Nuance offers PowerScribe One, an AI-powered radiology reporting platform used by approximately 80% of U.S. radiologists, which includes features such as Ambient Mode (converting free-form dictation into structured reports) and Smart Impression (a generative AI tool that automatically drafts radiology report impressions and recommendations). Dragon Copilot expanded to radiology as a companion to PowerScribe One in preview at RSNA 2025.

PowerScribe One uses ambient AI and natural language understanding to convert a radiologist's unstructured dictation into a fully structured report. Smart Impression uses generative AI to automatically draft the impression and recommendation sections of a radiology report based on report findings. In-workflow quality checks flag laterality or sex mismatches and potential critical findings. Dragon Copilot for radiology (in preview as of November 2025) adds prior report summarization, in-workflow chat with clinical sources, and AI-drafted report content from multimodal image analysis models.