according to this audiogram what will be the wrs score of this patient

according to this audiogram what will be the wrs score of this patient and what shoulf i write in interpretation

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Audiogram Analysis - Bhawana Rana (36F, Dated 30-05-2026)

Audiometric Findings (from the table)

Left Ear (L):

Freq	250	500	1000	2K	4K	8K
AC	30	25	20	15	10	15
BCL	10	15	10	5	10	-

PTA (L) = 20 dB HL (500, 1K, 2K average)
PTA-BCM(L) = not recorded (bone conduction within normal limits)

Right Ear (R):

Freq	250	500	1000	2K	4K	8K
AC	20	25	35	30	20	25
BCR	-	-	-	-	-	-

PTA (R) = 30 dB HL
PTA-BCM(R) = 28 dB (500, 1K, 2K)

WRS (Word Recognition Score) - Predicted from PTA

The audiogram does not show a recorded WRS/Speech Discrimination Score - no speech audiometry data is present in this report. However, based on the pure tone thresholds, you can predict the expected WRS using the PTA-Speech correlation:

Right Ear (PTA = 30 dB, Mild SNHL):

Presentation level for WRS = PTA + 40 dB SL (or MCL), typically ~65-70 dB HL
Expected WRS: 88-96% (Good word recognition expected in mild SNHL without significant high-frequency rollover)

Left Ear (PTA = 20 dB, Normal limits):

Presentation level = ~55-60 dB HL
Expected WRS: 96-100% (Excellent/normal word recognition expected)

Note: These are predicted values. Actual WRS must be measured using recorded bisyllabic/monosyllabic word lists (e.g., NU-6, PB-50, or Hindi word lists as appropriate). If the patient shows a WRS lower than predicted (e.g., <80% in the right ear), it would suggest retrocochlear pathology and warrants further evaluation (ABR/VEMP).

Suggested Audiological Interpretation Write-up

Patient: Bhawana Rana | Age: 36 years | Sex: Female Date of Testing: 30-05-2026

Pure Tone Audiometry (PTA): Pure tone audiometry was performed using standard air conduction and bone conduction methodology.

Right Ear: Air conduction thresholds reveal a mild degree of hearing loss across frequencies with a PTA of 30 dB HL (500, 1K, 2K Hz). Bone conduction thresholds are within normal limits (PTA-BCM = 28 dB), with air-bone gaps present at 1000 Hz, suggestive of a mild sensorineural hearing loss on the right side.

Left Ear: Air conduction thresholds are within normal limits across all test frequencies with a PTA of 20 dB HL. Bone conduction thresholds are also within normal limits with no significant air-bone gaps. Hearing sensitivity is within normal limits for the left ear.

Word Recognition Score (WRS): (if tested) Right Ear: ___% at ___ dB HL | Left Ear: ___% at ___ dB HL (Based on PTA, WRS is expected to be within normal-good range bilaterally)

Impression:

Right Ear: Mild Sensorineural Hearing Loss

Left Ear: Hearing Sensitivity within Normal Limits

Recommendations:

Audiological follow-up in 6 months to monitor progression of right ear hearing loss.

Speech Audiometry (WRS/SDS) recommended for the right ear to assess word recognition ability and candidacy for amplification if required.

Patient counselled on ear care and noise protection measures.

If symptoms worsen (tinnitus, vertigo, sudden hearing change), reassess urgently.

Key clinical note on the right ear: The BCM (bone conduction masked) = 28 dB with AC = 30 dB, giving an ABG of only ~2 dB - this confirms the loss is sensorineural, not conductive. The configuration is a mild flat/slightly rising SNHL (better thresholds at 4K than 1K), which is atypical. Watch for endolymphatic hydrops or early Meniere's pattern given the low-frequency involvement.

wrs score table

Here is the standard WRS (Word Recognition Score) Interpretation Table used in audiology:

WRS Score Interpretation Table

WRS Score (%)	Interpretation	Clinical Significance
90 - 100%	Excellent	Normal word recognition; no significant difficulty
75 - 89%	Good	Slight difficulty; generally manages well in quiet
60 - 74%	Fair	Noticeable difficulty; struggles in noise
50 - 59%	Poor	Significant difficulty; hearing aid likely beneficial
< 50%	Very Poor	Severe recognition difficulty; limited benefit from conventional amplification

WRS and Hearing Aid Candidacy (Boothroyd Scale)

WRS (%)	Hearing Aid Benefit
> 90%	Excellent benefit expected
75 - 90%	Good benefit expected
50 - 75%	Fair benefit; may need special features
< 50%	Poor benefit; consider BAHA / Cochlear implant evaluation
< 20%	Cochlear implant candidacy to be assessed

WRS Presentation Level Guide

PTA (dB HL)	Recommended Presentation Level for WRS
0 - 25 dB	40 dB HL
26 - 40 dB	PTA + 30 to 40 dB SL (typically 55-70 dB HL)
41 - 55 dB	PTA + 30 dB SL
56 - 70 dB	PTA + 25 dB SL
> 70 dB	At MCL (Most Comfortable Level)

For Your Patient (Bhawana Rana)

Ear	PTA	Recommended WRS Level	Expected WRS
Right	30 dB HL (Mild SNHL)	~65-70 dB HL	88-96% (Good-Excellent)
Left	20 dB HL (Normal)	~55-60 dB HL	96-100% (Excellent)

Important note: In sensorineural hearing loss, WRS can be disproportionately low compared to PTA - this is called "rollover" and suggests retrocochlear involvement. Always compare the actual WRS to the predicted value based on PTA.

Generate a detailed audiological report template for this patient

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The report is ready. Download it here:

Audiological Report Bhawana Rana

Word Document · DOCX

What's Inside the Report

The document is a fully formatted, clinic-ready Word file with the following sections:

Section	Contents
Header	DizzyGo Labs branding, address, contact
Patient Information	Name, age, sex, date, report ID, referral, audiologist
Case History	Tinnitus, vertigo, noise exposure, ototoxic drugs, family history, HA use
Otoscopic Examination	EAC and TM findings for both ears
Pure Tone Audiometry	Separate color-coded tables for Right (red) and Left (blue) ear with AC, masked AC, BC, masked BC at all frequencies
PTA Summary	PTA-AC, PTA-BC, ABG, and type of loss side by side
Degree & Type Classification	ASHA classification grid with patient's values highlighted
Speech Audiometry	SRT, SDT, WRS presentation level and score blanks + WRS interpretation reference table
Immittance Audiometry	Tympanogram type, peak pressure, compliance, canal volume, ipsi and contra reflexes
OAE	TEOAE and DPOAE fields for both ears
Audiological Diagnosis	Detailed interpretation with right ear SNHL flag for atypical configuration
Recommendations	7-item table with rationale for each follow-up test
Signature block	Audiologist name, date, clinic stamp
Footer	Confidentiality notice + page numbers

All fillable fields are marked with ___ blanks so you can complete them after speech and immittance testing.

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