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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 machin...
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 turbinate...
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 de...
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 li...
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 ne...
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 demonstr...
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 s...
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....
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 see...
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...
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 correlat...
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 pat...
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 ...
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...
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 cli...
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 chang...
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. suggest...