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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 peri...
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 ...
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 enhanceme...
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 evid...
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 ...
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...
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 s...
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 clin...
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 te...
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 ar...
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 th...
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 ...
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 l...
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-atelectasi...
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...
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 bot...
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 ...
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 ...
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 so...
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.