CONTACTS 

SUBJECTS
CT Test 080718 Report Received Condition  Sable Right Axilla Possibl

1103 -
1103 -    ..
1104 - Summary/Objective
1105 -
110501 - Follow up ref SDS 84 0000. ref SDS 73 0000.
110502 -
110503 -
110504 -
110505 -
110506 -
110508 -  ..
1106 -
1107 -
1108 - Progress
1109 -
110901 - CT Test on 081230 Report Received from Kaiser
110902 -
110903 - Follow up ref SDS 84 6V5I, ref SDS 73 6V5I.
110904 -
110905 - Millie had a CT test at Kaiser in Walnut Creek CA on 081230.
110906 - ref SDS 96 JR4L  The next day on 081231 Millie notified the medical
110907 - team that the test was completed routinely. ref SDS 97 LL5H  Yesterday
110908 - on 090106, Arlette advised that Kaiser submitted 2 separate reports
110909 - for the CT test on 081230. ref SDS 98 N09L  Arlette submitted these
110910 - reports via fax to Glenna at UCSF. ref SDS 98 UT8M
110912 -  ..
110913 - After Millie met with the Community Wellness cancer support group in
110914 - Pleasant Hill, she drove a few miles to Kaiser in Walnut Creek.
110916 -  ..
110917 - Millie received ref DRT 1 0001 from Arlette in the Oncology Department
110918 - transmitting in an evelope 2-reports for the CT test on 081230, as she
110919 - reported yesterday on 090106. ref SDS 98 N09L
110921 -  ..
110922 - Getting multiple reports for the CT test on 081230, repeats the
110923 - mistake on the previous CT test performed at Kaiser on 081107 and
110924 - received on different days, the first on 081112, ref SDS 84 6V5I, and
110925 - the 2nd report on 081113. ref SDS 87 YO77
110926 -
110927 -            [On 090409 2018 Doctor Davidson letter advises Kaiser made
110928 -            a mistake publishing multiple reports for each CT test that
110929 -            causes confusion and error presenting patient medical
110930 -            condition, ref SDS A2 L14I; advises future tests will
110931 -            consolidate findings into single report for each test that
110932 -            maintains a well ordered record for efficient case
110933 -            management essential to save lives, time, and money.
110934 -            ref SDS A2 XZ6U
110936 -  ..
110937 - Case study on 081113 shows Millie's CT tests that include the neck
110938 - have always been consolidated into a single report for consideration
110939 - by the doctor performing examinations and prescribing treatment.
110940 - ref SDS 87 HV4H
110942 -  ..
110943 - Arlette's letter says or reasonably implies...
110944 -
110945 -    1.  [Attached are 2 reports for your CT test at Kaiser on December
110946 -        30, 2008.  The first report is on the neck.  The second report
110947 -        is on the chest, abdomen, and pelvis.  Note there may be
110948 -        multiple and conflicting findings in the areas where scans
110949 -        overlap.] ref DRT 1 0001
110951 -  ..
110952 - This letter complements Millie's letter yesterday on 090106 requesting
110953 - submission of reports for the CT test on 081230 in time for review to
110954 - be prepared to have a productive meeting with the medical team at UCSF
110955 - tomorrow on 090108. ref SDS 99 YO9W  Millie's letter on 081231
110956 - reported the CT test on 081230 was accoplished as planned.
110957 -
110958 -            [On 090109 Millie's letter to the medical team reminds the
110959 -            doctor to submit the 2 reports for the CT test on 081230
110960 -            using Kaiser's Knowledge Management electronic mail system
110961 -            in order to save time typing the reports printed on paper
110962 -            received from Arlette today at Kaiser and entering into the
110963 -            record of patient history for precision access that enables
110964 -            effective case management. ref SDS A0 UE6X
110966 -             ..
110967 -            [On 090109 reporting that UCSF getting 2 reports again from
110968 -            Kaiser for the CT test on 081230 caused confusion and
110969 -            delay. ref SDS A0 UE6X
110971 -             ..
110972 -            [On 090109 Millie received from the primary care physician
110973 -            using Kaiser's Knowledge Management system an electronic
110974 -            submission of the report for Millie's the CT test on
110975 -            081230; the doctor submitted only 1 of the 2 reports
110976 -            prepared by the CT Department, ref SDS A1 V53J; mistakes
110977 -            performing case management reflect confusion that increased
110978 -            cost and delayed work, reported on 081219, ref SDS 95 T59G,
110979 -            and caused by failing to consolidate findings into a single
110980 -            report for the CT test, which was ordered by the doctor on
110981 -            081219. ref SDS 95 WP30
110983 -             ..
110984 -            [On 081113 case study patient history shows Millie has had
110985 -            11 previousl CT and PET scan tests covering the same scope
110986 -            for the neck, chest, abdomen, and pelvis, and all results
110987 -            were consolidated into a single report. ref SDS 87 HV4H
110989 -             ..
110990 -            [On 081230 Jennifer, CT Technologist at Kaiser CT
110991 -            Department in Walnut Creek CA added comments to the work
110992 -            order for the CT test to consolidate findings in a single
110993 -            report, ref SDS 96 FF8M, and to correct the test last month
110994 -            on 081107 by comparing with the previous test on 080911,
110995 -            rather than with the test on 080718. ref SDS 96 F34K
110997 -             ..
110998 -            [On 090409 2018 Doctor Davidson letter advises Kaiser made
110999 -            a mistake publishing multiple reports for each CT test that
111000 -            causes confusion and error presenting patient medical
111001 -            condition, ref SDS A2 L14I; advises future tests will
111002 -            consolidate findings into single report for each test that
111003 -            maintains a well ordered record for efficient case
111004 -            management essential to save lives, time, and money.
111005 -            ref SDS A2 XZ6U
111007 -             ..
111008 -            [On 090415 1642 received report for CT test on 090413 and
111009 -            with findings consolidated into a single report, as ordered
111010 -            by Doctor Davidson. ref SDS A3 YO7M
111011 -
111013 -         ..
111014 -        Test History No Evidence Distant Metastasis
111015 -        Distant Metastasis No Evidence 7 Years Imaging Tests
111016 -
111017 -        Follow up ref SDS 84 GM3N, ref SDS 73 GM3N.
111018 -
111019 -     Type     Date           Received          Source
111020 -     1.  CT     081230 reported on 090107........... ref SDS 0 DA6Q
111021 -     2.  CT     081107 reported on 081113 (neck).... ref SDS 87 DA6Q
111022 -         CT     081107 reported on 081112 (1st part) ref SDS 84 DA6Q
111023 -     3.  CT     081107 reported on 081112........... ref SDS 84 DA6Q
111024 -     4.  CT     080911 reported on 080912........... ref SDS 73 DA6Q
111025 -     5.  CT     080718 reported on 080723........... ref SDS 63 DA6Q
111026 -     6.  CT     080425 reported on 080428........... ref SDS 53 DA6Q
111027 -     7.  CT     080212 reported on 080215........... ref SDS 48 DA6Q
111028 -     8.  CT     071210 reported on 071213........... ref SDS 39 UG4L
111029 -     9.  CT     070930 reported on 071018........... ref SDS 36 VK8L
111030 -    10.  CT     070723 reported on 070802........... ref SDS 33 IM6M
111031 -    11.  CT     070520 reported on 070524........... ref SDS 32 DA6Q
111032 -    12.  CT     070326 reported on 070329........... ref SDS 31 DA6Q
111033 -    13.  CT     070131 reported on 070202........... ref SDS 29 1Y8G
111034 -    14.  PET/CT 061227 reported on 070102........... ref SDS 25 1Y8G
111035 -    15.  CT     060930 reported on 061012........... ref SDS 23 284J
111036 -    16.  MRI    060708 reported on 060711........... ref SDS 21 PT4K
111037 -    17.  Xray   060623 reported on 060711........... ref SDS 21 WJ6G
111038 -    18.  CT     060505 reported on 060523........... ref SDS 20 E355
111039 -    19.  PET    060414 reported on 060428........... ref SDS 19 WJ6G
111040 -    20.  PET    060120 reported on 060126........... ref SDS 18 WJ6G
111041 -    21.  PET/CT 051005 reported on 051007........... ref SDS 16 WJ6G
111042 -    22.  CT     050530 reported on 050610........... ref SDS 15 G75L
111043 -    23.  CT     050325 reported on 050422........... ref SDS 14 G75L
111044 -    24.  CT     041217 reported on 041230........... ref SDS 13 G75L
111045 -    25.  CT     041103 reported on 041104........... ref SDS 12 WV7H
111046 -    26.  CT     040921 reported on 041005........... ref SDS 10 NL4N
111047 -    27.  CT     040710 reported on 040811........... ref SDS 9 H85S
111048 -    28.  CT     040410 reported on 040416........... ref SDS 7 LK5L
111049 -    29.  CT     040307 reported on 040318........... ref SDS 6 LK5L
111050 -    30.  CT     031031 reported on 031205........... ref SDS 5 IG9K
111051 -    31.  CT     030626 reported on 030710........... ref SDS 4 AL6N
111052 -    32.  CT     030428 reported on 030508........... ref SDS 3 LK5L
111053 -    33.  PET    021218 reported on 030109........... ref SDS 2 LK5L
111054 -    34.  PET    020529 reported on 020603........... ref SDS 1 0001
111056 -         ..
111057 -    1.  Patient
111065 -         ..
111066 -    2.  CT NECK, CHEST, ABDOMEN AND PELVIS
111067 -
111068 -        Kaiser issued 2 reports again...
111069 -
111070 -            Neck................. ref DRT 1 PP4S
111071 -            Chest, abdomen....... ref DRT 1 0254
111073 -         ..
111077 -         ..
111078 -        Date:  081230 1010................ ref DRT 1 00EL
111079 -        Date:  081230 1045................ ref DRT 1 00EL
111081 -  ..
111082 - For some reason, Kaisue published 2 separate reports, repeating the
111083 - mistake on the last test on 081107, and reported on 081113.
111084 - ref SDS 87 YO7M and ref SDS 87 RU5N
111086 -  ..
111087 - This conflicts with the doctor's referral order issued on 081219.
111088 - ref SDS 95 587G
111089 -
111090 -            [On 090409 2018 Doctor Davidson letter advises Kaiser made
111091 -            a mistake publishing multiple reports for each CT test that
111092 -            causes confusion and error presenting patient medical
111093 -            condition, ref SDS A2 L14I; advises future tests will
111094 -            consolidate findings into single report for each test that
111095 -            maintains a well ordered record for efficient case
111096 -            management essential to save lives, time, and money.
111097 -            ref SDS A2 XZ6U
111099 -             ..
111100 -            [On 090415 1642 received report for CT test on 090413 and
111101 -            with findings consolidated into a single report, as ordered
111102 -            by Doctor Davidson. ref SDS A3 RU6R
111104 -  ..
111105 - CT test 081230 report continues...
111106 -
111107 -        Performed in:  WCR Outpatient in Walnut Creek
111108 -
111112 -
111113 -
111114 -
1112 -

SUBJECTS
CT Test 080212 Report Errors Omissions Comparisons Patient History T

3703 -
370401 -  ..
370402 - Errors Omissions Comparisons Patient History Trend Analysis
370403 - Patient History Comparison PE Cor Pulmonale Esophigitis Enlarged Heart
370404 -
370405 - Follow up ref SDS 84 IX4F, ref SDS 73 IX4F.
370407 -  ..
370408 - CT test 081230 report continues...
370409 -
370410 -    3.  HISTORY
370411 -
370412 -        72 y/o female with metastatic breast cancer currently on
370413 -        Clinical Trial at UCSF. ref DRT 1 PPQX and ref DRT 1 IQ9T
370415 -         ..
370416 -        The patient is status post a left mastectomy. ref DRT 1 OR8G
370418 -  ..
370419 - Problems with history on prior tests failing to provide context for
370420 - reviewing CT test scans reported for the test on 080911, reviewed
370421 - 080912, ref SDS 73 9W8F, are repeated today, rather than continue with
370422 - scope applied by the analyst for the most recent prior test on 081107
370423 - extracting the summary of patient history in the medical chart for
370424 - Millie's meeting with the primary care
370425 - physician at Kaiser on 081024.
370427 -  ..
370428 - Tracking patient history enables the analyst to investigate changes on
370429 - critical issues, cited previously as problematic on 080912.
370430 - ref SDS 73 MB6F
370432 -  ..
370433 - The report today repeats errors and omissions listed in the report for
370434 - the prior test listed on 080215. ref SDS 48 IX4L
370436 -  ..
370437 - CT test 081230 report continues...
370438 -
370439 -    4.  TECHNIQUE:
370440 -
370441 -        Axial images were acquired at 5 mm slice collimation through
370442 -        the neck after the uncomplicated administration of intravenous
370443 -        contrast. ref DRT 1 002J
370445 -         ..
370446 -        Standard CT chest, abdomen and pelvis protocol following
370447 -        intravenous and oral contrast. ref DRT 1 IF4M
370449 -  ..
370450 - CT test 081230 report continues...
370451 -
370452 -    5.  COMPARISON:
370453 -
370454 -        Comparison: 11/07/2008, ref DRT 1 00HL and ref DRT 1 IF4S
370456 -  ..
370457 - There were 2 tests on 081107, assume the test on 081230 for the neck,
370458 - compared with the test on 081107 on the neck which was received on
370459 - 081113. ref SDS 87 RV49
370461 -  ..
370462 - Assume comparison for the test today on the chest compares with the
370463 - same scope for the 1st on 081107, reviewed the day before on 081112.
370464 - ref SDS 83 RV49
370466 -  ..
370467 - Errors and omissions performing test comparisons reported in case
370468 - study on 061012. ref SDS 23 A55J
370470 -  ..
370471 - Case study on medical mistakes reported on 040416. ref SDS 7 GN7J
370473 -  ..
370474 - On 081230 Jennifer, CT Technologist at Kaiser CT Department in Walnut
370475 - Creek CA added comments to the work order for the CT test to
370476 - consolidate findings in a single report, ref SDS 96 FF8M, and to
370477 - correct the test last month on 081107 by comparing with the previous
370478 - test on 080911, rather than with the test on 080718. ref SDS 96 F34K
370479 - As shown today, this was not done.
370481 -             ..
370482 -            [On 090409 2018 Doctor Davidson letter advises Kaiser made
370483 -            a mistake publishing multiple reports for each CT test that
370484 -            causes confusion and error presenting patient medical
370485 -            condition, ref SDS A2 L14I; advises future tests will
370486 -            consolidate findings into single report for each test that
370487 -            maintains a well ordered record for efficient case
370488 -            management essential to save lives, time, and money.
370489 -            ref SDS A2 XZ6U
370490 -
370491 -
370492 -
370493 -
3705 -

SUBJECTS
Right Axillary Lymph Node Minimally Enlarged CT Test 080212 Findings

6603 -
660401 -  ..
660402 - CT test 081230 report continues...
660403 -
660404 -    6.  FINDINGS
660405 -
660406 -        1.  The visualized intracranial structures show no evidence for
660407 -            abnormal enhancement. ref DRT 1 F06S
660409 -  ..
660410 - There is no evident correlation to previous test on 081107 reported on
660411 - 081113. ref SDS 87 OO6M
660413 -             ..
660414 -        2.  The visualized portions of the paranasal sinuses are clear.
660415 -            ref DRT 1 018K
660417 -  ..
660418 - There is no evident correlation to previous test on 081107 reported on
660419 - 081113. ref SDS 87 OO6M
660420 -
660421 -
660423 -  ..
660424 - Thyroid Gland Findings Described Unchanged Not Presented in Prior Test
660425 -
660426 - Follow up ref SDS 84 NB3L, ref SDS 73 NB3L.
660427 -
660428 - CT test 081230 report continues...
660429 -
660430 -        3.  Thyroid gland...
660431 -
660432 -            The thyroid lobes enhance symetrically.  No change in the
660433 -            right thyroid lob hypodensity.  Focal scarring is again
660434 -            seen in the left lung apex. ref DRT 1 014S
660436 -  ..
660437 - Aligns with test on 081107, reported on 081113. ref SDS 87 NB3L
660438 -
660439 -
660440 -
660441 -
6605 -

SUBJECTS
Default Null Subject Account for Blank Record

6703 -
670401 -  ..
670402 - Right Supraclavicular Several Nodes Found Conflicts Patient History
670403 -
670404 - Follow up ref SDS 87 4K5H, ref SDS 73 5O6N.
670405 -
670406 - CT test 081230 report continues...
670407 -
670408 -        4.  The right sided supraclavicular lymph nodes have decreased
670409 -            in size but are still prominent.  The one measured on the
670410 -            previous exam at 1 cm is now measuring 9 mm. ref DRT 1 TG4L
670412 -             ..
670413 -            Right supraclavicular nodes are described on the
670414 -            accompanying CT of the neck. [this is what is said about
670415 -            the right supraclavicular in the 2nd report on scans below
670416 -            the neck.] ref DRT 1 I246
670418 -             ..
670419 -        5.  The subpectoral soft tissue masses on the right are still
670420 -            present.  There is also apparant lymphadenopathy in the
670421 -            right axilla that is incompletely imaged. ref DRT 1 F08P
670423 -  ..
670424 - There is no evident correlation to previous test on 081107 reported on
670425 - 081113. ref SDS 87 OO6M
670426 -
670427 -
670428 -
670429 -
6705 -

SUBJECTS
Default Null Subject Account for Blank Record

6803 -
680401 -  ..
680402 - Left Supraclavicular Findings Align with Examinations UCSF and Kaiser
680403 -
680404 - Follow up ref SDS 87 5O6N, ref SDS 84 5O6N.
680405 -
680406 -        6.  The left side supraclavicular nodes have significantly
680407 -            decreased when compared to the prior exam.  The lymph node
680408 -            measured at image #33 on the prior study is no longer
680409 -            apparant. ref DRT 1 F07Q
680411 -  ..
680412 - Shows recovery with sunitinib treatment begun on 081114. ref SDS 89
680413 - 505G   The test on 081230 reported today that the largest mass 1.2 x
680414 - 1.3 cm seen in image #33 from the test on 0811107 reported on 081113,
680415 - is now longer visible; shows significant imporvement. ref SDS 87 5O6N
680417 -             ..
680418 -        7.  There is no nasopharyngeal or oropharygeal mass.
680419 -            ref DRT 1 QR5K
680421 -  ..
680422 - This sounds similar to nasopharynx and oropharynx appear unremarkable
680423 - in the CT test on 081107, reported on 081113, ref SDS 87 HW57, but
680424 - not sure.
680425 -
680426 -
680427 -
680428 -
680429 -
6805 -

SUBJECTS
Right Axillary Lymph Node Minimally Enlarged CT Test 080212 Findings

9703 -
970401 -  ..
970402 - Findings Stable No Progression Lymphadenophathy Since February
970403 - Right Axillary 3 Lymph Node Stable No Evidence Progression Disease
970404 - Stable Lymphadenophathy No Progression of Cancer CT Test 080911
970405 - Distant Metastasis No Evidence Disease NED Stable No Progression
970406 -
970407 - Follow up ref SDS 84 4K5H, ref SDS 73 4K5H.
970408 -
970409 - CT test 081230 report continues...
970411 -             ..
970412 -        8.  Better visualized on this study are the right prepectoral
970413 -            soft tissues and the right axillary lymph nodes.  No
970414 -            significant change in size when compared to the prior study
970415 -            given slice selection bias of the more medial node
970416 -            mearsuing 1.6 x 1.5 cm.  There is slight increase in size
970417 -            of the more lateral node measuring 1.5 x 1.6 cm on the
970418 -            current exam.  These are measured on image #13.  Additional
970419 -            axillary mixed hazy fat stranding and nodularity is seen.
970420 -            This is not significantly changed. ref DRT 1 01FW
970421 -
970423 -  ..
970424 - For some reason the analyst failed to continue helpful practice
970425 - comparing node for node with prior test to provide cross check for
970426 - busy practitioner, reported on 081112. ref SDS 83 YH54
970428 -  ..
970429 - May still be 3 nodes visible in the CT scan for the right axillary;
970430 - however, the analyst measures only 2, which conficts with precedent
970431 - set from past 5 tests, reported on 081112. ref SDS 83 4K5H  Possibly
970432 - the 3rd node has been reduced below a measurable size, but that is
970433 - easy enough to say.
970435 -  ..
970436 - Comparing with the report for the most recent test on 080911 shows...
970437 -
970438 -                 Current Test       Current Test        Prior Test           Prior Test        Prior Test           Prior Test
970439 -                    081230             081107             080911              080718              080425              080212
970440 -
970441 -             1.   1.60 x 1.50 cm ... 1.60 x 1.40 cm ... 2.00 x 1.50 cm .... 1.70 x 1.50 cm .... 1.90 x 1.10 cm .... 1.90 x 0.90
970442 -             2.   1.50 x 1.60 cm ... 1.60 x 1.60 cm ... 1.50 x 1.80 cm .... 1.30 x 1.30 cm .... 1.30 x 1.20 cm .... 1.27 x 1.13
970443 -             3.   .................. 1.00 x 0.70 cm ... 1.00 x 1.00 cm .... 1.10 x 0.80 cm .... 1.00 x 1.00 cm .... 1.00 x 1.00
970445 -  ..
970446 - Analysis today comparing the past 6 tests seems to indicate at least a
970447 - stable condition, i.e., without significant change), over the past 11
970448 - months, and that differences are attributible to test methods (see
970449 - "Impression," below, ref SDS 0 DC5G), which equally suggests there
970450 - could have been actual decline, i.e., improvement in the condition.
970452 -  ..
970453 - Problems with image test reporting were previously reviewed on 040416,
970454 - and reflect continuing quality issues, ref SDS 7 PTSX, though recently
970455 - significant improvement in some areas, and today there was reduced
970456 - support. ref SDS 0 YH54
970457 -
970458 -
970459 -
9705 -

SUBJECTS
Default Null Subject Account for Blank Record

9803 -
980401 -  ..
980402 - Power Port Visualized Appears Functional
980403 -
980404 -
980405 -        9.  The power port appears to be functional on this exam as
980406 -            there was no right breast extravasation as on the prior
980407 -            exam. ref DRT 1 IG48
980409 -  ..
980410 - Power port was not reported for the prior test on 081107, reviewed on
980411 - 081107.
980412 -
980413 -
980414 -
980415 -
980416 -
9805 -

SUBJECTS
Default Null Subject Account for Blank Record

9903 -
990401 -  ..
990402 - Left Axilla Stable No Evidence Disease NED Unchanged Prior Test
990403 -
990404 - Follow up ref SDS 84 WM9L, ref SDS 73 WM9L.
990405 -
990406 - CT test 081230 report continues...
990407 -
990408 -       10.  No left axillary lymphadenopathy. ref DRT 1 IF65
990410 -  ..
990411 - Continues prior findings from beginning of year and before, shown from
990412 - prior test on 081107, and reported on 081112. ref SDS 83 WM9L
990413 -
990414 -
990415 -
9905 -

SUBJECTS
Default Null Subject Account for Blank Record

A003 -
A00401 -  ..
A00402 - AP Window Node Appears Enlarged
A00403 - Pretracheal 1 CM Node Node Identified Similar Paratrachael??
A00404 - Paratracheal Adenopathy Unchanged Prior Study 3 Nodes Identified
A00405 -
A00406 - Follow up ref SDS 84 RV70, ref SDS 73 RV70.
A00408 -  ..
A00409 - CT test 081230 report continues...
A00410 -
A00411 -            Pretrachael, paratracheal and prevascular
A00413 -  ..
A00414 - No evident report on this scope, which was reported on 081112 for the
A00415 - prior test on 081107, ref SDS 83 RV70,
A00416 -
A00417 -
A00418 -
A00419 -
A00420 -
A005 -

SUBJECTS
Default Null Subject Account for Blank Record

A103 -
A10401 -  ..
A10402 - Hilar Left Side Lymph Node 5 MM Stable No Right Hilar Adenopathy
A10403 -
A10404 - Follow up ref SDS 84 5H6F, ref SDS 73 TY6H.
A10405 -
A10406 - CT test 081230 report continues...
A10407 -
A10408 -       11.  Mediastinum, hilum: Normal, ref DRT 1 QU35
A10410 -  ..
A10411 - This seems to align with finding for the test on 081117 reported on
A10412 - 081112. ref SDS 83 5H6F
A10413 -
A10414 -
A10415 -
A10416 -
A105 -

SUBJECTS
Default Null Subject Account for Blank Record

A203 -
A20401 -  ..
A20402 - Heart Normal Change from 071210
A20403 -
A20404 - Follow up ref SDS 84 UR4S, ref SDS 73 UR4S.
A20406 -             ..
A20407 -       12.  Cardiovascular structures:  Atherosclerotic disease.
A20408 -            ref DRT 1 QU51
A20410 -  ..
A20411 - There is no mention of the heart in the current test on 081230, except
A20412 - this language on "cardiovascular...", repeating practice for the prior
A20413 - test on 081107, reviewed on 081112, ref SDS 83 UR4S,
A20415 -  ..
A20416 - The CT test on 080718 shown in the record on 080723, ref SDS 63 UR4S,
A20417 - described possible improvement from the test on 071210 reporting the
A20418 - heart appeared slightly enlarged, shown in the record on 071213.
A20419 - ref SDS 39 SR5I
A20420 -
A20421 -
A20422 -
A205 -

SUBJECTS
Default Null Subject Account for Blank Record

A303 -
A30401 -  ..
A30402 - Lungs 4 Nodes Appear Little Changed from Prior Studies
A30403 - Pulmonary Embolism Findings CT Test 080718 Similar 080425
A30404 -
A30405 - Follow up ref SDS 84 RV78, ref SDS 73 RV78.
A30407 -  ..
A30408 - CT test 081230 report continues...
A30409 -
A30410 -       13.  Lungs:  Ground glass and interstitial thickening in the
A30411 -            left apex consistent with prior radiation unchanged.
A30412 -            Additional scarring in the lingula. ref DRT 1 QU36
A30414 -             ..
A30415 -            There appears to be a nodule in the right lower lobe just
A30416 -            inferior to the inferior pulmonary vein.  There is partial
A30417 -            volume averaging with the vessel leading to difficulty
A30418 -            accurately measuring the nodule.  This does appear to be
A30419 -            stable when compared to the prior studies. ref DRT 1 02GV
A30421 -             ..
A30422 -            The ground glass in the right lung base is slightly more
A30423 -            prominent.  The tiny right sided nodules are unchanged.
A30424 -            ref DRT 1 02AS
A30426 -  ..
A30427 - There is nothing about "interstitial" in this part of the CT test
A30428 - report; the "Impression" reports "progression of right base
A30429 - interstitial process; drug reaction seems likely etiology," per below.
A30430 - ref SDS 0 AQ6U
A30432 -  ..
A30433 - The test on 081107 reported findings of apparent "interstitial
A30434 - disease" in the right lower lobe of the lungs, reviewed on 081112.
A30435 - ref SDS 83 TS4J  The CT test on 081230 seems to say this condition is
A30436 - slightly more prominent. ref SDS 0 02AS
A30438 -  ..
A30439 - CT test on 081230 further aligns with case study on patient history
A30440 - listed in the record on 070117 that finds no support for Kaiser's
A30441 - medical chart notation of "lung cancer." ref SDS 27 6T5I
A30442 -
A30443 -            [On 090415 1642 report for CT test on 090413 reported
A30444 -            progression of nodules in the lungs, ref SDS A3 RV78;
A30445 -            research indicates "ground glass opacities" are early
A30446 -            stages of lung cancer; and, lung cancer can be safely
A30447 -            excised without lobectomy surgery. ref SDS A3 LG9L
A30449 -  ..
A30450 - Pulmonary embolism was found in a CT test on 060930, reviewed on
A30451 - 061012.  Findings in the CT test on 080425 seem similar to language in
A30452 - the report finding PE on 061012. ref SDS 23 294Q  Language in the CT
A30453 - test yesterday, shown above, does not seem related to PE findings.
A30454 - ref SDS 73 RV78
A30456 -  ..
A30457 - On 080226 letter to Kaiser with copy to UCSF requests comment from
A30458 - medical team, including notice to coagulation control case management.
A30459 - ref SDS 51 MS3H
A30460 -
A30461 -
A30462 -
A305 -

SUBJECTS
Default Null Subject Account for Blank Record

A403 -
A40401 -  ..
A40402 - Cetuximab Side Effects Interstitial Disease CT Test Finding
A40403 - Interstitial Disease Lungs No Findings Reported CT Test 080911
A40404 -
A40405 - Follow up ref SDS 84 TS4J, ref SDS 73 TS4J.
A40406 -
A40407 - CT test 081230 report continues...
A40409 -             ..
A40410 -       14.  Pleura: Normal, ref DRT 1 G87G
A40412 -  ..
A40413 - Interstitional lung disease is not reported for the test on 081230,
A40414 - which was found in the CT test on 081107, and reported today,
A40415 - ref SDS 83 TS4J, align with prior findings from the CT test on 080718
A40416 - and reviewed on 080723. ref SDS 63 TS4J
A40418 -  ..
A40419 - On 081209 Millie very tired; feels badly, and did not look well after
A40420 - 26 treatments and total of 976.0 mg of sunitinib, 12 treatments that
A40421 - total 600 mg of cyclophosphamide, and 4 totaling 20 mg of
A40422 - methotrexate. ref SDS 90 KM5F
A40424 -  ..
A40425 - Case study on 080723 shows Millie's patient history on prior reports
A40426 - of Interstitional Lung disease. ref SDS 63 7W6F  There were 6
A40427 - questions presented by prior findings listed on 080723. ref SDS 63
A40428 - 6A4J
A40430 -  ..
A40431 - Additional background reported on 081112. ref SDS 83 5V9J
A40432 -
A40433 -
A40434 -
A40435 -
A40436 -
A40437 -
A405 -

SUBJECTS
Default Null Subject Account for Blank Record

A503 -
A50401 -  ..
A50402 - Hepatic Dome Liver Lesions Continue Stable
A50403 -
A50404 - Follow up ref SDS 84 653N, ref SDS 73 653N.
A50405 -
A50406 - CT test 081230 report continues...
A50407 -
A50408 -       15.  Liver: Hepatic dome cyst. ref DRT 1 02CW
A50410 -  ..
A50411 - Seems to align with the test on 081107 reviewed on 081122, ref SDS 83
A50412 - 653N, and with the test on 080911 reviewed on 080912. ref SDS 73 653N
A50413 - This shows stable condition with the CT test on 080718 reviewed on
A50414 - 080723, ref SDS 63 653N, and extends favorable findings for the prior
A50415 - test on 080425 reviewed on 080428. ref SDS 53 RV91
A50416 -
A50417 -
A505 -

SUBJECTS
Default Null Subject Account for Blank Record

A603 -
A60401 -  ..
A60402 - Spleen Calcifications Granulamatous Disease
A60403 - Granulamatous Disease Spleen Calcifications
A60404 -
A60405 - Follow up ref SDS 84 N96N, ref SDS 73 N96N.
A60407 -  ..
A60408 - CT test 081230 report continues...
A60409 -
A60410 -       16.  Spleen:  Calcifications consistent with prior granulomatous
A60411 -            disease. ref DRT 1 02D4
A60413 -  ..
A60414 - Seems unchanged from report for prior test on 081107 reported on
A60415 - 081112, ref SDS 83 N96N, and from report for prior test on 080911
A60416 - reported on 080912. ref SDS 73 N96N  This shows stable condition from
A60417 - the CT test on 080718 reported in the record on 080723. ref SDS 63
A60418 - N96N
A60419 -
A60420 -
A605 -

SUBJECTS
Default Null Subject Account for Blank Record

A703 -
A70401 -  ..
A70402 - Kidneys Gallbladder Adrenal Appear Unchanged
A70403 -
A70404 - Follow up ref SDS 84 PH6I, ref SDS 73 PH6I.
A70405 -
A70406 - CT test 081230 report continues...
A70407 -
A70408 -       17.  Gallbladder: Normal. ref DRT 1 QU62
A70410 -             ..
A70411 -       18.  Pancreas: Normal. ref DRT 1 QU66
A70413 -             ..
A70414 -       19.  Adrenal glands: Normal. ref DRT 1 QU69
A70416 -             ..
A70417 -       20.  Kidney: No change, ref DRT 1 QU64
A70419 -  ..
A70420 - Seems unchanged from report for prior test on 081107 reported on
A70421 - 081112, ref SDS 83 PH6I, and also from report for prior test on 080911
A70422 - reported on 080912. ref SDS 73 PH6I  This shows stable condition from
A70423 - the CT test on 080718 reported in the record on 080723. ref SDS 63
A70424 - PH6I
A70425 -
A70426 -
A70427 -
A705 -

SUBJECTS
Default Null Subject Account for Blank Record

A803 -
A80401 -  ..
A80402 - Colon Bowel Hiatal Hernia Diverticulitis No evidence
A80403 - Bowel Colon Hiatal Hernia Diverticulitis No evidence
A80404 - Diverticulitis No evidence Colon Bowel Hiatal Hernia
A80405 - Hiatal Hernia Diverticulitis No evidence Colon Bowel
A80406 -
A80407 - Follow up ref SDS 84 EQ5J, ref SDS 73 EQ5J.
A80408 -
A80409 - CT test 081230 report continues...
A80411 -             ..
A80412 -       21.  Bowel loops:  Diverticulosis without evidence of
A80413 -            diverticulitis. ref DRT 1 02F2
A80415 -  ..
A80416 - Seems unchanged from report for prior test on 081107 reported on
A80417 - 081112, ref SDS 83 EQ5J, and also from report for prior test on 080911
A80418 - reported on 080912. ref SDS 73 EQ5J  This shows stable condition from
A80419 - the CT test on 080718 reported on 080723, ref SDS 63 EQ5J; except the
A80420 - prior test reported hiatal hernia and diverticulosis, which is cited
A80421 - in prior studies shown by case study on patient history on 080723.
A80422 - ref SDS 63 GZ3J
A80423 -
A80425 -  ..
A80426 - Abdominal Aorta No Aneurysm No Adenopathy
A80427 - Pelvis Splenic Artery Calcification Aneurysms
A80428 -
A80429 - Follow up ref SDS 84 NC8N, ref SDS 73 NC8N.
A80431 -  ..
A80432 - CT test 081230 report continues...
A80433 -
A80434 -       22.  Lymphadenopathy: Not present. ref DRT 1 QU7I
A80436 -             ..
A80437 -            Free fluid: Not present. ref DRT 1 QU7M
A80439 -             ..
A80440 -            Pelvic structures: s/p hysterectomy. ref DRT 1 02HY
A80442 -             ..
A80443 -            Significant splenic artery calcifications. ref DRT 1 QU87
A80444 -
A80445 -                [On 090415 1642 CT test on 090413 reports splenic
A80446 -                artery aneurysm cannot be excluded. ref SDS A3 U56I
A80448 -             ..
A80449 -            Urinary bladder: Normal. ref DRT 1 QU83
A80451 -  ..
A80452 - Seems unchanged from prior test on 081107 reported in the record for
A80453 - 081112, ref SDS 83 NC8N, and which at that time on 081112 seemed to
A80454 - align with prior test on 080911 reported on 080912. ref SDS 73 NC8N,
A80455 - and so indicates stable condition with no evidence of cancer; however,
A80456 - since the analyst expressly compared the test on 081107, with the test
A80457 - on 080718, ref SDS 84 RV49, there is less certainty about comparison
A80458 - with the test on 080912.  In any case, findings for the current test
A80459 - on 081230 seem favorable and unchanged from report prior tests
A80460 - extending back to 080718 reported in the record on 080723. ref SDS 63
A80461 - NC8N
A80462 -
A80464 -  ..
A80465 - Spine Lower Lumbar Degenertive Changes in Disks Facet Joints
A80466 -
A80467 - Follow up ref SDS 84 NC4L, ref SDS 73 NC4L.
A80469 -  ..
A80470 - CT test 081230 report continues...
A80471 -
A80472 -       23.  Bony structures:  Degenerative changes.  Left sacral Tarlov
A80473 -            cyst. ref DRT 1 02I6
A80475 -  ..
A80476 - Seems to align with prior test on 080911 reported on 080912.
A80477 - ref SDS 73 NC4L  Since the analyst expressly compared the test on
A80478 - 080718 reported on 080723, ref SDS 63 NC4L
A80480 -  ..
A80481 - CT test 080718 report concludes...
A80483 -  ..
A80484 - May be Increased Lymph Nodes Right Axilla Interstitial Disease
A80485 -
A80486 - Follow up ref SDS 84 FY5O, ref SDS 73 FY5O.
A80487 -
A80488 -    7.  IMPRESSION (from 2 reports for test on 081230)
A80489 -
A80490 - Kaiser's report on the neck...
A80491 -
A80492 -        1.  Improvement in the lymphadenopathy on the left side with
A80493 -            mild improvement on the right. ref DRT 1 F09Q
A80495 -  ..
A80496 - Impression of improvement on left side of neck reflects analyists
A80497 - finding that lymphadenopathy node 1.2 x 1.3 significantly decreased to
A80498 - zero visibility, per above. ref SDS 0 QS7G
A80500 -  ..
A80501 - Impresion of mild improvement on right side aligns with findings that
A80502 - lymph node 1 cm decreased to 9 mm, per above. ref SDS 0 5O6N
A80504 -  ..
A80505 - Kaiser's report on everything else...
A80506 -
A80507 -        2.  Minimal progression to no change in right axillary
A80508 -            lymphadenopathy. ref DRT 1 IG81
A80510 -  ..
A80511 - Impression of "minimal progression to no change" appears conflicting
A80512 - with evident reduction of the 3rd node in the right axillary to no
A80513 - visibility, per above, ref SDS 0 4K5H, as further shown in the
A80514 - comparison chart. ref SDS 0 RM6I
A80516 -  ..
A80517 - CT test 081230 report continues...
A80518 -
A80519 -        3.  Progression of right base interstitial process; drug
A80520 -            reaction seems likely etiology. ref DRT 1 02UY
A80522 -  ..
A80523 - Impression of "right base interstitional process" does not seem
A80524 - directly supported by findings.  "Interstitional disease" is found in
A80525 - the left lobe, along with ground glass, per above, ref SDS 0 MR7F, but
A80526 - only "ground glass" is reported found in the right lobe. ref SDS 0
A80527 - 02AS
A80529 -  ..
A80530 - CT test 081230 report continues...
A80531 -
A80532 -        4.  The remaining pulmonary findings are not significantly
A80533 -            changed. ref DRT 1 HU3K
A80534 -
A80535 -
A80536 -
A80537 -
A80538 -
A80539 -
A80540 -
A80541 -
A80542 -
A80543 -
A80544 -
A80545 -
A806 -