CONTACTS 

SUBJECTS
CT Test 080911 Report Received Condition Stable Good No Evidence Dis

1803 -
1803 -    ..
1804 - Summary/Objective
1805 -
180501 - Follow up ref SDS 63 0000. ref SDS 53 0000.
180502 -
180503 - Significantly improved CT test process using Power Port without
180504 - complications resolved problems with prior tests. ref SDS 0 EO5N
180505 - Major findings in right axilla of stable adenopathy indicated
180506 - continued response to treatment. ref SDS 0 OO6M  Omission of findings
180507 - on left supraclavicular may indicate findings from examinations at
180508 - UCSF and Kaiser were subsequently resolved. ref SDS 0 5O6N  Continued
180509 - tests showing no distant metastasis shows only focus of cancer
180510 - treatment is IBC.
180511 -
180512 -
180513 -
180515 -  ..
1806 -
1807 -
1808 - Progress
1809 -
180901 - CT Test on 080911 Report Received from Kaiser
180902 -
180903 - Follow up ref SDS 63 R45G, ref SDS 60 2U6L.
180904 -
180905 - Millie received, ref DRT 1 0001 a letter dated today 080912 1428 from
180906 - the primary care physician at Kaiser in Walnut Creek transmitting the
180907 - CT test on 080911 performed at Kaiser in Oakland. ref SDS 70 LK3R  Her
180908 - prior test was on 080718, ref SDS 60 2U6L, and the report was received
180909 - from Kaiser on 080723. ref SDS 63 R45G
180911 -  ..
180912 - The doctor's letter was received in the early afternoon.  Millie
180913 - submitted a reply asking about no evident report on Intersitional lung
180914 - disease, which was reported in the previous CT test, and explaining
180915 - success using the Power Port for the test yesterday in Oakland.
180917 -  ..
180918 - This evening entered the pathology report into the record...
180920 -  ..
180921 - The doctor's letter says...
180922 -
180923 -    1.  [Here is the report on the CT test performed at Kaiser on July
180924 -
180925 -        Here they are [results of CT test at Kaiser in Oakland
180926 -        performed on September 11, 2008, and as requested in your
180927 -        letter on August 11th]. ref DRT 1 0001
180929 -         ..
180930 -        Everything appears stable. That's good! ref DRT 1 RS5O
180932 -  ..
180933 - The primary care physician at Kaiser responds to the letter Millie
180934 - submitted on 080811 requesting submission of the CT test report in
180935 - time for review, ref SDS 66 P95X, to be prepared for a productive
180936 - meeting with the medical team at UCSF on 080918.  This was also
180937 - mentioned in a more recent letter on 080827. ref SDS 68 514X
180938 -
180940 -         ..
180941 -        Test History No Evidence Distant Metastasis
180942 -        Distant Metastasis No Evidence 7 Years Imaging Tests
180943 -
180944 -        Follow up ref SDS 63 GM3N, ref SDS 53 GM3N.
180945 -
180946 -        Type    Date           Received          Source
180947 -         CT     080911 reported on 080912........... ref SDS 0 DA6Q
180948 -         CT     080718 reported on 080723........... ref SDS 63 DA6Q
180949 -         CT     080425 reported on 080428........... ref SDS 53 DA6Q
180950 -         CT     080212 reported on 080215........... ref SDS 48 DA6Q
180951 -         CT     071210 reported on 071213........... ref SDS 39 UG4L
180952 -         CT     070930 reported on 071018........... ref SDS 36 VK8L
180953 -         CT     070723 reported on 070802........... ref SDS 33 IM6M
180954 -         CT     070520 reported on 070524........... ref SDS 32 DA6Q
180955 -         CT     070326 reported on 070329........... ref SDS 31 DA6Q
180956 -         CT     070131 reported on 070202........... ref SDS 29 1Y8G
180957 -         PET/CT 061227 reported on 070102........... ref SDS 25 1Y8G
180958 -         CT     060930 reported on 061012........... ref SDS 23 284J
180959 -         MRI    060708 reported on 060711........... ref SDS 21 PT4K
180960 -         Xray   060623 reported on 060711........... ref SDS 21 WJ6G
180961 -         CT     060505 reported on 060523........... ref SDS 20 E355
180962 -         PET    060414 reported on 060428........... ref SDS 19 WJ6G
180963 -         PET    060120 reported on 060126........... ref SDS 18 WJ6G
180964 -         PET/CT 051005 reported on 051007........... ref SDS 16 WJ6G
180965 -         CT     050530 reported on 050610........... ref SDS 15 G75L
180966 -         CT     050325 reported on 050422........... ref SDS 14 G75L
180967 -         CT     041217 reported on 041230........... ref SDS 13 G75L
180968 -         CT     041103 reported on 041104........... ref SDS 12 WV7H
180969 -         CT     040921 reported on 041005........... ref SDS 10 NL4N
180970 -         CT     040710 reported on 040811........... ref SDS 9 H85S
180971 -         CT     040410 reported on 040416........... ref SDS 7 LK5L
180972 -         CT     040307 reported on 040318........... ref SDS 6 LK5L
180973 -         CT     031031 reported on 031205........... ref SDS 5 IG9K
180974 -         CT     030626 reported on 030710........... ref SDS 4 AL6N
180975 -         CT     030428 reported on 030508........... ref SDS 3 LK5L
180976 -         PET    021218 reported on 030109........... ref SDS 2 LK5L
180977 -         PET    020529 reported on 020603........... ref SDS 1 0001
180979 -         ..
180980 -    1.  Patient
180988 -         ..
180989 -    2.  CT OF THE CHEST, ABDOMEN AND PELVIS
180994 -         ..
180995 -        Date:  080911 1338
180997 -         ..
180998 -        Performed in:  WCR Outpatient in Oakland
180999 -
181003 -
181004 -
181005 -
181006 -
181007 -
181008 -
1811 -

SUBJECTS
CT Test 080911 Report Errors Omissions Comparisons Patient History T

5903 -
590401 -  ..
590402 - Errors Omissions Comparisons Patient History Trend Analysis
590403 - Patient History Comparison PE Cor Pulmonale Esophigitis Enlarged Heart
590404 -
590405 - Follow up ref SDS 63 IX4F, ref SDS 53 IX4F.
590406 -
590407 - CT test 080911 report continues...
590409 -         ..
590410 -    3.  HISTORY
590411 -
590412 -        History of metastatic breast cancer who is currently on a
590413 -        clinical trial at UCSF.  Patient has a power port and will need
590414 -        port access prior to the scan. ref DRT 1 F58N
590416 -         ..
590417 -        The patient is status post left mastectomy. ref DRT 1 SI9M
590419 -  ..
590420 - The "history" section continues problems in the test on 080718.
590421 - ref SDS 63 IX4F  Provides less context than the report for the prior
590422 - test on 080212, as shown on 080215. ref SDS 48 IX4F  This is
590423 - comparable to work on the test for 080425, received on 080428.
590424 - ref SDS 53 IX4F
590426 -  ..
590427 - The report today repeats errors and omissions listed in the report for
590428 - the prior test listed on 080215. ref SDS 48 IX4L
590430 -  ..
590431 - Failure to track patient history denies the analyst an agenda to
590432 - investigate changes on issues identified as critical to patient
590433 - health.
590435 -  ..
590436 - CT test 080911 report continues...
590437 -
590438 -    4.  TECHNIQUE:
590439 -
590440 -        The patient was given oral contrast material to drink.  A total
590441 -        of 120 cc Omnipaque 350 was administered through the power
590442 -        port, without complication. ref DRT 1 0F9L
590444 -  ..
590445 - This report aligns with the record of work at Kaiser on 080911
590446 - describing Barium Sulfate suspension, ref SDS 70 2U6L, and injecting
590447 - contrast medium through the Power Port. ref SDS 70 WF4K
590449 -  ..
590450 - The report of CT test without complication using the Power Port,
590451 - corrects problems reported for the CT test on 080718. ref SDS 63 EO5N
590453 -  ..
590454 - CT test 080911 report continues...
590455 -
590456 -    5.  COMPARISON:
590457 -
590458 -        Comparison is made with the 7/18/08 Kaiser Walnut Creek scan.
590459 -        ref DRT 1 PE9J
590461 -  ..
590462 - Test on 080718 was received from Kaiser and reviewed on 080723.
590463 - ref SDS 63 IX4F
590465 -  ..
590466 - The report today helpfuly provides several specific comparisions on
590467 - the right axilla, per below, continuing practice for the previous test
590468 - on 080718, reported on 080723, ref SDS 63 CA5M, and correcting failure
590469 - to perform comparisions in the prior test, reported on 080215.
590470 - ref SDS 48 EO7F  Failure to list patient history, causes comparisons
590471 - in this report to omit critical issues, per above, ref SDS 0 9W8J,
590472 - which repeats omissions in the test report on 080215. ref SDS 48 EO7F
590474 -  ..
590475 - Errors and omissions performing test comparisons reported in case
590476 - study on 061012. ref SDS 23 A55J
590478 -  ..
590479 - Case study on medical mistakes reported on 040416. ref SDS 7 GN7J
590480 -
590481 -
590482 -
5905 -

SUBJECTS
Right Axillary Lymph Nodes 3 Stable CT Test 080718 Findings Lymphade
CT Test 080911 Report Errors Omissions Comparisons Patient History T

7204 -
720501 -  ..
720502 - CT test 080911 report continues...
720503 -
720504 -    6.  FINDINGS
720506 -  ..
720507 - Findings Stable No Progression Lymphadenophathy Since February
720508 - Right Axillary 3 Lymph Node Stable No Evidence Progression Disease
720509 - Stable Lymphadenophathy No Progression of Cancer CT Test 080911
720510 - Distant Metastasis No Evidence Disease NED Stable No Progression
720511 -
720512 - Follow up ref SDS 63 4K5H, ref SDS 53 EO8F.
720513 -
720514 -        a.  Again seen are enlarged representing axillary lymph nodes.
720515 -            The largest two nodes measure 2.0 x 1.5 cm (previously 1.8
720516 -            x 1.5 cm) and 1.5 x 1.8 cm (previously 1.3 x 1.3 cm).
720517 -            These are little changed, when accounting for differences
720518 -            in technique and sampling variability.  Smaller adjacent
720519 -            nodes are also again seen, with a 1-cm node seen more
720520 -            inferiorly and posteriorly.  This is not significantly
720521 -            changed. ref DRT 1 U84F
720523 -  ..
720524 - Evidently, there are still only 3 nodes visible in the right
720525 - axillary.
720526 -
720527 -               [On 080918 Brigid could not feel any swelling in the
720528 -               right axillary. ref SDS 74 4C6K
720530 -  ..
720531 - This is helpful work comparing node for node with prior test reported
720532 - on 080718. ref SDS 63 4K5H
720533 -
720534 -                Current Test          Prior Test        Prior Test           Prior Test
720535 -                   080911              080718              080425              080212
720536 -
720537 -             1.  2.00 x 1.50 cm .... 1.70 x 1.50 cm .... 1.90 x 1.10 cm .... 1.90 x 0.90
720538 -             2.  1.50 x 1.80 cm .... 1.30 x 1.30 cm .... 1.30 x 1.20 cm .... 1.27 x 1.13
720539 -             3.  1.00 x 1.00 cm .... 1.10 x 0.80 cm .... 1.00 x 1.00 cm .... 1.00 x 1.00
720541 -  ..
720542 - The analyst for the recent test yesterday on 080911 comparing with the
720543 - prior test on 080718 presents the larger node slightly differently
720544 - (1.8 x 1.5 rather than 1.70 x 1.50).  If numbers for node size are
720545 - changed this should be noted and reconciled as "technique" issues so
720546 - that people do not get confused.  Evidently, the comparison was made
720547 - between the scans, rather than between the current scan and the report
720548 - for the prior scan.  Two different people looking at the same scan at
720549 - different times came to slightly different conclusions measuring very
720550 - small elements.
720552 -  ..
720553 - This analysis comparing the past 4 tests seems to indicate at least a
720554 - stable condition, i.e., without significant change, and that
720555 - differences are attributible to test methods (see "Impression," below,
720556 - ref SDS 0 DC5G), which equally suggests there could have been actual
720557 - decline, i.e., improvement in the condition.
720559 -  ..
720560 - Problems with image test reporting were previously reviewed on 040416,
720561 - and reflect continuing quality issues, ref SDS 7 PTSX, though
720562 - recently significant improvement in some areas.
720563 -
720564 -
720565 -
7206 -

SUBJECTS
Default Null Subject Account for Blank Record

7303 -
730401 -  ..
730402 - Left Axilla Stable No Evidence Disease NED Unchanged Prior Test
730403 -
730404 - Follow up ref SDS 63 WM9L, ref SDS 53 WM9L.
730405 -
730406 - CT test 080911 report continues...
730407 -
730408 -        b.  There is no significant left axillary lymphadenopathy.
730409 -            ref DRT 1 956G
730411 -  ..
730412 - Continues prior findings from beginning of year and before, reported
730413 - for prior test on 080723. ref SDS 63 WM9L
730414 -
730415 -
730416 -
7305 -

SUBJECTS
Default Null Subject Account for Blank Record

7403 -
740401 -  ..
740402 - Left Supraclavicular No Findings Conflicts Examinations UCSF Kaiser
740403 -
740404 - On 080821 palpation during examination at UCSF reported feeling a
740405 - slight lump in left supraclavicular region. ref SDS 67 4C6O  This was
740406 - noted again by primary care physician during follow up examination at
740407 - Kaiser on 080829, noted in letter to medical team. ref SDS 69 RP8T
740409 -  ..
740410 - The CT test report makes no mention of findings in this location.
740411 - Does this mean the location was reviewed and nothing was found, or
740412 - that the location was not reviewed?
740413 -
740414 -        [...in another record today on 080912 Millie asks if omission
740415 -        of findings for cancer in the left supraclavicular shows
740416 -        findings at UCSF on 080821, and by the primary care physician
740417 -        on 080829 have subsided? ref SDS 72 O664
740419 -         ..
740420 -        [On 080915 primary care physician at Kaiser responds to
740421 -        Millie's letter on 080912 and does not answer the request today
740422 -        asking if omission of findings on in the report on 080912
740423 -        (today) for the CT test on 08911 shows cancer in left
740424 -        supraclavicular has been resolved. ref SDS 73 XE9M
740426 -         ..
740427 -        [On 080918 Brigid could not find swelling in the left
740428 -        supraclavicular, which may align with the CT test not reporting
740429 -        findings in this area. ref SDS 74 N65G
740431 -         ..
740432 -        [On 081016 Brigid and Doctor Rugo palpate lump left
740433 -        supraclavicular, ref SDS 75 J34X; Doctor Rugo orders biopsy.
740434 -        ref SDS 75 J36R
740436 -         ..
740437 -        [On 081022 Doctor Daamen takes biopsy of swelled lymph node in
740438 -        left supraclavicular, and reviews CT test on 080911, and says
740439 -        the scans did not include enough of the neck to evaluate the
740440 -        node in the left supraclavicular. ref SDS 76 516F
740442 -         ..
740443 -        [On 081023 Kaiser reports pathology of biopsy positive for
740444 -        breast cancer. ref SDS 77 4Q9Q
740446 -         ..
740447 -        [On 081113 report for CT test of the neck on 081107 finds
740448 -        cancer in right supraclavicular "increased" from prior test,
740449 -        ref SDS 78 4K5H, which is incorrect, because the prior test on
740450 -        080718 reviewed on 080723, ref SDS 63 EO8F, and referenced in
740451 -        the report for the test on 081107 does not present findings of
740452 -        anything in the right supraclavicular, ref SDS 78 SE9H, and
740453 -        neither does any other test in patient's 7 year history of
740454 -        testing, including the report today for the test on 080911.
740455 -        ref SDS 0 5O6N
740456 -
740457 -
740458 -
740459 -
740460 -
7405 -

SUBJECTS
Default Null Subject Account for Blank Record

7503 -
750401 -  ..
750402 - Pretracheal Paratracheal Evidently Same Region
750403 - Paratracheal Adenopathy Unchanged Prior Study 3 Nodes Identified
750404 -
750405 - Follow up ref SDS 63 RV70, ref SDS 53 RV70.
750407 -  ..
750408 - CT test 080911 report continues...
750409 -
750410 -        c.  Paratracheal and prevascular
750412 -  ..
750413 - Small right paratracheal and prevascular lymph nodes cited in the test
750414 - on 080425, and reported on 080428, ref SDS 53 RV70, are not mentioned
750415 - in the report for the CT test on 080718, ref SDS 63 RV70, nor
750416 - mentioned in the report for the test yesterday on 080911.
750417 -
750418 -
750419 -
750420 -
750421 -
750422 -
750423 -
750424 -
7505 -

SUBJECTS
Default Null Subject Account for Blank Record

7603 -
760401 -  ..
760402 - Thyroid Gland Findings Described Unchanged Not Presented in Prior Test
760403 -
760404 - Follow up ref SDS 63 NB3L.
760405 -
760406 - CT test 080911 report continues...
760407 -
760408 -        d.  Thyroid gland...
760409 -
760410 -            Again seen is a hypodense lesion in the right thyroid lobe,
760411 -            unchanged. ref DRT 1 4D6J
760413 -  ..
760414 - Seems to align with CT test report on 080723. ref SDS 63 NB3L
760416 -  ..
760417 - There is no evident description of "thyroid" in the CT test report
760418 - received from Kaiser on 080428. ref SDS 53 RV70
760420 -  ..
760421 - CT test 080911 report continues...
760422 -
760423 -        e.  There are small mediastinal lymph nodes, which are stable.
760424 -            No new hilar adenopathy is seen.  There is no pericardial
760425 -            or pleural effusion. ref DRT 1 YG6N
760427 -  ..
760428 - Findings describing "mediastinal" lymph nodes, and "hila" seem to
760429 - align with prior test on 080718, reviewed on 080723. ref SDS 63 TY6H
760430 -
760431 -
760432 -
7605 -

SUBJECTS
Default Null Subject Account for Blank Record

7703 -
770401 -  ..
770402 - Heart Normal Change from 071210
770403 -
770404 - Follow up ref SDS 63 UR4S, ref SDS 39 SR5I.
770405 -
770406 - CT test 080911 report continues...
770408 -  ..
770409 - There is no mention of the heart in the current test on 080911.
770411 -  ..
770412 - Heart was report "size is normal" for the prior test on 080718 shown
770413 - in in the record on 080723, ref SDS 63 UR4S, and described as possible
770414 - improvement from the test on 071210 reporting the heart appeared
770415 - slightly enlarged, shown in the record on 071213. ref SDS 39 SR5I
770416 -
770417 -
7705 -

SUBJECTS
Default Null Subject Account for Blank Record

7803 -
780401 -  ..
780402 - Lungs 4 Nodes Appear Little Changed from Prior Studies
780403 - Pulmonary Embolism Findings CT Test 080718 Similar 080425
780404 -
780405 - Follow up ref SDS 63 RV78, ref SDS 53 RV78.
780407 -  ..
780408 - CT test 080911 report continues...
780409 -
780410 -        f.  Strandy densities are seen at the left lung apex and also
780411 -            at the anterior lingula.  These are not significantly
780412 -            changed and may represent fibrotic change/scarring.  There
780413 -            is also some strandy density seen at the medial right
780414 -            middle lobe and medial right posterior lower lobe, all of
780415 -            which appear little changed.  These could even be treatment
780416 -            related if the patient has had radiation. ref DRT 1 TO3I
780418 -  ..
780419 - The CT test yesterday seems to align with case study on patient
780420 - history listed in the record on 070117 that finds no support for
780421 - Kaiser's medical chart notation of "lung cancer." ref SDS 27 6T5I
780423 -  ..
780424 - Pulmonary embolism was found in a CT test on 060930, reviewed on
780425 - 061012.  Findings in the CT test on 080425 seem similar to language in
780426 - the report finding PE on 061012. ref SDS 23 294Q  Language in the CT
780427 - test yesterday, shown above, does not seem related to PE findings.
780428 - ref SDS 0 RV78
780430 -  ..
780431 - On 080226 letter to Kaiser with copy to UCSF requests comment from
780432 - medical team, including notice to coagulation control case management.
780433 - ref SDS 51 S14Y
780434 -
780435 -
7805 -

SUBJECTS
Default Null Subject Account for Blank Record

7903 -
790401 -  ..
790402 - Cetuximab Side Effects Interstitial Disease CT Test Finding
790403 - Interstitial Disease Lungs No Findings Reported CT Test 080911
790404 -
790405 - Follow up ref SDS 63 TS4J.
790406 -
790407 - CT test 080911 report continues...
790409 -             ..
790410 -        g.  In addition, there are also several tiny nodular densities,
790411 -            predominantly in the right lung.  They are seen in the
790412 -            subpleural right upper lobe on Image 19, near the major
790413 -            fissure on Image 36 and at the subpleural right middle lobe
790414 -            on Image 36 and subpleural right lower lobe laterally on
790415 -            Image 44.  These all appear unchanged.  No new nodules or
790416 -            masses are seen.  There is no new focal air-space
790417 -            consolidation.  No pleural or pericardial effusion is
790418 -            present. ref DRT 1 GJ4G
790420 -  ..
790421 - Findings of "interstitional disease" in the report for the CT test on
790422 - 080718 are not repeated in the report for the test yesterday on
790423 - 080911.  Nothing is mentioned about this issue.
790425 -  ..
790426 - Millie sent a letter earlier today to the primary care physician at
790427 - Kaiser, ref SDS 71 VX7P, asking if failure to report findings indicate
790428 - nothing was found or that the analyst did not follow up to evalute
790429 - progression of disease, as shown in another record earlier today.
790430 - ref SDS 71 LO9U
790432 -  ..
790433 - There were 6 questions presented by prior findings listed on 080723.
790434 - ref SDS 63 6A4J
790436 -  ..
790437 - On 080804 Millie's letter to Doctor Rugo with copy to primary care
790438 - physician at Kaiser notifying of plans on returning to work, cites CT
790439 - test findings of Interstitioal lung disease. ref SDS 65 GU6P  On
790440 - 080821 meeting with medical team, there was no discssion of CT test
790441 - performed 080718 finding Interstitial lung disease. ref SDS 67 056G
790443 -  ..
790444 - On 080829 during a meeting at Kaiser the primary care physician used
790445 - the computer in the Examination room to open files for the CT test on
790446 - 080718; after examination CT scan files the doctor commented that
790447 - Interstitional lung disease reported on 080723, ref SDS 63 TS4J,
790448 - appears very mild and not a significant side effect of cetuximab
790449 - treatment for Millie's cancer. ref SDS 69 RP4X
790450 -
790451 -
790452 -
790453 -
7905 -

SUBJECTS
Default Null Subject Account for Blank Record

8003 -
800401 -  ..
800402 - Hepatic Dome Liver Lesions Continue Stable
800403 -
800404 -
800405 - CT test 080911 report continues...
800406 -
800407 -        h.  A 1.7-cm hypodense lesion at the hepatic dome is stable,
800408 -            compatible with cyst.  There are no new hepatic lesions.
800409 -            ref DRT 1 5L5G
800411 -  ..
800412 - Seems to align with the test on 080718 reviewed on 080723, ref SDS 63
800413 - 653N, and extends favorable findings for the prior test on 080425
800414 - reviewed on 080428. ref SDS 53 RV91
800415 -
800416 -
8005 -

SUBJECTS
Default Null Subject Account for Blank Record

8103 -
810401 -  ..
810402 - Spleen Calcifications Granulamatous Disease
810403 - Granulamatous Disease Spleen Calcifications
810404 -
810405 - Follow up ref SDS 63 N96N, ref SDS 53 R96N.
810407 -  ..
810408 - CT test 080911 report continues...
810409 -
810410 -        i.  Again seen are several splenic calcifications, probably
810411 -            related to prior granulomatous infection.  There is dense
810412 -            calcification of the splenic artery as well as some chunky
810413 -            calcifications adjacent to the splenic hilum.  These may
810414 -            represent splenic artery aneurysms, and they are unchanged.
810415 -            ref DRT 1 PS5K
810417 -  ..
810418 - Seems unchanged from report for prior test on 080718 reported in the
810419 - record on 080723. ref SDS 63 N96N
810420 -
810421 -
810422 -
8105 -

SUBJECTS
Default Null Subject Account for Blank Record

8203 -
820401 -  ..
820402 - Kidneys Gallbladder Adrenal Appear Unchanged
820403 -
820404 - Follow up ref SDS 63 PH6I, ref SDS 53 653N.
820406 -  ..
820407 - CT test 080911 report continues...
820408 -
820409 -        j.  The pancreas, gallbladder, adrenal glands and kidneys are
820410 -            stable in appearance, with a few tiny renal hypodensities
820411 -            again noted. ref DRT 1 YU6H
820413 -  ..
820414 - Seems unchanged from report for prior test on 080718 reported in the
820415 - record on 080723. ref SDS 63 PH6I
820416 -
820417 -
820418 -
8205 -

SUBJECTS
Default Null Subject Account for Blank Record

8303 -
830401 -  ..
830402 - Colon Bowel Hiatal Hernia Diverticulitis No evidence
830403 - Bowel Colon Hiatal Hernia Diverticulitis No evidence
830404 - Diverticulitis No evidence Colon Bowel Hiatal Hernia
830405 - Hiatal Hernia Diverticulitis No evidence Colon Bowel
830406 -
830407 - Follow up ref SDS 63 EQ5J, ref SDS 53 256J.
830408 -
830409 - CT test 080718 report continues...
830410 -
830411 -        k.  There is no evidence of bowel obstruction.  No identifiable
830412 -            bowel wall thickening is seen.  There is no ascites.  No
830413 -            enlarged abdominal or pelvic lymph nodes are seen.
830414 -            ref DRT 1 716L
830416 -  ..
830417 - Seems to align with prior test on 080718 reported on 080723,
830418 - ref SDS 63 EQ5J; except the prior test reported hiatal hernia and
830419 - diverticulosis, which is cited in prior studies shown by case study on
830420 - patient history on 080723. ref SDS 63 GZ3J
830421 -
830422 -
830423 -
8305 -

SUBJECTS
Default Null Subject Account for Blank Record

8403 -
840401 -  ..
840402 - Abdominal Aorta No Aneurysm
840403 - Splenic Artery Calcification Aneurysms
840404 -
840405 - Follow up ref SDS 63 NC8N, ref SDS 53 R96N.
840407 -  ..
840408 - CT test 080718 report continues...
840409 -
840410 -        l.  Atherosclerotic calcification of the normal-caliber
840411 -            abdominal aorta is present.  The iliac arteries appear
840412 -            ectatic, also with calcifications.  These are unchanged.
840413 -            ref DRT 1 257G
840415 -  ..
840416 - Seems unchanged from report for prior test on 080718 reported in the
840417 - record on 080723. ref SDS 63 NC8N
840418 -
840419 -
840420 -
8405 -

SUBJECTS
Default Null Subject Account for Blank Record

8503 -
850401 -  ..
850402 - Pelvis Urniary Bladder
850403 -
850404 - Follow up ref SDS 63 NC4L.
850406 -  ..
850407 - CT test 080718 report continues...
850408 -
850409 -        m.  The patient is status post hysterectomy.  The urinary
850410 -            bladder is unremarkable. ref DRT 1 B57L
850412 -  ..
850413 - Seems to align with prior test on 080718 reported on 080723,
850414 - ref SDS 63 9L5L
850415 -
850416 -
850417 -
8505 -

SUBJECTS
Default Null Subject Account for Blank Record

8603 -
860401 -  ..
860402 - Spine Lower Lumbar Degenertive Changes in Disks Facet Joints
860403 -
860404 - Follow up ref SDS 63 NC4L.
860406 -  ..
860407 - CT test 080718 report continues...
860408 -
860409 -        n.  Degenerative changes are noted at the spine.  No suspicious
860410 -            bone lesions are seen. ref DRT 1 ZP7K
860412 -  ..
860413 - Seems to align with prior test on 080718 reported on 080723,
860414 - ref SDS 63 NC4L
860416 -  ..
860417 - CT test 080718 report concludes...
860418 -
860419 -
8605 -

SUBJECTS
Default Null Subject Account for Blank Record

8703 -
870401 -  ..
870402 - May be Increased Lymph Nodes Right Axilla Interstitial Disease
870403 -
870404 - Follow up ref SDS 63 FY5O.
870405 -
870406 -    7.  IMPRESSION
870407 -
870408 -        Status post left mastectomy.  There has been little interval
870409 -        change.  Prominent right axillary lymph nodes are again noted,
870410 -        little changed in size, which could be accounted for by
870411 -        sampling variability.  Reticular densities and tiny punctate
870412 -        densities in the lungs are not significantly changed, and there
870413 -        are no new identifiable lesions.  No new adenopathy or ascites.
870414 -        ref DRT 1 8C6N
870419 -  ..
870420 - Impression of stable condition shows no significant evidence that
870421 - cancer is expanding, which aligns with visible observations of IBC
870422 - rash areas stable to subsiding, cited in examination at UCSF on
870423 - 080821. ref SDS 67 YW6M  Comparison of measured nodes today, per
870424 - above, shows 6 months stable condition since February. ref SDS 0 4K5H
870426 -  ..
870427 - Stable findings seem conflicting with rising CA 15-3 reported on
870428 - 080821. ref SDS 67 GP3M
870430 -  ..
870431 - Failure to comment on left supraclavicular where palpation on 080821
870432 - identified swelling, ref SDS 67 4C6O, and which was noticed a week
870433 - later on 080829 by the primary care physician at Kaiser, reported in a
870434 - letter to the medical team, may reflect improvement, or failure to
870435 - perform comprehensive review of scans, per above. ref SDS 0 5O6N
870437 -  ..
870438 - Failure to comment on "interstitional lung disease" may reflect
870439 - improvement. ref SDS 0 TS4J
870440 -
870441 -
870442 -
870443 -
870444 -
870445 -
8705 -