static/sample_reports.json

{
  "samples": [
    {
      "id": "abdominal_ct",
      "title": "Abdominal CT",
      "modality": "CT",
      "text": "EXAMINATION: CT abdomen and pelvis with IV contrast\nCLINICAL INDICATION: Abdominal pain, rule out acute pathology\nCOMPARISON: None available\nTECHNIQUE: Axial images of the abdomen and pelvis were obtained following administration of intravenous contrast material. Coronal and sagittal reformations were performed.\n\nFINDINGS:\nNo acute abnormality is seen in the visualized lung bases. The liver is normal in size and contour. There is a 1.2 cm simple-appearing low-attenuation lesion in hepatic segment VII, consistent with a cyst. The gallbladder contains numerous calcified gallstones, compatible with cholelithiasis, without gallbladder wall thickening, pericholecystic fluid, or other sonographic signs of acute cholecystitis. The common bile duct is non-dilated, measuring approximately 4 mm. The pancreas is unremarkable without focal mass or peripancreatic inflammatory stranding. The spleen and adrenal glands appear unremarkable. A 9 mm simple left renal cyst is noted. The kidneys are otherwise unremarkable without hydronephrosis or nephrolithiasis. There is sigmoid diverticulosis without evidence of acute diverticulitis.\n\nIMPRESSION:\n1. Cholelithiasis without evidence of acute cholecystitis.\n2. Hepatic and renal cysts.\n3. Sigmoid diverticulosis without acute diverticulitis."
    },
    {
      "id": "lumbar_spine_mri",
      "title": "Lumbar Spine MRI",
      "modality": "MRI",
      "text": "Exam: MRI Lumbar Spine\nClinical Indication: Low back pain, radiculopathy\n\nThere is mild degenerative anterolisthesis of L4 on L5. The normal lumbar lordosis is otherwise maintained. Vertebral body heights are preserved. There is a T1 and T2 hyperintense lesion in the L2 vertebral body consistent with a benign hemangioma. Marrow signal is otherwise unremarkable. The conus medullaris terminates at a normal level and is unremarkable in signal intensity.\n\nAt L1-L2 and L2-L3, there is mild disc desiccation without significant canal or foraminal stenosis. At L3-L4, a shallow posterior disc bulge and mild facet arthropathy result in mild central canal narrowing. The neural foramina are patent. At L4-L5, there is advanced disc space narrowing and desiccation. A broad-based posterior disc protrusion with a superimposed left paracentral extrusion severely narrows the central canal and contacts the traversing left S1 nerve root. There is moderate left neural foraminal stenosis. At L5-S1, mild disc desiccation is present without significant canal or foraminal stenosis. The paraspinal soft tissues are unremarkable.\n\nIMPRESSION:\n1. Severe L4-L5 disc protrusion with superimposed left paracentral extrusion, resulting in severe central canal narrowing and contact with the left S1 nerve root.\n2. Multilevel degenerative disc disease, most advanced at L4-L5.\n3. Benign hemangioma in L2 vertebral body."
    },
    {
      "id": "shoulder_mri",
      "title": "Shoulder MRI", 
      "modality": "MRI",
      "text": "A full-thickness, full-width tear of the supraspinatus tendon is present, with the torn tendon end retracted approximately 2 cm medially to the level of the glenoid rim. There is moderate fatty infiltration and atrophy of the supraspinatus muscle. The infraspinatus, teres minor, and subscapularis tendons and muscles appear intact. There is a moderate joint effusion with synovial thickening. The glenoid labrum shows a small superior labral tear. The biceps tendon is intact and properly positioned within the bicipital groove. The acromioclavicular joint shows mild degenerative changes with small osteophytes but no significant narrowing."
    },
    {
      "id": "abdominal_mri_pkd",
      "title": "Abdominal MRI",
      "modality": "MRI",
      "text": "EXAMINATION: MRI abdomen without and with gadolinium contrast\nCLINICAL INDICATION: Polycystic kidney disease with suspected cyst infection, flank pain, fever\nCOMPARISON: CT abdomen from 3 months ago\nTECHNIQUE: Axial and coronal T1-weighted, T2-weighted, and post-gadolinium images were obtained.\n\nFINDINGS:\nBoth kidneys are markedly enlarged. The right kidney measures 18.2 cm and the left kidney measures 17.8 cm in length. Innumerable thin-walled cysts of varying sizes are present throughout both kidneys, consistent with autosomal dominant polycystic kidney disease. Several cysts demonstrate T1 hyperintensity consistent with hemorrhagic or proteinaceous content, particularly a 4.2 cm cyst in the right upper pole and a 3.1 cm cyst in the left mid-pole. \n\nA complex 5.8 cm cyst in the left lower pole demonstrates thick irregular walls, internal septations, and rim enhancement following contrast administration, highly suspicious for infected cyst. Surrounding perinephric inflammatory stranding is present. An additional 2.8 cm cyst in the right lower pole shows similar findings concerning for secondary infection.\n\nMultiple hepatic cysts are noted, the largest measuring 3.4 cm in segment IV. The liver is otherwise normal in signal intensity and enhancement pattern. The spleen, pancreas, and adrenal glands appear unremarkable. There is mild ascites in the pelvis. No hydronephrosis is identified despite the numerous cysts.\n\nIMPRESSION:\n1. Autosomal dominant polycystic kidney disease with bilateral renal enlargement and innumerable cysts.\n2. Probable infected cysts in the left lower pole (5.8 cm) and right lower pole (2.8 cm) with surrounding inflammatory changes.\n3. Multiple hemorrhagic cysts bilaterally.\n4. Multiple hepatic cysts.\n5. Mild ascites."
    },
    {
      "id": "hip_mri",
      "title": "Hip MRI",
      "modality": "MRI",
      "text": "There is a small joint effusion. Diffuse thinning of the articular cartilage is noted at the weight-bearing superior acetabulum and femoral head, with near full-thickness loss anterosuperiorly. A degenerative labral tear is present at the anterosuperior acetabulum. The joint capsule shows mild thickening. Moderate subchondral bone marrow edema is seen in the femoral head and acetabulum. Small subchondral cysts are noted in the superior acetabulum. The hip abductor tendons show signal alteration consistent with tendinosis, and there is a partial-thickness tear of the gluteus medius tendon at its greater trochanteric insertion.\n\nIMPRESSION:\n1. Moderate to severe osteoarthritis with cartilage loss and subchondral changes.\n2. Anterosuperior labral tear.\n3. Partial-thickness gluteus medius tendon tear with tendinosis."
    },
    {
      "id": "chest_xray",
      "title": "Chest X-Ray",
      "modality": "XR",
      "text": "Study: Chest Radiograph\n\nThe cardiac silhouette is normal in size and contour. The mediastinal contours are within normal limits. There is a 8 mm well-circumscribed nodule in the right upper lobe. The remainder of the lungs are clear without consolidation, pneumothorax, or pleural effusion. The pulmonary vasculature appears normal. No acute bony abnormalities are identified. The visualized upper abdomen is unremarkable."
    },
    {
      "id": "cta_pulmonary_embolus",
      "title": "CTA Pulmonary Embolus",
      "modality": "CT",
      "text": "EXAMINATION: CT angiography of the chest for pulmonary embolism\nCLINICAL INDICATION: Shortness of breath, chest pain, elevated D-dimer, rule out pulmonary embolism\nCOMPARISON: Chest X-ray from 2 days ago\nTECHNIQUE: Axial CT images of the chest were obtained following rapid intravenous administration of iodinated contrast material. Images were reconstructed in axial, coronal, and sagittal planes with MIP and VRT reformations.\n\nFINDINGS:\nThere are multiple filling defects consistent with acute pulmonary emboli involving the right main pulmonary artery extending into the right upper and middle lobe segmental branches. Additional smaller emboli are present in the left lower lobe subsegmental arteries. The main pulmonary artery is mildly dilated, measuring 3.2 cm in diameter. There is mild right heart strain with flattening of the interventricular septum and enlargement of the right ventricle. No evidence of right heart failure or pericardial effusion.\n\nThe lungs show mild bilateral lower lobe atelectasis and small bilateral pleural effusions. No consolidation or pneumothorax is identified. The mediastinal and hilar lymph nodes are not enlarged. The aorta and great vessels appear normal. The visualized portions of the upper abdomen are unremarkable. No acute bony abnormalities are identified.\n\nIMPRESSION:\n1. Acute pulmonary emboli involving the right main, upper and middle lobe segmental arteries, and left lower lobe subsegmental arteries.\n2. Mild pulmonary hypertension with right heart strain.\n3. Small bilateral pleural effusions and bilateral lower lobe atelectasis."
    },
    {
      "id": "abdominal_ultrasound",
      "title": "Abdominal Ultrasound",
      "modality": "US",
      "text": "EXAMINATION: Ultrasound of the abdomen\nCLINICAL INDICATION: Right upper quadrant pain, abnormal liver function tests\nCOMPARISON: None available\nTECHNIQUE: Real-time ultrasound examination of the abdomen was performed using a curved array transducer. Multiple images were obtained in sagittal, transverse, and oblique planes.\n\nFINDINGS:\nThe liver is normal in size measuring 15.2 cm in the midclavicular line. The hepatic parenchyma demonstrates increased echogenicity consistent with fatty infiltration. There is a well-defined hyperechoic lesion in the right hepatic lobe measuring 2.1 x 1.8 cm, consistent with a hemangioma. No focal hepatic masses or intrahepatic biliary dilatation is identified. Portal vein flow is normal on Doppler evaluation. The gallbladder is distended and contains multiple echogenic foci with posterior acoustic shadowing, consistent with cholelithiasis. The largest stone measures approximately 1.5 cm. The gallbladder wall measures 2 mm in thickness, which is within normal limits. No pericholecystic fluid is identified. Common bile duct measures 4 mm, which is normal. The visualized portions of the pancreatic head and body appear normal in echogenicity and size. The pancreatic duct is not dilated. The right kidney measures 10.8 cm and the left kidney measures 11.1 cm. Both kidneys demonstrate normal cortical echogenicity and corticomedullary differentiation. No hydronephrosis, stones, or masses are identified. The spleen is normal in size and echogenicity, measuring 10.2 cm in length.\n\nIMPRESSION:\n1. Cholelithiasis without evidence of acute cholecystitis.\n2. Hepatic steatosis (fatty liver).\n3. 2.1 cm hepatic hemangioma in the right lobe.\n4. Normal kidneys, spleen, and visualized pancreas."
    },
    {
      "id": "cervical_spine_mri", 
      "title": "Cervical Spine MRI",
      "modality": "MRI",
      "text": "MRI Cervical Spine:\nComparison: MRI cervical spine dated 6 months ago\n\nThe cervical lordosis is maintained. Vertebral body heights and alignment are preserved. The spinal cord demonstrates normal signal intensity throughout its visualized extent. At C3-C4, there is mild disc desiccation without significant canal narrowing. At C4-C5, a small posterior disc osteophyte complex results in mild central canal narrowing. The neural foramina remain patent. At C5-C6, there is moderate disc space narrowing with a broad-based posterior disc bulge and bilateral uncinate spurring, causing mild to moderate bilateral neural foraminal narrowing. At C6-C7, mild disc desiccation is present without significant stenosis. The prevertebral soft tissues are unremarkable.\n\nIMPRESSION:\n1. Multilevel cervical spondylosis, most pronounced at C5-C6.\n2. Mild to moderate bilateral C5-C6 neural foraminal narrowing.\n3. No spinal cord compression or significant central canal stenosis."
    },
    {
      "id": "whole_body_petct",
      "title": "Whole-Body FDG PET/CT",
      "modality": "PET",
      "text": "EXAMINATION: Whole-body fluorodeoxyglucose (FDG) PET/CT\nCLINICAL INDICATION: Staging of newly diagnosed non-small-cell lung carcinoma (NSCLC)\nCOMPARISON: None available\nTECHNIQUE: Following a 60-minute uptake period after intravenous administration of 12 mCi of FDG, low-dose non-contrast CT images were obtained for attenuation correction and anatomic localization, followed by emission PET images from the skull base to mid-thigh.\n\nFINDINGS:\nA 3.1 cm spiculated mass in the right upper lobe demonstrates intense FDG uptake (SUVmax 12.4). Ipsilateral mediastinal (station 4R) lymph node measuring 1.2 cm shows increased activity (SUVmax 6.8). No contralateral mediastinal or hilar hypermetabolic nodes.\n\nMultiple focal areas of increased FDG uptake are seen in the axial and appendicular skeleton corresponding to sclerotic lesions on CT, compatible with osseous metastases (largest in right iliac bone, SUVmax 9.1). No abnormal activity in the liver, adrenal glands, or brain. Physiologic tracer distribution in myocardium, kidneys, and urinary bladder.\n\nIMPRESSION:\n1. FDG-avid right upper-lobe primary lung malignancy with hypermetabolic right paratracheal nodal metastasis (consistent with at least N2 disease).\n2. Numerous FDG-avid osseous metastases consistent with Stage IV disease."
    }
  ]
}