arXiv:2610.26913v1 Announce Type: new Abstract: The adoption of Large Language Models for radiology report structuring has been largely dominated by either proprietary cloud-based models or large open models requiring high-end GPUs for deployment, which is a critical bottleneck for clinical adoption in radiology workflows that demand data privacy and offline operation. To address this, we present MedPAO-Assist, an edge-deployable agentic framework that generates structured radiology reports directly from radiologist dictation and voice commands, requiring only $\approx3.3$ GB peak RAM and achieving an average end-to-end latency of $\approx31$ seconds on a standard laptop CPU through an asynchronous, multi-threaded execution pipeline. The system currently supports four major imaging modalities -- Chest X-ray, Chest CT, Abdomen CT, and Brain MRI. To our knowledge, it is among the earliest agentic systems to run its entire pipeline with a Small Language Model (SLM) in the 0.6B-parameter r...