CONTACTS 

SUBJECTS
PET/CT Scan Test 061227 Receive Report Findings Mild FGD Left Chest

0503 -
0503 -    ..
0504 - Summary/Objective
0505 -
050501 - Follow up ref SDS 20 EY5O, ref SDS 19 0000.
050502 -
050503 -
050504 -
050505 -
050507 -  ..
0506 -
0507 -
0508 - Progress
0509 -
050901 - Millie received the report from Kaiser for the PET/CT test on 061227,
050902 - which was ordered during the meeting on 061208, ref SDS 20 EY5O, was
050903 - cited in Kaiser's letter to UCSF on 061230. ref SDS 22 PO3V, and
050904 - previously, in Millie's letter to Kaiser on 061227. ref SDS 21 B995
050905 -
050915 -
050916 -
050917 -
050918 -
050919 -
050920 -
0510 -

SUBJECTS
Distant Metastasis No Findings PET/CT Test 061227 Report No Findings

1203 -
120401 -         ..
120402 -        Test History No Evidence Distant Metastasis
120403 -        Distant Metastasis No Evidence 5 Years Imaging Tests
120404 -
120405 -        Follow up ref SDS 19 1Y8G. ref SDS 17 SJ65.
120406 -
120407 -        Type    Date               Received          Source
120408 -         PET/CT 061227 reported on 070102........... ref SDS 0 1Y8G
120409 -         CT     060930 reported on 061012........... ref SDS 19 284J
120410 -         MRI    060708 reported on 060711........... ref SDS 18 PT4K
120411 -         Xray   060623 reported on 060711........... ref SDS 18 WJ6G
120412 -         CT     060505 reported on 060523........... ref SDS 17 E355
120413 -         PET    060414 reported on 060428........... ref SDS 16 WJ6G
120414 -         PET    060120 reported on 060126........... ref SDS 15 WJ6G
120415 -         PET/CT 051005 reported on 051007........... ref SDS 14 WJ6G
120416 -         CT     050530 reported on 050610........... ref SDS 13 G75L
120417 -         CT     050325 reported on 050422........... ref SDS 12 G75L
120418 -         CT     041217 reported on 041230........... ref SDS 11 G75L
120419 -         CT     041103 reported on 041104........... ref SDS 10 WV7H
120420 -         CT     040921 reported on 041005........... ref SDS 9 NL4N
120421 -         CT     040710 reported on 040811........... ref SDS 8 H85S
120422 -         CT     040410 reported on 040416........... ref SDS 7 HX4K
120423 -         CT     040307 reported on 040318........... ref SDS 6 LK5L
120424 -         CT     031031 reported on 031205........... ref SDS 5 IG9K
120425 -         CT     030626 reported on 030710........... ref SDS 4 AL6N
120426 -         CT     030428 reported on 030508........... ref SDS 3 LK5L
120427 -         PET    021218 reported on 030109........... ref SDS 2 LK5L
120428 -         PET    020529 reported on 020603........... ref SDS 1 0001
120430 -  ..
120431 - The doctor did not submit report identification.
120433 -         ..
120434 -    1.  FDG PET/CT SCAN OF THE BODY
120436 -         ..
120437 -    2.  ** HISTORY **:
120438 -
120439 -        70 year-old woman with a history of metastatic left breast
120440 -        cancer.
120442 -         ..
120443 -    3.  TECHNIQUE: Fasting fingerstick blood glucose was 91 mg/dl.
120444 -        About 15.0 mCi of F-18 fluorodeoxyglucose (FDG) was
120445 -        administered intravenously.  Patient received oral contrast per
120446 -        standard protocol.  After a 54 minute delay, positron emission
120447 -        scanning was performed from the neck to the pelvis (patient's
120448 -        arms were up and out of the field-of-view).  Computed
120449 -        tomographic imaging was obtained for attenuation correction and
120450 -        localization purposes.  Tomographic images reconstructed both
120451 -        with and without attenuation correction.
120452 -
120453 -
120454 -
120455 -
1205 -

SUBJECTS
PET/CT Scan Test 061227 Kaiser Imaging Department Failed Perform Doc

3103 -
310401 -  ..
310402 - Comparisons for Trend Analysis Ordered by Doctor Not Performed
310403 -
310404 - Follow up ref SDS 19 2935.
310406 -         ..
310407 -    4.  COMPARISON: Prior PET study of 04/14/06.
310409 -  ..
310410 - On 061208 the doctor ordered...
310411 -
310412 -        1.  Esophagitis - comparison with PET scan test on 060120,
310413 -            received on 060126 for trend analysis on likely
310414 -            esophagitis. ref SDS 20 JP6K  Comparison with CT scan test
310415 -            on 060505, received on 060523 for trend analysis on related
310416 -            findings nodes in right paratrachael. ref SDS 20 ZY60
310418 -             ..
310419 -        2.  Pulmonary embolism - comparison for trend analysis with CT
310420 -            test on 041103, received on 041104, and with CT test on
310421 -            060930, received on 061012. ref SDS 20 ZY5L
310423 -             ..
310424 -        3.  Heart disorder Cor Pulmonale enlarged right ventricle -
310425 -            comparison for trend analysis with CT test on 060930,
310426 -            received on 061012. ref SDS 20 ZY5L
310428 -  ..
310429 - Millie asked in a call earlier today why Kaiser failed to make
310430 - comparisons ordered by the doctor on 061208 for trend analysis?
310431 - ref SDS 20 EY5O
310433 -  ..
310434 - This has been a continuing problem reported on 061012. ref SDS 19 A55J
310435 -
310436 -       [On 070125 UCSF requested another CT test, and included
310437 -       requirement for comparison with prior pulmonary embolism
310438 -       findings. ref SDS 23 KZ7K
310439 -
310440 -
310441 -
310442 -
310443 -
3105 -

SUBJECTS
Findings CT/PET Scan Test 061227 Mild FDG Activity Underlying Left C

4403 -
440401 -  ..
440402 - PET/CT No Lymphadenopathy Axillary Left Supclavicular
440403 - Pulmonary Embolism Enlarged Right Ventricle No Findings PET/CT Test
440404 - Measureable Disease IBC FDG Left Chest Only PET/CT Test Findings
440405 -
440406 - Follow up ref SDS 19 294Q.
440408 -  ..
440409 - Test report continues...
440410 -
440411 -    5.  ** FINDINGS **:
440412 -
440413 -        Images of the visualized portions of the head and neck
440414 -        demonstrate relatively physiologic biodistribution of
440415 -        radiotracer.
440417 -         ..
440418 -    6.  Images of the thorax demonstrate interval resolution of
440419 -        previously noted foci in the left supraclavicular and right
440420 -        axillary regions.  Post-operative changes of a left mastectomy
440421 -        are evident, with mild FDG activity noted in the underlying
440422 -        left chest wall.  A right Port-A-Cath is in place.
440424 -  ..
440425 - This section supports the doctor's report in a letter to UCSF received
440426 - in the record on 061230. ref SDS 22 PO3V
440428 -  ..
440429 - CT Test report continues...
440430 -
440431 -    7.  The liver and spleen appear relatively homogeneous.  Other
440432 -        areas of FDG uptake within the abdomen and pelvis appear to be
440433 -        related to expected bowel and urinary tract activity.
440435 -         ..
440436 -    8.  The spine and other visualized skeletal structures demonstrate
440437 -        expected marrow activity.  Note made of scattered degenerative
440438 -        changes and atherosclerotic calcifications.  Otherwise
440439 -        physiologic biodistribution of radiotracer is present.
440441 -         ..
440442 -    9.  ** IMPRESSION **:
440443 -
440444 -        Relatively mild activity is noted in the left chest wall.  This
440445 -        is likely inflammatory in nature, although a small amount of
440446 -        residual tumor could not be excluded.
440448 -         ..
440449 -   10.  The study is otherwise unremarkable.
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4405 -