Clinical Engine Clinical Synthesis & Findings Correlation — Connect signs into actionable conclusions →
Clinical Synthesis Beyond reporting · From radiological findings to definitive conclusions

More than reporting.
Clinical synthesis.

Dictate your findings. Get coherent, structured conclusions.

PISUM understands radiological semiology, correlates multiple signs across exam sections, and assists you in constructing clear clinical conclusions — while leaving the radiologist in absolute diagnostic control.

Native Windows 10/11 desktop architecture · Free plan included · Practice & department ready

Engineered inside clinical radiology workflows for private practices, imaging clinics, and hospital centers.

🧠 Semiotic correlation engine
🛡️Radiologist retains final control
app.pisum.app — Abdominal CT Protocol & Synthesis
Modalities
CT Scan
MRI
X-Ray
Ultrasound
Clinical Context
Abdominal Angio
Hepatic MRI
Language
🇬🇧 English

Abdominal CT — Findings Synthesis

CT · MULTIPHASE
M. Laurent, 58y
Contrast-enhanced CT
Radiologist Review
Suprahepatic IVC thrombosis. Hepatic vein outflow occlusion with marked caudate lobe (segment I) hypertrophy and ascites.
Venous outflow obstruction + compensatory segmental perfusion anomaly.
Primary Budd-Chiari Syndrome with hepatic venous outflow obstruction, secondary caudate hypertrophy, and portal hypertension. Emergency vascular alert.
Demonstration

Watch Clinical Synthesis in Action

Observe how radiologists move from isolated observations to fully articulated clinical syntheses, maintaining full diagnostic authority at each step.

Comprehensive Semiotic Structuring · 112 Modality Protocols · 23 Working Languages
🩻Chest CT
🧠Brain MRI
🫀Cardiac CT
🦴MSK MRI
🫁Pulmonary CT-PA
🔬Prostate MRI
🩺Abdominal US
👁Orbital MRI
🦷Dental CT
🔬Liver MRI
🩻Spine CT
🧪PET-CT
🩻Chest CT
🧠Brain MRI
🫀Cardiac CT
🦴MSK MRI
🫁Pulmonary CT-PA
🔬Prostate MRI
🩺Abdominal US
👁Orbital MRI
🦷Dental CT
🔬Liver MRI
🩻Spine CT
🧪PET-CT
112
Structured expert templates
23
Languages supported natively
Early
Access deployment
<60s
Structured synthesis turnaround
Clinical Foundation

Built inside clinical practice.
Engineered for medical precision.

Traditional speech tools stop at transcription. Enterprise RIS modules drown clinicians in rigid forms. PISUM focuses entirely on the cognitive work of the radiologist: turning semiology into diagnosis.

🔬
Semiotic Linkage
Correlates disparate signs across all body sections
🔐
Local Encryption
AES-256 local database, no patient data on external clouds
⚖️
Physician Control
Every conclusion is validated and edited by the radiologist
🌍
23 Clinical Lexicons
Native radiology terminology across international cohorts

Enterprise hospital tools are built around administrative billing codes and monolithic cloud infrastructures. They transcribe text word-for-word without understanding the radiological significance of organ interactions or critical clinical urgency.

PISUM was created to serve the medical reasoning of the reading room: encrypting data locally, standardizing semiotic terminology, highlighting critical thresholds, and helping produce conclusions that referring clinicians can immediately act upon.

The Diagnostic Challenge

A report without synthesis
is just an inventory of signs.

Standard Dictation & Templates
📝

Disjointed list of organ observations

Findings remain trapped in separate sub-sections. Referring physicians receive a catalog of signs instead of an integrated clinical diagnosis.

⚠️

Cognitive fatigue in high-volume shifts

Synthesizing multi-organ findings under pressure increases the risk of omitting unifying syndromes or burying urgent alerts in boilerplate paragraphs.

🔁

Template copy-paste vulnerabilities

Reusing static blocks leads to contradictory statements, outdated patient parameters, and irregular phrasing across institutions.

With PISUM Clinical Synthesis
⚡

Coherent semiotic correlation

PISUM links vascular, parenchymal, and nodal findings into a unified clinical entity with calibrated diagnostic certainty.

🚨

Prioritized emergency hierarchies

Acute ischemia, active hemorrhages, and critical thresholds are highlighted as primary conclusions, never hidden in negative findings.

🛡️

Strict radiologist sign-off

You remain the sole medical authority. Every synthetic proposal is editable, verifiable, and validated before final sign-off.

Sally AI · Medical Dictation

Dictation that understands radiology.
Not just words — medical meaning.

Speak naturally, in real time. Sally AI recognizes semiology, anatomy, measurements and classifications in context, in 23 languages — and writes your findings the way you would type them.

Illustrative examples — same sentences, two engines

Generic speech recognition
Small pleural fusion on the left
measuring 3 by 4 by 7 millimeters
classified E you tie rads 3
Nodule in the write upper lobe
🎙️ SALLY AI
Medical context Smart formatting Ready to sign
PISUM · Sally AI
Small pleural effusion on the left
measuring 3 x 4 x 7 mm
classified EU-TIRADS 3
Nodule in the right upper lobe
🧠

Understands radiological context

Sally AI writes what you mean, not only what it hears: “nodule”, never a sound-alike word. Semiology, anatomy and classifications come out correctly spelled.

📏

Written the way you type

Measurements, units and classifications are formatted automatically — EU-TIRADS, BI-RADS, PI-RADS, Lung-RADS, Bosniak. “3 by 4 by 7 millimeters” becomes “3 x 4 x 7 mm”.

🛡️

Built for clinical safety

Designed to preserve numbers, laterality and negations. Clicks and background noise are ignored, and you validate every sentence before signing.

🎙️ Dictate your findings → 📝 Structured into report sections → ✨ Clinical Synthesis builds the conclusion
23 languages Processed within the European Union Audio never stored by PISUM
Discover Clinical Synthesis ↓

Included in every plan · 30 min free · 500 min Starter · 2,000 min Pro · Unlimited on Expert & Clinic

Core Engine · Clinical Synthesis

Beyond mechanical formatting.
Connecting signs into coherent clinical conclusions.

PISUM processes disparate radiological observations, correlates semiological patterns, calibrates diagnostic certainty according to academic criteria, and structures the definitive impression for your validation.

Documented semiotic findings
Observations Across Modalities

Suprahepatic IVC thrombosis. Complete loss of Doppler flow in all major hepatic veins. Marked hypertrophy of segment I (caudate lobe). Moderate peritoneal ascites. Congestive splenomegaly.

Clinical input or dictation

"thrombus in hepatic IVC, no flow in hepatic veins, enlarged caudate lobe, ascites, splenomegaly"

✨ PISUM ENGINE
Cross-Finding Linkage Certainty Calibration Actionable Conclusion
Synthesized Clinical Conclusion
Structured Impression
Budd-Chiari Syndrome Confirming

Complete obstruction of hepatic venous outflow with compensatory hypertrophy of the caudate lobe (segment I). Associated portal hypertension with congestive splenomegaly and ascites.

🔴 Critical finding: placed first in the conclusion, never buried among negative findings
Diagnostic certainty calibration (peer-reviewed semiotic standards)
Confirming Direct, pathognomonic imaging signs
Suggestive of High-probability pattern requiring correlation
Compatible with Non-specific findings consistent with context
Cannot exclude Subtle or borderline threshold alerts
🔬

Clinical Finding Linkage

Correlates multi-compartment observations into unified pathological entities. Instead of leaving separate notes across organs, PISUM articulates the overarching diagnosis for referring physicians.

⚖️

Academic Medical Lexicon

Elevates rapid notes into rigorous, standardized radiological prose consistent with international reporting standards, preserving exact numerical dimensions and anatomical landmarks.

🚨

Critical Alert Prioritization

Emergency conditions—including ischemia, hemorrhage, and mechanical obstruction—are placed at the forefront of the conclusion hierarchy, preventing critical oversights.

Experience Clinical Synthesis in Pro+ →

Available across Pro, Expert, and Clinic plans · Validated in 23 languages

The PISUM Architecture

Built for medical precision.
Designed for real clinical tempo.

🧠

Findings-to-Conclusion Transformation

Input rapid observations via keyboard or dictation. PISUM structures them into compliant clinical sections, connects semiotic indicators, assesses diagnostic certainty levels, and formats a definitive conclusion ready for physician signature.

Clinical Synthesis Pro+ Plans
Documented Signs

"IVC thrombosis. No flow in hepatic veins. Caudate lobe hypertrophy."

↓ ✨ PISUM Synthesis
Clinical Conclusion
Budd-Chiari Syndrome Confirming

Obliteration of hepatic veins. Caudate lobe compensatory hypertrophy (segment I).

🔴 Critical finding — stated first in the conclusion
⚡

Structured Report Generation

Guided fields structured around radiological guidelines. Capture clinical indications, technique, findings, and impressions cleanly.

All Plans
🌍

23-Language Lexicon

Produce reports in English, French, German, Spanish, and 19 additional languages with terminology calibrated to native radiological practice.

All Plans
📋

112 Specialty Protocols

Validated templates for CT, MRI, Ultrasound, and Radiography across all organ systems, fully customizable to your workflow.

Pro Templates
📄

PDF & Word Export

Generate clinical documents formatted for PACS, hospital EHRs, or patient handover with custom headers and practice branding.

All Plans
🎙️

Sally AI Medical Dictation

Dictate naturally into any report section, in real time. Sally AI understands radiological context, formats measurements and classifications, and works in 23 languages — processed within the EU.

All Plans
🏥

Multi-Site Practice Mode

Coordinate reporting across private cabinets, imaging clinics, and hospital sites with centralized license administration.

Clinic Plan
🔗

Secure LAN Database Sync

Synchronize examinations across practice workstations via local network folders with end-to-end AES-256 encryption. Zero external exposure.

Expert & Clinic
🗃️

Patient Worklist & Audit Log

PACS-compatible worklist tracking accession IDs, study states, and timestamped user events fulfilling strict regulatory traceability.

Pro+
🔄

Report Translation Engine

Convert validated reports into secondary clinical languages with anatomical nomenclature and standardized syntax preserved.

Pro+ · New in v2.9.8
🌙

Medical-Grade Reading Room UI

Engineered specifically for low-lux reporting workstations. High-contrast, minimal eye strain, and clear visual hierarchy for 10-hour diagnostic shifts.

All Plans
Interactive Environment

Experience the Synthesis Workflow

Interact with the modules below to evaluate how PISUM captures findings, standardizes semiology, and produces conclusions.

Targeted Voice Capture

Click Mic to Start

Simulate dictating observations directly into dedicated clinical sections (Indication, Findings, Impression).

🎙️
IND:
FIND:
IMP:

Multilingual Clinical Harmonization

🌍

Validate how findings and impressions translate while strictly maintaining semiotic accuracy and clinical sense.

🩻 Chest CT — English
IND:
Pulmonary nodule follow-up.
FIND:
No focal consolidation. Stable 6mm GGO, right upper lobe.
IMP:
Stable right upper lobe GGO. No malignant transformation.

Semiotic Structuring & Synthesis Engine

✨

Observe how unstructured dictation is converted into rigorous semiological findings ready for diagnostic validation.

UNSTRUCTURED DICTATION ⚠️
"Yeah so the lungs look mostly okay. I don't see any big problems or masses. Heart seems normal size. Um, airway is clear. Basically nothing bad found here today."
CLINICALLY STRUCTURED ✅
Waiting for Clinical Structuring...
112 Expert Protocols

Start with structured rigor.
Maintain full editorial control.

Browse validated templates across CT, MRI, Ultrasound, and Radiography. Pre-configured for anatomical completeness.

Clinical Interface

Native Desktop Performance.
Built for the reading room.

Engineered for fast, reliable reporting without browser lag. High-contrast surfaces designed for dim diagnostic environments.

PISUM Report Section PISUM AI Assistant PISUM Medical Translation PISUM WorkList PISUM Worklist Report PISUM Word Print

Report Section

Structured radiology report editor with field-by-field sections, templates, and real-time dictation.

All Plans
Deployment

Ready for clinical use
in three steps.

Deploy locally on your reading workstation and start producing synthesized reports immediately.

1

Activate Account

Register securely on pisum.app to generate your license credentials. 14-day free trial on all professional tiers.

→
2

Install Locally

Run the native Windows installer. Operates entirely on your local workstation without complex IT server configurations.

→
3

Synthesize & Export

Select an expert protocol, record findings, let PISUM structure the synthesis, validate the text, and export to PDF or Word.

Governance & Data Security

Built for regulated
medical environments.

PISUM is a clinical synthesis, report formatting, and workflow enhancement software. Patient data remains strictly on your local infrastructure.

🔒 AES-256 Local Storage

Patient identifiers and clinical records are stored locally with AES-256 encryption. Patient data is not hosted on external cloud servers.

📋 GDPR / RGPD Alignment

Full support for data isolation, export, and right-to-erasure. Activity tracking supports CNIL accountability standards.

🗃️ Traceable Audit Trail

Complete local audit logging of report generation, revisions, and exports stamped with practitioner credentials and time records.

🏥 HDS-Ready Architecture Certification Q3 2026

Architecture engineered to meet HDS requirements. Certification process actively progressing with clear milestone timelines.

Medical Responsibility Notice: PISUM is a clinical synthesis and document formatting tool. It does not replace clinical evaluation or provide autonomous diagnostic clearance. The reviewing radiologist remains entirely responsible for validating findings, verifying diagnostic accuracy, and signing the medical report. No CE marking or MDR classification applies under current software scope.
Transparent Plans

Start with Free.
Scale for your practice.

14-day free trial on paid plans. Cancel anytime.

Monthly Annual Save 20%
Free
€0/mo

Basic structuring, dictation input, and 10 core protocols.

Download Free
  • ✓10 templates
  • ✓23 languages
  • ✓PDF export
  • ○Word export
  • ✓🎙️ AI Dictation (30 min)
  • ✓✨ Synthesis Assistant (10/mo)
  • ✓50 reports / month
Starter
€29/mo

Essential structured workflow for solo practice.

Save 30 min/day from day one

14-day free trial


  • ✓20 templates
  • ✓23 languages
  • ✓PDF + Word export
  • ✓🎙️ AI Dictation (500 min)
  • ✓✨ Synthesis Assistant (50/mo)
  • ✓Basic worklist
  • ✓Unlimited reports
⭐ Most Popular
Pro
€79/mo

Full clinical synthesis suite for daily reading shifts.

Pays for itself in < 3 days

14-day free trial


  • ✓112+ templates
  • ✓23 languages
  • ✓PDF + Word + HTML
  • ✓🎙️ AI Dictation (2,000 min)
  • ✓✨ Synthesis Assistant (200/mo)
  • ✓🔄 Translation (100/mo)
  • ✓Full worklist & stats
High Volume
Expert 🔥
€129/mo

Multi-workstation sync with unlimited clinical synthesis.

14-day free trial


  • ✓112+ custom templates
  • ✓🎙️ AI Dictation (Unlimited)
  • ✓✨ Synthesis Assistant (Unlimited)
  • ✓🔄 Translation (Unlimited)
  • ✓LAN Sync (1 site · 3 PCs)
Clinic 🏥
€399/mo

Imaging groups, hospital services, and multi-site teams.


  • ✓5 users incl. (+€79/extra)
  • ✓🎙️ AI Dictation (Unlimited)
  • ✓✨ Synthesis Assistant (Unlimited)
  • ✓🔄 Translation (Unlimited)
  • ✓LAN Sync (multi-site · unlimited)

✓ 30-day money-back guarantee · ✓ Cancel anytime · No cloud hosting of patient records · GDPR compliant

Multilingual Practice

Synthesize Findings in Your Language,
Across 23 Medical Lexicons.

PISUM operates across 23 languages with accurate medical terminology — enabling clinical teams to construct syntheses in their preferred language.

Spanish
Español
Italian
Italiano
Portuguese
Português
Dutch
Nederlands
Russian
Русский
Turkish
Türkçe
Swedish
Svenska
Polish
Polski
Greek
Ελληνικά
Chinese
中文
Norwegian
Norsk
Danish
Dansk
Japanese
日本語
Korean
한국어
Hindi
हिन्दी
Indonesian
Bahasa Indonesia
Thai
ไทย
Malay
Bahasa Melayu
Filipino
Filipino
Romanian
Română
Optimized for clinical semiology and radiological syntax

Additional medical vocabularies updated continuously.

Transform your findings into conclusions.
Deploy PISUM today.

Suitable for radiologists across private practice, imaging clinics, and hospital departments. Local evaluation available immediately.

Windows 10/11 · Free tier included · GDPR compliant