Radiology report summarization (RRS) is critical for clinical workflows, requiring concise Impressions “distilled from detailed Findings.” This paper proposes a novel prompting strategy that enhances RRS by introducing a layperson summary as an intermediate step. This summary helps normalize key observations and simplify complex terminology using communication techniques inspired by doctor–patient interactions. Combined with few-shot in-context learning, this approach improves the model’s ability to map generalized descriptions to specific clinical findings. We evaluate our method on three benchmark datasets, MIMIC-CXR, CheXpert, and MIMIC-III, and compare it against state-of-the-art open-source language models in the 7B/8B parameter range, such as Llama-3.1-8B-Instruct. Results show consistent improvements in summarization quality, with gains of up to 5% on some metrics for prompting, and more than 20% for some models when instruction tuning.

Radiology report summarization aims to automatically provide concise summaries of radiology findings, reducing time and errors in manual summaries. However, current methods solely summarize the text, which overlooks critical details in the images. Unfortunately, directly using the images in a multimodal model is difficult. Multimodal models are susceptible to overfitting due to their increased capacity, and modalities tend to overfit and generalize at different rates. Thus, we propose a novel retrieval-based approach that uses image similarities to generate additional text features. We further employ few-shot with chain-of-thought and ensemble techniques to boost performance. Overall, our method achieves state-of-the-art performance in the F1RadGraph score, which measures the factual correctness of summaries. We rank second place in both MIMIC-CXR and MIMIC-III hidden tests among 11 teams.