ffmpuzzle
Puzzle #42 · Standard · 5 params

H.264 · Bitrate 10M · 1080p · PCM · MKV

The scenario

Medical imaging video export from a DICOM ultrasound system. H.264 at 10 Mbps for clinical detail in grayscale imaging, PCM audio for the Doppler audio track, MKV to preserve study metadata. Used for remote diagnosis via telemedicine.

The answer

Video CodecH.264
Bitrate10M
Resolution1080p
AudioPCM
ContainerMKV

The command

ffmpeg -i input.dcm -c:v libx264 -b:v 10M -pix_fmt yuv420p -c:a pcm_s16le output.mkv

Why

DICOM (Digital Imaging and Communications in Medicine) natively supports MPEG-2, MPEG-4, and H.264 video. Many hospitals still use MPEG-2 DICOM video because FDA-certified devices take years to update codec support.

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