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paired_output/audio_00574.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 enlarged
+Others
+Bilateral CP angles are clear.

paired_output/audio_00575.txt

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+Both domes of diaphragm are normally placed.
+Bony thoracic cage is normal.
+No soft tissue abnormality seen.
+IMPRESSION
+Mild cardiomegaly
+ 
+DIFFERENTIAL DIAGNOSIS
+NA
+ 
+RECOMMENDATION
+Suggested clinical correlation.

paired_output/audio_00576.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.

paired_output/audio_00577.txt

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+	Both lateral ventricles and the 3rd ventricles are normal
+	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.

paired_output/audio_00578.txt

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+	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.
+	Visualized part of orbits is unremarkable.
+	Overlying scalp is normal.

paired_output/audio_00579.txt

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+	Visualized paranasal sinuses are normal.
+IMPRESSION:
+	No significant abnormality is seen.
+DIFFERENTIAL DIAGNOSIS
+NA
+RECOMMENDATION
+Suggested clinical correlation.

paired_output/audio_00580.txt

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+ and neural foramina, bilaterally. Mild facetal arthropathy is detected at this level.  
+3. Desiccated and postero-central protrusion of C6-7 disc, causing mild narrowing of the 
+central canal.  
+4. Incidental note is made of pituitary gland appears prominent and shows partially empty 
+Sella status.  
+Thank you for referring.  

paired_output/audio_00581.txt

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+IMPRESSION:  
+1. Desiccated and broad based posterior herniation of C4-5 disc, causing mild narrowing of the 
+central canal and neural foramina, bilaterally. Mild facetal arthropathy is detected at this level.  
+2. Desiccated and broad based posterior herniation of C5-6 disc, causing mild narrowing of the 
+central canal 

paired_output/audio_00582.txt

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+ FINDINGS
+•	Both frontal sinuses are normal.
+•	Mucosal thickening in both maxillary sinuses (right>left)
+•	Right concha bullosa.
+•	Ethmoid / sphenoid sinuses appear normal.
+•	Bilateralfronto-nasal recess appear unremarkable.

paired_output/audio_00583.txt

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+•	The nasolacrimal duct on either side shows mucosal thickening.
+•	Bilateral maxillary ostia are obliterated
+•	The lamina papyraceaon either side is normal.
+•	Left paradoxical  middle turbinate.
+•	Left sided nasal septum deviation.
+•	No bony erosion / destruction are seen.

paired_output/audio_00584.txt

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+IMPRESSION
+Left sided nasal septum deviation.
+Bilateral maxillary sinusitis.
+Right concha bullosa.
+RECOMMENDATION
+Suggested clinical correlation.

paired_output/audio_00585.txt

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+Findings:
+There are multiple well defined FLAIR/T2 hyperintense signal lesions are seen in the left cerebral hemispheres cortical and subcortical regions, left corona radiata and right frontal lobe, largest in left frontal lobe measures 1.5 x 1 cms. Which show restricted diffusion and no areas of blooming on SWI.

paired_output/audio_00586.txt

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+Few small well-defined FLAIR hyperintensities are seen in bilateral corona radiata regions -- S/o old lacunar infarcts.
+Multiple well-defined FLAIR/T2 hyperintensities are seen in bilateral periventricular regions -- S/o Chronic small vessel ischemic changes.

paired_output/audio_00587.txt

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+Ventricular system, basal cisterns and sulci are prominent – Diffuse cerebral atrophy.
+The fourth ventricle shows normal size, shape and position.
+Both the C.P angles are clear.
+The medulla, pons and midbrain show normal signals in both the sequences.

paired_output/audio_00588.txt

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+The third and lateral ventricles are of normal in size, shape and position.
+No midline shift is noted.
+The extra cerebral spaces are clear.
+The orbits and the visualized sinuses appear normal.
+The pituitary gland and optic chiasm are normal.
+ 
+IMPRESSION:
+There are multiple well defined FLAIR/T2 hyperintense 

paired_output/audio_00589.txt

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+are seen in the left cerebral hemispheres cortical and subcortical regions, left corona radiata and right frontal lobe, largest in left frontal lobe measures 1.5 x 1 cms. Which show restricted diffusion and no areas of blooming on SWI suggestive of acute infarcts.

paired_output/audio_00590.txt

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+Few small well-defined FLAIR hyperintensities are seen in bilateral corona radiata regions -- S/o old lacunar infarcts.
+Multiple well-defined FLAIR/T2 hyperintensities are seen in bilateral periventricular regions -- S/o Chronic small vessel ischemic changes.

paired_output/audio_00591.txt

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+Ventricular system, basal cisterns and sulci are prominent – Diffuse cerebral atrophy.
+ 
+ 
+ Suggested clinical correlation and follow up 

paired_output/audio_00592.txt

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+Impression
+•	Cholelithiasis with chronic cholecystitis changes.
+•	Mobile vesical calculus.
+•	Grade II prostatomegaly.
+Suggested : Clinical correlation and further evaluation, if clinically indicated.

paired_output/audio_00593.txt

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+OBSERVATION
+Thin linear blind ending sinus tract noted in left para-median location near the upper part of the natal (gluteal) cleft. Sinus tract measures 2.0 cm in length and runs in subcutaneous plane and ends blindly.

paired_output/audio_00594.txt

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+No evidence of communication with sacral bone. No signal alteration noted in sacrum / coccyx.
+The anal canal appears normal .
+The internal and external sphincters appear normal .
+The levator ani muscle appear normal on both sides .

paired_output/audio_00595.txt

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+The ischioanal and ischiorectal fossae appear normal bilaterally .
+No evidence of fistula or abscess noted in the anal or perianal region. 
+Visualised sections of pelvis show bulky uterus with multiple fibroids in intramural and subserosal location, largest measuring 8.5 x 5.9 cm in subserosal location 

paired_output/audio_00596.txt

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+IMPRESSION:
+•	Features suggestive of pilonidal sinus filled with pus.
+•	No evidence of osteomyelitis in sacrum / coccyx. 
+•	Multiple uterine fibroids as described.
+ 
+
+ 

paired_output/audio_00597.txt

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+IMPRESSION:
+•	 No significant abnormality  in plain radiograph
+ 
+ADV - USG ABDOMEN IF CLINICALLY INDICATED.

paired_output/audio_00598.txt

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+Microlith noted in lower pole of right kidney. 
+Well defined soft tissue density lesion measuring 2.8 x 2.6 cm noted in anterior wall of uterus.
+IMPRESSION:
+•	Right renal microlith. 
+•	Fatty liver.
+•	Well defined soft tissue density lesion measuring 2.8 x 2.6 cm noted in anterior wall of uterus - Possibly fibroid.

paired_output/audio_00599.txt

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+Findings:
+Multiple hemorrhagic contusions with adjacent edema seen involving, midbrain bilateral fronto-temporo-parietal lobes (right more than left), largest measuring approximately 16 x 13 mm.
+Extradural hemorrhage along right temporo-parietal lobe. 

paired_output/audio_00600.txt

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+. Maximum thickness measures approximately 6.4 mm. Mild mass effect on underlying brain parenchyma.
+Mild subdural hemorrhage along falx and bilateral tentorium. Mild subdural hemorrhage along right high frontal region. Maximum thickness measures approximately 4 mm.

paired_output/audio_00601.txt

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+Multiple areas of subarachnoid hemorrhage involving the right fronto-temporo-parietal lobes, right sylvian fissure and left fronto-parietal lobes.
+Multiple hypodensities are noted in bilateral fronto-parietal and periventricular white matter s/o chronic ischemic changes.  

paired_output/audio_00602.txt

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+Mild generalized prominence of the cortical sulci, basal cisterns and ventricular system is noted s/o cerebral atrophy 
+Rest of the brain parenchyma is normal in attenuation.
+Basal ganglia and thalami are normal.
+The posterior fossa structures are normal.
+No evidence of SOL.
+Sella and parasellar structures appear grossly unremarkable. 

paired_output/audio_00603.txt

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+Bilateral maxillary and bilateral ethmoid sinusitis noted. Rest of the visualized paranasal sinuses are unremarkable. 
+Comminuted displaced fracture noted involving the right temporo-parietal bones, involving the greater wing of sphenoid and lateral wall of sphenoid sinus with resultant sphenoid haemosinus. 
+ 

paired_output/audio_00604.txt

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+Rest of the skull bones appear normal. 
+Subgaleal soft tissue swelling over right temporo-parietal region.
+Impression: 
+•	Multiple hemorrhagic contusions with adjacent edema involving, midbrain bilateral fronto-temporo-parietal lobes (right more than left).

paired_output/audio_00605.txt

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+•	Extradural hemorrhage along right temporo-parietal lobe.
+•	Mild subdural hemorrhage along falx and bilateral tentorium, along right high frontal region. 
+•	Multiple areas of subarachnoid hemorrhage involving the right fronto-temporo-parietal lobes, right sylvian fissure and left fronto-parietal lobes.

paired_output/audio_00606.txt

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+•	Comminuted displaced fracture noted involving the right temporo-parietal bones, involving the greater wing of sphenoid and lateral wall of sphenoid sinus with resultant sphenoid haemosinus. 
+•	Mild generalized cerebral atrophy with chronic ischemic changes in bilateral fronto-parietal and periventricular white matter. 
+Suggested clinical correlation. 

paired_output/audio_00607.txt

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+IMPRESSION
+Early degenerative osteoarthritis of left knee
+
+RECOMMENDATION
+Suggested clinical correlation.

paired_output/audio_00608.txt

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+undisplaced fracture noted in right parietal bone extending into squamous part of right temporal bone.
+IMPRESSION:
+	Resolving intraparenchymal haemorrhagic contusions with surrounding oedema noted in left fronto-parietal lobe causing mass effect in the form of effacement of left lateral ventricle and midline shift of 2 mm towards right side. 

paired_output/audio_00609.txt

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+FINDINGS
+Supratentorial:
+	Resolving intraparenchymal haemorrhagic contusions with surrounding oedema noted in left fronto-parietal lobe causing mass effect in the form of effacement of left lateral ventricle and midline shift of 2 mm towards right side. 

paired_output/audio_00610.txt

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+Chronic subdural haemorrhage with maximum thickness of 3 mm noted in right frontoparietotemporal convexity. Subdural haemorrhage with maximum thickness of 3 mm noted in left temporo-parietal convexity.

paired_output/audio_00611.txt

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+Findings:
+Left sided mild right sided minimal pleural effusion noted.
+Multiple areas of smooth interlobular septal thickening and ground-glass attenuation noted involving bilateral lower lobes.
+Patchy areas of fibroatelectatic changes noted involving bilateral upper and lower lobes. 

paired_output/audio_00612.txt

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+. Coronary artery calcification is noted. No obvious pericardial effusion.
+The trachea and mainstem bronchi are normal.
+No size significant hilar or mediastinal lymphadenopathy is seen.
+Small hiatus hernia noted. Rest of the visualized abdominal organs are normal.

paired_output/audio_00613.txt

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+Degenerative changes involving the visualised spine in the form of marginal osteophytes. Rest of the visualized bones are unremarkable. 
+Impression: 
+1.	Multiple areas of smooth interlobular septal thickening and ground-glass attenuation involving bilateral lower lobes.
+2.	Left sided mild right sided minimal pleural effusion.

paired_output/audio_00614.txt

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+Above findings are likely suggestive of pulmonary edema.
+Mild cardiomegaly. 
+Suggested clinical correlation. 

paired_output/audio_00615.txt

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+Fibroatelectatic collapse noted involving the lateral segment of right middle lobe. These are suggestive of sequelae of old infective etiology.
+Rest of the lung parenchyma is normal in attenuation.
+Mild cardiomegaly noted. Atherosclerotic changes involving the visualised aorta and its branches in the form of wall calcification. 

paired_output/audio_00616.txt

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+There is loss of normal lumbar lordosis seen. The alignment of the vertebrae is normal. 
+ 
+There is sacralisation of L5 vertebra. Marginal anterior osteophytes are seen from L3 to L5 levels. The marrow within the vertebrae reveals normal signal intensity. No focal bony lesion is detected.   

paired_output/audio_00617.txt

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+L2-3 Disc reveals diffuse bulge. It indents the thecal sac, without any significant central canal or neural foraminal narrowing. 
+ 
+L3-4 Disc reveals broad based posterior protrusion. It indents the thecal sac, both L4 nerve roots and causes mild narrowing of central canal. 

paired_output/audio_00618.txt

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+. Mild facetal arthropathy and ligamentum flavum thickening are detected at this level. Left facetal effusion seen at this level.
+ 
+L4-5 disc reveals broad based posterior herniation with slight inferior migration. It indents the anterior epidural fat, both L5 nerve roots and causes moderate narrowing of central canal and lateral recesses, bilaterally.

paired_output/audio_00619.txt

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+Mild facetal arthropathy and ligamentum flavum thickening are detected at this level.
+ 
+Sagittal T2 weighted screening of cervical spine revealsposterior bulges at C3-4, C4-5 and C5-6 levels, indenting the anterior subarachnoid spaces. 
+ 

paired_output/audio_00620.txt

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+Sagittal T2 weighted screening of dorsal spine reveals posterior herniations at T7-8 and T8-9 levels, indenting the anterior subarachnoid spaces. 
+
+IMPRESSION:
+ 
+1. Broad based posterior herniation of L4-5 disc, with slight inferior migration, causing moderate narrowing of central canal and lateral recesses, bilaterally. 

paired_output/audio_00621.txt

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+Mild facetal arthropathy and ligamentum flavum thickening are detected at this level.
+2. Broad based posterior protrusion of L3-4 disc, causing mild narrowing of central canal. Mild facetal arthropathy and ligamentum flavum thickening are detected at this level. Left facetal effusion seen at this level.

paired_output/audio_00622.txt

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+Diffuse bulge of L2-3 disc, without any significant central canal or neural foraminal narrowing.
+There is sacralisation of L5 vertebra.

paired_output/audio_00623.txt

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+Multiple well-defined cortical cysts are noted, largest measuring 2.6 x 2.2 cm, showing fluid attenuation without septations or solid components.
+Few subcentimetric cortical cysts are noted.
+A calculus measuring 4 x 3 mm (HU ~349) is noted in the upper pole calyx.