Synthetic demo library

Chest radiograph reported as normal

A two-view chest radiograph interpreted as normal, with no recommendation of any kind. The baseline case for the no-explicit-follow-up notice.

Chest CT with a 6 mm nodule and an interval-range recommendation

An indeterminate 6 mm right upper lobe nodule with an explicit follow-up interval expressed as a range, exercising earliest and latest due-date calculation.

Brain MRI with nonspecific white matter findings

Nonspecific T2/FLAIR hyperintensities with a differential the report deliberately leaves open, and a recommendation for clinical correlation that carries no imaging interval.

Abdominal CT with an incidental adrenal nodule

An incidental 2.1 cm indeterminate adrenal nodule found during a study ordered for an unrelated reason, with a conditional follow-up recommendation that also carries an interval.

Thyroid ultrasound with a TR3 nodule and a conditional recommendation

A structured TI-RADS category with a follow-up recommendation gated on the phrase 'If clinically indicated', which the patient alone cannot evaluate.

Screening mammogram with BI-RADS 2 structured language

A structured BI-RADS 2 assessment with an explicit routine screening interval, under an ASSESSMENT heading rather than IMPRESSION and a separate RECOMMENDATION section.

Knee MRI with a meniscal tear and a referral recommendation

A musculoskeletal MRI with a definite structural finding whose only recommendation is a specialist consultation - no imaging follow-up and no interval anywhere in the report.

Surveillance chest CT compared with a prior examination

A stable surveillance CT that both compares with a named prior study and quotes the prior report's own recommendation, which must be recognized as historical rather than actionable.

Abdominal CT whose only recommendation is inside FINDINGS

The single follow-up recommendation appears mid-paragraph in the findings section while the impression is silent about it - the case that impression-only extraction misses entirely.

Right upper quadrant ultrasound that explicitly declines follow-up

A recommendation-shaped sentence that is negated: the report states that no further imaging follow-up is recommended, which must never become a plan.

CT angiogram with explicit urgent wording and a communication addendum

The report itself states urgency and records that the findings were communicated to the ordering physician - wording that must be displayed exactly, never softened and never invented.

Garbled PET/CT text that must trigger abstention

An OCR-damaged report whose structure is still recognizable but whose clinically load-bearing values - lesion size, SUV, study date, and the follow-up modality and interval - are unreadable.