Abstract: A method and apparatus that provide for automatic speech transcription that may be used transcribe structured reports. The method and apparatus provide for speaker dependent, continuous speech recognition using a limited vocabulary. Transcription is based on recognition of a vocabulary of sounds followed by a translation to text. The translation to text matches spoken sounds to sounds contained in similar recorded text sequences. Training involves speaking a set of words with the desired sounds imbedded therein. The method and apparatus recognize phrases, not words, and works well in a radiology or similar application because of the use of a very limited vocabulary to generate reports.