for cholecystitis is suggested. bilateral pleural effusions, left greater than right. contracted left kidney suggestive of chronic renal parenchymal disease."
data/train/audio_03422.wav,"the abnormal thickening extends into the cystic duct and appears diffusion restricting. further extension of the lesion is noted into the common hepatic duct, reaching up to the biliary confluence. the involvement is near circumferential and extends into the right hepatic duct, with a maximum thickness of approximately 1.2 cm (exact dimensions are difficult to ascertain)."
data/train/audio_03314.wav,"desiccation of all the cervical intervertebral discs is noted mild uncovertebral joint arthropathy at multiple cervical levels. modic type ii changes are seen involving the antero-superior endplates of c3-c6 vertebrae. no atlantoaxial dislocation is seen. the cervical cord is normal in course, caliber and signal intensity. no abnormal pre or paravertebral soft tissue is seen. no bony or soft tissue spinal canal stenosis is noted."
data/train/audio_02565.wav,"liver is mildly enlarged in size (17cm), normal in outline and show fatty attenuation. there is no evidence of any dilatation of intrahepatic biliary radicles/cbd. the portal veins & hepatic veins appear normal. gall bladder is well distended and shows normal wall thickness. no definite pericholecystic fluid / mass lesion is seen."
data/train/audio_00638.wav,"l4-5 disc reveals broad based posterior and right foraminal protrusion. it indents the thecal sac, both l5 nerve roots and causes mild to moderate narrowing of central canal and right neural foramen. mild facetal arthropathy and ligamentum flavum thickening are detected at this level. l5-s1 disc reveals broad based posterior protrusion."
data/train/audio_04981.wav,"4 x 4.8 x 4.1 cm. lesions include: hemorrhagic cyst measuring 3.4 x 3.3 x 3.4 cm, appearing t2 hyperintense with t2 hypointense internal debris and t1 hypointense signal, with mild peripheral wall enhancement (~1.6 mm)."
data/train/audio_00154.wav,"both kidneys appear normal in size, shape & echotexture. no hydronephrosis or hydroureter is noted. the corticomedullary differentiation is maintained. urinary bladder: minimally distended. prostate: grossly appears normal in size, shape and echotexture."
data/train/audio_03574.wav,"supratentorial: post operative pneumocephalus is seen. right cerebral hemisphere shows multiple hemorrhagic contusions, largest measuring 41x16.5mm in the right temporo occipital lobes with surrounding vasogenic oedema and right cerebral edema. (mild reduced in size from 4/3/2026)"
data/train/audio_00347.wav,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/train/audio_00591.wav,"ventricular system, basal cisterns and sulci are prominent - diffuse cerebral atrophy. suggested clinical correlation and follow up"
data/train/audio_02902.wav,"1. multiple heterogeneously enhancing pulmonary nodular lesions in bilateral upper lobes. 2. multiple pleural-based soft tissue lesions in bilateral pleural cavities, largest measuring approximately 8.5 x 9 cm on the left side. 3. bilateral moderate pleural effusion with associated compressive atelectasis of bilateral lower lobes."
data/train/audio_04099.wav,ct brain (plain) technique: axial sections of the brain were obtained from the base of skull to the vertex without administration of intravenous contrast on a ct scanner. clinical history: loss of consciousness.
data/train/audio_04578.wav,"intrahepatic portal vein branches are replaced by multiple small collaterals. due to periportal lateral there is mild dilatation of right and left intrahepatic biliary duct is seen, however, dilatation is not seen up to the peripheral ducts. these findings raises the possibility of early portal cavernoma biliopathy."
data/train/audio_03115.wav,iiird and ivth ventricles are in midline. no shift of midline structures. brain stem and both cerebral and cerebellar hemispheres otherwise appear normal. no haemorrhage or space occupying lesion noted in supra or infra tentorial region. visualised paranasal sinuses appear normal.
data/train/audio_01059.wav,normal brain study. no evidence of mts. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_04075.wav,"urinary bladder is catheterized. no vesical calculi, wall thickening or mass lesion. uterus appears normal. visualised osseous structures appear unremarkable. no lytic or sclerotic bony lesion. the extra-abdominal and paraspinal soft tissues are normal. lung bases are clear. no basal pleural effusion."
data/train/audio_00064.wav,"the liver is normal in bulk and signal characteristics. there is no focal or diffuse area of altered signal intensity. there is no intrahepatic biliary radicle dilatation. the intrahepatic venous architecture is normal. both the visualized kidneys, pancreas, adrenal glands and spleen are normal in bulk and signal characteristics."
data/train/audio_05384.wav,"visualised tendons, remaining muscle planes and surrounding soft tissues appear normal. no significant joint effusion seen. impression: expansile osteolytic lesion involving the distal radius with cortical destruction and ventral extraosseous soft tissue extension into the pronator quadratus muscle."
data/train/audio_04526.wav,"no significant depression of the tibial plateau articular surface is noted (if not mentioned explicitly, assumed minimal). remaining visualized osseous structures (distal femur, patella, proximal fibula) appear intact. joint: mild knee joint effusion present."
data/train/audio_02372.wav,"no evidence of midline shift seen. sellar, suprasellar and par asellar regions appear normal. no evidence of abnormal extradural / subdural collections seen. no definite fractures identified."
data/train/audio_02094.wav,above findings are suggestive of moderate to severe degenerative changes. needs further evaluation with mri.
data/train/audio_01125.wav,"spectra through the enhancing portion of the lesion reveals mild elevation of choline there is presence of lipid lactate peak at 1.25. impression - mr scan reveals, postoperative changes in the form of gliosis with porencephalic cyst with hemosiderin staining in right parietotemporal region as described above."
data/train/audio_01731.wav,"l3-4: diffuse disc bulge with annular fissure causing indentation of the anterior thecal sac with mild narrowing of lateral recess & neural foramina on both sides. lumbar spinal curvature is maintained. rest of the vertebral bodies are showing normal height, alignment, curvature and marrow signal intensity pattern."
data/train/audio_02470.wav,"small subchondral cyst noted at the second metacarpocarpal joint, likely degenerative in etiology. remaining visualized osseous structures demonstrate preserved alignment and normal marrow signal intensity. triangular fibrocartilage complex (tfcc)"
data/train/audio_00063.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/train/audio_00449.wav,technique mr angiogram of brain was performed using 3d tof sequences through circle of willis while next sequences were performed using 2d trufisp sequences.20 and 3d reconstructions were obtained using mip algorithms.
data/train/audio_05076.wav,these are not significant by size criteria. impression - a large well defined thin walled cystic lesion seen in the left anterior mediastinum measuring 9.2 x 6.2 x 10.2 cm in dimension causing indentation dictation over the adjacent left lung parenchyma.
data/train/audio_04887.wav,: haziness noted at bilateral maxillary sinuses 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.
data/train/audio_02527.wav,linear undisplaced fracture noted in hook of hamate. 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. the visualized bones are normal in signal and intensity. no cortical breach is observed.
data/train/audio_05410.wav,likely arising from right thyroid causing significant mass effect on trachea causing its contralateral deviation.advice contrast neck correlation. small fibrotic bands in the bilateral apices. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_02321.wav,"lateral ulnar collateral ligament (lucl): well visualized and intact. annular ligament: intact, maintaining normal relationship of the radial head with the ulna."
data/train/audio_00909.wav,"the ventricles, cerebral sulci and the basal cisterns are normal. 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: mri brain reveals no significant abnormality."
data/train/audio_05186.wav,"and subcarinal regions, with few nodes showing specks of calcification. the trachea and main bronchi appear normal in calibre and course without evidence of endobronchial lesion. the mediastinal structures are otherwise unremarkable. the heart size appears within normal limits. the great vessels are normal in calibre and enhancement."
data/train/audio_04688.wav,"reduced disc height. vacuum phenomenon. diffuse pseudo bulge, compressing the thecal sac and encroaching the neural foramina. there is compression of right exiting l4 & traversing l5 nerve roots and indentation over left exiting l4 nerve roots. l5-s1: desiccation. reduced disc height. diffuse bulge, indenting the thecal sac"
data/train/audio_00933.wav,rest of the brain parenchyma is normal in signal intensity. no focal area of restricted diffusion (acute infarct) is seen. bilateral basal ganglia and thalami appear normal. posterior fossa structures appear normal. no shift of midline is noted.
data/train/audio_04198.wav,maxilla: body and alveolar process of maxilla appear normal in configuration. both nasal and zygomatic processes of maxilla appear normal. maxillary antrumappears normal in attenuation bilaterally with preserved bony walls. sinuses: both maxillary sinuses and both frontal sinuses show no abnormality.
data/train/audio_01766.wav,no evidence of pneumothorax. pleura: bilateral pleural effusion is noted. mediastinum & hila: trachea is normal in caliber and course. thoracic esophagus appears normal. no obvious mediastinal lymphadenopathy (limited assessment due to artifacts).
data/train/audio_02238.wav,"branches show normal contrast opacification. bilateral renal arteries appear normal with no evidence of significant stenosis. on venous phase images, the portal vein, inferior vena cava, splenic vein, smv and hepatic veins demonstrate normal opacification. renal veins appear normal. bowel and mesentery: stomach and small bowel loops appear normal."
data/train/audio_03393.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/train/audio_05010.wav,peg like appearence of left cerebellar tonsil is seen. cerebellum and brainstem are normal in attenuation pattern. cerebellar folia are normal. no focal sol seen. cp angle cisterns are normal. fourth ventricle is central and normal in shape. no focal enhancing lesions seen.
data/train/audio_05071.wav,it appears hypointense on t1wt images without any obvious solid component. it measures 9.2 x 6.2 x 10.2 cm in maximum dimension.
data/train/audio_03474.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/train/audio_02230.wav,"spondylotic changes noted in dorsal spine. calcified atheromatous changes noted in visualised aorta and its branches. comments: mild pleural effusion on left side. ill-defined soft tissue density lesion in left lower lobe with internal calcification, possibility of neoplastic aetiology likely. however, advice:"
data/train/audio_00669.wav,"no significant nerve root compression. neural foramina appear normal. few peridiscal osteophytes noted in cervical spine. otherwise, the vertebral bodies reveal normal morphology and signal characteristics. cranio-vertebral junction appears normal."
data/train/audio_00408.wav,psoas shadows are normal. : no significant abnormality detected in plain radiograph of abdomen adv - ct abdomen with contrast if clinically indicated.
data/train/audio_04339.wav,diffuse subcutaneous edema in right submandibular region. no significant cervical lymphadenopathy.
data/train/audio_01275.wav,"area of gliosis noted in right parietotemporal lobe, resultant mild ex vacuo dilatation of right lateral ventricle. small area of gliosis noted in left temporal lobe. right fronto-parieto-temporal craniotomy status noted. small well circumscribed round-oval hyperintense areas are appreciated in bilateral corona radiata & centrum semiovale."
data/train/audio_00431.wav,"vertebral bodies marginal osteophytes are seen at few levels. normal in height with preserved alignment and curvature. there is no fracture or destructive lesion. the vertebral bodies and posterior elements are normal. disk spaces the alignment, discs, and disco-vertebral relationships are normal"
data/train/audio_00696.wav,focal diffusion restriction within the lesion likely represents blood clot/debris. left ovarian small endometrioma (~3.3 x 2.5 cm). no definite solid enhancing mural nodule or frank malignant features identified.
data/train/audio_04630.wav,"diffuse bulge of c5-6 discs, indenting the thecal sac and encroaching the neural foramina. there is indentation over bilateral exiting c6 nerve roots. diffuse bulge of c6-7 discs, indenting the thecal sac and encroaching the neural foramina. there is abutment over left exiting c7 nerve root."
data/train/audio_02553.wav,"the main pulmonary trunk, right and left pulmonary arteries with the ascending and descending branches are normal. measurements main pulmonary trunk: (27) mm right pulmonary trunk: (20) mm"
data/train/audio_05394.wav,"ligamentum flavum hypertrophy seen. disc osteophyte complex at c4-c6 level indenting thecal sac. disc spaces: c2-c3: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing."
data/train/audio_02793.wav,"findings: bilateral breasts show predominantly fibrofatty parenchymal pattern, appropriate for age. no focal mass lesion or abnormal signal intensity is identified in either breast. no architectural distortion is seen. no abnormal skin thickening or nipple retraction is noted."
data/train/audio_04690.wav,"mild bulge, indenting the thecal sac. no significant nerve root compression. neural foramina appear normal. l3-4: desiccation. diffuse bulge, compressing the thecal sac and encroaching the right neural foramina. there is compression of right exiting l3 & traversing l4 nerve roots. l4-5: desiccation."
data/train/audio_01763.wav,normal in size and morphology for the age. cerebellum : normal. brainstem : normal paranasal sinuses & mastoid air cells : clear visualized orbits & optic nerve : normal. cvj & visualized upper cervical spine : normal
data/train/audio_00752.wav,dorsal spine appears unremarkable except for few marginal osteophytes. on screening of bilateral sacro-iliac joints: no significant abnormality detected. : posterior disc bulges at l3-l4 and l4-l5 levels abutting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots.
data/train/audio_00252.wav,few splenic hilar omental perigastric collaterals secondary to likely chronic thrombosis sequelae of splenic vein.
data/train/audio_01163.wav,"large acute non-haemorrhagic infarct involving the right temporo-parietal lobes, perisylvian region, insular cortex, corona radiata and centrum semiovale. few chronic lacunar infarcts involving bilateral ganglio-capsular regions. mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-parietal and periventricular white matter."
data/train/audio_00571.wav,"observation: cardiothoracic ratio appears increased, suggestive of cardiomegaly. diffuse increased reticulonodular opacites noted in bilateral hilum and lower zone, suggestive of septal interstitial thickening, widening of carina is noted, likely suggestive of left atrial enlargement."
data/train/audio_03284.wav,"both kidneys shows good uptake and excretion of contrast material into collecting system. corticomedullary differentiation is maintained. renal pelvis appears normal on left. peri-nephric fat regions appear unremarkable bilaterally. adrenals: adrenal glands are normal is shape, size and position. all the limbs of adrenal glands are well outlined. no focal thickening in any of the adrenal limbs."
data/train/audio_01174.wav,"fourth ventricle is central and is normal in shape. both the iams are normal and symmetrical. vii and viii nerve complex appear normal. bilateral mastoid air cells are normal. sella: the pituitary gland shows a normal shape,"
data/train/audio_04776.wav,partial sclerosis and reduced pneumatization of left mastoid air cells. medial bowing/retraction of left tympanic membrane. clinical correlation recommended.
data/train/audio_00051.wav,"these changes are suggestive of early chronic liver parenchymal disease. intrahepatic portal vein branches are replaced by multiple small collaterals. due to periportal lateral there is mild dilatation of right and left intrahepatic biliary duct is seen, however, dilatation is not seen up to the peripheral ducts. these findings raises the possibility of early portal cavernoma biliopathy."
data/train/audio_02876.wav,normal pelvis angiography. internal fixation of the right hip joint fracture noted.
data/train/audio_02784.wav,"mild generalized prominence of the cortical sulci, basal cisterns and ventricular system is noted s/o cerebral atrophy rest of the brain parenchyma is normal in attenuation. rest of the basal ganglia and thalami are normal. the posterior fossa structures are normal."
data/train/audio_02532.wav,"linear t2w and stir hyperintense signal is seen involving the anterior horn of lateral meniscus not extending to the articular surface suggestive of grade ii signal change. 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,"
data/train/audio_02239.wav,both kidneys appear normal in size and contour. multiple bilateral renal calculi are seen. largest calculus in left kidney measures approximately 8 mm. largest calculus in right kidney measures approximately 5.1 mm. a tiny simple cortical cyst measuring approximately 4 mm is seen in the mid-pole of the right kidney.
data/train/audio_04632.wav,"diffuse bulge of c6-7 discs, indenting the thecal sac and encroaching the neural foramina. there is abutment over left exiting c7 nerve root. mild bulge of c3-c4, c4-c5 discs, indenting the thecal sac. no significant nerve root compression. neural foramina appear normal."
data/train/audio_02191.wav,largest pleural-based lesion measures approximately 41 x 39 mm. lesions demonstrate heterogeneous post-contrast enhancement. associated marked mass effect with rightward mediastinal and cardiac shift.
data/train/audio_00216.wav,"rest of the brain parenchyma is normal in attenuation. basal ganglia and thalami are normal. the posterior fossa structures are normal. no evidence of infarct / sol. no midline shift is seen. rest of the cortical sulci, basal cisterns and ventricular system are normal. sella and parasellar structures appear grossly unremarkable. comminuted displaced fracture involving anterior"
data/train/audio_01853.wav,:- pleura: no pleural effusion or pleural thickening detected. mediastinum & hila: no significant mediastinal or hilar lymphadenopathy identified.
data/train/audio_05249.wav,mildly deviated nasal septum and bony spur towards right side. no bony erosion / destruction are seen. mild deviated nasal septum with bony spur towards right side. both sphenoid sinuses shows mild content within cavity s/o mild allergic sphenoid sinusitis.
data/train/audio_00942.wav,comminuted mildly displaced fracture of the left clavicle shaft. left 3-7th rib shafts mildly displaced fractures noted. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_03012.wav,mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-parietal and periventricular white matter. small atherosclerotic plaque involving the proximal segment of left internal carotid arteries causing 20% luminal compromise. mild atherosclerotic irregularity involving the m1 segments of bilateral middle cerebral arteries. no major vessel occlusion. suggested clinical and usg carotid doppler correlation.
data/train/audio_02869.wav,"some of the cysts demonstrate internal hyperdense areas suggestive of hemorrhagic content. multiple tiny hyperdense foci suggestive of microliths are noted in the right kidney. in the left kidney, multiple calculi are seen, the largest measuring approximately 5 x 3 mm (hu ~560) in the interpolar region."
data/train/audio_00887.wav,suggested clinical and liver function tests correlation.
data/train/audio_01838.wav,"coronary artery lmca eccentric mixed plaque causing mild 5%-10% luminal narrowing. trifurcates into lad, lcx and ramus intermedius. ramus intermedius is a small caliber vessel."
data/train/audio_03951.wav,impression: known case of peripheral vascular disease - previous images or reports not available for comparison. severe peripheral arterial occlusive disease involving bilateral lower limbs with diffuse atherosclerotic changes.
data/train/audio_01268.wav,"lungs: multiple areas of mild bronchial wall inflammation noted involving the segmental and subsegmental bronchi of bilateral lung parenchyma. few ground-glass opacities involving bilateral upper and lower lobes. areas of fibroatelectasis involving right middle lobe, lingular segment and bilateral lower lobes."
data/train/audio_01743.wav,right anterior and posterior ethmoidal air cells are clear. sphenoid sinus is well pneumatised. pneumatisation of the lateral masses of the sphenoid is seen on both sides. both orbits appear grossly normal. the cribriform plate and lamina papyracea are intact. optic nerve canals and carotid canals are well corticated.
data/train/audio_05334.wav,no obvious intraarticular loose bodies are seen. mild knee joint and suprapatellar bursal effusion with soft tissue edema around knee joint. : high grade tear involving the medial collateral ligament and medial patello-femoral ligament. partial tear involving anterior cruciate ligament. grade ii signal change involving the anterior and posterior horns of medial meniscus.
data/train/audio_02881.wav,x-ray pns (paranasal sinuses) technique: x-ray of paranasal sinuses obtained (water's view). findings: an ill-defined radiopaque lesion is seen occupying and obliterating the left nasal cavity.
data/train/audio_02560.wav,joint spaces are preserved. no significant joint effusion. surrounding tendons and soft tissues appear within normal limits. impression:
data/train/audio_04605.wav,"advanced extrauterine (abdominal) pregnancy with a well-formed gestational sac and fetus located in the peritoneal cavity, posterior to the uterus, with no intrauterine pregnancy. keyimages"
data/train/audio_02897.wav,"no calculus, hydronephrosis or focal lesion seen. visualized ureters appear unremarkable. urinary bladder: urinary bladder appears adequately distended with normal wall thickness. prostate: prostate appears enlarged measuring approximately 30 cc in volume. inguinal region: a well-defined enhancing soft tissue density lesion"
data/train/audio_04677.wav,findings: cruciate ligaments: there is complete discontinuity of the mid fibers of the anterior cruciate ligament with retraction of the torn ends. partial tear involving the mid fibers of posterior cruciate ligament.
data/train/audio_01002.wav,"observation: degenerative changes are noted in the form of anterior marginal osteophytes, intervertebral disc height reduction, and end plate sclerosis. no lytic or sclerotic lesion is seen. para vertebral soft tissues appear normal. visualized parts of the ribs appear normal. : mild dorsolumbar spondylosis."
data/train/audio_02701.wav,both coronoid and condylar processes of mandible appear normal in attenuation. temporomandibular articulation appears normal. no evidence of dislocation. maxilla: body and alveolar process of maxilla appear normal in configuration.
data/train/audio_00492.wav,posterior margin of anal canal appears edematous. prominent t2 and stir hyperintense cryptic foci noted in the anal canal likely secondary to hemorrhoids. mild adjacent t2 and stir hyperintense edema noted. both ischiorectal fossa appears normal in signal intensity.
data/train/audio_01066.wav,"heart and major vessels: heart outline and size appears normal. others: visualized vertebrae, sternum and ribs appear normal. soft tissues and muscles of chest wall are normal. 1. small nodular opacity with air bronchogram within and adjacent few tiny centrilobular nodules in the apical region of left upper lobe."
data/train/audio_03053.wav,left frontal subgaleal haematoma noted. comminuted displaced fractures of the left maxillary sinus with hemosinus. undisplaced fracture of the left zygomatic arch. : no significant neuro-parenchymal abnormality seen. undisplaced fracture of the left ramus of mandible extending to the left alveolar arch.
data/train/audio_00792.wav,the cervical external carotid and common carotid arteries are normal. impression - mri brain reveals no evidence of acute infarct or hemorrhage. mild chronic periventricular ischemic changes. mild cerebral atrophy. partial empty sella status mr angiography reveals - mild irregular
data/train/audio_04723.wav,"findings: tendons:- low-grade articular surface tear involving the supraspinatus tendon near its insertion. length of the involved segment measures approximately 4 mm. subscapularis, infraspinatus, teres minor, teres major tendons appear intact and reveal normal signal intensity."
data/train/audio_00700.wav,femoral neck and proximal femoral shaft reveal normal signal intensity and cortical margins. no joint effusion seen. rest of the acetabulum and acetabular fossa are normal with normal articular margins. peri-articular and para-articular muscles reveal normal signal intensity and well-preserved
data/train/audio_04773.wav,"mastoid air cells and external auditory canal with extensive associated erosive changes involving tegmen tympani, scutum, facial nerve canal, lateral semicircular canal, vestibule, carotid canal and walls of external auditory canal."
data/train/audio_00550.wav,"signal intensity with mild thickening, consistent with tendinous edema/strain. adjacent intrinsic muscles in the region also demonstrate edematous changes. no definite organized collection or abscess formation is identified. the first metatarsal head and adjacent osseous structures show no evidence of"
data/train/audio_03886.wav,no communication with bowel or urinary bladder is identified. however there is elongated structure seen at hilum. mild fat stranding is seen at the umbilicus. bladder is connected to umbilicus by linear brands and elongated bladder structure seen as a diverticulum. no loculated collection or surrounding inflammatory changes are noted.
data/train/audio_01251.wav,these findings are suspicious for metastatic nodal involvement. adjacent structures: fat planes between the bladder and rectum are maintained. no definite rectal wall invasion is seen. additional findings: right inguinal hernia with herniation of omental fat through a 16 mm defect. right moderate hydrocele. impression: 1. locally advanced carcinoma prostate involving bilateral peripheral and transitional zones -
data/train/audio_03067.wav,bilateral lateral recess narrowing and abutting bilateral s1 traversing nerve roots.
data/train/audio_02089.wav,rest of the cerebral parenchyma shows normal density & gray white matter differentiation. septum pellucidum and falx cerebri are seen in midline. rest of the basal ganglia and thalami are normal. ventricular system with basal cisterns & cerebral cortical sulci including sylvian fissures are normally visualized.
data/train/audio_04398.wav,diffuse centrilobular and paraseptal emphysematous changes are seen in both lungs. hyperinflation of the lungs is present with increased ap diameter of the chest and tubular configuration of the cardiac silhouette.
data/train/audio_03497.wav,severe volume loss of left hemithorax with cardiomediastinal and tracheal shift towards left side and crowding of ribs is present retrosternal herniation of right lung into left hemithorax is seen extrapleural fat proliferation into left thoracic cavity is noted
data/train/audio_02561.wav,"mild adjacent periosteal reaction is present. no evidence of cortical breach or associated soft tissue mass is seen. no evidence of aggressive periosteal reaction, cortical destruction, or extension into surrounding soft tissues. the remaining visualized metatarsals and tarsal bones appear unremarkable."
data/train/audio_00779.wav,mild knee joint effusion with suprapatellar extension and periarticular soft tissue hematoma (largest ~16-20 mm). incidental tiny sclerotic focus in lateral tibial condyle - likely bone island. recommendation: ct knee suggested for better bone evaluation ultrasound may be considered for assessment of soft tissue collections/injury.
data/train/audio_03716.wav,"both adrenal glands display normal size and configuration. kidneys: b/l kidneys appear normal in size with smooth and regular contour. the renal parenchyma displays normal attenuation pattern with normal parenchymal thickness. the renal sinus appears within normal limits, with no evident pelvicalyceal dilation."
data/train/audio_02777.wav,"prostate measures approximately 18 cc, within normal limits. no significant abdominal lymphadenopathy. no free fluid in the abdomen. impression: heterogeneously enhancing lesion (~4.3 x 3.7 cm) in the left suprarenal region abutting the lateral limb of the left adrenal gland,"
data/train/audio_01872.wav,:- : no significant intracranial abnormality seen. bilateral mild ethmoid sinusitis. suggested clinical correlation and sos mri for further evaluation.
data/train/audio_03700.wav,"no mass lesion, calcification or stone is seen in the renal parenchyma or collecting systems on both sides. no signs of obstructive uropathy are detected. the ivc, aorta and portal vein are within normal position and calibre. no evidence of retroperitoneal lymphadenopathy or ascites."
data/train/audio_01762.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 extra-axial space & basal cisterns :
data/train/audio_05023.wav,signicant post-void residue. tiny bilateral renal concretions. omental umbilical hernia as described above. suggest - clinical and biochemical correlation/further imaging if indicated.
data/train/audio_04842.wav,"liver: liver is normal in shape, size, parenchymal density, attenuation and contrast enhancement. no focal or diffuse liver lesion seen. intrahepatic biliary radicals are not dilated. portal vein appear normal in caliber. splenic, superior and inferior mesenteric veins are well opacified."
data/train/audio_04142.wav,pelvicalyceal systems of both the kidneys appear normal. no obvious calculi /calcifications seen. urinary bladder is empty and foleys bulb in situ. prostate and seminal vesicles appear normal. major vessels show normal enhancement. bilateral adrenals are normal in size and attenuation.
data/train/audio_04508.wav,lungs and pleura: mild bilateral pleural effusion is seen with partial passive basal atelectasis. fibrobronchiectatic changes are seen in right middle lobe and lingula. patchy fibrosis is seen in bilateral upper lobes with mild bilateral apical pleural thickening. no evidence of air trapping seen. airway and hilum: trachea and major bronchi are normal.
data/train/audio_02416.wav,intrahepatic bile ducts: no dilatation. pancreatic duct: normal caliber. no ductal dilatation. pancreas: normal size and signal on the provided sequences. no focal lesion identified. spleen: normal size and signal. adrenal glands: unremarkable. kidneys: no hydronephrosis. no focal renal lesion identified on the provided sequences.
data/train/audio_04347.wav,no adnexal mass is seen. miscellaneous: gut loops reveal no significant abnormality. visualized skeletal structures appears unremarkable. left ovarian cyst. adv usg correlation differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_03121.wav,"partial inhomogeneous opacification with hyperdense material located centrally surrounded by hypodense mucosa is also seen involving bilateral ethmoidal complexes, both sphenoid, both fronto-nasal and spheno-ethmoid recess. mild mucosal thickening is seen in left frontal sinus."
data/train/audio_02664.wav,there is a normal appearance to the m1 and a1 segments without evidence of aneurysm or stenosis. there is a normal complement of branches off the middle cerebral artery in the region of the sylvian fissure. no obvious aneurysm noted in the distal branches of the anterior and middle cerebral arteries.
data/train/audio_02253.wav,"few hypodense cysts noted in the left kidney, largest measuring 2.8 x 2.3 cm. few tiny microliths in the mid and lower calyces of left kidney. left kidney is otherwise normal in size, shape and position. no obvious hydroureter. urinary bladder is partially distended and reveals few (at least 3) hyperdense"
data/train/audio_01034.wav,"mild hypertrophic changes in the acromio-clavicular joint, with subacromial spur. lateral downsloping of the acromion. mild changes of osteoarthritis involving the glenohumeral joint. osteoporotic bones. tear of anteroinferior labrum. rest of the labrum shows mild blunting."
data/train/audio_00539.wav,no evidence of hydronephrosis. corticomedullary differentiation is maintained. renal pelvis appears normal. ureters: both ureters appear normal in course and calibre. no evidence of ureteric calculus / obstruction seen. urinary bladder:
data/train/audio_01216.wav,"subdural hemorrhage along right frontal region and along falx. multiple hemorrhagic contusions with mild adjacent edema involving right frontal lobe, bilateral temporal and left parietal lobes. few areas of subarachnoid hemorrhage involving right frontal and bilateral temporal regions."
data/train/audio_02639.wav,findings: chronic lacunar infarct is seen in left basal ganglia. few t2/flair hyperintense foci are seen in bilateral periventricular white matter. there is no other focal area of abnormal signal intensity in the cerebral or cerebellar hemispheres.
data/train/audio_00662.wav,alveolar process appear unremarkable. both coronoid and condylar processes of mandible appear normal in attenuation. temporomandibular articulation appears normal. no evidence of dislocation. maxilla: body and alveolar process of maxilla appear normal in configuration.
data/train/audio_00603.wav,"bilateral maxillary and bilateral ethmoid sinusitis noted. rest of the visualized paranasal sinuses are unremarkable. comminuted displaced fracture noted involving the right temporo-parietal bones, involving the greater wing of sphenoid and lateral wall of sphenoid sinus with resultant sphenoid haemosinus."
data/train/audio_04017.wav,heterogeneous post-contrast enhancement is seen in solid part. few areas of diffusion restriction on dwi image. approximate size of lesion measures 10.9 x 9.4 x 8.4 cm (ap x tr x cc).
data/train/audio_00885.wav,1. loss of lumbar lordosis 2. multiple anterior and lateral marginal osteophytes are seen from l1 to l5 vertebral levels. 3. small schmorl's node noted at the endplate of l3 vertebra.
data/train/audio_03493.wav,"osseous structure: 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. patella appears normal in position. joints: no evidence of osteoarthritic changes."
data/train/audio_03924.wav,bilateral renal non-obstructive calculi. patchy calcifications in the penile shaft. suggested usg correlation to rule out urethral calculus. 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/train/audio_00499.wav,visualized vertebrae appear osteoporotic. 7. mild to moderate atrophy of the posterior paraspinal muscles seen in lower lumbar region. 8. mild to moderate edema is seen in bilateral paraspinal muscles at l1 vertebral level. thank you for referring.
data/train/audio_00256.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"
data/train/audio_03753.wav,x-ray chest pa view : bilateral lungs fields are clear. trachea is central. tracheo-bronchial tree is normal. cardiac silhouette is normal. bilateral cp angles are clear. both domes of diaphragm are normally placed.
data/train/audio_04999.wav,effacement of bilateral lateral recess. l4-l5:mildly diffuse disc bulge with posterior annular fissure indenting thecal sac and abutting both traversing nerve roots. stenosis of bilateral lateral recess. l5-s1:moderate diffuse disc bulge with broad-based posterior central disc herniation. compressing thecal sac and both traversing roots with spinal canal
data/train/audio_04272.wav,"distal common bile duct tapers and measures approximately 6 mm. multiple t2 hypointense filling defects are noted within the common bile duct, largest measuring approximately 9 mm located about 12 mm proximal to the ampulla of vater, consistent with choledocholithiasis."
data/train/audio_05660.wav,"a soft tissue component with surrounding hematoma is seen adjacent to the fracture fragments. soft tissues and muscles there is diffuse subcutaneous soft tissue edema involving the lower limbs. visualized muscles appear preserved in bulk and attenuation, with mild surrounding edema likely related to adjacent soft tissue changes."
data/train/audio_01815.wav,s shaped nasal septal deviation is seen with convexity to right and nasal spur towards left side. minimal mucosal thickening is seen in left maxillary sinus. mild right inferior turbinate mucosal hypertrophy is seen. pardoxical curvature of both middle turbinates seen.
data/train/audio_04128.wav,"there is focal loss of the normal retroplacental t2 hypointense interface along the posterior lower uterine segment, particularly in the region adjacent to the internal os. in this region, multiple prominent t2 hypointense flow voids are seen within the placenta, raising concern for abnormal placental vascularity."
data/train/audio_03703.wav,"prominent but non-inflamed appendix (normal variant, especially in pediatric age group) transient appendiceal dilatation (post-infectious / enteritis-related) recommendation"
data/train/audio_00894.wav,"spleen appears normal in attenuation and enhancement, no e/o focal lesion. gallbladder is not visualised - post cholecystectomy status. pancreas appears normal in attenuation and enhancement pattern. main pancreatic duct is not dilated. no obvious calculus or pancreatic calcifications. both adrenal"
data/train/audio_04205.wav,"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. * left fronto-temporal soft tissue hematoma. tiny hyperdense foci seen in left peri-orbital region - possibly foriegn body"
data/train/audio_05584.wav,"with additional subserosal/serosal components. figo type 4/ 5. o associated obliteration of the endometrial cavity, likely due to mass effect from multiple intramural fibroids. left renal pelvic calculi with multiple t2 hypointense filling defects in the pelvicalyceal system and pelvi-ureteric junction,"
data/train/audio_03673.wav,lungs bilateral lungs fields - inhomogeneous opacity in bilateral upper zones. 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/train/audio_03902.wav,"complex right hemipelvic fracture characterized by: linear undisplaced fracture of right iliac wing extending into acetabular roof, anterior column, and quadrilateral plate associated undisplaced fractures of right superior and inferior pubic rami"
data/train/audio_05571.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/train/audio_00932.wav,"few flair hyperintensities are noted in bilateral fronto-parietal and periventricular white matter. no restriction on dwi or blooming on gradient images is noted s/o chronic ischemic changes (fazekas grade i). mild generalized prominence of the cortical sulci, basal cisterns and ventricular system is noted s/o cerebral atrophy."
data/train/audio_04310.wav,"bone window: no bony fracture is seen. : - ct study reveals: - deep large right cerebral haemorrhage centered on the right basal ganglia and right corona radiata, right frontal and temporal lobe with intraventricular extension and mass effect as described-"
data/train/audio_03449.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/train/audio_01039.wav,alignment: glenohumeral and acromioclavicular joint alignment is maintained. bones/marrow: no acute fracture or marrow-replacing lesion identified. acromioclavicular joint: no significant degenerative change. no ac joint separation.
data/train/audio_00430.wav,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/train/audio_02174.wav,"bilateral common carotid arteries are normal in course and caliber with normal flow signal intensity. common carotid arteries are bifurcating normally in both sides. left internal carotid artery and right internal carotid artery are normal in course, caliber and flow signal."
data/train/audio_00130.wav,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/train/audio_02653.wav,rectum / distal colon: no focal mural thickening or perirectal collection identified on the provided sequences. prostate: normal in size. seminal vesicles: unremarkable. urinary bladder (visualized portion): no gross abnormality identified.
data/train/audio_05476.wav,": lungs: confluent area of consolidation noted involving right upper lobe. it measures approximately 7.7 x 4.8 x 5.6 cm (tr x ap x cc). multiple patchy ground-glass opacities involving bilateral lung parenchyma (right more than left), predominantly involving right upper"
data/train/audio_02935.wav,"no focal lesion seen. spleen spleen is normal in size measuring 10.8 cm. a small non-enhancing subcapsular cystic lesion measuring 1.1 x 1.1 cm is noted, likely representing a splenic cyst. a small splenunculus is noted near the anterior pole of the spleen. adrenal glands"
data/train/audio_00122.wav,supratentorial: left frontoparietotemporal acute sdh with max. thickness of 6 mm with sulcal effacement and mildly chinked left lateral ventricle. midline shift of 4.7 mm to right.
data/train/audio_01080.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/train/audio_05588.wav,bilateral mastoid air cells appear normal. right sided nasal septum deviation with bony spur impinging the inferior turbinate. left concha bullosa. bilateral mild maxillary sinusitis. recommendation suggested clinical correlation.
data/train/audio_00901.wav,the external auditory canal and mastoid air cells are normal. the carotid canal and jugular foramen are normal. the temporomandibular joint is normal. impression: right sided minimal mastoiditis. no other significant abnormality.
data/train/audio_01430.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/train/audio_04506.wav,soft tissues and muscles of chest wall are normal. mild bilobar ihbr dilatation is seen with dilated proximal cbd. hepatic veins and ivc are prominent. mild bilateral pleural effusion with partial passive basal atelectasis. fibrobronchiectatic changes in right middle lobe and lingula.
data/train/audio_01065.wav,pleural surfaces: right sided mild pleural effusion (approximate volume 140 cc). no evidence of pleural effusion on left side. mediastinum: thoracic oesophagus and other mediastinal structures appears normal. no significant mediastinal adenopathy is observed.
data/train/audio_01186.wav,: focal low-grade intrasubstance tear involving the supraspinatus tendon near its insertion. mild tendinosis of supraspinatus and subscapularis tendons. mild subacromial - subdeltoid bursitis. minimal shoulder joint and sub-coracoid bursal effusion.
data/train/audio_05120.wav,"mediastinum: thoracic oesophagus and other mediastinal structures appears normal. no significant mediastinaladenopathy is observed. heart and major vessels: heart outline and size appears normal. others: visualized vertebrae, sternum and ribs appear normal."
data/train/audio_00024.wav,a fat density lesion ms~5.6x5.7mm is seen at upper pole cortex of left kidney. a hyperdense cyst ms~12x11.3mm is seen at mid pole of left kidney.
data/train/audio_05652.wav,mild diffuse disc bulge indenting anterior thecal sac encroaching bilateral neural foramina (right > left) abutting right exiting nerve roots. at c6-c7 level: no significant disc bulge. at c7-t1 level: no significant disc bulge. measurements: other : no paraspinal soft tissue mass.
data/train/audio_04650.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/train/audio_01909.wav,prominence of bronchovascular markings predominantly in central distribution with bilateral hilar prominence. mild cardiomegaly. bilateral mild pleural effusion. above findings are suggestive of pulomonary edema.
data/train/audio_01770.wav,tiny chip fracture fragment is noted arising from the lateral aspect of the proximal ulna. minimal elbow joint effusion is present. diffuse periarticular and subcutaneous soft tissue oedema is noted around the elbow joint. the proximal radius appears intact.
data/train/audio_05033.wav,grade i fatty liver. minimal right peri-nephric free uid seen. borderline prostatomegaly - advice: psa correlation. suggest - clinical and biochemical correlation/further imaging if indicated.
data/train/audio_01682.wav,"pleura: mild bilateral pleural effusion, left side greater than right, with associated underlying compressive atelectasis. no evidence of pneumothorax. mediastinum: few small mediastinal lymph nodes, likely reactive. thoracic esophagus appears normal."
data/train/audio_01032.wav,mild changes of osteoarthritis are seen involving the glenohumeral joint. visualized bones appear osteoporotic. there is tear of anteroinferior labrum. rest of the labrum shows mild blunting. the alignment of the shoulder joint is normal. the muscles and their attachments also appear normal. major neurovascular bundles are normal.
data/train/audio_01996.wav,"muscle bulk is preserved without significant volume loss or denervation atrophy. no focal muscle tear, edema, intramuscular collection, or mass lesion. medial compartment (adductor longus, adductor brevis, adductor magnus, gracilis, pectineus)"
data/train/audio_05432.wav,"mild facetal arthropathy and ligamentum flavum thickening are detected at this level. 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."
data/train/audio_00175.wav,clinical and laboratory correlation. sputum microscopy/culture correlation suggested. 2d echocardiography advised for evaluation of pulmonary hypertension.
data/train/audio_04954.wav,:- cerebellar folias are prominent with prominent csf space around the cerebellum s/o premature cerebellar atrophy. please correlate clinically.
data/train/audio_00751.wav,"on whole spine screening: loss of cervical lordosis noted. variable partial disc desiccation at few cervical levels. mild posterior disc bulges are seen at c3-c4, c4-c5 and c5-c6 cervical levels indenting the anterior thecal sac."
data/train/audio_04924.wav,mild splenomegaly. small simple left renal cortical cysts. mild cardiomegaly. modified ct severity index (modified ctsi): modified ctsi score: 6/10 - moderate acute pancreatitis
data/train/audio_01001.wav,"visualized bones show normal bone density. bony island noted in right iliac bone. normal pelvis, hips and sacro-iliac joints. differential diagnosis na recommendation suggested clinical correlation. x-ray dorso lumbar spine ap & lateral views"
data/train/audio_02261.wav,subtle sclerotic line along the neck of the left femur - suspicious for impacted fracture in the given clinical setting. recommendation: ncct of the left hip for further evaluation and confirmation.
data/train/audio_05451.wav,"no associated abscess, secondary tract, or supralevator extension."
data/train/audio_02939.wav,"findings liver liver is enlarged measuring approximately 22 cm in craniocaudal dimension. a large hypodense thick-walled peripherally enhancing fluid collection is seen in the subcapsular location along the right lobe of the liver, predominantly involving segments v and viii with extension into segments vii and vi."
data/train/audio_04461.wav,conclusion: cholelithiasis without changes of cholecystitis. no evidence of obstructive biliopathy.
data/train/audio_03010.wav,"vertebrobasilar system appears normal. intracranial arteries mild atherosclerotic irregularity is noted involving m1 segments of bilateral middle cerebral arteries. rest of the visualized anterior cerebral arteries (aca),"
data/train/audio_00814.wav,"partial laminectomy changes are seen from l4 to s1 levels. disc prosthesis is seen at l5-s1 level. broad based posterior protrusions of l3-4 and l4-5 discs, causing mild narrowing of central canal. post-operative status of l5-s1 disc."
data/train/audio_02972.wav,it measures approximately 13 x 13 x 13 mm. small area measuring approximately 3.8 mm noted within with t2 hypointense walls - in view of history likely yolk sac. there is no evidence of bladder invasion. junctional zone is normal with normal endometrium. endometrium is thickened and measures approximately 13.9 mm in thickness.
data/train/audio_01935.wav,small eccentric calcified plaque in the distal segment of right coronary artery causing 10%-20% luminal compromise. cadrads 1 p1
data/train/audio_03643.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/train/audio_05625.wav,"chest wall and visualized bony structures: no obvious abnormality identified. impression suboptimal ncct chest study due to motion-related blurring and thick section acquisition, with 3d reconstruction not possible, limiting detailed evaluation. bilateral apical pleuroparenchymal fibrotic changes,"
data/train/audio_02292.wav,"findings: lungs: segmental cicatricial atelectasis is noted in the right upper lobe, associated with traction bronchiectasis, likely representing sequelae of prior inflammatory/infective process. a calcified granuloma is seen in the right upper lobe, suggestive of healed granulomatous disease."
data/train/audio_04009.wav,bony walls: visualized bony walls of the paranasal sinuses appear intact with no obvious erosion or destruction. orbits: visualized orbital margins appear intact. impression: deviated nasal septum with convexity toward the left side. partial haziness of bilateral maxillary sinuses - suggestive of sinusitis. clinical correlation advised.
data/train/audio_00812.wav,"spinal canal measurements are within normal limits. sagittal t2 weighted screening of cervical spine reveals loss of cervical lordosis. changes of spondylolysis are seen. c3-4, c4-5 and c5-6 discs reveal posterior protrusions, indenting the anterior subarachnoid spaces."
data/train/audio_05099.wav,"spinal cord is normal in thickness and reveals normal signal intensity. no focal area of abnormal signal is detected within the cord. no intraspinal mass lesion is detected. the cranio-vertebral junction appears normal. there is no evidence of atlanto-axial dislocation, tonsillar herniation or syringomyelia."
data/train/audio_01266.wav,"s.i. joints: normal. : l4-5: diffuse bulge, broad based dorsal protrusion, compressing the thecal sac and encroaching the neural foramina. there is mild compression of bilateral traversing l5 nerve roots. l5-s1:"
data/train/audio_04426.wav,"no evidence of pleural effusion present. mediastinum: thoracic oesophagus and other mediastinal structures appears normal. multiple enlarged para-aortic, subcarinal, paratracheal nodes noted, largest measuring 14 x 16 mm in right paratracheal region."
data/train/audio_03040.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/train/audio_05553.wav,"findings scalp haematoma in the left parietal region a hyperdense hemorrhagic lesion is seen in the right temporal region peripherally, measuring approximately 25 x 20 mm, consistent with intracranial hemorrhage/hemorrhagic contusion. assessment of the surrounding brain parenchyma is limited due to motion artefacts; however, no obvious large"
data/train/audio_05055.wav,right kidney measures 9.5 x 5.3 cm. a 5.0 x 3.0 mm sized small simple cortical cyst seen in mid pole. left kidney measures 11.0 x 4.8 cm.
data/train/audio_04404.wav,"multiple bilateral subpleural bullae, largest measuring approximately 4.0 x 3.8 cm. mild traction bronchiectatic changes in the right lower lobe (anterior and posterobasal segments)."
data/train/audio_04642.wav,"multiple prominent mediastinal lymph nodes are seen, the largest measuring approximately 19 x 14.5 mm, likely reactive in nature. moderate bilateral pleural effusions are present. there are patchy areas of consolidation and ground-glass opacities with air bronchograms in bilateral lung fields, predominantly in the perihilar regions."
data/train/audio_00797.wav,; immature skeleton. bones bones of the forearm show normal mineralization no fracture or dislocation is present. no focal bony lesion present. joints joint spaces are normal. no evidence of dislocation or subluxation is seen
data/train/audio_00952.wav,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. evidence of diffuse patchy central and subpleural ground glass with interlobular interstitial septal thickening noted in the bilateral lungs.
data/train/audio_04036.wav,mild uncovertebral joint arthropathy is present at multiple cervical levels. facet joints: appear unremarkable without significant hypertrophy or ankylosis. spinal canal & neural foramina: no obvious high-grade spinal canal stenosis on ct.
data/train/audio_02494.wav,type ii - fracture involving <50% of the coronoid height. impression: comminuted mildly displaced intra-articular fracture of the radial head (modified mason type iii). mildly displaced fracture of the coronoid process of the ulna (regan-morrey type ii).
data/train/audio_00305.wav,located 13 cm from the anal verge (10-1 o'clock position). right tubo-ovarian endometriotic complex with hematosalpinx and multiple small endometriotic cysts.
data/train/audio_00372.wav,"suggested further evaluation with pet scan, histopathology and pulmonary function tests."
data/train/audio_01146.wav,"clinical profile: chief complaints of low backache. findings: lumbarisation of s1 vertebra noted. straightening of lumbar spine. lumbar vertebral bodies & their alignment otherwise appears normal. intervertebral disc spaces, transverse processes and spinous processes appear normal."
data/train/audio_00956.wav,: cruciate ligaments: partial tear involving the anterior cruciate ligament near its femoral attachment. mild buckling and sprain involving the posterior cruciate ligament. collateral ligaments: partial tear involving lateral collateral ligament near its femoral attachment.
data/train/audio_02476.wav,"the urinary bladder is fairly distended, with homogenous density. no intramural filling defect or mass is seen. no wall thickening is noted. the uterus is normal. few nabothian cysts seen in cervix"
data/train/audio_03804.wav,multiple confluent and discrete t2 and flair hyperintense lesion without diffusion restriction is seen in periventricular white matter suggestive of moderate periventricular and deep white matter ischemic changes csf signal intensity spaces seen in lower half of basal ganglia in anterior perforated substance along anterior commissure--dilated vr spaces.
data/train/audio_00518.wav,right side: scutum appears normal. middle ear cavity is well aerated. ossicles appear normal. no tympanic membrane thickening. mastoids: left side: mastoid air cells show soft tissue opacification with loss of normal pneumatisation. evidence of cortical bony
data/train/audio_01814.wav,there is no obvious nodularity is seen. there is complete suppression on t1 fat sat images representing fatty infiltration. there is no obvious focal lesion seen. rest of the abdomen appears unremarkable.
data/train/audio_02688.wav,"findings: lungs: subsegmental collapse / consolidation is seen involving the posterior basal segments and superior segments of bilateral lower lobes. a tiny calcified pulmonary nodule is seen in the posterior basal segment of the left lower lobe, likely representing a healed granuloma. pleura: minimal to mild right pneumothorax is present. bilateral pleural effusions are noted."
data/train/audio_03863.wav,"at the c6c7 level, a posterior disc osteophyte complex causes mild indentation of the thecal sac without significant neural foraminal compromise or nerve root impingement. no osseous destruction noted."
data/train/audio_01916.wav,"minimal knee joint and suprapatellar bursal effusion with mild soft tissue edema around knee joint. : partial tear involving the lateral collateral ligament. mild sprain involving the anterior cruciate ligament. grade ii signal change involving the anterior horn of lateral meniscus. minimal knee joint and suprapatellar bursal effusion with mild soft tissue edema around knee joint. 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. 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/train/audio_00888.wav,"glands appear unremarkable. no evidence of focal lesion. a 22 x 13 mm size hypodense cyst noted in the para-pelvic interpolar region of left kidney. bilateral extrarenal pelvis noted. both kidneys are otherwise normal in size, shape, attenuation and enhancement pattern and excretory function. both ureters are normal in course and caliber."
data/train/audio_03122.wav,bilateral fronto-nasal and spheno-ethmoid recess appear blocked. right frontal sinuses are normal. the nasolacrimal duct on either side is normal. bilateral ostiomeatal complexes are patent. kero's type ii bilateral olfactory fossa depth seen. bilateral type i optic nerve is seen.
data/train/audio_02148.wav,findings: cruciate ligaments: mild sprain involving the 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.
data/train/audio_03020.wav,at l5-s1 level: diffuse disc bulge indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots narrowing bilateral neural foramina indenting bilateral exiting nerve roots (left>right). small annular tear at l2-l3 and l5-s1 levels. multilevel ligamentum flavum hypertrophy and facet joint arthropathy.
data/train/audio_04758.wav,"mild soft tissue edema involving subcutaneous, intramuscular and intermuscular planes of medial anterior and lateral compartments of visualised left thigh. left inguinal lymphadenopathy as mentioned. normal left hip joint and osseous structures suggested further evaluation with venous doppler study and d-dimer 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/train/audio_01013.wav,"gallbladder and biliary tree: no gross abnormality described. pancreas: no focal abnormality described. spleen: mild splenomegaly, measuring 13 cm. bowel / appendix: no acute bowel abnormality described."
data/train/audio_04396.wav,"fibular head and neck with marrow edema. undisplaced fracture with marrow edema involving the lateral aspect of lateral femoral condyle. 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. undisplaced fracture with marrow edema involving the medial and lateral tibial condyles."
data/train/audio_05332.wav,"no evidence of marrow edema. patella appears normal in position. joints: lobulated t2 and stir hyperintense ganglion cysts noted around the fibula, largest measuring 8 mm. no evidence of osteoarthritic changes. tibiofemoral and patello-femoral joints appear normal with intact articular cartilage."
data/train/audio_00115.wav,"neural foramina appears normal. few peridiscal osteophytes noted in cervical spine. otherwise, the vertebral bodies reveal normal morphology and signal characteristics. cranio-vertebral junction appears normal. subtle cord oedema noted at c5-c6 level."
data/train/audio_03233.wav,"indenting thecal sac. on screening of bilateral sacro-iliac joints: no significant abnormality detected. on screening of bilateral hip joints: no significant abnormality detected. : at l1-l2 level: partial disc desiccation, mild posterior disc bulge abutting thecal sac without any nerve root compression. 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/train/audio_00740.wav,. no size significant hilar or mediastinal lymphadenopathy is seen. small hiatus hernia noted. rest of the visualized abdominal organs are normal. minimally displaced fracture of posterior aspect of left ninth rib. rest of the visualized bones are unremarkable.
data/train/audio_02997.wav,"mild subfalcine herniation toward the right. similar altered signal intensity hemorrhagic material is noted within the occipital horn of the left lateral ventricle, suggestive of minimal intraventricular extension."
data/train/audio_04853.wav,"right middle lobe anterior, lateral and posterobasal segments of right lower lobe. multiple areas of mild bronchial wall inflammation involving the segmental and subsegmental bronchi of bilateral lung parenchyma. above findings are suggestive of infective etiology. suggested clinical correlation and follow up imaging. 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/train/audio_01154.wav,small articular cartilage defects are seen involving the medial tibial and femoral condyles with t2w and stir hyperintensity is noted involving the subarticular portions suggestive of marrow edema. small articular cartilage defects are seen involving the medial facet of patella with t2w and stir hyperintense signal involving the subarticular portion suggestive of chondromalacia patellae.
data/train/audio_05298.wav,"large bowel appears collapsed, likely secondary to upstream small bowel obstruction. peritoneum / mesentery mild inter-bowel free fluid present. multiple mildly enhancing mesenteric lymph nodes, the largest measuring 5 mm (likely reactive). hernias left inguinal hernia identified with herniation of omentum."
data/train/audio_03837.wav,the walls of the lesion. the lesion is compressing and displacing adjacent small and large bowel loops. bilateral mild hydronephrosis with proximal hydroureter likely mass effect from pelvic mass. another nodular similar morphology lesion noted in the pelvis. it measures approximately 5 x 4.1 cm. both ovaries and uterus are not seen separately from above lesions.
data/train/audio_00944.wav,"no focal intrathyroidal lesion identified. a well-defined, ovoid soft tissue density lesion measuring approximately 1.3 x 1.7 x 2.9 cm (ap x tr x cc) is noted in the left carotid triangle. the lesion shows homogeneous enhancement. the lesion is:"
data/train/audio_02775.wav,"liver is normal in size, contour, and attenuation with no focal lesion. gallbladder is normally distended with normal wall thickness and no calculi. pancreas appears normal in size and attenuation with no focal lesion or peripancreatic inflammation. spleen is normal. right adrenal gland appears normal."
data/train/audio_04564.wav,shape and position. no hydronephrosis or hydroureter seen. the urinary bladder is distended with smooth outlines. prostate is normal in size and attenuation pattern. bilateral seminal vesicles appear mildly bulky. liver appears normal in attenuation pattern. small hypodense cyst measuring approximately 7 mm noted in the segment viii of right lobe of liver.
data/train/audio_03948.wav,"downward cerebellar tonsillar herniation, approximately 9 mm below foramen magnum. : prominent left lateral ventricle. (predominantly occipital and temporal horn). reduced volume of posterior fossa. cranio-vertebral junction anomaly with brainstem kinking as mentioned."
data/train/audio_02233.wav,no gross cervical lymphadenopathy is seen. cervical oesophagusand trachea appear normal. bilateral styloidprocess are within normal limit. the visualized vertebrae are normal in density and trabecular pattern. mucosal thickening noted in right ethmoid and maxillary sinuses - sinusitis. there is evidence of enlargement of bilateral tonsils with few tiny specks of
data/train/audio_04111.wav,small t2 hyperintense hemangioma in l3 vertebral body. mild posterior disc bulge at l3-l4 lumbar level there is bilateral neural foramina abutting bilateral exiting nerve roots. few synovial cysts at visualised bilateral femoral neck.
data/train/audio_02998.wav,"mri - brain plain + intracranial & neck angiogram technique: mri scan of brain plain, angiogram was done without administration of contrast. limited ct cuts taken for correlation. : haemorrhagic area:"
data/train/audio_05037.wav,clinical history: chief complaints of cough and breathlessness. : lungs: few fibronodular and centrilobular opacities in right upper lobe in adjacent pleural thickening and bronchial wall inflammation.
data/train/audio_01083.wav,"the hoffa`s fat pad reveals edema. osseous structure: 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. patella appears normal in position. joints: mild reduction of lateral knee joint space with small marginal tibio-femoral and patellar osteophytes."
data/train/audio_05398.wav,c4 - c5 10.8 patent c5 - c6 10.9 patent c6 - c7 11.2 patent c7 - t1 11 patent cervical spinal cord shows normal mr morphology and signal characteristics.
data/train/audio_02677.wav,the bones show normal signal intensity. no significant fat infiltration noted in rotator cuff muscles - goutallier classification stage 0. : low-grade partial thickness tear involving < 25% fibres noted in articular surface of anterior fibres of supraspinatus footprint. detachment of the superior labrum and biceps anchor from the underlying superior glenoid
data/train/audio_02418.wav,bowel: no gross abnormality identified on this study. vasculature: no gross abnormality identified on this study. lymph nodes: no pathologically enlarged abdominal lymph nodes identified. peritoneum/ascites: no ascites. osseous structures: no focal marrow-replacing lesion identified on the provided sequences. impression multiple gallbladder
data/train/audio_00739.wav,"mild cardiomegaly noted. the trachea and mainstem bronchi are normal. no pleural or pericardial effusion is seen. multiple subcentimetre sized discrete lymph nodes noted in prevascular, pretracheal, paratracheal and subcarinal regions."
data/train/audio_01077.wav,"hemo sinus seen in right maxillary sinus. soft tissue scalp swelling is seen involving right parietal region with subgaleal hematoma of maximum thickness 3mm mild reduced in size : - ct study reveals: - multiple acute haemorrhagic contusions are seen in right frontal lobe, right temporal region and left high parietal region, with mild perilesional edema"
data/train/audio_05635.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- mild mucosal thickening in bilateral maxillary sinuses."
data/train/audio_02531.wav,"medial and lateral femoral condyles, tibial plateau and upper tibia and fibula reveal normal marrow signal. no evidence of marrow edema. patella appears normal in position. joints: there is mild reduction of the medial knee joint and patella-femoral joint spaces with small adjacent tibio-femoro-patellar osteophytes. few subchondral cysts noted involving"
data/train/audio_00323.wav,"mri correlation recommended for detailed neural element evaluation if radicular symptoms are present. posterior elements / facet joints facet arthropathy involving l3-l4, l4-l5, and l5-s1 levels (reported as l3-l5 vertebral levels)."
data/train/audio_00796.wav,major intra-cranial flow voids are preserved. both orbits are unremarkable. no significant abnormality detected. myelination appears appropriate for the age. no evidence of acute hemorrhage / infarct /icsol differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_01121.wav,no evidence of any fracture noted. no obvious evidence of any displacement is seen. articular margins are smooth and intact. soft tissues appear normal. opinion: mild degenerative changes involving both hip joints and sacro-iliac joints as mentioned.
data/train/audio_02054.wav,"mri screening of dorsal, lumbar and sacral spine: screening of dorsal, lumbar and sacral spine is done on t2wi sagittal images: vertebral bodies appear normal in size, shape, alignment and signal intensity."
data/train/audio_05223.wav,there is evidence of obstruction of right maxillary sinus ostia and ostiomeatal units. bilateral fronto-nasal recess appear unremarkable. the nasolacrimal duct on either side is normal. bilateral maxillary ostia are normal.
data/train/audio_01795.wav,please correlate clinically. the alignment of the knee joint is normal. the joint is well preserved and the articular margins are smooth. no obvious bony erosion or destruction is seen. the articular cartilage is uniform in thickness and shows normal signal intensity. the collateral ligaments appear normal.
data/train/audio_02887.wav,"o no abnormal enhancement in these foci. other findings: o brain parenchyma otherwise shows usual morphology. o ventricular system and sulcal spaces are prominent, unchanged. o major intracranial vascular flow voids appear normal. o empty sella again noted. o cortical venous sinuses and cavernous sinuses are unremarkable."
data/train/audio_05489.wav,splenic artery shows slight prominence with maximum diameter of 7 mm. common hepatic artery appears normal in caliber. it further divides into gastroduodenal artery and hepatic artery proper. hepatic artery proper divides into left hepatic artery and right hepatic artery. segment iv artery is a branch right hepatic artery.
data/train/audio_02345.wav,impression: comminuted mildly displaced fracture involving the right hemimandible reaching up to the alveolar socket of right lower canine and central incisors. mild to moderate soft tissue hematoma over right maxillary and mandibular region with adjacent subcutaneous inflammation. 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/train/audio_04070.wav,"both lobes of thyroid are normal in architecture and attenuation. the isthmus is normal. the nasopharynx, oropharynx and hypopharynx appears 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/train/audio_00402.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/train/audio_00067.wav,mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-parietal and periventricular white matter. suggested further evaluation with mri brain stroke protocol. 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/train/audio_05366.wav,"uterus: uterus appears normal in size and attenuation with no focal myometrial lesion. lymph nodes: no significant retroperitoneal, mesenteric, or pelvic lymphadenopathy. bones: visualized osseous structures show no lytic or sclerotic lesion. impression: 1. right adnexal fat-containing lesion (38 x 31 x 29 mm)"
data/train/audio_00180.wav,"findings: lungs: extensive areas of consolidation and ground-glass opacities with air bronchograms are seen involving the right upper lobe, right middle lobe and right lower lobe, predominantly involving the superior segment of the right lower lobe. a small focus of consolidation is also seen in the left lower lobe, predominantly involving the posterior and anterior basal segments."
data/train/audio_02419.wav,"no abnormal calcification seen. : straightening of lumbar spine - ? due to spasm. suggested clinical correlation. many thanks for referral,"
data/train/audio_02424.wav,"identified on this study. osseous structures: no focal marrow replacing lesion identified on the provided sequences. impression: cholelithiasis with a 14.5 mm gallbladder calculus. marked biliary dilatation with cbd measuring 19.2 mm and bilateral intrahepatic biliary radical dilatation, with abrupt distal cbd narrowing;"
data/train/audio_05664.wav,"c7-t1: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. disc spaces ap canal diameter (mm) status c2 - c3 9.8 patent c3 - c4 9 patent c4 - c5 9 patent c5 - c6 9.1 patent c6 - c7 10.8 patent c7 - t1 10 patent cervical spinal cord appears distorted in outline at c5-c6 level with mild t2 hyperintensity at this level. posterior osseous structures and soft tissue structures are normal."
data/train/audio_03125.wav,both middle and inferior turbinate hypertrophy is seen. severe nasal septum deviation is noted towards right side.
data/train/audio_01944.wav,"the extra-abdominal and paraspinal soft tissues are normal. lung bases are clear. no basal pleural effusion. impression chronic liver parenchymal changes left adnexal cyst- likely ovarian origin. adv ca 125 correlation umbilical hernia suggested : clinical correlation and further evaluation, if clinically indicated."
data/train/audio_03959.wav,"additional vascular stents are noted in bilateral distal superficial femoral artery regions. another stent is noted in the distal left posterior tibial artery. no significant contrast opacification is noted in bilateral superficial femoral arteries, suggestive of occlusion/severe flow limitation."
data/train/audio_02475.wav,"mild marrow edema involving the scaphoid bone, likely representing post-traumatic bone contusion/reactive edema. partial tear of the ulnar collateral ligament. grade i intrasubstance signal changes involving the remaining tfcc without definite tear."
data/train/audio_03743.wav,alignment maintained. no acute osseous abnormality. soft tissues: no focal soft tissue collection identified on ct. impression: no evidence of acute fracture of the right wrist. sclerotic area within the capitate bone.
data/train/audio_02049.wav,old non-united fracture in intertrochanteric region of left femur with periosteal reaction. adjacent myositis ossificans noted. post orthopaedic screw removal status in head and neck of left femur. old healed fracture in left inferior pubic ramus.
data/train/audio_02451.wav,mild cardiomegaly with minimal pericardial effusion. suggested 2d echo and pulmonary 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/train/audio_02831.wav,no evidence of fluid collection noted in pleural cavity on either side. no evidence of pleural nodule or mass lesion noted. central line noted in situ. comments: active infective aetiology in form of with area of consolidation in right lower lobe as mentioned.
data/train/audio_00606.wav,"comminuted displaced fracture noted involving the right temporo-parietal bones, involving the greater wing of sphenoid and lateral wall of sphenoid sinus with resultant sphenoid haemosinus. mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-parietal and periventricular white matter. suggested clinical correlation."
data/train/audio_01295.wav,"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. kidneys: both kidneys are normal in size, position, shape and cortical outline. no evidence of calculus or hydronephrosis."
data/train/audio_04478.wav,"mild displaced comminuted fracture noted in head and anatomical neck of humerus. mild joint effusion noted. mild soft tissue swelling noted at shoulder joint. no evidence of any lytic or sclerotic lesion is seen. glenoid fossa appears normal. body of scapula, acromion process and coracoid process of scapula appear normal."
data/train/audio_02357.wav,x-ray both foot views both foot - ap view bones no fracture or dislocation is present. no focal lytic or sclerotic lesion is seen. visualized bones show normal mineralization.
data/train/audio_03812.wav,"other findings: no definite large abscess cavity with well-formed wall is confidently identified, though evaluation is limited. : suboptimal study due to metallic susceptibility artefact from intramedullary nail fixation."
data/train/audio_02092.wav,loss of lumbar lordosis. marginal osteophytes at multiple lumbar levels. mild retrolisthesis of l4 over l5. reduction of disc space at l4-l5 and l5-s1 levels with vacuum phenomenon. mild anterior wedge compression from d12-l5 vertebral bodies. narrowing of bony foramina at l4-l5 and l5-s1 levels.
data/train/audio_03765.wav,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. vii and viii nerve complex appear normal. bilateral mastoid air cells are normal.
data/train/audio_02081.wav,lower chest (visualized lung bases): calcified nodule noted in the lower lobe. musculoskeletal / bones: degenerative changes noted in the lumbar spine. no acute osseous abnormality. impression: streak of fluid in the pelvis.
data/train/audio_03778.wav,linear undisplaced fracture noted in left occipital bone. differential diagnosis na recommendation suggested clinical correlation. keyimages
data/train/audio_01903.wav,x-ray chest pa view findings : v. subtle cortical indentation is seen in left 6th & 7th ribs. v. subtle opaque shadow is seen in right lower zone.
data/train/audio_01173.wav,: no obvious neuroparenchymal abnormality noted. mucosal thickening noted in all the paranasal sinuses suggestive of sinusitis.
data/train/audio_04077.wav,"b/l nephrolithiasis right small kidney with grade iv hdn? pujo. hepatic calcification? granulomatous. suggested : clinical correlation and further evaluation, if clinically indicated."
data/train/audio_01973.wav,"the bones show normal signal intensity. no significant fat infiltration noted in rotator cuff muscles - goutallier classification stage 0. : findings suggestive of a slap iia tear - superior labral tear of the labrum of the superior glenoid rim without a biceps tendon tear, located at the 11-to 3-o'clock position"
data/train/audio_05263.wav,"achilles tendon appears normal in thickness, contour, and signal intensity, with no evidence of tendinosis or tear. plantar fascia shows mild thickening at the calcaneal attachment site, measuring approximately 5 mm, without significant surrounding edema - suggestive of early plantar fasciitis. subtalar joint appears unremarkable."
data/train/audio_00647.wav,mild ascites noted. basal atelectasis noted in bilateral lower lobes. minimal pleural effusion on left side. : above findings are suggestive of changes of acute interstitial oedematous pancreatitis (
data/train/audio_05135.wav,no obvious acute infarct or hemorrhage. few t2w and flair hyperintensities in bilateral frontal white matter suggestive of unidentified bright objects. no other significant intracranial abnormality is detected. normal mr angiogram. 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/train/audio_02001.wav,"impression mild diffuse fatty degeneration involving musculature of the left thigh without significant muscle atrophy. mild degenerative changes involving the left hip joint. small focal chronic cystic/degenerative signal alteration in the proximal femoral neck/intertrochanteric region, likely representing benign chronic degenerative change or nutrient vascular channel."
data/train/audio_01193.wav,"the glenoid labrum appears normal, with no evidence of tear or detachment. the acromion demonstrates a normal configuration. mild degenerative changes are noted in the acromioclavicular joint, suggestive of mild acromioclavicular joint arthrosis. there is no evidence of subacromial or subdeltoid bursitis."
data/train/audio_03071.wav,"findings: multiple calcified granulomas noted involving left cerebellar hemisphere bilateral fronto-parietal lobes, left occipital lobe and left perisylvian region, largest measuring approximately 3.5 mm in right parietal lobe. no obvious enhancement or adjacent gliosis or edema. rest of the brain parenchyma is normal in attenuation and enhancement. basal ganglia and thalami are normal."
data/train/audio_02937.wav,"there is loss of fat plane between the pelvic collection and the prostatic wall, raising the possibility of prostatitis or inflammatory involvement. right seminal vesicle appears mildly bulky. left seminal vesicle appears normal. bowel the intraperitoneal collection shows loss of fat plane with the lateral wall of the sigmoid colon,"
data/train/audio_02404.wav,impression: pyloric wall thickening (~9 mm) likely inflammatory (gastritis/pyloritis). recommend clinical correlation and upper gi endoscopy if symptoms persist (to rule out peptic ulcer disease or neoplastic etiology).
data/train/audio_02658.wav,"the posterior fossa shows normal cerebellum. the fourth ventricle shows normal size, shape and position. both the c.p angles are clear. the medulla, pons and midbrain show normal signals in both the sequences. the third and lateral ventricles are of normal in size, shape and position."
data/train/audio_05070.wav,it has thin peripheral t2 hypointense wall. there is no adjacent fat stranding or internal septae seen.
data/train/audio_02454.wav,no significant mediastinal adenopathy is observed. heart and major vessels: mild cardiomegaly noted. minimal pericardial effusion noted. others: mild early degenerative changes involving the visualised spine in the form of marginal osteophytes. sternum and ribs appear normal.
data/train/audio_05426.wav,joints joint spaces are normal. no signs of osteoarthritis is appreciated. soft tissue soft tissues are normal plantar calcaneal spur noted - possibility of plantar fasciitis to be ruled out for clinical correlation. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_05452.wav,"tendons: mild t2 and pdfs hyperintense signal intensity noted involving the supraspinatus tendon suggestive of tendinosis. mild t2 and pdfs hyperintense signal intensity noted involving the subscapularis tendon suggestive of tendinosis. infraspinatus, teres minor, teres major tendons appear intact"
data/train/audio_00741.wav,impression: mild cardiomegaly. minimally displaced fracture of posterior aspect of left ninth rib. suggested clinical correlation.
data/train/audio_04895.wav,no significant intracranial abnormality detected. 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/train/audio_02355.wav,"on-track hill-sachs lesion. minimally displaced fracture involving anteroinferior glenoid with associated labral fraying, likely representing bony bankart type injury. anterosuperior glenoid labral tear (2-4 o'clock position). partial thickness tear of humeral"
data/train/audio_01924.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. pancreas appears normal in attenuation and enhancement pattern."
data/train/audio_00561.wav,sized multiseptated baker's cyst noted. moderate knee joint and suprapatellar bursal effusion is noted. t2w and stir hyperintensities are seen in the adjacent soft tissues s/o edema. : mild to moderate osteoarthritic changes involving the knee joint as mentioned above.
data/train/audio_00295.wav,"uterus appears retroverted, measuring approximately 8.8 x 5.6 x 3 cm. myometrium appears normal. endometrial thickness measures ~2.5 cm (thickened). no intrauterine gestational sac identified. cervix:"
data/train/audio_04433.wav,: lung fields appear clear. the cardiac shadow is within normal limits of size and shape. unfolding of arch of aorta and aortic knuckle calcifications. both domes of diaphragm are normal in shape and outline. both cardiophrenic and costophrenic angles are clear. tracheal lucency is central.
data/train/audio_03998.wav,lungs: lungs appear normal in volume and attenuation. the peripheral as well as the peribronchovascular interstitium shows no thickening or nodularity. no ground glass opacification seen. the pleuro-parenchymal interfaces are smooth. no evidence of air trapping seen.
data/train/audio_02595.wav,"scapholunate dissociation with widened interval and increased scapholunate angle, consistent with disi deformity (carpal instability pattern). degenerative (post-traumatic osteoarthritic) changes involving: intercarpal joints"
data/train/audio_05639.wav,"fourth ventricle is normal in size and midline in position. major intracranial dural venous sinuses are showing normal outline and flow void. sella, supra-sellar and para-sellar structures are normally visualized. incidental findings polypoidal mucoperiosteal thickening is seen in left maxillary sinus."
data/train/audio_04372.wav,midline shift of 4-5 mm towards right. craniofacial fractures as mentioned above. subgaleal hematoma over bilateral high fronto-parietal regions. suggested clinical correlation and dedicated ct face imaging. 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/train/audio_02692.wav,: mild 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. nasal septum is in midline.
data/train/audio_00658.wav,body and alveolar process of maxilla appear normal in configuration. both nasal and zygomatic processes of maxilla appear normal. maxillary antrumappears normal in attenuation bilaterally with preserved bony walls. sinuses: mild mucosal thickening is seen in both sphenoid and maxillary sinuses.
data/train/audio_02774.wav,there is a well-defined heterogeneously enhancing lesion measuring approximately 4.3 x 3.7 cm noted abutting the lateral limb of the left adrenal gland. the lesion shows internal hyperdense areas suggestive of haemorrhagic components with central non-enhancing areas.
data/train/audio_05512.wav,changes of liver parenchymal disease with suspicious hypodense focus in left lobe of liver. advice: triple phase ct / mri liver to rule out dysplastic/neoplastic nodule. mild splenomegaly with dilated portal vein. no evidence of ascites. loaded colon.
data/train/audio_03847.wav,"there is associated surrounding perilesional oedema causing mild local mass effect without significant midline shift. t2/flair hyperintense signal changes are noted in the right temporal lobe without significant post-contrast enhancement, likely representing post-treatment gliotic or inflammatory changes."
data/train/audio_00613.wav,degenerative changes involving the visualised spine in the form of marginal osteophytes. rest of the visualized bones are unremarkable. impression: 1. multiple areas of smooth interlobular septal thickening and ground-glass attenuation involving bilateral lower lobes. 2. left sided mild right sided minimal pleural effusion.
data/train/audio_01265.wav,"posterior elements : ligamentum flavum: normal. facetal joint: normal. lumbar canal diameters at disc levels are as follows: l1-2 14.0 mm. l2-3 13.5 mm. l3-4 13.8 mm. l4-5 11.0 mm. l5-s1 4.0 mm. para-spinal structures: muscles: normal. kidneys: normal. lower cord, cauda-equina: cord ends at l1 level."
data/train/audio_01181.wav,no focal lesion or swelling noted. orbits and paranasal sinuses: visualized bony orbits appear normal. visualized intraorbital contents show no obvious abnormality visualized eye globes and lens show normal signal intensity. mucosal thickening noted in all the paranasal sinuses.
data/train/audio_00126.wav,"findings - uterus is slightly bulky. it measures 7.4 cm in long axis dimension, 4.4 cm in antero-posterior and lesion. exam junctional zone is normal in thickness."
data/train/audio_03744.wav,midcarpal joint: joint congruity maintained. carpal bones: sclerotic area noted within the capitate bone. metacarpal bases: no acute fracture identified at the visualized bases. ulnar styloid: no acute fracture. distal radioulnar joint (druj):
data/train/audio_04309.wav,"likely ""hypertensive"" haemorrhage. age-related cerebral atrophy and chronic small vessel ischemic changes please correlate clinically and with other investigations."
data/train/audio_00817.wav,"broad based posterior protrusion of l5-s1 disc, causing mild narrowing of central canal. 5. there is mild to moderate atrophy of the posterior paraspinal muscles seen in lower lumbar region 6. mild to moderate subcutaneous edema is seen in the lumbar region, posteriorly. 7. incidental note is made of left kidney appears smaller in size."
data/train/audio_00823.wav,further being compounded by mild ligamentum flavum hypertrophy. l4-l5- diffuse annular disc bulge with posterior central and bilateral paracentral disc protrusions causing mild to moderate thecal and moderate bilateral lateral recess/foraminal nerve root compressions. further being compounded by ligamentum flavum hypertrophy.
data/train/audio_02720.wav,interval increase in size of right iliac bone and right thigh soft tissue lesions suggests disease progression in musculoskeletal components. overall imaging features - keeping with stable to mildly progressive disease burden with heterogeneous (mixed) treatment response.
data/train/audio_04115.wav,"x-ray right mastoid: right mastoid shows loss of pneumatization with sclerosis, possibility of chronic sclerosing mastoiditis. sinus and dural plates appear normal on right side."
data/train/audio_00304.wav,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)
data/train/audio_04058.wav,"gall bladder: not visualized ? contracted. spleen: measures 8.8 cm, appears normal in size & echogenicity. no focal lesion seen. pancreas: normal in size and echotexture. no focal diffuse lesion seen."
data/train/audio_01247.wav,"the bilateral peripheral zones appear diffusely t2 hypointense with areas of marked diffusion restriction and dynamic contrast enhancement, consistent with malignant infiltration. dominant lesion: located in the left peripheral zone, extending into the transitional zone. shows marked diffusion restriction and early contrast enhancement."
data/train/audio_03163.wav,"the fluid collection appears to have ended in blind pouch. the ovaries are well identified, bilaterally. right ovary measures 2.2 x 1.9 cm. right adnexa shows t2 hypo t1 hyperintense cyst measuring about 2.6 x 3.1 cm. this is suggestive of hemorrhagic cyst."
data/train/audio_03124.wav,"the lamina papyracea on either side is normal. both middle turbinates exhibit normal curvature. both middle and inferior turbinate hypertrophy is seen. severe ""s"" shaped nasal septum deviation is noted towards right side. no bony erosion / destruction are seen."
data/train/audio_05466.wav,no significant diffusion restriction or focal early dynamic contrast enhancement is seen. possibility of pi-rads 3 lesion. no evidence of extracapsular extension seen. no evidence of seminal vesicle invasion. bilateral seminal vesicles appear normal.
data/train/audio_02607.wav,"the vascular structures appear normal. spinal canal measurements are within normal limits. sagittal t2 weighted screening of dorsal spine reveals mild changes of spondylolysis are seen. hemangioma is seen involving the l4 vertebral body. : 1. desiccated and reveals broad based posterior herniation of l4-5 disc, with inferior migration and annular tear,"
data/train/audio_00358.wav,2. bone contusions in distal humerus and radial head/neck 3. moderate elbow joint effusion 4. edema in brachioradialis and anconeus muscles 5. mild strain of common flexor tendon 6. diffuse soft tissue edema limitations:
data/train/audio_03366.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/train/audio_01914.wav,findings: cruciate ligaments: increased t2 and pdfs signal intensity involving the anterior cruciate ligament suggestive of sprain. 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: partial tear involving the lateral collateral ligament.
data/train/audio_05103.wav,"no e/o any thickening or sclerosis or lytic lesion is noted. bilateral orbits do not show any significant abnormality on ct scan study. soft tissue density noted at roof of nasopharynx indenting over naso-pharyngeal air passage, suggestive of mild enlarged adenoids. thickness of soft tissue column is 1.3 cm from base of skull."
data/train/audio_01957.wav,"normal caliber cbd with no choledocholithiasis. harishkiran. n. elukoti mbbs,md radio daignosis - 87094. 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/train/audio_02637.wav,"likely inflammatory/benign (possibly- mucosal polyp/granulation) - suggested scopy and further evaluation. bilateral tonsilloliths, largest on the right side (~5 mm), which may correlate with symptoms of dysphagia and pain."
data/train/audio_05158.wav,no intra axial / extra axial collection is seen. no midline shift is seen. sella and parasellar structures appear grossly unremarkable. rest of the visualized paranasal sinuses are unremarkable. rest of the skull bones appear normal. diffuse soft tissue swelling over anterior facial region.
data/train/audio_04452.wav,"located within the right lateral myometrial wall of the uterus, adjacent to the uterine cavity. the lesion demonstrates signal characteristics suggestive of blood products within a cavitating structure. the lesion appears surrounded by myometrial tissue and does not communicate with the endometrial cavity. the surrounding myometrium appears preserved without significant"
data/train/audio_04834.wav,c3-c4: posterocentral disc protrusion indenting the thecal sac and causing mild impression over the ventral aspect of the spinal cord. no cord signal abnormality. c4-c5: diffuse disc bulge causing mild thecal sac indentation without significant neural foraminal narrowing or nerve root compression.
data/train/audio_02724.wav,deviated nasal septum is noted with convexity towards the left side with an associated bony spur. mild hypertrophy of the right inferior and middle turbinates is seen. right concha bullosa is noted. orbits: both orbits appear normal. optic nerves and ethmoid roof: bilateral type i optic nerves are noted. both ethmoid roofs appear at the same level. bony walls:
data/train/audio_02828.wav,h.r.c.t. chest: h.r.c.t. of lungs is performed with thin high resolution sections from apex of the lung to dome of diaphragm. findings: patchy areas of consolidation noted in posterobasal segment of right lower lobe.
data/train/audio_03968.wav,eccentric calcified plaque in the proximal segment of left circumflex artery causing 50%-60% luminal compromise. few eccentric calcified plaques noted in the proximal segment of right coronary artery causing maximum of 50% luminal compromise. cadrads 4b p3.
data/train/audio_04413.wav,"no focal or diffuse area of altered signal intensity is seen. 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. incidental findings"
data/train/audio_03659.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/train/audio_01218.wav,bilateral maxillary (left more than right) sinusitis. suggested clinical correlation.
data/train/audio_04012.wav,"visualized part of hard palate, soft palate and uvula appears normal. parapharyngeal, carotid, pterygoid and buccal spaces show normal appearances. the pre-glottic, glottic and subglottic spaces of larynx appear normal. epiglottis, valleculae, ae folds, pyriform sinuses appear normal. true and false vocal cords are normal in attenuation."
data/train/audio_02446.wav,fracture with grade i compression wedging of l1 vertebral body with marrow contusion/oedema. no evidence of retropulsion of posterior cortex or spinal canal narrowing. focal kyphotic deformity noted at this level. grade ii/iii wedging of l2 vertebral body without marrow contusion/oedema.no evidence of significant retropulsion of posterior cortex or spinal canal narrowing.
data/train/audio_02318.wav,"the brain parenchyma is normal in attenuation. basal ganglia and thalami are normal. the posterior fossa structures are normal. no evidence of hemorrhage / infarct / sol. no midline shift is seen. the cortical sulci, basal cisterns and ventricular system are normal."
data/train/audio_04831.wav,"c2-c3: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing.loss of disc height is noted at c2-3 level"
data/train/audio_02189.wav,this is suggestive of soft tissue lipoma. visualized soft tissue appears normal. visualized bones and vertebrae appear normal. impression - large circumscribed fat intensity lesion in left scapular region in subcutaneous plane as described above. suggestion of soft tissue lipoma. . please correlate clinically.
data/train/audio_04160.wav,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.
data/train/audio_02785.wav,findings: well defined hypodense area of near csf attenuation is noted involving both grey and white matter of the left parietal lobe with prominence of the adjacent cortical sulci and mild ex-vaccuo dilatation of the adjacent lateral ventricle suggestive of chronic infarct.
data/train/audio_04948.wav,visualized bones appear normal in signal intensity without any focal lesion. no ascites. impression - mr scan reveals
data/train/audio_00572.wav,colonic loops are seen beneath the left dome of diaphragm. both hila are normal. cardiophrenic and costophrenic angles are normal. the trachea is central themediastinal and cardiac silhoutte are normal. bones of the thoracic cage are normal. soft tissues of the chest wall are normal. :
data/train/audio_01119.wav,"finding's s/o post-operative changes in the from of cystic encephalomalacic changes and adjacent gliosis seen in left posterior temporal lobe, parietal and occipital lobe with no enhancing lesions. no significant change in findings compared to previous scan dated 20-02-2026. ashok sharma md dnb radiology consultant radiologist reg.no.2017040928 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/train/audio_04164.wav,"lymph nodes: multiple subcentimetre-sized cervical lymph nodes seen bilaterally, largest measures ~9 mm (left) and ~7 mm (right). no radiologically significant lymphadenopathy. upper aerodigestive tract: nasopharynx, oropharynx, hypopharynx:"
data/train/audio_01185.wav,spine of scapula and coracoid reveal normal signal intensity. no evidence of marrow edema. articular cartilage is intact with smooth margins. humeral head shows no contour deformity. no fracture / dislocation is seen. neurovascular structures are unremarkable. type ii acromion noted.
data/train/audio_04516.wav,"liver shows a well-defined non-enhancing hypodense lesion in segment vii, measuring approximately 10 x 8 mm, likely simple hepatic cyst. gallbladder appears partially distended without obvious wall thickening or calculus. spleen appears normal in size and attenuation. pancreas appears normal in size and enhancement pattern."
data/train/audio_03742.wav,alignment: carpal alignment is maintained. no carpal subluxation or dislocation. distal radius: no acute fracture. cortical margins are intact. distal ulna: no acute fracture. cortical margins are intact. radiocarpal joint: joint congruity maintained. no intra-articular fracture identified.
data/train/audio_01997.wav,"mild fatty degeneration noted. no focal altered signal intensity, muscle edema, or tendon abnormality. fascial planes are maintained. posterior compartment (biceps femoris, semitendinosus, semimembranosus)"
data/train/audio_03869.wav,"at the c6c7 level, a posterior disc osteophyte complex causes mild indentation of the thecal sac without significant neural foraminal compromise or nerve root impingement. soft tissue edema in paraspinal muscles."
data/train/audio_03953.wav,"non-opacification/likely occlusion of bilateral superficial femoral arteries with non-visualisation of left popliteal artery. multiple prior vascular interventions with stents in bilateral external iliac arteries, left common femoral artery, bilateral distal femoral artery regions and left posterior tibial artery."
data/train/audio_02240.wav,"another tiny simple cortical cyst measuring approximately 4.5 mm is seen in the upper pole of the left kidney. mild right hydronephrosis with mild hydroureter is seen. no definite obstructing ureteric calculus is identified on the present study, likely representing residual dilatation following recently passed calculus. on post-contrast images, both kidneys show normal contrast"
data/train/audio_04169.wav,"thoracic inlet: lung apices: no significant abnormality detected. impression marked enlargement of the left thyroid lobe with multinodular heterogeneous appearance and calcifications. features are suggestive of multinodular goiter, however neoplastic etiology cannot be excluded."
data/train/audio_02391.wav,"consistent with chronic degenerative sacroiliac arthropathy. no active sacroiliitis, erosions, marrow edema, or ankylosis identified. musculature and soft tissues periarticular and para-articular muscles demonstrate normal bulk and signal intensity."
data/train/audio_04083.wav,l3-l4 level: grade i disc desiccation with normal disc signal is seen. no obvious disc bulge/ neural foraminal narrowing /significant nerve root compression. ligamentum flavum appears normal. bilateral facetal joints appear normal.
data/train/audio_01262.wav,curvature: loss of lumbar lordosis with straightening of spine. vertebral body: normal i.v. discs: l1-2: normal intervertebral disc signal intensity and height. no significant disc bulge or protrusion. l2-3: normal intervertebral disc signal intensity and height.
data/train/audio_00963.wav,and posterior horn of medial meniscus. minimally displaced fracture with marrow edema involving the posterior aspect of lateral tibial condyle. undisplaced fracture with marrow edema involving the lateral aspect of lateral femoral condyle. undisplaced fracture with marrow edema involving posterior aspect of lateral tibial condyle.
data/train/audio_03781.wav,obstructive calculus in the right terminal ureter (just adjacent to the right vesicoureteric junction) with resultant mild back pressure changes as mentioned. suggested clinical and 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/train/audio_00930.wav,"orbital rim and walls or orbit are normal on both sides. no radio-opaque foreign body is seen in the orbits. zygomatic bone arch are normal. temporal bone and process of temporal bone are normal. no significant abnormality seen in mastoids and external auditory canal on both sides. petrous temporal bone,"
data/train/audio_05167.wav,uterus: is not visualized . post operative status (as per history given by the patient) no free fluid is seen in the peritoneal cavity. incidental findings:- degenerative changes are seen in visualized spine. note is made of aortic valve calcification. :
data/train/audio_00764.wav,"mild cardiomegaly. prominent mediastinal and bilateral axillary lymph nodes. metallic density artifacts in left upper abdomen, correlate clinically. differentials: infective consolidation with parapneumonic effusion."
data/train/audio_04525.wav,articular margins (apart from described fracture involvement) are preserved. no evidence of joint dislocation. soft tissues: diffuse periarticular soft tissue edema noted around the knee joint. no large hematoma or soft tissue collection identified. impression
data/train/audio_00113.wav,"impression previously mentioned radiodense foreign body in the gastric pylorus region not seen in present scan. suggested : clinical correlation and further evaluation, if clinically indicated."
data/train/audio_02546.wav,"the internal architecture and hippocampal head digitations are well maintained. para hippocampal structures are normal. no evidence of periventricular heterotopia, sulcal morphologic changes, focal regions of atrophy or csf cleft, abnormal grey matter thickening or temporal lobe encephalocele."
data/train/audio_01298.wav,"there is widening of the inter-rectus distance measuring approximately 6.9 cm, suggestive of divarication of recti. a transverse bowel loop is seen in close relation to the defect, abutting the anterior abdominal wall at this site. stomach is distended with normal gastric wall thickness and enhancement."
data/train/audio_01961.wav,"no osseous destruction noted. the signal from the 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 protrusion, central canal stenosis, or neural foraminal narrowing. l2-l3: there is no evidence of disc protrusion, central canal stenosis, or neural foraminal narrowing."
data/train/audio_00237.wav,there is narrowing at the terminal portion of the common bile duct likely due to the calculus in the main pancreatic duct reaching up to the common pancreaticobiliary channel. common bile duct measures 1 cm in diameter. common hepatic duct measures 1.1 cm in diameter. gallbladder is overdistended.
data/train/audio_05139.wav,focal posterior disc protrusion at d11-d12 and inferior migration (by 6 mm) indenting anterior thecal sac without spinal canal compression. lumbosacral: t2w hyperintense hemangioma is noted in d12 vertebral body. partial disc desiccation at l4-l5 recoridng 3- with posterior disc bulge and right foraminal disc protrusion indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots (right > left) narrowing bilateral neural foramina indenting bilateral exiting nerve roots (right > left). mild facetal joint arthropathy at this level. residual spinal canal diameter at this level measures approximately 8.8 mm. :
data/train/audio_03971.wav,"cbd appears prominent, measures 7.0 mm. tiny signal void (2-3 mm) noted in distal end of cbd, possibility of small cbd calculus. common hepatic duct measures 5.6 mm."
data/train/audio_05342.wav,"sagittal t2 weighted screening of lumbar spine reveals loss of lumbar lordosis. hemangioma is seen at l2 vertebral body. mild changes of spondylosis are seen. posterior protrusions are seen at l2-3 and l4-5 discs, indenting thecal sacs. :"
data/train/audio_02360.wav,ct scan: lumbo-sacral spine burst comminuted displaced fracture of l3 vertebra with a fracture fragment displacing posteriorly and causing compression of canal and causing narrowing of bony canal. fracture is also involving right pedicle & lamina with involvement of anterior and right lateral walls of spinal canal.
data/train/audio_01074.wav,", right temporal region and left high parietal region, largest measuring 2.5 x 1.8 mm in right frontal region with mild perilesional edema -interval increased in size of the hemorrhagic contusion with increase in perilesional edema."
data/train/audio_04500.wav,"pleural surfaces: no evidence of pleural effusion present. 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. soft tissues and muscles of chest wall are normal."
data/train/audio_05629.wav,"the ivc, aorta and portal vein are within normal position and calibre. no evidence of retroperitoneal lymphadenopathy or ascites. the visible parts of the bowel loops show no obvious mass lesions or wall thickening. appendix appears normal. urinary bladder reveals normal lumen and walls. no vesical calculi, wall thickening or mass lesion. prostate appears normal."
data/train/audio_05322.wav,mr angiograms were obtained for neck and cranial vessels using 3d tof sequences: the aortic arch appears normal. the origin of great vessels from the arch appears normal and does not show any significant narrowing/stenosis. mild atherosclerotic irregularity involving bilateral common carotid arteries - no significant stenosis.
data/train/audio_04084.wav,l2-l3 level: normal disc signal is seen. no obvious disc bulge/ neural foraminal narrowing /significant nerve root compression. ligamentum flavum appears normal. bilateral facetal joints appear normal.
data/train/audio_02964.wav,"ventricular system, basal cisterns and sulci are prominent ill defined hypodensities are noted in bilateral periventricular and subcortical white matter basal ganglia and thalami are normal. no intra-axial or extra-axial collections seen."
data/train/audio_04248.wav,"annular tear at l1-l2, l2-l3 and l3-l4 levels. multilevel ligamentum flavum hypertrophy and facet joint arthropathy. rest of the changes of lumbar spondylosis as described above. suggested bmd and emg - ncs 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/train/audio_00445.wav,"c6-c7: diffuse disc bulge causing mild thecal sac indentation without significant neural foraminal narrowing or nerve root compression. c7-t1: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. spinal canal & neural elements:"
data/train/audio_03386.wav,lungs prominent broncho-vascular markings are noted bilaterally. rest of the bilateral lungs fields are clear. 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/train/audio_03785.wav,: the right kidney measures 9.4 x 5.7 cms. a 3.8 x 2.3 mm sized hyperdense (hu 600) obstructive calculus noted in the right terminal ureter (just adjacent to the right vesicoureteric junction) with resultant back pressure changes in the form of entire hydroureter and mild hydronephrosis. mild perinephric and periureteric fat stranding noted.
data/train/audio_04445.wav,": defect in the left cribriform plate (4 x 3 mm) with csf communication and mild herniation of brain parenchyma - consistent with csf leak with small meningoencephalocele. csf signal tracking into left ethmoid, maxillary, and bilateral sphenoid sinuses -"
data/train/audio_00010.wav,x-ray chest views:pa view of chest lungs prominence of bronchovascular markings predominantly in central distribution with bilateral hilar prominence. airways trachea is central. tracheo-bronchial tree is normal.
data/train/audio_04216.wav,mri left foot technique: multiplanar multisequence mri of the left foot and ankle region was performed. observation: high-grade partial thickness tear noted involving the fibres of the anterior talofibular ligament (atfl) with surrounding oedema changes.
data/train/audio_00950.wav,1. ectopic thyroid / thyroid rest tissue 2. paraganglioma 3. neurogenic tumor (schwannoma / neurofibroma) recommendations: consider fnac/biopsy
data/train/audio_02649.wav,mri fistulogram clinical details evaluation of perianal fistula. technique mri fistulogram of the perianal region performed with multiplanar multisequence imaging including t1-weighted and fluid-sensitive (stir/t2 fat-suppressed) sequences.
data/train/audio_02068.wav,mild cardiomegaly. no other abnormality detected recommendation suggested clinical correlation.
data/train/audio_00722.wav,"multiple well-defined flair/t2 hyperintensities are seen in bilateral periventricular regions -- s/o chronic small vessel ischemic changes. ventricular system, basal cisterns and sulci are prominent - diffuse cerebral atrophy."
data/train/audio_03726.wav,a 4.1 x 3.1 x 3.8 mm sized hyperdense (hu 800) obstructive calculus noted in the right terminal ureter (2.5 mm from the right vesicoureteric junction) with resultant back pressure changes in the form of mild to moderate hydronephrosis and hydroureter.
data/train/audio_00301.wav,small parametrial loculated fluid collection. few reactive pelvic lymph nodes. final mri #enzian score
data/train/audio_04507.wav,"no intraluminal filling defects present.no dilated bronchi seen. both hilar regions appear normal. mediastinum: thoracic oesophagus and other mediastinal structures appears normal few subcentmetric mediastinal lymph nodes are seen heart and major vessels: heart size is enlarged. others: visualized vertebrae, sternum and ribs appear normal."
data/train/audio_02362.wav,undisplaced fracture of right postero-lateral aspect of l2 vertebra. fracture of bilateral transverse process of l4 vertebra. undisplaced fracture of left ala of sacrum involving the articular margin of left sacroiliac joint. fracture of bilateral posterior 12th & 11th ribs. adv: hrct thorax
data/train/audio_04059.wav,"kidneys: right kidney measures 11.5 x 4.7 cm left kidney measures 10.3 x 5.9 cm both kidneys appear normal in size, shape & echotexture. no hydronephrosis or hydroureter is noted. the corticomedullary differentiation is maintained. free fluid: no evidence of free uid."
data/train/audio_05268.wav,clinical profile: screening. composition: the bilateral breast tissue composition is fibro-fatty (acr-d). findings: right:
data/train/audio_02702.wav,"nasal bone and bony nasal septum is in midline and appear normal. vomer appears normal. both orbital walls appear normal in configuration with intact globes. mandible: body, angle and symphysismenti of mandible appear normal. alveolar process appear unremarkable."
data/train/audio_01318.wav,"diffuse disc bulges at l3-l4 and l4-l5 causing bilateral lateral recess narrowing and nerve root abutment. bilateral facetal arthropathy and ligamentum flavum hypertrophy at l4-l5 and l5-s1. loss of normal cervical lordosis, likely secondary to muscle spasm and degenerative changes."
data/train/audio_00857.wav,"multiple perigastric and retroperitoneal nodes, the largest measures 21 mm, lymphadenopathy detected. right mild hydrocele. polypoidal gastric lesion with multiple hepatic hypoenhancing lesions and multiple perilesional nodes? mitotic with hepatic metastasis."
data/train/audio_02631.wav,"oropharynx appears normal. valleculae and pyriform fossae are well defined with no focal lesion. larynx and infraglottic region appear normal. visualised upper oesophagus appears unremarkable. bilateral tonsillar regions show hyperdense foci consistent with tonsilloliths, largest measuring approximately 5 mm on the right side."
data/train/audio_02731.wav,2# gall bladder: contracted. cbd: normal.
data/train/audio_05205.wav,"the perioptic spaces demonstrate csf signal characteristics with facilitated diffusion (high adc values). the optic chiasma appears mildly prominent, without a focal mass lesion or abnormal signal intensity. no definite intrinsic focal lesion or abnormal enhancement within the optic nerves or chiasma"
data/train/audio_02851.wav,no obvious size significant mediastinal adenopathy is observed. heart and major vessels: heart outline and size appears normal. atherosclerotic changes involving the visualised aorta and its branches in the form of wall calcifications. coronary artery calcifications and valvular calcifications also noted.
data/train/audio_03851.wav,"the intracranial vessels display normal flow void. the paranasal sinuses, orbits and calvarium appear unremarkable. impressions - mr scan reveals: temporal evoluation of acute infarct seen in right mca territory with hemorrhagic transformation."
data/train/audio_00748.wav,mild ligamentum flavum hypertrophy noted. at l2-l3 level: minimal posterior disc bulge abutting thecal sac without any nerve root compression. mild ligamentum flavum hypertrophy noted. at l3-l4 level:
data/train/audio_04866.wav,vacuum disc phenomenon at l5-s1. mild bilateral facet arthropathy at l4-l5 and l5-s1. soft tissues visualized pelvic soft tissues are unremarkable. no focal collection or significant soft tissue hematoma identified.
data/train/audio_05072.wav,cardiac size is mildly enlarged suggestive of mild cardiomegaly. a well defined t2 hyperintense cystic lesion is seen in the left side of anterior mediastinum predominantly in the upper half.
data/train/audio_05677.wav,"the visualized neurovascular bundles appear unremarkable. no definite fascial collection is seen. impression suboptimal study due to non-availability of axial fat-suppressed sequences, which limits detailed assessment of muscle edema and subtle muscle injury. diffuse edema involving the rectus femoris muscle extending"
data/train/audio_05180.wav,"lumbar spinal curvature is maintained. rest of the vertebral bodies are showing normal height, alignment, curvature and marrow signal intensity pattern. rest of the intervertebral discs and neural foramina are showing normal mr morphology and signal intensity pattern."
data/train/audio_04252.wav,"at l2-l3 level: disc desiccation. mild posterior disc bulge indenting thecal sac and traversing nerve roots. small annular tear, mild ligamentum flavum hypertrophy and facetal arthropathy noted. at l3-l4 level: disc desiccation. mild posterior disc bulge indenting thecal sac and abutting traversing nerve root. small annular tear, mild ligamentum flavum hypertrophy and facet joint arthropathy noted."
data/train/audio_03855.wav,the bones show normal signal intensity. no significant fat infiltration noted in rotator cuff muscles - goutallier classification stage 0. supraspinatus tendinosis with low-grade partial thickness tear involving less than 25% fibres noted in articular surface of supraspinatus footprint.
data/train/audio_05032.wav,: mild to moderate right sided hydronephrosis with proximal hydroureter is seen - ? mid/distal ureteric obstruction.- needs ct kub correlation. bilateral renal non-obstructive calculi.
data/train/audio_05469.wav,"findings: prostate gland appears enlarged measuring approximately 4.5 x 4.9 x 5.1 cm with estimated prostatic volume of approximately 58 cc. there is evidence of diffuse nodular enlargement involving bilateral transition zones with multiple well-defined t2 hyperintense nodules noted scattered within the transition zone, likely related to benign prostatic hyperplasia."
data/train/audio_02208.wav,increased cardiothoracic ratio. recommendation suggested clinical correlation.
data/train/audio_00170.wav,undisplaced fracture involving the dorsal cortex of distal end of radius near the distress tubercle. mild wrist joint effusion and soft tissue oedema noted.
data/train/audio_04713.wav,"l3-4 disc is desiccated and reveals broad based posterior herniation. it indents the thecal sac, both l4 nerve roots and causes moderate narrowing of central canal. moderate facetal arthropathy and ligamentum flavum thickening are detected at this level, adding to spinal canal stenosis."
data/train/audio_05482.wav,vishnu shinde ct study abdomen and pelvis with iv contrast ct abdomen and pelvis has been performed using multislice ct scanner after administration of iv contrast. findings - liver is enlarged in size and measures 17.7 cm in long axis dimension.
data/train/audio_00749.wav,posterior disc bulge abutting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots. mild ligamentum flavum hypertrophy noted. at l4-l5 level: posterior disc bulge abutting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots. mild ligamentum flavum hypertrophy noted.
data/train/audio_00212.wav,the external auditory canal and mastoid air cells are normal. the carotid canal and jugular foramen are normal. the temporomandibular joint is normal. deviated nasal septum to the right. bilateral mild ethmoid sinusitis.
data/train/audio_02052.wav,mri cervical spine screening c5-6 and c6-7 disc: disc osteophyte complex is noted causing mild indentation over anterior thecal sac without significant narrowing of bilateral neural foramina. rest of the cervical intervertebral discs appear normal.
data/train/audio_05285.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/train/audio_00659.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. miscellaneous:"
data/train/audio_04046.wav,the corticomedullary differentiation is maintained. urinary bladder: well distended and shows normal wall thickness. there is no evidence of calculus or mass.
data/train/audio_04424.wav,focal area of consolidation with air bronchogram noted in right upper lobe anterior segment. thick walled cavity noted in right upper lobe posterior segment measuring approximately 2.8 x 3.3 cm. the cavity has maximum wall thickness of 10mm.
data/train/audio_04100.wav,rest of the cerebral hemispheres appear normal in architecture and attenuation. grey white matter differentiation is maintained. no evidence of focal parenchymal lesion. cavum septum pellucidum and cavum vergae noted. no shift of midline structures seen.
data/train/audio_02231.wav,"few subcentimetre sized and mildly enlarged lymph nodes noted in mediastinum. multiple well defined rounded pleural based and parenchymal soft tissue density lesions of varying sizes are noted in bilateral lung fields, average size about 5 to 10 mm. mild pleural effusion noted on left side with underlying atelectasis. maximum width of dependant fluid column measures 2.4 cm."
data/train/audio_03298.wav,both ureters are normal in course and caliber. urinary bladder is distended and reveal normal walls. no obvious calculus or mass lesion. prostate and seminal vesicles are normal. small bowel loops appear normal. large bowel loops are distended with faecal matter and contrast material and otherwise appears unremarkable. no e/o free fluid in abdomen and pelvis.
data/train/audio_02492.wav,"there is a comminuted fracture of the radial head with mild displacement, extending into the radiocapitellar articular surface. articular involvement is present. a mildly displaced fracture of the coronoid process of the ulna is noted. the distal humerus appears intact with preserved cortical continuity. no additional fractures identified."
data/train/audio_03840.wav,another nodular similar morphology lesion in the pelvis. both ovaries and uterus are not seen separately from above lesions. abdominal lymphadenopathy as mentioned. multiple soft tissue density nodules in the visualised left lower lung parenchyma. mild ascites. mild hepatomegaly. generalised anasarca.
data/train/audio_01019.wav,the joint spaces appear normal with intact articular surfaces. para-articular fat planes are maintained. soft tissue swelling is noted around the wrist. comminuted displaced fracture of distal end of radius reaching upto articular surface.
data/train/audio_02365.wav,reduced disc space c5-6 with disc dessicative changes the normal vertebral alignment is maintained. the vertebrae show normal marrow signal with no focal lesions. the cervical intervertebral discs appear normal. no significant bulge noted.
data/train/audio_05194.wav,bilateral mild ethmoid sinusitis. rest of the visualized paranasal sinuses are normal. impression: no significant intracranial abnormality seen. bilateral mild ethmoid 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/train/audio_05528.wav,no renal calculi or hydronephrosis is identified. bowel and mesentery: visualized bowel loops appear unremarkable. peritoneal cavity: mild ascites is noted in the pelvis. major vessels: visualized abdominal aorta and major vessels appear unremarkable. visualized bones: no obvious abnormality detected. impression
data/train/audio_00489.wav,: well defined t2 and stir hyperintense tract noted arising from the anal canal posteriorly piercing the internal anal sphincter at 7 o'clock position coursing posteriorly and inferiorly. it is reaching in the right ischioanal fat pad and opening in the right intergluteal cleft.
data/train/audio_05626.wav,"likely sequelae of prior infective/inflammatory process. no other definitive abnormality identified on the visualized images, within the limitations of the study. repeat ct chest with thin section acquisition and proper breath-hold may be considered if clinically indicated."
data/train/audio_01166.wav,the visualized lower conus and cord appears normal. at l1-l2 level: mild posterior disc bulge abutting thecal sac without any nerve root compression. mild ligamentum flavum hypertrophy and facetal joint arthropathy are noted at this level. at l2-l3 level:
data/train/audio_02177.wav,evidence of ~11.2x8.6mm well defined lesion in the right cerebellum abutting the 4th ventricle showing signal drop on gre and hypointense signal on t2/flair without perilesional edema and without any post contrast enhancement.
data/train/audio_01221.wav,the tendons of the flexor and extensor compartment appear normal. there is no evidence of tenosynovitis. the contents of the carpal tunnel appear normal. the median nerve shows normal signal intensities and contour.
data/train/audio_01842.wav,(severe stenosis). rca is dominant artery. proximal and mid rca: eccentric mixed plaque causing 20%-30% luminal narrowing (mild stenosis). distal rca: multiple significant stenoses -
data/train/audio_04462.wav,"findings: gall bladder is distended and appears normal in outline. few signal voids are noted in gallbladder, average size about 3-6 mm. gallbladder wall appears normal no evidence of pericholecystic collection or obvious fat stranding."
data/train/audio_00941.wav,left 3-7th rib shafts mildly displaced fractures noted. few patchy ground glass opacities noted in the left lung lower lobe basal segments and upper lobe apical and posterior segments suggestive of lung contusions. left minimal pleural effusion suggestive of haemothorax. left mild pneumothorax.
data/train/audio_05147.wav,bulky uterus with heterogeneous enhancement. needs further evaluation with pelvic usg to rule out adenomyosis. multiple tortuous vessels in bilateral adnexa with mild free fluid in the pouch of douglas likely suggestive of pelvic congestion. small omental umbilical hernia. 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/train/audio_04839.wav,"delayed excretion of contrast is noted on the left side. the left ureter is faintly visualized, with no distal calculus identified. the urinary bladder appears normal in outline and shows uniform contrast filling. no filling defects are seen. no abnormal calcifications are seen along the course of the ureters on either side apart from the described left renal calculus."
data/train/audio_01913.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. patella appears normal in position. joints: no evidence of osteoarthritic changes. tibiofemoral and patello-femoral joints appear normal with intact articular cartilage. no obvious intraarticular loose bodies are seen."
data/train/audio_00584.wav,left sided nasal septum deviation. bilateral maxillary sinusitis. right concha bullosa. recommendation suggested clinical correlation.
data/train/audio_03720.wav,: 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 suggestive of mesenteric laceration. mild free fluid noted in the abdomen suggestive of haemoperitoneum.
data/train/audio_02317.wav,at c3-c4 level: no significant disc bulge. at c4-c5 level: mild posterior disc bulge abutting the anterior thecal sac without any spinal canal compromise. at c5-c6 level: mild posterior disc bulge abutting the anterior thecal sac without any spinal canal compromise. at c6-c7 level: no significant disc bulge.
data/train/audio_02361.wav,: an alleged case of trauma ct lumbo-scaral spine reveals as described above. please correlate clinically.
data/train/audio_01897.wav,no significant abnormality seen. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_00268.wav,". pivd is seen at c4-5, c5-6 & c6-7 levels. lumbar spondylosis with degenerative disc disease and narrowing of neural foramina & lateral recess as described above. please correlate clinically."
data/train/audio_02386.wav,"femoral heads and proximal femora femoral heads are normal in contour and alignment. no evidence of avascular necrosis, marrow edema, fracture, or focal marrow replacing lesion. femoral necks and visualized proximal femoral shafts demonstrate preserved marrow signal and intact cortical margins."
data/train/audio_03850.wav,"acute infarct in right middle cerebral artery territory involving right ganglio-capsular region, right parietotemporal cortical bar subcortical region, right centrum semiovale and right corona radiata shows temporal evolution . few hypointensities are seen within right ganglio-capsular region on gre images, suggesting hemorrhagic transformation of infarct."
data/train/audio_04850.wav,"rectum appears normal in the scan. the peri-rectal fat planes are intact. uterus and adnexa: uterus and ovaries are normal in shape, size and enhancement pattern. no focal or solid cystic lesion seen. no adnexal mass is seen. 1.6 x 1.2 cm df noted in right ovary."
data/train/audio_00022.wav,few prominent reactive intra-abdominal lymph nodes are seen. no ascites.
data/train/audio_01283.wav,"displaced fractures involving both transverse processes of l1 vertebra, right transverse process of l2 vertebra, both transverse process of l3 vertebra and both transverse process of l4 vertebra. needs further evaluation with mri if clinically indicated"
data/train/audio_00615.wav,fibroatelectatic collapse noted involving the lateral segment of right middle lobe. these are suggestive of sequelae of old infective etiology. rest of the lung parenchyma is normal in attenuation. mild cardiomegaly noted. atherosclerotic changes involving the visualised aorta and its branches in the form of wall calcification.
data/train/audio_04522.wav,"bones & articular surfaces: comminuted avulsion fracture involving the posterior aspect of the tibial plateau, with multiple small fracture fragments noted. undisplaced fracture involving the posterior margin of the medial tibial condyle, extending into the articular surface."
data/train/audio_01965.wav,"mild bulge of c3-c4 & c6-7 discs. no significant nerve root compression. left paracentral bulge of c5-c6 disc, causing abutment over left exiting c6 nerve root. no focal abnormal signal in the spinal cord. patel dax rajeshbhai md,mbbs. consultant radiologist reg.no-g-62286 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/train/audio_01287.wav,uterus appears relatively bulky. cervix also appears bulky. no obvious focal pelvic lesion identified. lymph nodes: no significant abdominal or retroperitoneal lymphadenopathy. peritoneal cavity: no free fluid or free air seen. visualized lung bases:
data/train/audio_00666.wav,minimal subarachnoid hemorrhage involving the cortical sulci of right frontal lobe. mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-parietal and periventricular white matter. no obvious fracture. subgaleal soft tissue hematoma in left frontal region. suggested clinical correlation.
data/train/audio_02168.wav,mild pdfs hyperintensity in tibial insertion of acl.? mild sprain. please correlate clinically
data/train/audio_05604.wav,lateral collateral ligament appears normal. no evidence of laxity or tear. medial patello-femoral ligament appears intact. no evidence of laxity or tear. medial and lateral patellar retinaculum appear intact. no evidence of laxity or tear. meniscus:
data/train/audio_00813.wav,"sagittal t2 weighted screening of thoracic spine reveals mild spondylolytic changes. : post-operative changes are detected in the form of posterior stabilization with metallic implants from l4 to s1 levels. susceptibility artefacts are arising from these implants, partially obscuring the field of vision, limiting optimal evaluation."
data/train/audio_00494.wav,st james's mr imaging classification of perianal fistulas type i/ii. suggested clinical correlation.
data/train/audio_04659.wav,colon is predominantly faecal loaded and is unremarkable. left ovarian follicular cyst. mild retrolisthesis of l5 over s1. 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/train/audio_02502.wav,"thecal sac narrowing bilateral neural foramina abutting bilateral exiting nerve roots. mild ligamentum flavum hypertrophy and facet joint arthropathy noted. disc level canal diameter (mm) l1-l2 8.9 l2-l3 9.0 l3-l4 9.6 l4-l5 7.6 l5-s1 10.1 on whole spine screening: loss of cervical lordosis with disc desiccation of all the cervical intervertebral discs is noted. small anterior osteophytes are seen from c3 to c7 vertebral levels. posterior disc bulges are seen at c3-c4, c4-c5,"
data/train/audio_02436.wav,l5-s1: diffuse annular disc bulge causing mild thecal sac compression. recommendation suggested clinical correlation.
data/train/audio_03691.wav,wall thickening with enhancement pericholecystic fat stranding and minimal fluid mild intrahepatic biliary radicle dilatation with no obvious cbd calculus and cbd caliber within upper normal limits. possibility of choledocholithiasis cannot be excluded. recommendation: mrcp (magnetic resonance cholangiopancreatography). 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/train/audio_05086.wav,"liver: measures 12.5 cm, appears normal in size and shape. it shows raised parenchymal echogenicity. there is no evidence of solid or cystic lesion. there is no intra or extra hepatic biliary radicle dilatation. portal vein: normal."
data/train/audio_04281.wav,"the remaining brain parenchyma appears unremarkable, with maintained grey-white matter differentiation. no new intracranial hemorrhage or focal mass lesion is identified. : postoperative status post suboccipital craniotomy there is hypodensity noted in the bilateral cerebellar hemispheres around the fourth ventricle,"
data/train/audio_01849.wav,:- recommendations: correlate with: sputum afb / cbnaat bronchoscopy if indicated
data/train/audio_04572.wav,l3-l4 intervertebral disc reveals diffuse bulge. it indents thecal sac without any significant spinal canal or neural foraminal narrowing . mild facetal arthropathy seen at this level. l4-l5 intervertebral disc is degenerated and reveals broad based posterior herniation with superior migration.
data/train/audio_00971.wav,there is loss of cervical lordosis. the alignment of vertebrae is normal. marginal anterior osteophytes are seen from c3-c7 levels. mild degenerative changes are seen at c4-c5 level. c3-c4 intervertebral disc reveals broad based posterior herniation. it indents anterior subarachnoid space and both c4
data/train/audio_02034.wav,no abnormal pre or paravertebral soft tissue is seen. no bony or soft tissue spinal canal stenosis is noted. level by level analysis: at c3-c4 level: minimal posterior disc bulge abutting the anterior thecal sac without any nerve root compression.
data/train/audio_00698.wav,recommendations: serum ca-125 & he-4 follow-up mri / usg to assess interval changes.
data/train/audio_05189.wav,"bilateral mastoid air cells are normal. sella: 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. supratentorial: few discrete t2/flair hyperintensities are seen in b/l periventricular white matter without diffusion restriction."
data/train/audio_04611.wav,involving the intercondylar region of tibia and femur suggestive of marrow edema. small articular cartilage defects are seen involving the medial femoral condyle with t2w and stir hyperintensity is noted involving the subarticular portions s/o marrow edema. small articular cartilage defects are seen involving the medial and lateral facets of patella with t2w and
data/train/audio_01223.wav,the distal end of radius appear normal. the distal radio ulnar joint (druj) and radiocarpal joints appear normal. no evidence of positive /negative ulnar variance.(>3mm)
data/train/audio_01243.wav,"interlobular septal thickening, and air bronchograms - features favor pulmonary edema in the setting of congestive cardiac failure. multiple prominent mediastinal lymph nodes (largest ~19 x 14.5 mm), likely reactive. right-sided central venous line with tip in the superior vena cava."
data/train/audio_00440.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/train/audio_04727.wav,humeral head shows no contour deformity. no fracture / dislocation is seen. neurovascular structures are unremarkable. : low-grade articular surface tear involving the supraspinatus tendon. mild acromio-clavicular joint arthropathy.
data/train/audio_00607.wav,early degenerative osteoarthritis of left knee recommendation suggested clinical correlation.
data/train/audio_04029.wav,normal variations: haller cell: noted on right side. onodi cell: absent. middle turbinate: paradoxical curvature of right middle turbinate noted. keros type 1 olfactory fossa is seen. post sellar type of pneumatisation of sphenoid sinus.
data/train/audio_00536.wav,"cbd is not dilated. no peri-cholecystic collection / fluid or fat stranding seen. pancreas: pancreas is normal in size, shape and density. mpd is not dilated. peripancreatic fat planes are preserved."
data/train/audio_03914.wav,"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: mild left ventricular hypertrophy noted. rest of the chambers of heart grossly appear normal."
data/train/audio_02069.wav,lungs bilateral lungs fields are clear. airways trachea is central. tracheo-bronchial tree is normal. heart mild cardiomegaly. unfolding of arch of aorta and aortic knuckle calcifications. others bilateral cp angles are clear. both domes of diaphragm are normally placed. bony thoracic cage is normal. no soft tissue abnormality seen.
data/train/audio_00421.wav,"findings: a well-defined peripherally enhancing hypodense collection is noted in the prevertebral space at c3-c4 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/train/audio_02792.wav,"recommendations: routine screening follow-up as per guidelines. next ultrasound (usg breast) may be performed in 12 months as part of annual screening, or earlier if clinically indicated. clinical breast examination and routine screening mammography as per age-based screening protocol advised."
data/train/audio_03922.wav,"multiple (at least 4-5) hyperdense non-obstructive calculi in left kidney, largest measuring 2.8 mm. left kidney is otherwise normal in size, shape and position. no hydronephrosis or hydroureter. the urinary bladder is distended with smooth outlines. prostate is normal in size and attenuation pattern."
data/train/audio_03846.wav,encephalomalacia with gliotic changes is noted in the left parietal region in the region of the postcentral gyrus. a chronic lacunar infarct is noted in the right thalamocapsular region. no evidence of leptomeningeal or pachymeningeal enhancement is seen. no abnormal enhancement is noted in the basal cisterns.
data/train/audio_02330.wav,"mri right elbow report clinical indication: pain / evaluation technique: mri of the right elbow performed using multiplanar, multisequence imaging including t1, t2, pd and fat-suppressed sequences."
data/train/audio_04703.wav,"soft tissue shadows and bony thorax appear to be normal. opinion: haziness involving left lower zone suggestive of consolidation, 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/train/audio_00101.wav,"both middle turbinates exhibit normal curvature. no significant nasal septum deviation noted. a well-defined soft tissue swelling on scalp is noted along the left occipital convexity, measuring approximately 6.1 x 3.0 cm. the lesion demonstrates"
data/train/audio_00841.wav,mild peribronchial cuffing is seen in bilateral lower lobes. diffuse centriacinar and paraseptal emphyseamtous changes in bilateral lungs predominantly in bilateral upper lobes. minimal subpleural septal thickening with superimposed ggos in right middle lobe and lingula.
data/train/audio_04022.wav,"right laterally, lesion shows loss of fat plane with sigmoid colon with suspicious intraluminal extension. the urinary bladder is well distended and appears normal. the uterus is postmenopausal atrophic. endometrial thickness is normal, measures 3 mm."
data/train/audio_05025.wav,"prostate: measures 4.4 x 4.3 x 2.1 cm (approx. vol: 20.0 cc), appears normal in size, shape and echotexture. a 6.0 mm sized anterior abdominal wall defect is seen at the umbilical region with fat as its content."
data/train/audio_02394.wav,bony calvarium is normal. no evidence of fracture or sol is seen. visualized part of orbits is unremarkable. overlying scalp is normal. small right maxillary sinus polyp noted. rest of the visualized paranasal sinuses are normal. impression: no obvious fracture or intracranial haemorrhage. no significant intracranial abnormality seen. 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/train/audio_04534.wav,cect abdomen clinical history: known case of renal cell carcinoma (rcc). previous imaging and treatment details are not available for comparison.
data/train/audio_00447.wav,impression: anterolisthesis of c2 over c3 with right-sided pars interarticularis fracture of c2 (type ii hangman's fracture). loss of cervical lordosis. posterocentral disc protrusion at c3-c4 indenting the thecal sac and mildly abutting the cord without signal changes.
data/train/audio_02248.wav,"fourth ventricle is central and normal in shape. bone, scalp and sinuses: bony calvariumis normal. no evidence of fracture or sol is seen. visualized part of orbits is unremarkable. overlying scalp is normal. visualized paranasal sinuses are normal. : no significant abnormality seen. recordimg 4- differential diagnosis na recommendation suggested clinical correlation."
data/train/audio_01037.wav,"heart and major vessels: heart outline and size appears normal. others: visualized vertebrae, sternum and ribs appear normal. comminuted displaced fracture of right clavicle is seen. ryle's tube is seen in situ soft tissues and muscles of chest wall are normal."
data/train/audio_05063.wav,urinary bladder: well distended and shows normal wall thickness. there is no evidence of calculus or mass. prostate: not visualized ? post-operative in status. : grade i fatty liver. right renal non-obstructive calculi.
data/train/audio_00116.wav,cervical canal diameters at disc levels are as follows: c2-3 - 9.0 mm. c3-4 - 8.5 mm. c4-5 - 8.0 mm. c5-6 - 6.0 mm. c6-7 - 9.0 mm
data/train/audio_02477.wav,an ill defined non enhnaincg hypodense area ms~13x9mm is seen at upper pole cortex. few enlarged left para aortic lymph nodes are seen largest ms~ 13x21mm
data/train/audio_05270.wav,there is no retraction of skin or nipple noted. few mildly enlarged lymph nodes in right axillary region. left: medio-lateral oblique and cranio-caudal and lateromedial projections have been obtained. markers are placed in the axillary/lateral portions of the left breast.
data/train/audio_02957.wav,: non-obstructive left renal calculi. left mild hydronephrosis.
data/train/audio_01864.wav,mild middle and inferior turbinate hypertrophy seen on right side. no mucosal thickening in sinuses.
data/train/audio_02427.wav,"common bile duct (cbd): dilated cbd measuring 19.2 mm with abrupt narrowing at the distal end. no obstructive cbd calculus is noted. pancreas: altered signal intensity lesion in the pancreatic head measuring 23 x 23 mm, hyperintense on stir and showing diffusion restriction."
data/train/audio_00824.wav,l5-s1- modic type 2 end plate degenerative changes. grade i spondylolisthesis due to break in pars interarticularis with a pseudo disc bulge causing mild thecal and mild bilateral lateral recess/foraminal nerve root compressions. please correlate clinically and with other relevant investigations for confirmation and further evaluation.
data/train/audio_02319.wav,"sella and parasellar structures appear grossly unremarkable. the skull bones appear normal. bilateral maxillary, bilateral ethmoid and left sphenoid sinusitis. rest of the visualized paranasal sinuses are unremarkable. subgaleal soft tissue haematoma over right temporo-parietal region."
data/train/audio_04298.wav,"and nodularity suggestive of chronic liver parenchymal disease/cirrhosis. widening of gallbladder fossa is noted. no focal hepatic lesion identified on the present study. multiple portosystemic collaterals are noted in perisplenic, periportal and perihepatic regions suggestive of portal hypertension."
data/train/audio_04830.wav,findings: alignment & vertebrae: there is anterolisthesis of c2 over c3. a fracture involving the right pars interarticularis of c2 is noted. there is associated loss of normal cervical lordosis. vertebral body heights are otherwise maintained. disc spaces:
data/train/audio_02266.wav,indenting the esophagus with suspicious loss of fat planes abutting the descending thoracic aorta anteriorly abutting the superior vena cava (svc) and ascending aorta lymph nodes (other regions) multiple subcentimetre-sized discrete homogeneously enhancing non-necrotic lymph nodes are seen in:
data/train/audio_03967.wav,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/train/audio_01773.wav,minimal elbow joint effusion with marked surrounding soft tissue swelling / subcutaneous oedema. findings represent a complex distal humeral intercondylar articular fracture.
data/train/audio_05446.wav,"mr fistulogram technique:- mri fistulogram performed using t1 and t2 weighted sequences, multiplanar multisequence imaging of the perianal region."
data/train/audio_04390.wav,findings: cruciate ligaments:- partial tear involving the anterior cruciate ligament with diffuse sprain. mild sprain and buckling involving the posterior cruciate ligament. no evidence of tear. collateral ligaments mild sprain involving the medial and lateral collateral ligaments. no evidence of laxity or tear. partial tear involving the medial and
data/train/audio_00980.wav,small anterior marginal osteophytes at multiple dorsal levels suggestive of early degenerative changes. suggested clinical correlation and sos mri for further evaluation.
data/train/audio_05608.wav,(just adjacent to the right vesicoureteric junction) with resultant back pressure changes in the form of entire hydroureter and mild hydronephrosis. mild perinephric and periureteric fat stranding noted.
data/train/audio_00989.wav,"brain parenchyma: normal gray-white matter differentiation. no evidence of focal parenchymal lesion, hemorrhage, infarct, or abnormal enhancement. no mass effect or midline shift. ventricular system & csf spaces: ventricles are normal in size, shape, and position."
data/train/audio_01889.wav,ct scan neck without contrast technique axial sections of the neck were obtained without administration of intravenous contrast on a ct scanner. motion artefacts noted.
data/train/audio_05565.wav,: left renal calculus as mentioned. adv : usg abd - pelvis if cinically indicated.
data/train/audio_02512.wav,findings are suggestive of a small volar ganglion cyst with associated flexor carpi radialis tenosynovitis keyimages
data/train/audio_02220.wav,"noted involving anterior segment of right upper lobe, right middle and left lingular segment. rest of the lung parenchyma is normal in attenuation. atherosclerotic changes involving the visualised aorta and its branches in the form of wall calcifications. mild to moderate cardiomegaly noted. atherosclerotic changes involving the visualised aorta and its branches in the form of wall calcifications."
data/train/audio_03718.wav,the urinary bladder appears normal in wall thickness. prostate is normal in size. the abdominal wall: 6 mm maximum diameter umbilical wall defect with mild herniation of the omental fat noted. the bony skeleton: in the scanned region appears within normal limits.
data/train/audio_02883.wav,"observations: status: postoperative, post-chemotherapy and post-radiotherapy changes are again noted. residual lesion: o a lobulated, bilobed residual lesion is again seen in the frontal region. o it now measures approximately 3.3 x 4.1x 2.4 cm"
data/train/audio_02710.wav,no evidence of any lytic or sclerotic lesion is seen. no evidence of any surrounding abscess or collection is seen. comments: mild displaced comminuted fracture noted at distal end of radius with intra-articular extension. mild joint effusion noted. subcutaneous oedema noted at wrist joint.
data/train/audio_05434.wav,"lumbar discs are variably degenerated. l1-2 disc reveals postero-central protrusion. it indents the thecal sac, both l2 nerve roots and causes mild narrowing of central canal. mild facetal arthropathy is detected at this level."
data/train/audio_02817.wav,x-ray left knee (ap & lat.): suspicious lucency noted in head of fibula - ? fracture line. no evidence of dislocation or subluxation. no evidence of any lytic or sclerotic lesion is seen.
data/train/audio_04350.wav,"adrenals: adrenal glands are normal is shape, size and position. all the limbs of adrenal glands are well outlined. no focal thickening in any of the adrenal limbs. ureters: both ureters appear normal in course and calibre. no evidence of ureteric calculus / obstruction seen."
data/train/audio_04535.wav,"gallbladder appears distended with minimal surrounding pericholecystic oedema/fluid. no obvious radiopaque calculus identified on present study. spleen, pancreas and bilateral adrenal glands appear unremarkable."
data/train/audio_05177.wav,"fibrocavitary changes in the anterior segment of the right upper lobe with associated fissural tethering and fibrotic atelectatic bands, likely sequelae of prior tubercular infection. focal subpleural consolidative opacity in the apical segment of the right upper lobe,"
data/train/audio_03024.wav,"sinusitis is seen involving both frontal and both ethmoid sinuses. visualised neural parenchyma appears normal. there is no midline shift noted. basal cisterns, sulcal spaces, sylvian fissures appear normal. no evidence of any csf leak noted into bilateral ethmoid air cells."
data/train/audio_04765.wav,findings: mild straightening of the lumbar spine is seen with no scoliosis. heterogeneous marrow signal intensity. schmorl's nodes are seen at the inferior endplates of d12-l3 vertebral bodies. 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-l3 vertebrae.
data/train/audio_02509.wav,"there is t2 hyperintense fluid signal surrounding the flexor carpi radialis tendon, consistent with tenosynovitis. no definite tendon tear is identified. the carpal bones appear normal in alignment and signal intensity, with no evidence of fracture, marrow edema, or osteonecrosis."
data/train/audio_01994.wav,"mri left thigh (plain) technique: mri of the left thigh was performed using multiplanar multisequence imaging including axial se t1 and fse t2, sagittal se t1 and fse t2, and coronal stir sequences. clinical indication: pain in left thigh."
data/train/audio_05651.wav,"the cervical cord is normal in course, caliber and signal intensity. no abnormal pre or paravertebral soft tissue is seen. no bony or soft tissue spinal canal stenosis is noted. level by level analysis: at c3-c4 level: minimal posterior disc bulge abutting the anterior thecal sac without any nerve root compression."
data/train/audio_01816.wav,right maxillary sinuses and both frontal sinuses are normal. ethmoid / sphenoid sinuses appear normal. bilateral fronto-nasal recess appear unremarkable. the nasolacrimal duct on either side is normal. bilateral maxillary ostia are normal.
data/train/audio_02411.wav,"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 - type iii. left circumflex artery: lcx is patent and show normal lumen. it gives rise to om1, om2 and terminates av groove."
data/train/audio_00763.wav,": haziness is seen in bilateral maxillary sinuses, possibility of changes of sinusitis."
data/train/audio_00142.wav,"hemorrhagic cyst measuring 3.4 x 3.3 x 3.4 cm, appearing t2 hyperintense with t2 hypointense internal debris and t1 hypointense signal, with mild peripheral wall enhancement (~1.6 mm)."
data/train/audio_03672.wav,inhomogeneous opacity in bilateral upper zones - possibly infective changes. recommendation suggested clinical correlation.
data/train/audio_04021.wav,the pelvic bones and ischiorectal fossa also appear normal. few homogeneously enhancing mild enlarged lymph nodes noted in left inguinal region largest of them measures 17 x 9 mm.
data/train/audio_03901.wav,"additional undisplaced fractures are noted involving the right superior and inferior pubic rami. the left acetabulum and left superior and inferior pubic rami appear normal. both femoral heads and necks appear normal in alignment and density, with no evidence of fracture or dislocation."
data/train/audio_01969.wav,mild acromio-clavicular joint arthrosis changes seen. minimal fluid signal noted in subcoracoid bursa. supraspinatus tendinosis with low-grade partial thickness tear involving < 25% fibres noted at myotendinous junction involving articular surface of anterior fibres of supraspinatus .
data/train/audio_04549.wav,* multiple patchy areas of mosaic attenuation noted involving bilateral lung parenchyma. * focal area of fibro atelectasis and fibrobronchiectasis noted involving anterior segment of right upper lobe. * few areas of fibroatelectasis with adjacent pleural thickening involving left upper lobe.
data/train/audio_05318.wav,with compression over the thecal sac and cauda equina. bilateral mild neural foraminal narrowing with mild compression on the bilateral exiting and right traversing nerve roots. differential diagnosis na recommendation suggested clinical correlation. mri screening of the whole spine cervical spine:
data/train/audio_05278.wav,bones of the thoracic cage are normal. soft tissues of the chest wall are normal. : above x-ray film findings suggestive of congestive cardiac changes. advise 2d echo correlation. advise hrct thorax to rule out infective etiology. advice-complete blood count
data/train/audio_01978.wav,"with resultant back pressure changes in the form of proximal hydroureter and mild hydronephrosis. mild perinephric and periureteric fat stranding noted. right kidney is otherwise normal in size, shape and position. the left kidney measures 9.6 x 4.2 cms. left kidney is normal in size, shape and position. no hydronephrosis, hydroureter or calculus is seen."
data/train/audio_05522.wav,spleen: normal size and signal. adrenal glands: unremarkable. kidneys and ureters: two cortical cysts in the left kidney measuring 19 x 19 mm (mid-pole) and 14 x 13 mm (lower pole).
data/train/audio_04233.wav,"gliosis with encephalomalacia changes are seen in left parieto temporal region. this is likely sequelae to old infarct. small areas of gliosis are also seen in bilateral ganglio-capsular region, left thalamus and right cerebellar hemisphere. these are sequelae to old infarcts."
data/train/audio_00084.wav,lateral collateral ligament appears normal. no evidence of laxity or tear. low-grade tear involving the medial patello-femoral ligament. medial and lateral patellar retinaculum appear intact. no evidence of laxity or tear. meniscus: grade ii signal change involving the anterior horn of lateral meniscus and posterior horn of medial meniscus. muscles:
data/train/audio_04554.wav,heart and major vessels: * heart outline and size appears normal. * mild atherosclerotic calcifications involving arch of aorta and descending thoracic aorta. others: * no obvious size significant visualised cervical or bilateral axillary lymphadenopathy.
data/train/audio_02264.wav,"indenting the main pulmonary artery, right pulmonary artery, and left pulmonary artery complete encasement of the right pulmonary artery airways partial encasement of the lower trachea and left main bronchus complete encasement of the right main bronchus other structures posteriorly extending up to the prevertebral space"
data/train/audio_04884.wav,lungs bilateral lungs fields are clear. 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. no abnormality detected recommendation suggested clinical correlation.
data/train/audio_02291.wav,"no evidence of hydrocephalus. both basal ganglia & thalami appear normal. cerebellum, brain stem and posterior fossa structures reveal no abnormality. bony skull vault appears normal. : thin strip of acute subdural haemorrhage in right anterior temporal convexity. few tiny haemorrhagic contusions in right temporal lobe."
data/train/audio_02789.wav,"impression: no obvious acute infarct or hemorrhage in the present scan. chronic infarct involving left parietal lobe. few chronic lacunar infarcts in pons, bilateral ganglio-capsular regions and corona radiata. mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-parietal and periventricular white matter."
data/train/audio_02907.wav,"liver, spleen, pancreas, adrenals, kidneys: appear normal in size, shape, and enhancement pattern. urinary bladder: unremarkable. no obvious bowel obstruction noted at present (if applicable-modify if obstruction suspected)."
data/train/audio_01738.wav,acute lacunar infarction in left corona radiata. age related atrophic changes in the brain parenchyma as described above. please correlate clinically
data/train/audio_03995.wav,"epiglottis, valleculae, ae folds, pyriform sinuses appear normal. true and false vocal cords are normal in attenuation. hyoid bone and laryngeal cartilages i.e. thyroid, cricoid and arytenoid appear normal."
data/train/audio_02663.wav,"the right vertebral artery v4 segment is 50% narrow in calibre compared to the contralateral side with normal flow signal. with respect to the posterior circulation, there is a normal appearance to the visualized left vertebral artery and basilar artery without evidence of stenosis or aneurysm."
data/train/audio_05153.wav,findings: displaced fracture involving the mandible in the midline. it is involving the alveolar socket of lower central incisor. comminuted displaced fractures involving all walls of bilateral maxillary sinuses with resultant bilateral maxillary haemosinus.
data/train/audio_00236.wav,few tiny periportal collaterals are noted. there is dilatation of left hepatic duct and its segmental branches predominantly in the region of segment ii and 3 and segment iv hepatic duct is minimally dilated. these findings are sequelae to previous portal vein thrombosis.
data/train/audio_02756.wav,no evidence of any focal or diffuse lesion seen. no evidence of dilated ihbr. portal vein is normal in size and enhancement. gall bladder is normally distended. no evidence of radio-opaque calculus seen.
data/train/audio_05645.wav,findings: agatston score: the total (aggregate) calcium score using the aj-130 method is zero lm = zero. lad = zero lcx = zero. rca = zero.
data/train/audio_04669.wav,degenerative changes also noted at the pubic symphysis. paravertebral soft tissues no abnormal paravertebral soft tissue swelling. no abnormal calcification. no evidence of fracture or dislocation. incidental extraspinal findings
data/train/audio_05136.wav,: cervical: c4-c5 or partial block vertebra with variable fusion of posterior elements. loss of cervical lordosis is noted. mild posterior disc bulge at c5-c6 cervical level abutting anterior thecal sac. dorsal: t2w hyperintense hemangioma is noted in d12 vertebral body.
data/train/audio_01998.wav,"mild fatty infiltration without significant atrophy. no muscle strain, tear, hematoma, or focal lesion. hamstring origins and visualized tendinous insertions appear intact."
data/train/audio_03693.wav,brainstem: normal signal and contour. no focal lesion. posterior fossa/cerebellum: normal cerebellar hemispheres and vermis. no mass or hemorrhage. ventricular system: ventricles are normal in size and configuration. no hydrocephalus.
data/train/audio_02285.wav,subarachnoid hemorrhage is also seen in the bilateral basifrontal regions. left temporal bone fracture (squamous part) extending into the greater wing of sphenoid and sphenoid sinus with sphenoid hemosinus. left frontal bone fracture extending into the superior orbital rim. left zygomatic arch fracture. pneumocephalus adjacent to the cavernous sinus in the medial temporal region.
data/train/audio_00710.wav,"mild fluid is seen in suprapatellar bursa. a loculated cystic lesion is detected between the medial head of gastrocnemius and semimembranosus muscles. this represents a baker's cyst, measuring approximately 4.8x 2.8 x 1.3 cm."
data/train/audio_02012.wav,overlying scalp is normal. bilateral mild ethmoid sinusitis. rest of visualized paranasal sinuses are normal. : no obvious acute infarct or haemorrhage. mild chronic ischemic changes in bilateral periventricular white matter. no other significant abnormality. bilateral mild ethmoid 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/train/audio_02641.wav,"the grey-white matter differentiation is well maintained. the thalami, brainstem and cerebellum appear normal. no focal area of restricted diffusion is seen in the brain. the ventricles, cerebral sulci and the basal cisterns are normal."
data/train/audio_02199.wav,cardiovascular structures rightward mediastinal and cardiac shift secondary to large left pleural effusion and pleural mass effect. heart size otherwise within normal limits. great vessels are patent.
data/train/audio_04854.wav,": lungs: multiple patchy ground-glass opacities involving lateral segment of right middle lobe anterior, lateral and posterobasal segments of right lower lobe. multiple areas of mild bronchial wall inflammation involving the segmental and subsegmental bronchi of bilateral lung parenchyma. rest of the lungs appear normal in volume and attenuation."
data/train/audio_03569.wav,mixed density subdural collection along right fronto-temporo-parietal regions. maximum thickness measures approximately 8 mm. (mild reduced in size from 4/3/2026) midline structures are shifted to the left for a distance of 4.4mm. (significant reduced in size from 4/3/2026)
data/train/audio_03809.wav,"these findings are suggestive of associated myositis / inflammatory changes. neurovascular structures: the lesion is seen abutting the expected course of the radial nerve. however, evaluation of the radial nerve is significantly limited due to artefact, and definitive assessment of nerve involvement is not possible on this study."
data/train/audio_03961.wav,clinical profile: chief complaints of chest pain. findings: agatston score: the total (aggregate) calcium score using the aj-130 method is 359 lm = zero. lad = 212
data/train/audio_04409.wav,"the thalami, left basal ganglia and internal capsules are normal. the pituitary gland, infundibulum and hypothalamus are normal for the age. the posterior fossa shows normal cerebellum. the medulla, pons and mid brain shows normal signals in all the sequences."
data/train/audio_02213.wav,no evidence of intracranial hemorrhage. no focal parenchymal contusion. no extra-axial collection. no calvarial fracture identified. brainstem and cerebellum appear unremarkable. no abnormality is noted in bilateral cerebellopontine angle regions. sella appears normal.
data/train/audio_04275.wav,simple cortical cyst in interpolar region of left kidney.
data/train/audio_03568.wav,"fronto-temporo-parietal regions, along bilateral tentorium and falx. (mild reduced in size from 4/3/2026) mild subdural hemorrhage along bilateral tentorium and falx. (mild reduced in size from 4/3/2026) shift of midline to the left by 4.4 mm."
data/train/audio_01254.wav,psma pet-ct for comprehensive metastatic staging
data/train/audio_03767.wav,"sella: 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."
data/train/audio_02968.wav,: features consistent with old left pca infarct with cortical coarse calcifications. age related cerebral atrophy. chronic small vessel ischemic changes. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_00865.wav,consider image-guided peritoneal/omental biopsy for confirmation.
data/train/audio_04016.wav,findings: large solid cystic lesion noted in pelvic cavity. both ovaries are not seen separately from the lesion. solid part appears heterogeneous on t2w image and hypointense on t1w with multiple t1 hyperintense areas within.
data/train/audio_02796.wav,spleen is normal in size. margins are regular. kidneys: both kidneys and adrenals are normal in position and size. margins are regular. no evidence of backpressure changes seen in the pelvicalyceal system. both the ureters are seen in their entire extent displaying normal course and calibre.
data/train/audio_05351.wav,"there is diffuse prevertebral and paravertebral t2/stir hyperintense collection extending from d9 to l1 vertebral levels, measuring approximately 7.8 cm in craniocaudal extent with maximum thickness of about 3.2 cm. on post-contrast images, the collection shows peripheral rim enhancement, consistent with infective abscess formation"
data/train/audio_00565.wav,"interhemispheric fissure and visualised bilateral basal cisterns suggestive of subarachnoid hemorrhage. 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. left basal ganglia and thalami are normal."
data/train/audio_05587.wav,the lamina papyracea on either side is normal. both middle turbinates exhibit normal curvature. evidence of right sided nasal septum deviation with bony spur impinging the inferior turbinate. left concha bullosa. no bony erosion / destruction are seen.
data/train/audio_04365.wav,"screening rest of the spine reveals reduced cervical lordosis with marginal osteophytic and disc desiccation changes at few levels. pivd is seen at c3-4, c5-6 & c6-7 levels. partial fusion of c4 & c5 vertebras."
data/train/audio_02845.wav,visualized eye globes and lens show normal signal intensity. right maxillary and bilateral ethmoid sinusitis. rest of paranasal sinuses are normal. : no obvious acute infarct or hemorrhage. small chronic lacunar infarct involving right frontal white matter.
data/train/audio_00337.wav,ulnar styloid: o displaced fracture of ulnar styloid process wrist joint: o moderate joint effusion noted soft tissues: o diffuse subcutaneous edema around the wrist
data/train/audio_04637.wav,"partial desiccation of l3-l4 and l4-l5 lumbar intervertebral discs is seen. mild diffuse bulge of l3-l4 and l4-l5 disc, indenting the thecal sac and encroaching the neural foramina. no focal abnormal signal noted in the lumbar spinal cord."
data/train/audio_05497.wav,there is no feature of acute pancreatitis or focal lesion seen. few prominent reactive intra-abdominal lymph nodes without any ascites. few splenic hilar omental perigastric collaterals secondary to likely chronic thrombosis sequelae of splenic vein.
data/train/audio_04919.wav,bowel: visualized small and large bowel loops appear unremarkable. minimal interbowel fluid is noted. vascular structures: portal vein appears normal in caliber and enhancement.
data/train/audio_02471.wav,mild intraligamentous signal alteration (grade i signal change) involving the remainder of the tfcc without full-thickness tear. ligaments partial tear of the ulnar collateral ligament noted. remaining visualized intrinsic and extrinsic wrist ligaments appear intact.
data/train/audio_00835.wav,"displaced fracture of the left frontal bone with plate and screw fixation and prefrontal soft tissue contusion with emphysema. displaced fractures of all the walls of the left orbit with preorbital soft tissue contusion. displaced fractures of the roof, medial wall and lateral walls of the right orbit with preorbital soft tissue contusion."
data/train/audio_01990.wav,: mild early osteoarthritic changes involving the knee joint as mentioned above. partial tear involving the medial patello-femoral ligament. low-grade tear involving the anterior cruciate ligament and medial collateral ligament.
data/train/audio_04851.wav,"pelvic fat planes are maintained. miscellaneous: no evidence of free fluid in abdomen or pelvis. no significant mesenteric or retroperitoneal lymphadenopathy detected. aorta its major branches, ivc and its tributaries are well opacified with contrast and appear normal."
data/train/audio_00623.wav,"multiple well-defined cortical cysts are noted, largest measuring 2.6 x 2.2 cm, showing fluid attenuation without septations or solid components. few subcentimetric cortical cysts are noted. a calculus measuring 4 x 3 mm (hu ~349) is noted in the upper pole calyx."
data/train/audio_05087.wav,"gall bladder: normal distended and wall thickness. a 7.9 mm sized calculus seen in the neck of the gallbladder. there is no mass. cbd: normal. spleen: measures 7.9 cm, appears normal in size & echogenicity. no focal lesion seen."
data/train/audio_02556.wav,"note is mde of multiple calculi seen in gb, largest of size 12mm. normal study of pulmonary arteries. mild cardiomegaly"
data/train/audio_00211.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. the malleus, incus and stapes are normal with normal articulation."
data/train/audio_04741.wav,"disc reveals broad based posterior herniation. it compresses the thecal sac, both l5 nerve roots and causes moderate to severe narrowing of central canal. mild facetal arthropathy and ligamentum flavum thickening are detected at this level, adding spinal canal stenosis. bilateral facetal effusion seen at this level. l5-s1 disc reveals broad based posterior herniation."
data/train/audio_05264.wav,tibiotalar joint appears unremarkable. remaining visualised tendons and ligaments appear intact. visualised muscles appear normal in bulk and signal intensity. no focal fluid collection or abscess noted. : focal posterior heel soft tissue inflammatory changes with subcutaneous edema and skin puckering
data/train/audio_02549.wav,sclerosis of mastoid air cells is seen. no soft tissue swelling seen. no obvious lytic lesion is appreciated. tm joints shows preserved articulation. sclerosis of mastoid air cells - likley due to prior infection and chronic sequelae resulting in sclerosis. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_05562.wav,"major pulmonary artery, right pulmonary artery and left pulmonary artery show no abnormality. others: mild early degenerative changes involving the visualised spine in the form of marginal osteophytes. sternum and ribs appear normal. soft tissues and muscles of chest wall are normal."
data/train/audio_04964.wav,"the left ovary is closely apposed to the posterolateral uterine wall, suggestive of adhesions. deep pelvic endometriosis an ill-defined t2 hypointense minimally enhancing lesion is seen at the torus uterinus, measuring 0.9 x 0.8 cm."
data/train/audio_03022.wav,cribriform plate of ethmoid appears normal. no evidence of csf leak into bilateral middle ears is noted. ventricular system appears normal. posterior fossa and its contents appears normal. visualised portions of paranasal sinuses appears normal. bilateral type ii optic nerves are noted.
data/train/audio_02100.wav,"non-united fracture noted in body of calcaneum. pdfs hyperintense marrow oedema in distal tibia, talus and calcaneum. there is evidence of ill-defined soft tissue arising from mid part of calcaneum with extension in plantar aspect of foot. there is also evidence of t2 and pdfs hyperintense collection noted along visualised plantar aspect of foot"
data/train/audio_05182.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. facet joints and ligamentum flavum are normal. pre and para vertebral soft tissues are normal. measurements of spinal canal diameter at level of disc:"
data/train/audio_04621.wav,"no obvious air fluid levels. no abnormal soft tissue or calcification is noted. pro peritoneal fat planes are normal. visualized bones are normal. opinion: drain tube on left side. dj stent noted on left side. gaseous distension involving the colon, predominantly on left side."
data/train/audio_00938.wav,"lungs: few patchy ground glass opacities noted in the left lung lower lobe basal segments and upper lobe apical and posterior segments. airway and hilum: trachea, lobar bronchi, bronchus intermedius and segmental bronchi are normal. no intraluminal filling defects present. no dilated bronchi seen."
data/train/audio_03880.wav,post-primary pulmonary tuberculosis with endobronchial spread differentials : necrotizing bacterial infection fungal infection less likely cavitating metastases (depending on clinical context) mosaic attenuation pattern in bilateral lungs
data/train/audio_01035.wav,lungs and pleura: minimal bilateral pleural effusion is seen with partial passive basal atelectasis. a small air cyst ms~4x5mm is seen in lingula. few small calcified granulomas are seen in basal segments of right lower lobe.
data/train/audio_01955.wav,kidneys: no hydronephrosis. no focal renal lesion identified on the provided sequences. stomach/bowel: no gross abnormality identified on the provided sequences. vessels: no gross aneurysm or major vascular abnormality identified on the provided sequences. lymph nodes: no pathologically enlarged abdominal lymph nodes.
data/train/audio_01249.wav,"there is loss of normal t2 hyperintense signal in bilateral seminal vesicles, suggestive of tumor infiltration. capsular status: extracapsular extension is noted along the left posterolateral aspect at the level of the neurovascular bundle. urinary bladder: the bladder is partially filled with a foley's catheter in situ."
data/train/audio_00167.wav,"both the ovaries are not visualized, however adnexa appears normal on either side. no free uid is seen in cul- de-sac. a 5.9 mm sized anterior abdominal wall defect is seen at the umbilical region with fat as its content."
data/train/audio_05121.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/train/audio_00255.wav,"mri: brain cerebellar folias are prominent with prominent csf space around the cerebellum.s/o premature cerebellar atrophy. rest of the cerebral hemispheres show normal mr morphology, signal intensity and gray - white matter differentiation"
data/train/audio_00330.wav,follow up ultrasound is recommended to check for the decrease in the size of the cystic lesion. tumor marker correlation is recommended
data/train/audio_00563.wav,midline shift to the left by 10.5 mm. subfalcine herniation to the left and right uncal herniation noted. bilateral diffuse cerebral edema noted. basal cisterns are effaced. hyperdensities of blood attenuation are also noted in the bilateral lateral ventricles (right more than left)
data/train/audio_01837.wav,type iii lad configuration right dominant coronary system suggestion: clinical correlation. urgent cardiology/interventional cardiology consultation recommended. further evaluation with catheter coronary angiography.
data/train/audio_02867.wav,"5# mild subcutaneous edema is noted in the knee, mid calf and ankle region. multiple subcentimetric and centimetric sized non-necrotic lymph nodes are seen in the right inguinal region, largest of measuring 1.2 x 0.6 cm. 6# the right great saphenous vein appears normal and measures 4 mm the right short saphenous vein appears normal and measures 2.8 mm 7# : mild subcutaneous edema is noted in the knee, mid calf and ankle region. no evidence of any dvt is seen in the visualized segment of veins in present scan. suggest - clinical and biochemical correlation/ further imaging with ct veno if indicated."
data/train/audio_05537.wav,old right mca infract with right cerebral peduncle wallerian degeneration as described brain atrophy with moderate periventricular and deep white matter ischemic changes (fazeka grade ii).
data/train/audio_00159.wav,no bony erosion / destruction are seen. deviation of nasal septum to right. the left inferior turbinate appears hypertrophied. no evidence of acute sinusitis. differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_03853.wav,"mass effect is seen in the form of compression of right lateral ventricle. midline shift of about 3.8 mm toward left is noted. no evidence of fresh infarct seen. mild chronic periventricular ischemic changes are seen. mild prominence of cerebral sulci, cisterns and ventricles is seen, suggestive of mild cerebral atrophy"
data/train/audio_00671.wav,c6-7 - 9.5 mm prevertebral soft tissue also appears normal. spinal cord and subarachnoid space appear normal. no evidence of focal lesion in the cord. : no focal abnormal signal in the spinal cord. mild bulge of c6-7 disc. no significant nerve root compression.
data/train/audio_02067.wav,no evidence of free fluid in peritoneal cavity. : benign cystic lesions in bilateral ovaries. no evidence of enhancing soft tissue component or calcification or fat component. no evidence of enlarged abdominal lymphadenopathy.
data/train/audio_02280.wav,"lung apices - bilateral apical fibrotic changes and bands are seen. impression ill-defined enhancing soft tissue lesion involving the posterior one-third of the tongue (right side) measuring ~35 x 27 x 37 mm, extending to soft palate, uvula, aryepiglottic fold and glossoepiglottic folds with"
data/train/audio_05050.wav,largest measuring 3.7 x 4.7 cm - finding likely suggestive of ? hepatic cyst / ? biliary cystadenoma. there is no evidence of solid lesion. there is no intra or extra hepatic biliary radicle dilatation. portal vein: normal.
data/train/audio_02765.wav,moderate to gross pleural effusion on left side. umbilical hernia.
data/train/audio_02678.wav,observation: low-grade partial thickness tear involving < 25% fibres noted in articular surface of anterior fibres of supraspinatus footprint. detachment of the superior labrum and biceps anchor from the underlying superior glenoid at the chondrolabral junction mild acromio-clavicular joint arthrosis. minimal joint effusion.
data/train/audio_03725.wav,"mild to moderate perinephric and periureteric fat stranding noted. right kidney is otherwise normal in size, shape and position. the left kidney measures 11.0 x 5.2 cms. few hyperdense non-obstructive calculus noted in left kidney as mentioned below."
data/train/audio_01734.wav,pivd is seen at c5-6 level. hemangioma is seen at d2 vertebra. early lumbar spondylosis with early degenerative disc disease as described above.
data/train/audio_02682.wav,tiny calcified pulmonary nodule in left lower lobe - likely healed granuloma.
data/train/audio_05314.wav,the facet joints appear normal. the bony spinal canal appears normal in dimensions. posterior osseous structures and soft tissue structures are normal. bilateral paraspinal subcutaneous soft tissue collection is seen. straightening of the normal curvature of the lumbar spine noted s/o paraspinal muscle spasm. lumbar spondylitis.
data/train/audio_05142.wav,uterus is bulky and measures approximately 9.3 x 7.3 x 5.2 cm. it shows heterogeneous enhancement on post-contrast study. multiple tortuous vessels noted in bilateral adnexa. mild free fluid noted in the pouch of douglas. both ovaries appear normal. ruptured follicle in left ovary.
data/train/audio_03783.wav,no e/o pleural effusion noted. visualized bones are unremarkable. a small defect measuring approximately 6 mm is seen at umbilical region through which omentum is seen protruding out --- suggestive of umbilical hernia : a 3.8 x 2.3 mm sized hyperdense (hu 600)
data/train/audio_01112.wav,c4-5 - 8.0 mm. c5-6 - 7.9mm. c6-7 - 7.4mm prevertebral soft tissue also appears normal. :
data/train/audio_00688.wav,calcium score is 293. multiple eccentric calcified plaques in the proximal segment of left anterior descending artery causing maximum of 80% luminal compromise. few eccentric calcified plaques in the proximal and mid segment of left circumflex artery causing maximum of 90% luminal compromise.
data/train/audio_00223.wav,nasal cavity: high density fluid in bilateral nasal cavities (left more than right). mild left inferior turbinate hypertrophy. rest of the visualised turbinates appear unremarkable. normal variations: haller cell: absent. onodi cell: noted on right side. middle turbinate: absent.
data/train/audio_04624.wav,"few calcified granulomas noted in the liver. spleen appears normal in attenuation, no e/o focal lesion. gall bladder is well distended and reveals some dependant hyperdensities likely sludge. cbd is non dilated. pancreas appears normal in attenuation pattern. there is no abdominal lymphadenopathy seen. bilateral mild pleural effusion with collapse"
data/train/audio_04849.wav,stomach is distended with normal gastric wall thickness and enhancement. c-loop of the duodenum is defined. contrast filled small and large bowel loops appear normal in calibre. ileocecal junction appears defined. colon is predominantly faecal loaded and is unremarkable.
data/train/audio_00221.wav,minimally displaced fractures involving both nasal bones and bony nasal septum. bilateral ethmoid haemosinus. minimally displaced fracture involving the left temporal bone involving the left mastoid air cells and walls of left external auditory canals. left haemomastoideum noted. comminuted displaced fractures involving left lamina papyracea involving the roof of left orbit
data/train/audio_05622.wav,comments: above findings are suggestive of active infective aetiology.
data/train/audio_03829.wav,"mri - fistulogram scan protocol:-axial se t1/fse t2, sagittal se t1/fse t2, stir coronal. clinical profile: chief complaints of pain."
data/train/audio_05513.wav,"mild circumferential wall thickening in lower rectum, possibility of infective/inflammatory aetiology."
data/train/audio_03313.wav,level by level analysis: at c2-c3 level: mild posterior disc bulge abutting anterior thecal sac without any nerve root compression. at c3-c4 level: mild reduction of disc space. diffuse disc bulge indenting anterior thecal sac and abutting spinal cord narrowing bilateral neural foramina indenting bilateral exiting nerve roots. mild facetal joint arthropathy noted.
data/train/audio_02754.wav,"mild cardiomegaly noted. mosaic attenuation noted in bilateral lung fields. few discrete nodular infiltrates noted in superior and posterobasal segment of right lower lobe. no evidence of honeycombing, cavity or abscess formation noted."
data/train/audio_00238.wav,mild prominence of caudate lobe is noted. there is no evidence of arterial phase enhancing lesion which shows washout on the venous phase images is seen. left portal vein is attenuated it measures 6 mm in diameter there is severe attenuation of segment iii portal vein branch. segment ii portal vein branch shows mild attenuation.
data/train/audio_05424.wav,"the alignment, discs, and disco-vertebral relationships are normal alignment no kyphosis, scoliosis there is no radiographic evidence of instability. soft tissue paravertebral soft tissues are normal."
data/train/audio_03571.wav,bilateral mild ethmoid and left frontal sinusitis. rest of the visualized paranasal sinuses. : postoperative changes as mentioned above. resolving multiple hemorrhagic contusions involving right cerebral hemisphere as mentioned above. (mild reduced in size from 4/3/2026) mixed density subdural collection along right
data/train/audio_02236.wav,"pyriform sinuses appear normal. true and false vocal cords are normal in attenuation. hyoid bone and laryngeal cartilages i.e. thyroid, cricoid and arytenoid appear normal. the sternocleidomastoid and digastric muscles on either side are normal. the longuscolli on either side are normal. both parotids and submandibular glands are normal."
data/train/audio_01798.wav,this is suggestive of traumatic marrow edema. please correlate clinically. minimal edema in hoffa's fat pad.
data/train/audio_01807.wav,tibio-femoral joint spaces are normal. no sub-articular geodes or loose bodies are visualized. patellofemoral articulation is normal. visualised soft tissues appear normal. adv: ncct to rule out any hairline / occult fracture
data/train/audio_04942.wav,"rest of the intervertebral discs and neural foramina are showing normal mr morphology and signal intensity pattern. 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. facet joints and ligamentum flavum are normal."
data/train/audio_04474.wav,"both adrenal glands appear normal in size without any focal lesion. both kidneys are normal in size and location. there is no hydronephrosis. there is no focal lesion seen. there is no perinephric fat stranding seen. few prominent periportal, portacaval and left para-aortic lymph nodes are seen the largest measures 6 mm in short axis dimension."
data/train/audio_04410.wav,areas of gliosis with encephalomalacia seen in seen in left frontal temporal parietal lobe likely representing a sequalae to prior insult now resolved.
data/train/audio_02447.wav,"/oedema. no evidence of retropulsion of posterior cortex or spinal canal narrowing., possibility of osteoporotic wedging. no focal abnormal signal noted in the dorsal spinal cord."
data/train/audio_02882.wav,"nasal septum appears mildly deviated (if present, otherwise remove). impression: ill-defined radiopaque lesion causing obliteration of the left nasal cavity, with associated haziness of the left maxillary sinus. recommendation: further evaluation with ct pns is advised for detailed assessment and characterization."
data/train/audio_00049.wav,main portal vein is not well identified and it is replaced by multiple tiny collaterals. there is good sized portovenous collateral noted at the hepatic hilum measuring 1 cm in diameter seen arising from the spleno mesenteric axis
data/train/audio_03908.wav,the ventricles and sulci are appropriate for age. brainstem and cerebellum appear normal. sellar and suprasellar regions are unremarkable. normal flow voids are noted in major intracranial vessels and dural venous sinuses. : enhancing extra-axial lesion in the right basifrontal region with dural attachment
data/train/audio_03117.wav,"evidence of an extra-axial csf attenuation lesion ~6.1x3cm in the left parietal region , causing mass effect on the brain parenchyma and bony remodelling. chronic lacunar infarctions in bilateral capsulo-ganglionic regions."
data/train/audio_04717.wav,1. anterior wedge compression fracture of l1 vertebral body seen with loss of vertebral body height by approximately 70-80%. there is associated marrow edema seen. there is no evidence of retropulsion of posterior cortex. there is no associated soft tissue component.
data/train/audio_00161.wav,the nasolacrimal duct on either side is normal. bilateral maxillary ostia are normal. the sinus lateralis on either side show no abnormality.
data/train/audio_04785.wav,"is seen causing indentation of ventral thecal sac. l5-s1: there is no evidence of disc disease or protrusion, central canal stenosis, or neural foraminal narrowing. disc spaces ap canal diameter (mm) status l1 - l2 1.41 patent l2 - l3 1.34 patent l3 - l4 1.32 patent l4 - l5 1.2 patent l5 - s1 1.23 patent mild ligamentum flavum thickening is seen at l3-4 and l4-5 levels. the facet joints appear normal. the bony spinal canal appears normal in dimensions."
data/train/audio_03191.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/train/audio_03442.wav,x ray mastoid: left mastoid air cells appear sclerosed. no soft tissue swelling seen. no obvious lytic lesion is appreciated. tm joints shows preserved articulation. left mastoiditis differential diagnosis na recommendation suggested clinical correlation.
data/train/audio_00511.wav,likely representing chronic small vessel ischemic changes. 4. prominent ventricles and cortical sulci - suggestive of age-related cerebral atrophy.
data/train/audio_03817.wav,"thyroid gland: thyroid gland appears normal in location. left lobe: measures approximately 2.3 x 1.7 cm. a hypodense minimally enhancing lesion measuring 8 x 6 mm is noted within the left lobe, corresponding to the known primary lesion. no internal calcification is identified."
data/train/audio_04446.wav,"the gangliocapsular regions are unremarkable. the infratentorial structures, including the brainstem and cerebellum, appear normal. there is minimal t2 hyperintense fluid signal noted in the left mastoid air cells, suggestive of mastoiditis. no evidence of intracranial mass lesion, hydrocephalus, or abnormal meningeal enhancement is identified"
data/train/audio_02711.wav,"mild joint effusion noted. subcutaneous oedema noted at wrist joint. otherwise, right wrist joint appears normal. distal ulnar, carpal bones and proximal metacarpals appear normal."
data/train/audio_03340.wav,the paraspinal soft tissues appear normal. sacroiliac joints: the sacroiliac joints appear normal. whole spine screening cervical spine disc desiccation noted at multiple cervical levels. loss of cervical lordosis. :
data/train/audio_01753.wav,this represent complexes. there is no obvious communication with the main pancreatic duct. a small thyroid nodule in the right lobe of thyroid gland this further needs to be evaluated with usg study.
data/train/audio_01252.wav,possibly t3b n1 mx 2. pi-rads 5 lesion with: o diffusion restriction and early enhancement. o extracapsular extension on the left. o involvement of the left neurovascular bundle. 3. bilateral seminal vesicle invasion.
data/train/audio_05582.wav,"main pancreatic duct is not dilated. left kidney shows multiple t2 hypointense filling defect in pelvicalyceal system and pelvi ureteric junction largest of size ~ 1.5 cm in lower polar calyx and it cause mild left hydronephrosis. right kidney is normal in shape, size, signal intensity and contrast enhancement. bilateral adrenal show"
data/train/audio_00661.wav,"minimal ivh is seen in occipital horn of left lateral ventricle. linear undisplaced fracture of body of mandible on left side with internal fixator in situ. displaced fracture of both nasal bones . soft tissue hematoma in prenasal, premaxillary and premandibular region. differential diagnosis na recommendation suggested clinical correlation."
data/train/audio_02620.wav,"please correlate clinically. ill-defined hyperintensity is seen in the soft tissue in relation to the left greater trochanter on t2 weighted images. this is likely to represent left greater trochanteric bursitis. mild hyperintense signal is seen at the insertion of gluteus medius tendon in the region of left greater trochanter on t1 weighted images,"
data/train/audio_02752.wav,no evidence of reticular or nodular thickening of interstitium noted. trachea and main stem bronchi reveal no abnormality. no evidence of tubular or saccular dilatation of segmental or sub segmental bronchi noted.
data/train/audio_02226.wav,"findings: few areas of subarachnoid hemorrhage involving left temporo-parietal lobes. few hypodensities are noted in bilateral . periventricular white matter s/o chronic ischemic changes. mild generalized prominence of the cortical sulci, basal cisterns and ventricular system is noted s/o cerebral atrophy rest of the brain parenchyma is normal in attenuation."
data/train/audio_01921.wav,"no evidence of dilatation of central or peripheral ihbr. liver is normal in size (13 cm). slightly irregular margin of liver. no obvious focal lesion is seen. spleen is mildly enlarged in size, measures 12.9 cm. multiple collaterals noted at splenic hilum. no evidence of abdominal lymphadenopathy."
data/train/audio_02341.wav,no evidence of fracture or sol is seen. visualized part of orbits is unremarkable. overlying scalp is normal. visualized paranasal sinuses are normal. impression: no significant intracranial abnormality seen. 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/train/audio_00635.wav,"7. mild atrophy of the lower posterior paraspinal muscles seen, predominantly on right side. this is likely due to scoliosis."
data/train/audio_02250.wav,observation: visualized nasal bone shows undisplaced fracture soft tissues appear normal. : visualized nasal bone shows undisplaced fracture
data/train/audio_01960.wav,"l5-s1: right paracentral disc bulge causing thecal sac indentation, narrowing of right neural foramen with exiting nerve root indentation.mild spinal canal narrowing. disc spaces ap canal diameter (mm) status l1 - l2 13.5 patent l2 - l3 13.1 patent l3 - l4 10 patent l4 - l5 9 patent l5 - s1 10.5 patent fatty atrophy of the paraspinal muscles. posterior osseous structures and soft tissue structures are normal. no pre / paraspinal soft tissue collection is seen."
data/train/audio_03970.wav,eccentric calcified plaque in the distal segment of left main artery extending into proximal segment of left anterior descending artery causing 50%-60% luminal compromise. multiple eccentric calcified and mixed plaques in the proximal and mid segments of left anterior descending artery causing maximum of 60% luminal compromise.
data/train/audio_04271.wav,"no significant gallbladder wall thickening or pericholecystic fluid collection noted to suggest acute cholecystitis. diffuse dilatation of bilateral intrahepatic biliary radicles, right and left hepatic ducts, common hepatic duct and common bile duct is noted."
data/train/audio_02272.wav,o perigastric region o mesenteric region largest measuring 17 x 9 mm. adrenal glands left adrenal gland appears mildly bulky - indeterminate significance. kidneys multiple subcentimetre hypodense non-enhancing simple cysts in both kidneys. largest cyst measures 13 x 11 mm. gastro-esophageal findings
data/train/audio_02026.wav,compressing right exiting nerve root. at l4-l5 level: diffuse disc bulge indenting thecal sac narrowing bilateral neural foramina (right more than left) indenting left exiting nerve root. ligamentum flavum hypertrophy and facet joint arthropathy noted. at l5-s1 level: reduction of disc space. pseudodisc bulge noted indenting thecal sac narrowing bilateral neural foramina
data/train/audio_02124.wav,"partial disc desiccation, diffuse disc bulge with postero-central disc protrusion indenting thecal sac narrowing bilateral lateral recess abutting traversing nerve roots narrowing bilateral neural foramina indenting bilateral exiting nerve roots. mild ligamentum flavum hypertrophy and facetal joint arthropathy noted. disc level canal diameter (mm) l1-l2 11.5 l2-l3 9.5 l3-l4 8.5 l4-l5 11 l5-s1 7.2 on whole spine screening: loss of cervical lordosis with disc desiccation"
data/train/audio_03687.wav,"genitourinary system: kidneys: right: ~10.1 x 4.8 cm left: ~9.7 x 4.1 cm normal enhancement, and excretory function. ureters: normal course and caliber."
data/train/audio_03889.wav,bladder is connected to umbilicus by linear obliterated bran. no evidence of enteric or vesical communication. distended gallbladder with minimal sludge. a 4.7 x 3.1 x 7.1 mm sized hyperdense (hu 850) obstructive calculus
data/train/audio_01304.wav,mild thinning / remodeling of ethmoid bone & turbinates thinning of cribriform plate .? chronic pansinusitis ?? significance. adv: contrast study c shaped deviated nasal septum towards right side.
data/train/audio_04136.wav,conclusion: aforementioned abnormal signal area in the left cerebellar hemisphere is likely to be a arteriovenous malformation. prominent vascular channel in right cerebellar hemisphere. advice: thin mri post-contrast images / ct angiography study for detailed evaluation of arterial feeder and venous drainage.
data/train/audio_05019.wav,"liver: measures 13.8 cm, appears normal in size and shape. it shows raised parenchymal echogenicity. there is no evidence of solid or cystic lesion. there is no intra or extra hepatic biliary radicle dilatation. portal vein: normal."
data/train/audio_02600.wav,"vertebral bodies: vertebral body heights are maintained. marginal osteophytes are noted at c4, c5 and c6 vertebral levels. no acute fracture or focal destructive bony lesion. intervertebral discs / disc spaces: no significant disc space reduction is noted."
data/train/audio_04878.wav,"abnormal area of hypodensity noted in right parietal lobe, possibility of chronic infarct /gliosis. age related changes of cerebral cortical atrophy with chronic small vessels ischemic changes."
data/train/audio_04579.wav,there is subtle heterogeneous enhancement seen in the liver parenchyma. there is normal density of the liver parenchyma. liver capsule is mildly lobulated and there is caudate lobe enlargement noted. these changes are suggestive of early chronic liver parenchymal disease.
data/train/audio_04352.wav,"the study shows normal curvature and alignment of the lumbo-sacral spine. the vertebrae appear normal in height, signal intensity and show normal alignment. no osseous destruction noted. the signal from the marrow of the visualized vertebrae is normal. the visualized spinal cord shows normal mr morphology and signal characteristics."