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paired_output/audio_05452.txt

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+Tendons:
+Mild T2 and PDFS hyperintense signal intensity noted involving the supraspinatus tendon suggestive of tendinosis.
+Mild T2 and PDFS hyperintense signal intensity noted involving the subscapularis tendon suggestive of tendinosis.
+Infraspinatus, teres minor, teres major tendons appear intact

paired_output/audio_05453.txt

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+and reveal normal signal intensity.
+Biceps tendon is seen in the bicipital groove and appears normal. Mild fluid noted in the bicipital groove likely reactive.
+Joint:
+Mild subacromial - subdeltoid bursitis.
+Mild shoulder joint and sub-coracoid bursal effusion is noted.

paired_output/audio_05454.txt

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+12 o'clock to 1 o'clock position slightly degeneration. Rest of the glenoid labrum appears intact and shows normal signal intensity.
+Coraco-acromial arch appears normal.
+Type II acromion noted.
+Bones:
+Head of humerus, Rest of the glenoid, spine of scapula and coracoid reveal normal signal intensity.

paired_output/audio_05455.txt

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+Mild acromio-clavicular joint arthropathy is noted in the form of capsular hypertrophy and marginal osteophytes. It is mildly impinging the underlying myotendinous junction of supraspinatus.
+Glenohumeral joint appears normal with intact articular surfaces.
+Mild fraying of anterosuperior glenoid labrum from

paired_output/audio_05456.txt

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+No evidence of marrow edema. Articular cartilage is intact with smooth margins. Humeral head shows no contour deformity. No fracture / dislocation is seen.
+Neurovascular structures are unremarkable.
+Impression:
+Mild supraspinatus and subscapularis tendinosis.

paired_output/audio_05457.txt

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+Mild acromio-clavicular joint arthropathy.
+Mild subacromial - subdeltoid bursitis.
+Mild shoulder joint and sub-coracoid bursal effusion.
+Suggested clinical correlation.
+Investigations have their limitations. Solitary pathological/Radiological and other investigations never confirm the final diagnosis. They only help in diagnosing the disease in correlation to clinical symptoms and other related tests. Please interpret accordingly.
+
+Pass Key: 5681

paired_output/audio_05458.txt

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+X-RAY CERVICAL SPINE AP & LATERAL VIEW
+ 
+ 
+* Loss of normal cervical lordosis. 
+* Vertebral bodies show multiple anterior osteophytes with maintained vertebral body heights. 
+* Intervertebral disc space narrowing noted (more prominent at C5-C6 & C6-C7 )
+* Multilevel endplate sclerosis noted.

paired_output/audio_05459.txt

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+The vertebrae shows normal alignment. 
+ Pedicles, Laminae, transverse and spinous processes are normal. 
+Spino-laminar line is well maintained. 
+Cranio-vertebral region is normal. 
+The prevertebral and pretracheal soft tissue spaces are normal. 
+There is no cervical Rib.

paired_output/audio_05460.txt

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+IMPRESSION: 
+Degenerative changes- cervical spondylosis.
+Advice MRI C spine to look for spinal canal narrowing and cord signal.

paired_output/audio_05461.txt

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+MRI PROSTATE (MULTIPARAMETRIC MRI PROSTATE WITH CONTRAST)
+Technique:
+Multiplanar multisequence MRI of the prostate was performed including T1, T2, DWI, ADC and dynamic post-contrast sequences following intravenous contrast administration.

paired_output/audio_05462.txt

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+Visualized marrow signal of pelvic bones appears unremarkable.
+Impression:
+Enlarged prostate gland (~58 cc) with features of benign prostatic hyperplasia and intravesical prostatic protrusion.

paired_output/audio_05463.txt

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+Diffusion restricting lesion in the intravesical component arising from the base of prostate measuring 14 × 13 mm, suspicious for — PI-RADS 4 lesion.
+Ill-defined T2 hypointense wedge-shaped lesion in right posterolateral peripheral zone at mid gland level without definite diffusion restriction or abnormal enhancement — PI-RADS 3 lesion.

paired_output/audio_05464.txt

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+No evidence of extracapsular extension, seminal vesicle invasion, or significant pelvic lymphadenopathy.
+Diffuse urinary bladder wall thickening, likely related to chronic cystitis/chronic outlet obstruction changes.

paired_output/audio_05465.txt

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+Recommendation:
+Correlation with serum PSA levels and urological evaluation is recommended. Targeted TRUS-guided biopsy / histopathological confirmation of the PI-RADS 4 lesion is advised.
+KEYIMAGES

paired_output/audio_05466.txt

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+No significant diffusion restriction or focal early dynamic contrast enhancement is seen.
+Possibility of PI-RADS 3 lesion.
+No evidence of extracapsular extension seen.
+No evidence of seminal vesicle invasion. Bilateral seminal vesicles appear normal.

paired_output/audio_05467.txt

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+The prostate shows intravesical prostatic protrusion measuring approximately 10 mm.
+A well-defined diffusion restricting lesion is noted arising from the base of prostate with extension into the intravesical component, measuring approximately 14 × 13 mm in size.

paired_output/audio_05468.txt

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+Neurovascular bundles appear maintained.
+No significant pelvic lymphadenopathy noted.
+Urinary bladder is partially distended and shows diffuse circumferential wall thickening, maximum wall thickness measuring approximately 4 mm, likely related to chronic cystitis/chronic bladder outlet obstruction changes.

paired_output/audio_05469.txt

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+Findings:
+Prostate gland appears enlarged measuring approximately 4.5 × 4.9 × 5.1 cm with estimated prostatic volume of approximately 58 cc.
+There is evidence of diffuse nodular enlargement involving bilateral transition zones with multiple well-defined T2 hyperintense nodules noted scattered within the transition zone, likely related to benign prostatic hyperplasia.

paired_output/audio_05470.txt

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+The lesion demonstrates low ADC signal with corresponding diffusion restriction.
+Another ill-defined wedge-shaped T2 hypointense signal alteration is noted in the right posterolateral peripheral zone at the mid gland level, measuring approximately 11 × 8 mm.

paired_output/audio_05471.txt

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+MRI RIGHT LEG
+Technique:
+Multiplanar multisequence MRI of the leg was performed.
+Findings:
+A linear T1 hypointense and STIR hyperintense fracture line is noted involving the posterior cortex of the distal tibial shaft.