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paired_output/audio_01056.txt

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+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, 

paired_output/audio_01057.txt

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+, 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. 

paired_output/audio_01058.txt

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+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
+ 
+IMPRESSION

paired_output/audio_01059.txt

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+Normal Brain study. No evidence of MTS.
+ 
+DIFFERENTIAL DIAGNOSIS
+NA
+ 
+RECOMMENDATION
+Suggested clinical correlation.

paired_output/audio_01060.txt

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+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. 

paired_output/audio_01061.txt

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+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.

paired_output/audio_01062.txt

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+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 (

paired_output/audio_01063.txt

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+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.

paired_output/audio_01064.txt

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+•	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.

paired_output/audio_01065.txt

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+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.

paired_output/audio_01066.txt

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+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.
+IMPRESSION
+1.	Small nodular opacity with air bronchogram within and adjacent few tiny centrilobular nodules in the apical region of left upper lobe.

paired_output/audio_01067.txt

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+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.

paired_output/audio_01068.txt

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+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.

paired_output/audio_01069.txt

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+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. 

paired_output/audio_01070.txt

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+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
+IMPRESSION: 

paired_output/audio_01071.txt

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+•	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. 

paired_output/audio_01072.txt

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+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.

paired_output/audio_01073.txt

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+  ***Follow-up CT-Head study dated - 1/03/2026.
+SUPRATENTORIAL: 
+	Multiple acute haemorrhagic contusions are seen in right frontal lobe, 

paired_output/audio_01074.txt

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+, 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.

paired_output/audio_01075.txt

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+•	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

paired_output/audio_01076.txt

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+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-). 

paired_output/audio_01077.txt

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+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
+IMPRESSION: - 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 

paired_output/audio_01078.txt

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+•	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, 

paired_output/audio_01079.txt

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+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.

paired_output/audio_01080.txt

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+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. 

paired_output/audio_01081.txt

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+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 

paired_output/audio_01082.txt

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+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.

paired_output/audio_01083.txt

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+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. 

paired_output/audio_01084.txt

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+Small articular cartilage defect measuring approximately 2 mm noted involving the medial femoral condyle.
+Few subchondral cysts involving the intercondylar region of tibia and femur.
+Rest of the tibiofemoral and patello-femoral joints reveal intact articular cartilage.
+No obvious intraarticular loose bodies are seen.

paired_output/audio_01085.txt

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+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. 
+IMPRESSION: 
+•	Mild early osteoarthritic changes involving the knee joint as mentioned above.
+•	Mild sprain involving the anterior cruciate ligament.

paired_output/audio_01086.txt

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+•	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.

paired_output/audio_01087.txt

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+FINDINGS
+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.

paired_output/audio_01088.txt

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+	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:

paired_output/audio_01089.txt

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+	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.
+IMPRESSION:
+	Hypodensity in the left temporal lobe.
+RECOMMENDATION- MRI Brain for further evaluation.
+Suggested clinical correlation.

paired_output/audio_01090.txt

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+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 

paired_output/audio_01091.txt

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+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,

paired_output/audio_01092.txt

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+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 

paired_output/audio_01093.txt

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+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

paired_output/audio_01094.txt

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+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.

paired_output/audio_01095.txt

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+IMPRESSION
+• 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 

paired_output/audio_01096.txt

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+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.

paired_output/audio_01097.txt

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+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 
+IMPRESSION: 
+Both fallopian tubes are patent.
+ 
+ 

paired_output/audio_01098.txt

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+FINDINGS:
+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 × 2.3 × 2.2 cm, showing heterogeneous contrast enhancement with surrounding perilesional vasogenic oedema. 

paired_output/audio_01099.txt

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+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 × 1.2 cm in the right parietal lobe.
+The largest posterior fossa lesion measures approximately 1.3 × 1.1 cm in the left cerebellar hemisphere.

paired_output/audio_01100.txt

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+IMPRESSION:
+• 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 × 2.3 × 2.2 cm with surrounding vasogenic oedema.

paired_output/audio_01101.txt

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+• Interval increase in number and size of lesions compared to previous study — suggestive of progressive intracranial metastatic disease.
+• No significant midline shift or obstructive hydrocephalus.
+• Incidental partial empty sella.
+• Right maxillary sinus mucosal thickening.
+Compared to the prior MRI brain:

paired_output/audio_01102.txt

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+• 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.

paired_output/audio_01103.txt

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+ FINDINGS
+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. 

paired_output/audio_01104.txt

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+Pleural Surfaces:
+•	Bilateral pleural effusion( right more than left) with basal atelectasis
+ IMPRESSION
+•	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. 

paired_output/audio_01105.txt

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+•	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.