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diff --git a/paired_output/audio_03483.txt b/paired_output/audio_03483.txt
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+inflammatory or adhesive changes.
\ No newline at end of file
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+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
\ No newline at end of file
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+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.
\ No newline at end of file
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+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).
\ No newline at end of file
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+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.
\ No newline at end of file
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+IMPRESSION:
+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
\ No newline at end of file
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+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.
\ No newline at end of file
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+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.
\ No newline at end of file
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diff --git a/paired_output/audio_03491.txt b/paired_output/audio_03491.txt
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+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.
\ No newline at end of file
diff --git a/paired_output/audio_03491.wav b/paired_output/audio_03491.wav
new file mode 100644
index 0000000000000000000000000000000000000000..264b62e02c8833b2879a21f2077e33186958e7d3
--- /dev/null
+++ b/paired_output/audio_03491.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:b1cb616a534c4b355f1a5e2417342580791a1d780b131dfec11fca9747a74a8c
+size 617964
diff --git a/paired_output/audio_03492.txt b/paired_output/audio_03492.txt
new file mode 100644
index 0000000000000000000000000000000000000000..35c58afc19aef91581b2edfc9162039963a87c8f
--- /dev/null
+++ b/paired_output/audio_03492.txt
@@ -0,0 +1,7 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03492.wav b/paired_output/audio_03492.wav
new file mode 100644
index 0000000000000000000000000000000000000000..9cb8a9f4b1006856c315e0be000bc64fe4d73c3b
--- /dev/null
+++ b/paired_output/audio_03492.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:be7926069ee57d22076104a70b461a06aa29095dcfee0171b2da74803c3f5dbd
+size 694284
diff --git a/paired_output/audio_03493.txt b/paired_output/audio_03493.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e8e076c5dccb69b0c515aa2d889d72d24f0e0f67
--- /dev/null
+++ b/paired_output/audio_03493.txt
@@ -0,0 +1,5 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03493.wav b/paired_output/audio_03493.wav
new file mode 100644
index 0000000000000000000000000000000000000000..476cdc35f8ec5fc802c6d1e313ab3999e6b59179
--- /dev/null
+++ b/paired_output/audio_03493.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:bd534470dcacdf35f32a42fb2fd2bc9b322bfdfe6bf64d2824fc4e110d810fff
+size 632370
diff --git a/paired_output/audio_03494.txt b/paired_output/audio_03494.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0fbb414ca9aa97bc31c0a4fad427acfebd30cfe3
--- /dev/null
+++ b/paired_output/audio_03494.txt
@@ -0,0 +1,3 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03494.wav b/paired_output/audio_03494.wav
new file mode 100644
index 0000000000000000000000000000000000000000..a9cfaa9205dd20a50c40ac85fd84cef51c9bb1f8
--- /dev/null
+++ b/paired_output/audio_03494.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:9cebaed699d3bd9e839bffe88d181b13638ef2b9e4e6fa7ca3cfc0fb78f737c0
+size 499884
diff --git a/paired_output/audio_03495.txt b/paired_output/audio_03495.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7ddacd2e4dc077bc15a8581ff6c2d3053d3e195e
--- /dev/null
+++ b/paired_output/audio_03495.txt
@@ -0,0 +1,6 @@
+IMPRESSION:
+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.
+Pass Key: 6291
\ No newline at end of file
diff --git a/paired_output/audio_03495.wav b/paired_output/audio_03495.wav
new file mode 100644
index 0000000000000000000000000000000000000000..0fdb1c0a492d95c3e66b41262e7db86e6f65e017
--- /dev/null
+++ b/paired_output/audio_03495.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:847fc720898ba9dd02e1a8a9b2dfd205bae71bb5c9913b97a731fb5773885146
+size 502284
diff --git a/paired_output/audio_03496.txt b/paired_output/audio_03496.txt
new file mode 100644
index 0000000000000000000000000000000000000000..25efeda956b75ff1f1c4daf8ffa7b2ea09e9dfaa
--- /dev/null
+++ b/paired_output/audio_03496.txt
@@ -0,0 +1,2 @@
+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
\ No newline at end of file
diff --git a/paired_output/audio_03496.wav b/paired_output/audio_03496.wav
new file mode 100644
index 0000000000000000000000000000000000000000..0fb041a490d1d0a751347ab03b28ac3ecdce9309
--- /dev/null
+++ b/paired_output/audio_03496.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:2fc9447fcb1609954f0d9a252f3513921f35794cbde7962a2c47aa3106206c86
+size 614604
diff --git a/paired_output/audio_03497.txt b/paired_output/audio_03497.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1043c1a7cc272ee75cceb50c29a730dd9e34eede
--- /dev/null
+++ b/paired_output/audio_03497.txt
@@ -0,0 +1,3 @@
+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
\ No newline at end of file
diff --git a/paired_output/audio_03497.wav b/paired_output/audio_03497.wav
new file mode 100644
index 0000000000000000000000000000000000000000..7605c7b1574691e0b312878f0b442873b97d64da
--- /dev/null
+++ b/paired_output/audio_03497.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:9bebfeb08b91f1bde9334af0eef40d98c6e186d288b503c4a28f9e2327d8ddb6
+size 642444
diff --git a/paired_output/audio_03498.txt b/paired_output/audio_03498.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7e08c89168d15eb3d5975c39759e01e3f7f66cb9
--- /dev/null
+++ b/paired_output/audio_03498.txt
@@ -0,0 +1,2 @@
+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
\ No newline at end of file
diff --git a/paired_output/audio_03498.wav b/paired_output/audio_03498.wav
new file mode 100644
index 0000000000000000000000000000000000000000..645931a83255b39ffc55a1a7291681f47671527d
--- /dev/null
+++ b/paired_output/audio_03498.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:88e3cfb390e2e3ce4e0cc4f20dfa81da916639bf03171850ef35abe37f89e893
+size 650124
diff --git a/paired_output/audio_03499.txt b/paired_output/audio_03499.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ebb4a9c69692960b24b6939c0fb71f2bd6f46e68
--- /dev/null
+++ b/paired_output/audio_03499.txt
@@ -0,0 +1,5 @@
+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
\ No newline at end of file
diff --git a/paired_output/audio_03499.wav b/paired_output/audio_03499.wav
new file mode 100644
index 0000000000000000000000000000000000000000..3a96f3fc196f8479ec9d016d250d87f03c6e73e7
--- /dev/null
+++ b/paired_output/audio_03499.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:695feb79736d720864d59b8e5d8e8dc88194b68ccf1094ee7912f88061a4d64f
+size 737484
diff --git a/paired_output/audio_03500.txt b/paired_output/audio_03500.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2b75931a3d1cadd951f293dea609a43992395228
--- /dev/null
+++ b/paired_output/audio_03500.txt
@@ -0,0 +1,3 @@
+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
\ No newline at end of file
diff --git a/paired_output/audio_03500.wav b/paired_output/audio_03500.wav
new file mode 100644
index 0000000000000000000000000000000000000000..82d1d4018a31a454e43d34c1c6cc1057b956fc66
--- /dev/null
+++ b/paired_output/audio_03500.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:0ed3422eab1cfa518ac9d3410ca43bb0472eb6703517ef44ac897c9dc810175d
+size 663084
diff --git a/paired_output/audio_03501.txt b/paired_output/audio_03501.txt
new file mode 100644
index 0000000000000000000000000000000000000000..65eacff88bc5694e1edb492b0bf19f2fe826a190
--- /dev/null
+++ b/paired_output/audio_03501.txt
@@ -0,0 +1,4 @@
+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
\ No newline at end of file
diff --git a/paired_output/audio_03501.wav b/paired_output/audio_03501.wav
new file mode 100644
index 0000000000000000000000000000000000000000..bc44a3a4736fe3363236fb839771be04bead7723
--- /dev/null
+++ b/paired_output/audio_03501.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:ea7c9ed6a5120b8039b3f67753b840e566e2adca96ed485eb51e0a5ad7afa1f3
+size 563724
diff --git a/paired_output/audio_03502.txt b/paired_output/audio_03502.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d2cf26b26e4b3289e618b851fa4635272a70ea4d
--- /dev/null
+++ b/paired_output/audio_03502.txt
@@ -0,0 +1,2 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03502.wav b/paired_output/audio_03502.wav
new file mode 100644
index 0000000000000000000000000000000000000000..4b8a779f59280376e4aa9b232f7c454947adcac0
--- /dev/null
+++ b/paired_output/audio_03502.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:3167c32db13543f5befc8849807dbc9c67ff39735830b1adad4ba076929dd9e0
+size 573324
diff --git a/paired_output/audio_03503.txt b/paired_output/audio_03503.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d31e0dd9a9ab21564589c1181806f328a1000fb1
--- /dev/null
+++ b/paired_output/audio_03503.txt
@@ -0,0 +1,4 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03503.wav b/paired_output/audio_03503.wav
new file mode 100644
index 0000000000000000000000000000000000000000..ed5de6c7c945c67479dc17084fc0db901dbf00bc
--- /dev/null
+++ b/paired_output/audio_03503.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:cd4550d7ef08fb538bb971a4739f6ae7bfb2742aa0a15ba8cc3382bfd856f648
+size 531084
diff --git a/paired_output/audio_03504.txt b/paired_output/audio_03504.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d952a05f776cf2b68e272a2ce9e9559bcb9cd932
--- /dev/null
+++ b/paired_output/audio_03504.txt
@@ -0,0 +1,7 @@
+OBSERVATION:
+Ventricles and cisterns appear prominent. 
+Bilateral periventricular white matter shows areas of T2/FLAIR hyperintensities.
+The thalami, basal ganglia and internal capsules are normal on both sides.
+The pituitary gland, infundibulum and hypothalamus are normal for the age.
+The posterior fossa shows normal cerebellum.
+The medulla, and mid brain shows normal signals in all the sequences.
\ No newline at end of file
diff --git a/paired_output/audio_03504.wav b/paired_output/audio_03504.wav
new file mode 100644
index 0000000000000000000000000000000000000000..36926000b3ad400021745ee67a8dcceef19cdaff
--- /dev/null
+++ b/paired_output/audio_03504.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:c74005170d19181c76f10fb59d59b921c39689d300f99118ac71ea65e37b2c21
+size 630924
diff --git a/paired_output/audio_03505.txt b/paired_output/audio_03505.txt
new file mode 100644
index 0000000000000000000000000000000000000000..de3184a0b9d8fa7216778afb07033493321f3696
--- /dev/null
+++ b/paired_output/audio_03505.txt
@@ -0,0 +1,4 @@
+•	Age related diffuse cerebral atrophic changes.
+•	Small vessel ischemic changes.
+•	The right veretbral artery appears hypoplastic.
+•	The left transverse and sigmoid sinus appears hypoplastic.
\ No newline at end of file
diff --git a/paired_output/audio_03505.wav b/paired_output/audio_03505.wav
new file mode 100644
index 0000000000000000000000000000000000000000..99c190e151f8c0609eb7dd01b64f003035ad6cc8
--- /dev/null
+++ b/paired_output/audio_03505.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:20ee5210ce9f4b7448594b0654af7ae3d16a9199d3fa11f2960f19a1d7e36261
+size 329484
diff --git a/paired_output/audio_03506.txt b/paired_output/audio_03506.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f9b1d90fbdd851dc3e7a23ddd09139e02d2dc01d
--- /dev/null
+++ b/paired_output/audio_03506.txt
@@ -0,0 +1,9 @@
+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.
+ IMPRESSION:
\ No newline at end of file
diff --git a/paired_output/audio_03506.wav b/paired_output/audio_03506.wav
new file mode 100644
index 0000000000000000000000000000000000000000..2d57d0efe3a997fc081bf67e97fca14a7b16ea2b
--- /dev/null
+++ b/paired_output/audio_03506.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:e6cacd467a7ab41baf8b35836ed6b2425e11613d47dcedae4023c5b3d9ae15dc
+size 640524
diff --git a/paired_output/audio_03507.txt b/paired_output/audio_03507.txt
new file mode 100644
index 0000000000000000000000000000000000000000..98d9963d482e7f0b8937fda28ab78719456d7d9f
--- /dev/null
+++ b/paired_output/audio_03507.txt
@@ -0,0 +1,9 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03507.wav b/paired_output/audio_03507.wav
new file mode 100644
index 0000000000000000000000000000000000000000..180a2f926c5007ba1598e06ef5947b0ea9abcfca
--- /dev/null
+++ b/paired_output/audio_03507.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:960ea0c311cd6797a88f64db6a218edcf604568a5bc3c9b51a74bd718757f469
+size 654444
diff --git a/paired_output/audio_03508.txt b/paired_output/audio_03508.txt
new file mode 100644
index 0000000000000000000000000000000000000000..47039e048052f5d7190bef9a3b05cc494d3af362
--- /dev/null
+++ b/paired_output/audio_03508.txt
@@ -0,0 +1,8 @@
+of both internal jugular veins appear normal.
+The left transverse and sigmoid sinus appears hypoplastic.
+ IMPRESSION
+The left transverse and sigmoid sinus appears hypoplastic.
+ DIFFERENTIAL DIAGNOSIS
+NA
+ RECOMMENDATION
+Suggested clinical correlation.
\ No newline at end of file
diff --git a/paired_output/audio_03508.wav b/paired_output/audio_03508.wav
new file mode 100644
index 0000000000000000000000000000000000000000..0ee873f2cd728e840a60f7c5af6a16c6a45651f0
--- /dev/null
+++ b/paired_output/audio_03508.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:e8646c0778c8321b2135c1cca8fdca5e8d78b21b9a357dca5bcf7e1fbd2306df
+size 457164
diff --git a/paired_output/audio_03509.txt b/paired_output/audio_03509.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a5e21e92a6f424386d29d9c931ddb57de52fc436
--- /dev/null
+++ b/paired_output/audio_03509.txt
@@ -0,0 +1,6 @@
+FINDINGS
+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
\ No newline at end of file
diff --git a/paired_output/audio_03509.wav b/paired_output/audio_03509.wav
new file mode 100644
index 0000000000000000000000000000000000000000..c4be08b5d8e0925bc6132c1d14ccd807625f3fc9
--- /dev/null
+++ b/paired_output/audio_03509.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:fa2e1b744c33a4e1cf6dc8054239a65433f09af8f2cd46a8819b6245ac215e94
+size 615564
diff --git a/paired_output/audio_03510.txt b/paired_output/audio_03510.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b98873477255b60c95f01c3223a98f176931a3e2
--- /dev/null
+++ b/paired_output/audio_03510.txt
@@ -0,0 +1,5 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03510.wav b/paired_output/audio_03510.wav
new file mode 100644
index 0000000000000000000000000000000000000000..f6cb623a7d29e4bbd9c76b0031da58ec15faba1d
--- /dev/null
+++ b/paired_output/audio_03510.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:41d08dcb7ee8c14eb62549f39f0de35f31cd6d0115d3d2f6acb5f40c61ef20a2
+size 591084
diff --git a/paired_output/audio_03511.txt b/paired_output/audio_03511.txt
new file mode 100644
index 0000000000000000000000000000000000000000..605a8bb6edab70ec16a060ee07cb1617cea18549
--- /dev/null
+++ b/paired_output/audio_03511.txt
@@ -0,0 +1,11 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03511.wav b/paired_output/audio_03511.wav
new file mode 100644
index 0000000000000000000000000000000000000000..fbf3cebc335199397623d78f43f6b7a6c96ab71b
--- /dev/null
+++ b/paired_output/audio_03511.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:c789479b1092c93c3ee4bd8e593ed8bfdee77b1eb7e99274b021edc47e3c4ca1
+size 696204
diff --git a/paired_output/audio_03512.txt b/paired_output/audio_03512.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4544d6c15193a7387cdaf9286205d933e0770dbf
--- /dev/null
+++ b/paired_output/audio_03512.txt
@@ -0,0 +1,3 @@
+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
\ No newline at end of file
diff --git a/paired_output/audio_03512.wav b/paired_output/audio_03512.wav
new file mode 100644
index 0000000000000000000000000000000000000000..d8917082f5c72ccb899398f89fab1ecb0c6db44a
--- /dev/null
+++ b/paired_output/audio_03512.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:86a36fc801e77a9666b29ca5b3c28bcaf609982eb12b790a8274a67e17ac4438
+size 622764
diff --git a/paired_output/audio_03513.txt b/paired_output/audio_03513.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d6a38c225b9c6227ae31bd54065645d21b67ccd8
--- /dev/null
+++ b/paired_output/audio_03513.txt
@@ -0,0 +1,4 @@
+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,
\ No newline at end of file
diff --git a/paired_output/audio_03513.wav b/paired_output/audio_03513.wav
new file mode 100644
index 0000000000000000000000000000000000000000..c4c439bdf1eabb69451cfd596813c10a89f4bb88
--- /dev/null
+++ b/paired_output/audio_03513.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:dac1ccc9ac1bf0005830e800fbcb8107d448352f3e8898e936417e3de8d6a94a
+size 642924
diff --git a/paired_output/audio_03514.txt b/paired_output/audio_03514.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7b4cdaf261fda827f965995a8063b8e11d24343a
--- /dev/null
+++ b/paired_output/audio_03514.txt
@@ -0,0 +1,6 @@
+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:
\ No newline at end of file
diff --git a/paired_output/audio_03514.wav b/paired_output/audio_03514.wav
new file mode 100644
index 0000000000000000000000000000000000000000..9abdc44dfb7d2478252437597cf5e313d170f30e
--- /dev/null
+++ b/paired_output/audio_03514.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:5b6d96e9be2d81c8c6b990c22d10e5c24dec9fdef8570fa0ad32ff00e7089688
+size 649164
diff --git a/paired_output/audio_03515.txt b/paired_output/audio_03515.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6653704154dd5c55ca37cb45be7cc41931f1a414
--- /dev/null
+++ b/paired_output/audio_03515.txt
@@ -0,0 +1,2 @@
+•	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.
\ No newline at end of file
diff --git a/paired_output/audio_03515.wav b/paired_output/audio_03515.wav
new file mode 100644
index 0000000000000000000000000000000000000000..9baf25dff7db44159f0dc64035fce1190b643abb
--- /dev/null
+++ b/paired_output/audio_03515.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:ec495a2f141f839cd056464b1c32dc5557db368782686ca9cf706806d041e138
+size 662124
diff --git a/paired_output/audio_03516.txt b/paired_output/audio_03516.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f91ad06dd3aa6838838373c9b68d8b52991f67b1
--- /dev/null
+++ b/paired_output/audio_03516.txt
@@ -0,0 +1,4 @@
+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.
+IMPRESSION:
+•	Heterogeneous marrow signal intensity.
\ No newline at end of file
diff --git a/paired_output/audio_03516.wav b/paired_output/audio_03516.wav
new file mode 100644
index 0000000000000000000000000000000000000000..a87a77b41deed3a23f52dd3438b099ccf6f804e8
--- /dev/null
+++ b/paired_output/audio_03516.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:86c844803b6349a74e06d03d47824c14c6e61120d9a34cba516b74a7cb97cab1
+size 548364
diff --git a/paired_output/audio_03517.txt b/paired_output/audio_03517.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e5db90f5b43898330e1ddf63d774413659218779
--- /dev/null
+++ b/paired_output/audio_03517.txt
@@ -0,0 +1,9 @@
+•	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. 
+      
+  
+Pass Key: 2590
\ No newline at end of file
diff --git a/paired_output/audio_03517.wav b/paired_output/audio_03517.wav
new file mode 100644
index 0000000000000000000000000000000000000000..33b93e07e68ce9c71e52bdae8739bb20515b6e98
--- /dev/null
+++ b/paired_output/audio_03517.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:a99473825dc1dec5eac79904ac3d0d83dab535858d825049b2c3ec9edb65d888
+size 630924
diff --git a/paired_output/audio_03518.txt b/paired_output/audio_03518.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1b69b813db7b12b3f9cf985e44bab9a11621bdaf
--- /dev/null
+++ b/paired_output/audio_03518.txt
@@ -0,0 +1,6 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03518.wav b/paired_output/audio_03518.wav
new file mode 100644
index 0000000000000000000000000000000000000000..1850175b59bcd748eff044240272ba57a28f1001
--- /dev/null
+++ b/paired_output/audio_03518.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:8d329417cb9720deb0c69a6a9a6b70ae81bb6b42926d279b79a7f25c814d0ea3
+size 616044
diff --git a/paired_output/audio_03519.txt b/paired_output/audio_03519.txt
new file mode 100644
index 0000000000000000000000000000000000000000..757bc637c49e3cbe0dce0276270ff319c6a9eba4
--- /dev/null
+++ b/paired_output/audio_03519.txt
@@ -0,0 +1,5 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03519.wav b/paired_output/audio_03519.wav
new file mode 100644
index 0000000000000000000000000000000000000000..566fa5311017f2011a39c458088929ebc80991bc
--- /dev/null
+++ b/paired_output/audio_03519.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:e30ded47c8400019a59cc7b701ad7948bf678964d1fbcf97cd4cec97121451ee
+size 598284
diff --git a/paired_output/audio_03520.txt b/paired_output/audio_03520.txt
new file mode 100644
index 0000000000000000000000000000000000000000..89b20e7c6ce2ecf49b59fd844d31522c31601f76
--- /dev/null
+++ b/paired_output/audio_03520.txt
@@ -0,0 +1,4 @@
+IMPRESSION:
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03520.wav b/paired_output/audio_03520.wav
new file mode 100644
index 0000000000000000000000000000000000000000..5528cf64f8c388880110d5ea54c62638b5a05390
--- /dev/null
+++ b/paired_output/audio_03520.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:118635883c0fa627017676a254458362ed31cb508d18aaf5b3cae13dde7339bb
+size 401964
diff --git a/paired_output/audio_03521.txt b/paired_output/audio_03521.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a485bb59e79715c84e8e8a4af239a7af932fdcc9
--- /dev/null
+++ b/paired_output/audio_03521.txt
@@ -0,0 +1,4 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03521.wav b/paired_output/audio_03521.wav
new file mode 100644
index 0000000000000000000000000000000000000000..ecc9c680503c6c8e79b466173583737a39ce8292
--- /dev/null
+++ b/paired_output/audio_03521.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:4c88e745b0d447db483c7ce8b1a7c48fc42d977941b35996fbb959eb7c2b4f0c
+size 594444
diff --git a/paired_output/audio_03522.txt b/paired_output/audio_03522.txt
new file mode 100644
index 0000000000000000000000000000000000000000..47bda022ac6940830f414d7c92272ca8161bd843
--- /dev/null
+++ b/paired_output/audio_03522.txt
@@ -0,0 +1,7 @@
+Sella and parasellar structures appear grossly unremarkable. 
+Skull bones appear normal. No e/o any fracture noted 
+CT face report is attached separately.
+IMPRESSION: 
+•	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.
\ No newline at end of file
diff --git a/paired_output/audio_03522.wav b/paired_output/audio_03522.wav
new file mode 100644
index 0000000000000000000000000000000000000000..66d891a99d174c17965bd026cdc59d9ded404868
--- /dev/null
+++ b/paired_output/audio_03522.wav
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:93cfb305601f9d9a65875655c070ae257228537eae058a85871cbbed1f070356
+size 444684
diff --git a/paired_output/audio_03523.txt b/paired_output/audio_03523.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4dc73dfe0634f820fabf460b2328b6463499835f
--- /dev/null
+++ b/paired_output/audio_03523.txt
@@ -0,0 +1,7 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03524.txt b/paired_output/audio_03524.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ba5249d38aab7cedb492eedaf772dff02f4eccdf
--- /dev/null
+++ b/paired_output/audio_03524.txt
@@ -0,0 +1,6 @@
+•	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.
\ No newline at end of file
diff --git a/paired_output/audio_03525.txt b/paired_output/audio_03525.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f982232fba3bb6796f614b1aa1d732f9f5717f4d
--- /dev/null
+++ b/paired_output/audio_03525.txt
@@ -0,0 +1,10 @@
+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.
+      
+  
+Pass Key: 0682
\ No newline at end of file
diff --git a/paired_output/audio_03526.txt b/paired_output/audio_03526.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f8f58768b6e311ec9f77436aa98dedb9fc8cfbd4
--- /dev/null
+++ b/paired_output/audio_03526.txt
@@ -0,0 +1,5 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03527.txt b/paired_output/audio_03527.txt
new file mode 100644
index 0000000000000000000000000000000000000000..edfadf59607e1962b63e15fbe987f502defa4521
--- /dev/null
+++ b/paired_output/audio_03527.txt
@@ -0,0 +1,3 @@
+•	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.
\ No newline at end of file
diff --git a/paired_output/audio_03528.txt b/paired_output/audio_03528.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6fe9112d22f858a04c9395a30a2b222dde931584
--- /dev/null
+++ b/paired_output/audio_03528.txt
@@ -0,0 +1,7 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03529.txt b/paired_output/audio_03529.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0b4e4c8e4dfdc16ea3f215a54e4a759ee6c4a9f6
--- /dev/null
+++ b/paired_output/audio_03529.txt
@@ -0,0 +1,5 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03530.txt b/paired_output/audio_03530.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ac360393978963199e4c3c2c999df91ae3e78bb0
--- /dev/null
+++ b/paired_output/audio_03530.txt
@@ -0,0 +1,5 @@
+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:
\ No newline at end of file
diff --git a/paired_output/audio_03531.txt b/paired_output/audio_03531.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2787875e70d2baf8f5b660643cecc409e072117b
--- /dev/null
+++ b/paired_output/audio_03531.txt
@@ -0,0 +1,4 @@
+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,
\ No newline at end of file
diff --git a/paired_output/audio_03532.txt b/paired_output/audio_03532.txt
new file mode 100644
index 0000000000000000000000000000000000000000..80369076134411a30dc7538342750dee4dd37717
--- /dev/null
+++ b/paired_output/audio_03532.txt
@@ -0,0 +1,3 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03533.txt b/paired_output/audio_03533.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6845a7d1a0cf2becad92df7e29441a76c0775f93
--- /dev/null
+++ b/paired_output/audio_03533.txt
@@ -0,0 +1,3 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03534.txt b/paired_output/audio_03534.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0d5867b9280ad831ad4071bbc5ac99f861ed635f
--- /dev/null
+++ b/paired_output/audio_03534.txt
@@ -0,0 +1,6 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03535.txt b/paired_output/audio_03535.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ce47cb408c0e2bac39ca654281f078e2dfc8f79f
--- /dev/null
+++ b/paired_output/audio_03535.txt
@@ -0,0 +1,4 @@
+Lungs & Parenchyma
+A soft tissue attenuation lesion (HU ~30–50) measuring approximately 45 × 25 mm is noted:
+Involving the posterior segment of the right upper lobe
+Extending to the superior segment of the right lower lobe
\ No newline at end of file
diff --git a/paired_output/audio_03536.txt b/paired_output/audio_03536.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c8dc48f9bc7a4a08d59ffca9d03b26bc9c7cd57e
--- /dev/null
+++ b/paired_output/audio_03536.txt
@@ -0,0 +1,7 @@
+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 (
\ No newline at end of file
diff --git a/paired_output/audio_03537.txt b/paired_output/audio_03537.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ed79c53e56901cba4bac374b66628fa417228c15
--- /dev/null
+++ b/paired_output/audio_03537.txt
@@ -0,0 +1,6 @@
+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
\ No newline at end of file
diff --git a/paired_output/audio_03538.txt b/paired_output/audio_03538.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8cf212586b4ec8913ea51e13f7df9e0aa173dfa2
--- /dev/null
+++ b/paired_output/audio_03538.txt
@@ -0,0 +1,6 @@
+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
\ No newline at end of file
diff --git a/paired_output/audio_03539.txt b/paired_output/audio_03539.txt
new file mode 100644
index 0000000000000000000000000000000000000000..68547ab3dc3f4600abd364899ae11dc0883c689c
--- /dev/null
+++ b/paired_output/audio_03539.txt
@@ -0,0 +1,5 @@
+Appears broad-based, forming an angle <60° 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
\ No newline at end of file
diff --git a/paired_output/audio_03540.txt b/paired_output/audio_03540.txt
new file mode 100644
index 0000000000000000000000000000000000000000..903a22d8951e045d7bd1c1ddbf33f9747e8920e2
--- /dev/null
+++ b/paired_output/audio_03540.txt
@@ -0,0 +1,4 @@
+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 × 25 mm)
\ No newline at end of file
diff --git a/paired_output/audio_03541.txt b/paired_output/audio_03541.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3a5d5254898f78ec886aabd49b7d9f9d4fc20786
--- /dev/null
+++ b/paired_output/audio_03541.txt
@@ -0,0 +1,6 @@
+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
\ No newline at end of file
diff --git a/paired_output/audio_03542.txt b/paired_output/audio_03542.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9a00407b29e9f439631577c44b5830e4b6534ffb
--- /dev/null
+++ b/paired_output/audio_03542.txt
@@ -0,0 +1,4 @@
+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)
\ No newline at end of file
diff --git a/paired_output/audio_03543.txt b/paired_output/audio_03543.txt
new file mode 100644
index 0000000000000000000000000000000000000000..177b3cf4bf749290c53729f890bf0626c25ff234
--- /dev/null
+++ b/paired_output/audio_03543.txt
@@ -0,0 +1,4 @@
+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)
\ No newline at end of file
diff --git a/paired_output/audio_03544.txt b/paired_output/audio_03544.txt
new file mode 100644
index 0000000000000000000000000000000000000000..473e2f3b47b251abc1cda2ee47462513e066f019
--- /dev/null
+++ b/paired_output/audio_03544.txt
@@ -0,0 +1,5 @@
+Old healed fractures:
+Left 4th rib
+Right scapula
+Recommendations
+PET-CT and/or biopsy for definitive diagnosis
\ No newline at end of file
diff --git a/paired_output/audio_03545.txt b/paired_output/audio_03545.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c5250042351e33dd81ce8aa441d397e1833ed2d1
--- /dev/null
+++ b/paired_output/audio_03545.txt
@@ -0,0 +1,4 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03546.txt b/paired_output/audio_03546.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9fbe6200ed3a9b93d0e746947e2afd336ab9c43c
--- /dev/null
+++ b/paired_output/audio_03546.txt
@@ -0,0 +1,2 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03547.txt b/paired_output/audio_03547.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b90af7e3570fb7ab61a31eaf6282de668dcc2400
--- /dev/null
+++ b/paired_output/audio_03547.txt
@@ -0,0 +1,5 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03548.txt b/paired_output/audio_03548.txt
new file mode 100644
index 0000000000000000000000000000000000000000..424f4fa1c1d983eadcc1958b1d560390263acdce
--- /dev/null
+++ b/paired_output/audio_03548.txt
@@ -0,0 +1,3 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03549.txt b/paired_output/audio_03549.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3043507fe5d4ec88c9208df3433d761a33030c32
--- /dev/null
+++ b/paired_output/audio_03549.txt
@@ -0,0 +1,2 @@
+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 newline at end of file
diff --git a/paired_output/audio_03550.txt b/paired_output/audio_03550.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5deff3604d2c229693cca5f11283faa107ca41ab
--- /dev/null
+++ b/paired_output/audio_03550.txt
@@ -0,0 +1,4 @@
+Mild free fluid in the pelvis.
+Left renal cortical cysts.
+Suggested :CEMRI pelvis.
+For Clinical correlation.
\ No newline at end of file
diff --git a/paired_output/audio_03551.txt b/paired_output/audio_03551.txt
new file mode 100644
index 0000000000000000000000000000000000000000..64700dda92ea11e4421651ec9f0aacf2715dc9d7
--- /dev/null
+++ b/paired_output/audio_03551.txt
@@ -0,0 +1,3 @@
+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:
\ No newline at end of file
diff --git a/paired_output/audio_03552.txt b/paired_output/audio_03552.txt
new file mode 100644
index 0000000000000000000000000000000000000000..72454a1a05027490c640f75af1bde43bfe45784b
--- /dev/null
+++ b/paired_output/audio_03552.txt
@@ -0,0 +1,12 @@
+indenting thecal sac. 
+On screening of bilateral sacro-iliac joints:
+No significant abnormality detected.             
+On screening of bilateral hip joints:
+No significant abnormality detected.             
+IMPRESSION:
+•	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. 
+    
+  
+Pass Key: 9743
\ No newline at end of file
diff --git a/paired_output/audio_03553.txt b/paired_output/audio_03553.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5c56a1b57420a512afdaed29129309e3a92de354
--- /dev/null
+++ b/paired_output/audio_03553.txt
@@ -0,0 +1,6 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03554.txt b/paired_output/audio_03554.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bd5cdde6b3f22f42f20f4029685efca05d301d0a
--- /dev/null
+++ b/paired_output/audio_03554.txt
@@ -0,0 +1,12 @@
+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
\ No newline at end of file
diff --git a/paired_output/audio_03555.txt b/paired_output/audio_03555.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ce660473b0b99896759b7b59744efd9d2c68fe4a
--- /dev/null
+++ b/paired_output/audio_03555.txt
@@ -0,0 +1,3 @@
+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:
\ No newline at end of file
diff --git a/paired_output/audio_03556.txt b/paired_output/audio_03556.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9a4726eb0e3152d3710a6ac398491973ead17219
--- /dev/null
+++ b/paired_output/audio_03556.txt
@@ -0,0 +1,8 @@
+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. 
+      
+  
+Pass Key: 8264
\ No newline at end of file
diff --git a/paired_output/audio_03557.txt b/paired_output/audio_03557.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a8cb4ae0b51ff7da57218c3200e321fa9a252bd4
--- /dev/null
+++ b/paired_output/audio_03557.txt
@@ -0,0 +1,6 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03558.txt b/paired_output/audio_03558.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b9899b17377ade9ae9cf6b42a02dda8386f501c1
--- /dev/null
+++ b/paired_output/audio_03558.txt
@@ -0,0 +1,7 @@
+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. 
+IMPRESSION: 
+•	Acute intraparenchymal hemorrhage (approximate volume 10 cc)
\ No newline at end of file
diff --git a/paired_output/audio_03559.txt b/paired_output/audio_03559.txt
new file mode 100644
index 0000000000000000000000000000000000000000..19a126c0fc303f758105492fae5d5f73ec657027
--- /dev/null
+++ b/paired_output/audio_03559.txt
@@ -0,0 +1,3 @@
+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
\ No newline at end of file
diff --git a/paired_output/audio_03560.txt b/paired_output/audio_03560.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f57baa7de5071dea0f78704102678089bc42ef3a
--- /dev/null
+++ b/paired_output/audio_03560.txt
@@ -0,0 +1,2 @@
+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,
\ No newline at end of file
diff --git a/paired_output/audio_03561.txt b/paired_output/audio_03561.txt
new file mode 100644
index 0000000000000000000000000000000000000000..71b5c2e28c6e3191667ebe7205efa72e9592df5b
--- /dev/null
+++ b/paired_output/audio_03561.txt
@@ -0,0 +1,4 @@
+IMPRESSION:
+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
\ No newline at end of file
diff --git a/paired_output/audio_03562.txt b/paired_output/audio_03562.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d0a78a885ad4a222f9faa324f9b2129b70b6806d
--- /dev/null
+++ b/paired_output/audio_03562.txt
@@ -0,0 +1,2 @@
+No contrast extravasation into adjacent soft tissues or loculated collection is identified.
+No secondary tracts or horseshoe extension demonstrated on this study.
\ No newline at end of file
diff --git a/paired_output/audio_03563.txt b/paired_output/audio_03563.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bb92913c8aa4db290de77037e22ee48f36667825
--- /dev/null
+++ b/paired_output/audio_03563.txt
@@ -0,0 +1 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03564.txt b/paired_output/audio_03564.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8ad834eadeaf1cb44e4fd010d757fb6baef417e7
--- /dev/null
+++ b/paired_output/audio_03564.txt
@@ -0,0 +1,4 @@
+X-RAY FISTULOGRAM REPORT
+Clinical History: Suspected perianal fistula.
+Technique: Contrast was instilled through the external opening followed by serial radiographs.
+Findings:
\ No newline at end of file
diff --git a/paired_output/audio_03565.txt b/paired_output/audio_03565.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2ee868de1589e4d613a99a5241ab21a0afd0a442
--- /dev/null
+++ b/paired_output/audio_03565.txt
@@ -0,0 +1,5 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03566.txt b/paired_output/audio_03566.txt
new file mode 100644
index 0000000000000000000000000000000000000000..316307bf4e0fbada9d46e765f83ca0bc07c8b5c3
--- /dev/null
+++ b/paired_output/audio_03566.txt
@@ -0,0 +1,5 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03567.txt b/paired_output/audio_03567.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3ca565e7965f424d940c6327bbddbcebc03b5fd8
--- /dev/null
+++ b/paired_output/audio_03567.txt
@@ -0,0 +1,5 @@
+The sella and parasellar regions are normal.
+Pericranial soft tissue edema is noted in the left parietal and occipital region.
+IMPRESSION:
+CT imaging does not reveal any significant intracranial abnormality in the present study.
+Pericranial soft tissue edema in the left parietal and occipital region.
\ No newline at end of file
diff --git a/paired_output/audio_03568.txt b/paired_output/audio_03568.txt
new file mode 100644
index 0000000000000000000000000000000000000000..99e55d08e720109a7460b520d5ef75289a45b813
--- /dev/null
+++ b/paired_output/audio_03568.txt
@@ -0,0 +1,3 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03569.txt b/paired_output/audio_03569.txt
new file mode 100644
index 0000000000000000000000000000000000000000..35c84ee8f14e376dad6eafe381b3aa51809402bb
--- /dev/null
+++ b/paired_output/audio_03569.txt
@@ -0,0 +1,2 @@
+	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)
\ No newline at end of file
diff --git a/paired_output/audio_03570.txt b/paired_output/audio_03570.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9431f165cd7ed231d8984d2ad0ce89e456183947
--- /dev/null
+++ b/paired_output/audio_03570.txt
@@ -0,0 +1,6 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03571.txt b/paired_output/audio_03571.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8bc5123b4472a8798ac19e3785b450055ae5d17d
--- /dev/null
+++ b/paired_output/audio_03571.txt
@@ -0,0 +1,5 @@
+	Bilateral mild ethmoid and left frontal sinusitis. Rest of the visualized paranasal sinuses.
+IMPRESSION:
+	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
\ No newline at end of file
diff --git a/paired_output/audio_03572.txt b/paired_output/audio_03572.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9495365f672452dc9390b1ab1eb4bedaf94e2a9e
--- /dev/null
+++ b/paired_output/audio_03572.txt
@@ -0,0 +1,9 @@
+	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.
\ No newline at end of file
diff --git a/paired_output/audio_03573.txt b/paired_output/audio_03573.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3ffc9f020c2d14b17d4057df546c90a721b55183
--- /dev/null
+++ b/paired_output/audio_03573.txt
@@ -0,0 +1,4 @@
+(Mild reduced in size from 4/3/2026)
+ 
+As compared to previous CT scan areas of hemorrhage, subdural collection and the midline shif decreased.
+Suggested clinical correlation.
\ No newline at end of file
diff --git a/paired_output/audio_03574.txt b/paired_output/audio_03574.txt
new file mode 100644
index 0000000000000000000000000000000000000000..065172709cde19bc19cc8cfb444b4aa521ea359f
--- /dev/null
+++ b/paired_output/audio_03574.txt
@@ -0,0 +1,4 @@
+FINDINGS
+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)
\ No newline at end of file
diff --git a/paired_output/audio_03575.txt b/paired_output/audio_03575.txt
new file mode 100644
index 0000000000000000000000000000000000000000..501c781b1c2c11a61f1c9c2e043aecae2642adec
--- /dev/null
+++ b/paired_output/audio_03575.txt
@@ -0,0 +1,2 @@
+•	Above findings are suggestive of mild osteoarthritic changes involving both hip joints and sacro-iliac joints.
+•	No obvious fracture.
\ No newline at end of file
diff --git a/paired_output/audio_03576.txt b/paired_output/audio_03576.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2290504cdcc55788f1187985c339be52d805753b
--- /dev/null
+++ b/paired_output/audio_03576.txt
@@ -0,0 +1,7 @@
+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:
\ No newline at end of file
diff --git a/paired_output/audio_03577.txt b/paired_output/audio_03577.txt
new file mode 100644
index 0000000000000000000000000000000000000000..45860cf6b605f8391e2fadac40c3a719d3ef31a9
--- /dev/null
+++ b/paired_output/audio_03577.txt
@@ -0,0 +1,5 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03578.txt b/paired_output/audio_03578.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e3904a4498d03ea83f8a4d01ce329b6e43ee45d5
--- /dev/null
+++ b/paired_output/audio_03578.txt
@@ -0,0 +1,5 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03579.txt b/paired_output/audio_03579.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a37c09c28cc9dc9da5154152a07451d00738c02b
--- /dev/null
+++ b/paired_output/audio_03579.txt
@@ -0,0 +1,9 @@
+FINDINGS:
+Bones in view appear intact. 
+Small plantar calcaneal spur noted.
+Joint spaces are normal..
+No e/o obvious xray abnormality.
+IMPRESSION:
+•	Small plantar calcaneal spur .
+•	No other significant abnormality.
+Please Correlate Clinically.
\ No newline at end of file
diff --git a/paired_output/audio_03580.txt b/paired_output/audio_03580.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d69f9404ef70c236348424633f998abc08793ee2
--- /dev/null
+++ b/paired_output/audio_03580.txt
@@ -0,0 +1,11 @@
+•	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. 
+      
+  
+Pass Key: 6593
\ No newline at end of file
diff --git a/paired_output/audio_03581.txt b/paired_output/audio_03581.txt
new file mode 100644
index 0000000000000000000000000000000000000000..38d26a03edbfb2dc4542a1c37e17079827c1674d
--- /dev/null
+++ b/paired_output/audio_03581.txt
@@ -0,0 +1,9 @@
+•	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.
\ No newline at end of file
diff --git a/paired_output/audio_03582.txt b/paired_output/audio_03582.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7f19ef3eae17f7db2b56559695a8879283867605
--- /dev/null
+++ b/paired_output/audio_03582.txt
@@ -0,0 +1,8 @@
+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 newline at end of file
diff --git a/paired_output/audio_03583.txt b/paired_output/audio_03583.txt
new file mode 100644
index 0000000000000000000000000000000000000000..545ac5b087132d59d82f5bf34084da80268aa030
--- /dev/null
+++ b/paired_output/audio_03583.txt
@@ -0,0 +1,4 @@
+IMPRESSION
+•	No Abnormality Detected 
+RECOMMENDATION
+Suggested clinical correlation.
\ No newline at end of file
diff --git a/paired_output/audio_03584.txt b/paired_output/audio_03584.txt
new file mode 100644
index 0000000000000000000000000000000000000000..982b6d3c36c228e5aaa32fc047114a9a36058ca4
--- /dev/null
+++ b/paired_output/audio_03584.txt
@@ -0,0 +1,12 @@
+FINDINGS
+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 newline at end of file
diff --git a/paired_output/audio_03585.txt b/paired_output/audio_03585.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5fac2d0a6bface189d64d65f6248ecfec3d2234a
--- /dev/null
+++ b/paired_output/audio_03585.txt
@@ -0,0 +1,9 @@
+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.
+      
+  
+Pass Key: 9316
\ No newline at end of file
diff --git a/paired_output/audio_03586.txt b/paired_output/audio_03586.txt
new file mode 100644
index 0000000000000000000000000000000000000000..383d48a32d78002c62a598fb6678b42a9b70c9c0
--- /dev/null
+++ b/paired_output/audio_03586.txt
@@ -0,0 +1,2 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03587.txt b/paired_output/audio_03587.txt
new file mode 100644
index 0000000000000000000000000000000000000000..92403c950810c7a0584e4b2c061709aefe13cc02
--- /dev/null
+++ b/paired_output/audio_03587.txt
@@ -0,0 +1,3 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03588.txt b/paired_output/audio_03588.txt
new file mode 100644
index 0000000000000000000000000000000000000000..46685e937e76d4aa27d159ca6e221e36161ea437
--- /dev/null
+++ b/paired_output/audio_03588.txt
@@ -0,0 +1,6 @@
+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 -
\ No newline at end of file
diff --git a/paired_output/audio_03589.txt b/paired_output/audio_03589.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7310a4c4c82e19a01347ada27619d3a91dab0aae
--- /dev/null
+++ b/paired_output/audio_03589.txt
@@ -0,0 +1,3 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03590.txt b/paired_output/audio_03590.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d147fe69087bd9d481981aba3085611112797221
--- /dev/null
+++ b/paired_output/audio_03590.txt
@@ -0,0 +1,5 @@
+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:
\ No newline at end of file
diff --git a/paired_output/audio_03591.txt b/paired_output/audio_03591.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f848c5af83e7646af487b9a63be4bdc4421a0922
--- /dev/null
+++ b/paired_output/audio_03591.txt
@@ -0,0 +1 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03592.txt b/paired_output/audio_03592.txt
new file mode 100644
index 0000000000000000000000000000000000000000..512af71c3b735b74245f936e491e4c6cb3586a20
--- /dev/null
+++ b/paired_output/audio_03592.txt
@@ -0,0 +1,5 @@
+Bony thoracic cage is normal.
+No soft tissue abnormality seen.
+IMPRESSION
+•	Prominent broncho-vascular markings - decreased as compared to previous radiograph.
+Suggested clinical correlation
\ No newline at end of file
diff --git a/paired_output/audio_03593.txt b/paired_output/audio_03593.txt
new file mode 100644
index 0000000000000000000000000000000000000000..75044efb4774574917f62014b7231a2b992670c4
--- /dev/null
+++ b/paired_output/audio_03593.txt
@@ -0,0 +1,11 @@
+FINDINGS-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.
\ No newline at end of file
diff --git a/paired_output/audio_03594.txt b/paired_output/audio_03594.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d907895d7adc415b53474b1d5a5246592f81a3bd
--- /dev/null
+++ b/paired_output/audio_03594.txt
@@ -0,0 +1,4 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03595.txt b/paired_output/audio_03595.txt
new file mode 100644
index 0000000000000000000000000000000000000000..92fd82a355b37ae8f7b603cbc73f77e181c45afd
--- /dev/null
+++ b/paired_output/audio_03595.txt
@@ -0,0 +1,5 @@
+Adrenal glands appear normal bilaterally.
+Bowel loops appear normal with no evidence of obstruction or focal wall thickening.
+Right kidney measures approximately 8.6 × 4.6 cm.
+Left kidney measures approximately 8.4 × 4.9 cm.
+There is evidence of bilateral minimal perinephric fat stranding.
\ No newline at end of file
diff --git a/paired_output/audio_03596.txt b/paired_output/audio_03596.txt
new file mode 100644
index 0000000000000000000000000000000000000000..eab08fd9a70f308740c8254ab0b19fade836d3ea
--- /dev/null
+++ b/paired_output/audio_03596.txt
@@ -0,0 +1,3 @@
+Few cortical cysts are noted in the left kidney, largest measuring 1.8 × 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.
\ No newline at end of file
diff --git a/paired_output/audio_03597.txt b/paired_output/audio_03597.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9630285a69160cf0a36ebb0a56c5f9a6606b7bf2
--- /dev/null
+++ b/paired_output/audio_03597.txt
@@ -0,0 +1,4 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03598.txt b/paired_output/audio_03598.txt
new file mode 100644
index 0000000000000000000000000000000000000000..20b9faa7abea679becac8d5df4d03d271a355623
--- /dev/null
+++ b/paired_output/audio_03598.txt
@@ -0,0 +1,3 @@
+Multiple non-obstructive calculi are noted in the right kidney, largest measuring 3 × 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 × 1.7 cm in the lower pole.
\ No newline at end of file
diff --git a/paired_output/audio_03599.txt b/paired_output/audio_03599.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9f8b093fb48bc14c0111e00a8aad9a7f57b2d795
--- /dev/null
+++ b/paired_output/audio_03599.txt
@@ -0,0 +1,3 @@
+No evidence of obstructive uropathy.
+Atherosclerotic changes in abdominal aorta.
+Degenerative lumbar spondylosis.
\ No newline at end of file
diff --git a/paired_output/audio_03600.txt b/paired_output/audio_03600.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7a5dd0f3f26fccb61160fbbe26732929635d4048
--- /dev/null
+++ b/paired_output/audio_03600.txt
@@ -0,0 +1,4 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03601.txt b/paired_output/audio_03601.txt
new file mode 100644
index 0000000000000000000000000000000000000000..aca467d9cdfe57f17db75995b2531e9d5971556e
--- /dev/null
+++ b/paired_output/audio_03601.txt
@@ -0,0 +1,6 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03602.txt b/paired_output/audio_03602.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d5e9d6c407847dc68a1bc99eb68d19a7e9a983d2
--- /dev/null
+++ b/paired_output/audio_03602.txt
@@ -0,0 +1,10 @@
+Visualized lower chest sections are unremarkable. 
+Visualized bones appear unremarkable.
+IMPRESSION:   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. 
+    
+  
+Pass Key: 0569
\ No newline at end of file
diff --git a/paired_output/audio_03603.txt b/paired_output/audio_03603.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9c13a2639be002f8b60ee18c751942e3ceb1075f
--- /dev/null
+++ b/paired_output/audio_03603.txt
@@ -0,0 +1,4 @@
+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.
\ No newline at end of file
diff --git a/paired_output/audio_03604.txt b/paired_output/audio_03604.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0570b8a307300f170455f97fc23265cc44097daf
--- /dev/null
+++ b/paired_output/audio_03604.txt
@@ -0,0 +1,5 @@
+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.
\ No newline at end of file