The construction of precise radiology reports from medical images is an essential aspect of Contemporary healthcare. Medical images such as X-rays, MRIs, CT scans, or ultrasounds. Also, it can make use of medical reports. Medical report has a bunch of details about each patient’s medical history, diagnosis, treatment plan, lab results, and more. This paper represents a theoretical examination. The paper mainly focuses on two prominent NLP models. One is BERT (Bidirectional Encoder Representations from Transformers) and the other one is GPT (Generative Pre-trained Transformer). This paper is going to validate their applicability to transforming brain–computer interfaces (BCI). This paper will utilize these radiology images in perfectly framed medical reports. By differentiating these models based on their Architectural properties, Linguistic processing abilities, and capability for clinical integration, this paper’s goal is to establish the most effective method for automated medical reporting. Merging of these insights from existing studies recommends that when BERT leads in context-based precision and getting an idea of complex medical terminology, GPT offers outstanding text-generation potential. This paper proposes that an intermixture procedure taking advantage of the strengths of both models may offer the most supreme solution for automated medical reporting, balancing precision with readability and clinical applicability.