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paired_output/audio_04869.txt

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+Lymph Nodes
+Multiple small subcentimeter bilateral inguinal lymph nodes, nonspecific/reactive in appearance.
+Impression
+Minimally displaced acute/subacute fracture of the left inferior pubic ramus.
+Degenerative changes involving both hip joints and sacro-iliac joints as mentioned.
+Suggested clinical correlation and SOS MRI if clinically indicated.
+Investigations have their limitations. Solitary pathological/Radiological and other investigations never confirm the final diagnosis. They only help in diagnosing the disease in correlation to clinical symptoms and other related tests. Please interpret accordingly.
+
+
+Pass Key: 7541

paired_output/audio_04870.txt

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+The IVC, aorta and portal vein are within normal position and calibre. No evidence of retroperitoneal lymphadenopathy or ascites.
+The visible parts of the bowel loops show no obvious mass lesions or wall thickening. Appendix appears normal.

paired_output/audio_04871.txt

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+Urinary bladder reveals normal lumen and walls. No vesical calculi, wall thickening or mass lesion.
+Prostate appears mildly enlarged in size
+
+Impression
+Hepatomegaly with fat infiltration.
+Mild prostatomegaly.
+Suggested : Clinical correlation and further evaluation, if clinically indicated.

paired_output/audio_04872.txt

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+Findings
+Liver is enlarged in size ~17cm , shape and decreased attenuation on present unenhanced scan.  The porta hepatis is normal. No IHBR or CBD dilatation
+Pancreas, Spleen and both adrenals are normal in size, shape and attenuation on present unenhanced scan.

paired_output/audio_04873.txt

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+Gall bladder reveals normal lumen and walls with normal size and shape. No mass lesion, calcification or stone is seen within the lumen.
+Both kidneys reveal normal in size, shape, position and attenuation. No mass lesion, calcification or stone is seen in the renal parenchyma or collecting systems on both sides. No signs of obstructive uropathy are detected.

paired_output/audio_04874.txt

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+IMPRESSION:Above x-ray Findings are suggestive of- Bilateral maxillary sinusitis.
+Mild DNS  towards right side
+ADV CT PNS IF CLINICALLY INDICATED.

paired_output/audio_04875.txt

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+FINDINGS:
+Haziness noted at bilateral maxillary sinuses suggestive of sinusitis.
+Mild DNS is seen towards right side
+The frontal and anterior ethmoidal sinuses are clear.
+No evidence of mucosal polyp or bone destruction.
+No significant hypertrophy of turbinates is seen.

paired_output/audio_04876.txt

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+Bony skull vault appears normal.
+Mild soft tissue thickening noted in right mastoid air cells.
+mucosal thickening noted in left sphenoid sinus.
+
+IMPRESSION:

paired_output/audio_04877.txt

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+Findings:
+Abnormal area of hypodensity noted in right parietal lobe, possibility of chronic infarct /gliosis.
+Prominence of basal cisterns and cerebral cortical sulci noted with mild dilatation of the ventricular system, suggest changes of cerebral cortical atrophy.

paired_output/audio_04878.txt

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+Abnormal area of hypodensity noted in right parietal lobe, possibility of chronic infarct /gliosis.
+Age related changes of cerebral cortical atrophy with chronic small vessels ischemic changes.

paired_output/audio_04879.txt

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+Bilateral periventricular hypodensities are noted, suggestive of chronic ischemic changes.
+Both cerebral hemispheres reveal no other abnormality.
+No evidence of mass effect, midline shift or haemorrhage.
+Both basal ganglia & thalami appear normal.
+Cerebellum, brain stem and posterior fossa structures reveal no abnormality.

paired_output/audio_04880.txt

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+FINDINGS
+Supratentorial:
+Both cerebral hemispheres show normal cerebral sulci, fissures and basal cisterns. Grey white matter differentiation is maintained.
+No evidence of focal parenchymal lesion.
+No shift of midline structures seen.
+Both lateral ventricles and the 3rd ventricles are normal

paired_output/audio_04881.txt

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+IMPRESSION:
+No significant abnormality is seen.
+DIFFERENTIAL DIAGNOSIS
+NA
+RECOMMENDATION
+Suggested clinical correlation.

paired_output/audio_04882.txt

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+Fourth ventricle is central and normal in shape.
+Bone, Scalp and Sinuses:
+Bony calvarium is normal. No evidence of fracture or SOL is seen.
+Visualized part of orbits is unremarkable.
+Overlying scalp is normal.
+Visualized paranasal sinuses are normal.

paired_output/audio_04883.txt

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+Basal ganglia and thalami are normal.
+No intra-axial or extra-axial collections seen.
+Posterior Fossa:
+Cerebellum and brainstem are normal in attenuation pattern.
+Cerebellar folia are normal.
+No focal SOL seen.
+CP angle cisterns are normal.

paired_output/audio_04884.txt

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+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. 
+IMPRESSION
+•	No Abnormality Detected 
+RECOMMENDATION
+Suggested clinical correlation.

paired_output/audio_04885.txt

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+Haziness noted in bilateral frontal and maxillary sinuses, possibility of changes of sinusitis.
+No evidence of bony erosion.
+Nasal septum is mild deviated to left side.
+ 
+ 
+IMPRESSION: 
+ 
+•	Haziness noted in bilateral frontal and maxillary sinuses, possibility of changes of sinusitis.
+•	Nasal septum is mild deviated to left side.

paired_output/audio_04886.txt

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+Haziness noted in bilateral frontal and maxillary sinuses, possibility of changes of sinusitis.
+No evidence of bony erosion.
+Nasal septum is mild deviated to left side.
+ 
+ 
+IMPRESSION: 
+ 
+•	Haziness noted in bilateral frontal and maxillary sinuses, possibility of changes of sinusitis.
+•	Nasal septum is mild deviated to left side.

paired_output/audio_04887.txt

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+FINDINGS:
+Haziness noted at bilateral maxillary sinuses 
+No air fluid levels are seen.
+No localized or generalized mucosal thickening is seen.
+The frontal and anterior ethmoidal sinuses are clear.
+No evidence of mucosal polyp or bone destruction.

paired_output/audio_04888.txt

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+No significant hypertrophy of turbinates is seen.
+Nasal septum is deviated to right
+IMPRESSION:Above x-ray Findings are suggestive of- Bilateral maxillary sinusitis. 
+Nasal septum is deviated to right
+ADV CT PNS IF CLINICALLY INDICATED.

paired_output/audio_04889.txt

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+Soft tissue swelling noted in frontal region, bilateral periorbital and premaxillary region.
+IMPRESSION:
+Facial bone fractures as mentioned above.

paired_output/audio_04890.txt

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+Findings:
+Fracture noted in anterior and posterior wall of bilateral frontal sinuses with haemosinus within. Fracture noted in intersinus septum.
+Fracture noted in roof of bilateral orbits with pneumo-orbit within.
+Fracture noted in right nasal bone.
+Fracture noted in left lamina papyracea.

paired_output/audio_04891.txt

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+Both maxillary sinuses appear normal. No evidence of fracture or collection noted.
+Collection noted in left nasal cavity.
+Left nasal bone appear normal.
+Crista galli appear normal. Left Cribriform plate and perpendicular plate of ethmoid bones appear normal.

paired_output/audio_04892.txt

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+Vomer bone, medial and lateral pterygoid plates appear normal.
+Alveolar processes of maxillary bone appear normal.
+Mandible and T.M. joints appear normal.
+Concha bullosa present on either side.
+Persistent metopic suture noted.

paired_output/audio_04893.txt

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+Haemosinus noted in bilateral sphenoid and ethmoid sinuses.
+Fracture noted in roof of left ethmoid and sphenoid sinuses.
+Suspicious fracture noted in posterior wall of right sphenoid sinus.
+Suspicious fracture noted in right cribriform plate.
+Pneumocranium noted.

paired_output/audio_04894.txt

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+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

paired_output/audio_04895.txt

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+•	No significant intracranial abnormality detected. 
+Suggested clinical and laboratory correlation. 
+Investigations have their limitations. Solitary pathological/Radiological and other investigations never confirm the final diagnosis. They only help in diagnosing the disease in correlation to clinical symptoms and other related tests. Please interpret accordingly. 
+      
+  
+Pass Key: 2739

paired_output/audio_04896.txt

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+collection is seen. No midline shift is seen.
+Sella and parasellar structures appear grossly unremarkable. 
+Visualized paranasal sinuses are unremarkable. 
+Skull bones appear normal. No e/o any fracture noted 
+IMPRESSION:

paired_output/audio_04897.txt

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+Haziness noted in bilateral frontal and maxillary sinuses, possibility of changes of sinusitis.
+No evidence of bony erosion.
+Nasal septum is mild deviated to right side.
+ 
+ 
+IMPRESSION: 
+ 
+•	Haziness noted in bilateral frontal and maxillary sinuses, possibility of changes of sinusitis.
+•	Nasal septum is mild deviated to right side.

paired_output/audio_04898.txt

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+Observations:
+Mildly displaced fracture of the right anterior and posterolateral wall of maxillary sinus with hemosinus.
+Soft tissue edema and fat stranding in the right maxillary region.
+Mandible is normal. No fracture is seen.
+Temporomandibular joints appear normal. No subluxation or dislocation noted.

paired_output/audio_04899.txt

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+IMPRESSION:
+Mildly displaced fracture of the right anterior and posterolateral wall of maxillary sinus with hemosinus.
+Soft tissue edema and fat stranding in the right maxillary region.

paired_output/audio_04900.txt

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+Maxilla appears normal on both sides. Alveolus and palate appear normal.
+Nasal bones are normal. Nasal septum is normal.
+Paranasal sinuses are normal.
+Orbital rim and walls or orbit are normal on both sides.

paired_output/audio_04901.txt

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+No radio-opaque foreign body is seen in the orbits.
+Zygomatic bone arch are normal.
+Temporal bone and process of temporal bone are normal.
+No significant abnormality seen in mastoids and external auditory canal on both sides.
+Petrous temporal bone, middle and inner ear structures are normal.

paired_output/audio_04902.txt

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+Findings -
+Motion artifacts are seen in few of the sequences reducing optimal evaluation.
+Large wedge shaped area of diffusion restriction is seen in right hemipons . It is hyperintense on FLAIR images. This is suggestive of acute infarct in basilar artery territory.

paired_output/audio_04903.txt

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+There is no shift of midline structures
+The paranasal sinuses, orbits and calvarium appear unremarkable.
+MR angiography -
+Mild to moderate irregular narrowing of P2 cavernous segment of left internal carotid artery is seen.

paired_output/audio_04904.txt

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+Gliotic changes with encephalomalacia is seen in right medial occipital region. This is suggestive of sequelae to old infarct.
+Few T2 FLAIR hyperintense foci are seen in bilateral frontoparieto occipital white matter. these are are hypointense on T1Wt image.

paired_output/audio_04905.txt

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+These are suggestive of chronic lacunar infarcts.
+Mild chronic periventricular ischemic changes are seen.
+Mild prominence of cerebral sulci, cisterns and ventricles is seen cleft, suggestive of mild cerebral atrophy. Partial empty sella status is seen.

paired_output/audio_04906.txt

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+Few patchy areas of diffusion restriction is seen in right cerebellar hemisphere and left vermis. These are hyperintense on FLAIR images. These are suggestive of acute lacunar infarcts in superior cerebellar artery territory.

paired_output/audio_04907.txt

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+A1 segment of right anterior cerebral artery appears hypoplastic.
+The right internal carotid artery, appear left anterior cerebral artery, both middle cerebral arteries appear normal.
+Left vertebral artery is hypoplastic.

paired_output/audio_04908.txt

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+Acute wedge shaped infarct in right hemipons.
+Patchy areas of acute infarct in right cerebellar hemisphere and left vermis.
+Gliotic area with encephalomalacic changes in right medial occipital region .

paired_output/audio_04909.txt

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+Near total occlusion of distal basilar artery is seen in pontine cistern. Proximal basilar artery, vertebrobasilar junction appears normal. Both posterior cerebral arteries are normal.
+
+Impression -
+MR scan reveals,

paired_output/audio_04910.txt

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+Mild chronic periventricular ischemic changes.
+Mild chronic lacunar infarcts as described.
+Mild cerebral infarct
+MR angiography reveals,

paired_output/audio_04911.txt

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+Mild to moderate irregular narrowing in P2 cavernous segment of left internal carotid artery.
+Hypoplastic A1 segment of left anterior cerebral artery.
+Near complete occlusion of distal basilar artery.

paired_output/audio_04912.txt

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+Common bile duct is normal in course and caliber. No intrahepatic biliary radicle dilatation seen.
+Pancreas:
+Diffuse fatty infiltration of the pancreatic parenchyma is noted. Pancreatic body and tail appear bulky with mild surrounding peripancreatic fat stranding.

paired_output/audio_04913.txt

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+CECT – UPPER ABDOMEN (PLAIN + CONTRAST)
+TECHNIQUE: CT scan of the upper abdomen was performed before and after intravenous contrast administration. Multiplanar reformatted images were evaluated.
+CLINICAL BRIEF: Pain abdomen with elevated serum amylase levels.

paired_output/audio_04914.txt

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+FINDINGS:
+Liver:
+Liver is mildly enlarged, measuring approximately 16 cm in craniocaudal dimension. Diffuse hypoattenuation of the hepatic parenchyma is noted, suggestive of fatty infiltration. No focal hepatic lesion seen. Normal enhancement pattern noted.

paired_output/audio_04915.txt

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+Pancreatic measurements are as follows:
+Head: ~2.7 cm
+Body: ~4.1 cm
+Tail: ~3.5 cm
+No evidence of pancreatic necrosis, organized collection, pseudocyst, or vascular complication identified.

paired_output/audio_04916.txt

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+Gallbladder and Biliary System:
+Gallbladder is distended and shows multiple hyperdense calculi within the lumen, neck, and cystic duct region, largest measuring approximately 4.8 mm. Mild diffuse gallbladder wall thickening (approximately 4.5 mm) with mild adjacent pericholecystic fat stranding is noted.

paired_output/audio_04917.txt

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+Spleen:
+Spleen is enlarged, measuring approximately 14.2 cm.
+Kidneys:
+Multiple small non-enhancing hypodense cortical cysts are seen in the left kidney, largest measuring approximately 14 mm.

paired_output/audio_04918.txt

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+Both kidneys otherwise appear normal in size, shape, attenuation, enhancement, and excretory function. No hydronephrosis seen. Both ureters are normal in course and caliber.