CONTACTS 

SUBJECTS
CT Test 090612 Kaiser Radiology Report  Pescribed by Doctor Hsu UCSF

1403 -
1403 -    ..
1404 - Summary/Objective
1405 -
140501 - Follow up ref SDS B4 0000. ref SDS A0 0000.
140502 -
140503 -
140504 -
140505 -
140507 -  ..
1406 -
1407 -
1408 - Background
1409 -
140901 - CT Test on 090612 Report Received from Kaiser
140902 -
140903 - Follow up ref SDS B4 6V5I, ref SDS A0 6V5I.
140905 -  ..
140906 - The test was prescribed by Doctor Hsu to evaluate the UCSF treatment
140907 - plan, reported on 090609 0900. ref SDS C0 W66T, for Millie to recover
140908 - from medical mistakes performing radiation treatments in Feb - Mar,
140909 - and which have caused Millie's cancer to spread, and also caused
140910 - breathing problems, reported on 090609 0900. ref SDS C0 W65W  After
140911 - meeting with Doctor Hsu at UCSF, Doctor Johnson ordered the CT test
140912 - for 090614, reported on 090609 1427. ref SDS C1 PPVY  The date and
140913 - time of the test was advanced to 090612 in order to meet requirements
140914 - for implementing UCSF's treatment plan, reported on 090609 1514,
140915 - ref SDS C2 UD5H
140917 -  ..
140918 - On 090610 UCSF asked Millie to hand-deliver computer files to UCSF for
140919 - the CT test scheduled on 090612, and to facilitate UCSF review in
140920 - order to expedite Millie starting treatment to recover from
140921 - progression of cancer caused by UCSF medical mistakes. ref SDS C3 S537
140923 -  ..
140924 - On 090612 1120 Millie had the CT test at Kaiser prescribed by Doctor
140925 - Hsu at UCSF, and ordered by Doctor Johnson at Kaiser for developing
140926 - the UCSF treatment plan Millie needs to recover from UCSF medical
140927 - mistakes providing radiation treatments. ref SDS C4 02D6
140929 -  ..
140930 - On 090612 1423 computer scan files for Millie's CT test at Kaiser were
140931 - hand-delivered to UCSF for expediting review to prepare the treatment
140932 - plan for Millie to recover from medical mistakes providing radiation
140933 - services at UCSF on referral from Kaiser. ref SDS C5 UD5H
140935 -  ..
140936 - On 090616 1245, UCSF reported during a meeting with Millie that UCSF
140937 - did not have time to complete their report from reviewing computer
140938 - scan files for Millie's CT test at Kaiser on 090612, ref SDS C6 JH48,
140939 - and which were hand-delivered on 090612 at the request of UCSF for the
140940 - purpose of making an independent review for planning Millie's
140941 - treatment to recover from medical mistakes UCSF made providing
140942 - radiation services on referral from Kaiser, reported by Doctor Hsu on
140943 - 090609 0900. ref SDS C0 W65W
140945 -  ..
140946 - On 090616, during a meeting at UCSF, since UCSF had not completed
140947 - review of files for Millie's CT test at Kaiser on 090612, Doctor Rugo
140948 - requested a copy of Kaiser's report, for interim analysis to evaluate
140949 - UCSF's treatment plan for Millie. ref SDS C6 356G
140951 -  ..
140952 - On 090617 0012 Millie notified the medical team that Doctor Rugo needs
140953 - Kaiser's report for the CT test on 090612, ref SDS C7 VS7X, which is
140954 - in addition to the computer scan files for the test, previously
140955 - dilivered to UCSF on 090612 1439. ref SDS C5 UD5H
140957 -  ..
140958 - On 090617 0840 coordinated with Kaiser to get copy of radiology report
140959 - requested by UCSF on CT test for Millie on 090612. ref SDS C8 UD5H
140961 -  ..
140962 - On 090617 1637 Arlette at Kaiesr notifies Millie that report for the
140963 - CT test on 090612 was submitted to UCSF via FAX on 090617, responding
140964 - to Millie's letter to the medical team on 090617. ref SDS C9 UD5H
140966 -  ..
140967 - On 090617 1737 Millie received a letter from Doctor Johnson
140968 - electronically transmitting Kaiser's report for Millie's CT test on
140969 - 090612. ref SDS 0 SQ8M
140970 -
140971 -
140973 -  ..
1410 -
1411 -
1412 - Progress
1413 -
141301 - Millie received ref DRT 1 0001 from Doctor Johnson at Kaiser in Walnut
141302 - Creek, CA, transmitting the report for the CT test a few days ago on
141303 - 090612. ref SDS C4 02D6
141304 -
141305 -    1.  Kaiser Permanente
141306 -        Permanente Medical Group, Inc.
141307 -        1425 South Main Street
141308 -        Walnut Creek, CA  94596
141309 -        925 295 4000 fax or 800...
141311 -         ..
141312 -    2.  June 17, 2009 1719
141319 -         ..
141320 -    3.  Subject:  CT Test 090612 Kaiser Radiology Report
141321 -
141322 -        [Dear Millie,
141324 -         ..
141325 -    4.  Attached is the first of two reports prepared by the Radiology
141326 -        Department for your CT test on June 12, 2009 1100 at the Kaiser
141327 -        hospital in Walunt Creek. ref SDS C4 02D6  This report is for
141328 -        scans from the neck up.  The second report transmitted
141329 -        separately is for the chest, abdomen, and pelvis.
141331 -         ..
141339 -  ..
141340 - This report fails to consolidate findings for the CT test, as ordered
141341 - by Doctor Davidson, Chief of Radiology, in a letter on 090409 2018,
141342 - ref SDS A7 XZ6U, and discussed on 090609 1514 at 1551, with the Kaiser
141343 - CT department, ref SDS C2 DR5G, and earlier that day with Doctor
141344 - Johnson, who ordered the test, reported on 090609 1427. ref SDS C1
141345 - WN9H
141347 -  ..
141348 - Case study on 081113 shows Millie's CT tests that include the neck
141349 - have always been consolidated into a single report for consideration
141350 - by the doctor performing examinations and prescribing treatment.
141351 - ref SDS 87 HV4H
141352 -
141354 -         ..
141355 -        Test History No Evidence Distant Metastasis
141356 -        Distant Metastasis No Evidence 8 Years Imaging Tests
141357 -
141358 -        Follow up ref SDS B4 GM3N, ref SDS A0 GM3N.
141359 -
141360 -        CT test on 090612 continues Millie's 8 year history of testing
141361 -        that finds no evidence of distant metastasis.
141363 -      ..
141364 -     Type     Date           Received          Source
141365 -     1.  CT     090612 reported on 090617.(neck)....... ref SDS 0 DA6Q
141366 -         CT     090612 reported on 090617.(1st part)... ref SDS 0 DA6Q
141367 -     2.  CT     090413 reported on 090415.............. ref SDS B4 DA6Q
141368 -     3.  CT     081230 reported on 090107.(neck)....... ref SDS A0 DA6Q
141369 -         CT     081230 reported on 090107.(1st part)... ref SDS A0 5O6N
141370 -     4.  CT     081107 reported on 081113 (neck)....... ref SDS 87 DA6Q
141371 -         CT     081107 reported on 081112 (1st part)... ref SDS 84 5O6N
141372 -     5.  CT     080911 reported on 080912.............. ref SDS 73 DA6Q
141373 -     6.  CT     080718 reported on 080723.............. ref SDS 63 DA6Q
141374 -     7.  CT     080425 reported on 080428.............. ref SDS 53 DA6Q
141375 -     8.  CT     080212 reported on 080215.............. ref SDS 48 DA6Q
141376 -     9.  CT     071210 reported on 071213.............. ref SDS 39 UG4L
141377 -    10.  CT     070930 reported on 071018.............. ref SDS 36 VK8L
141378 -    11.  CT     070723 reported on 070802.............. ref SDS 33 IM6M
141379 -    12.  CT     070520 reported on 070524.............. ref SDS 32 DA6Q
141380 -    13.  CT     070326 reported on 070329.............. ref SDS 31 DA6Q
141381 -    14.  CT     070131 reported on 070202.............. ref SDS 29 1Y8G
141382 -    15.  PET/CT 061227 reported on 070102.............. ref SDS 25 1Y8G
141383 -    16.  CT     060930 reported on 061012.............. ref SDS 23 284J
141384 -    17.  MRI    060708 reported on 060711.............. ref SDS 21 PT4K
141385 -    18.  Xray   060623 reported on 060711.............. ref SDS 21 WJ6G
141386 -    19.  CT     060505 reported on 060523.............. ref SDS 20 E355
141387 -    20.  PET    060414 reported on 060428.............. ref SDS 19 WJ6G
141388 -    21.  PET    060120 reported on 060126.............. ref SDS 18 WJ6G
141389 -    22.  PET/CT 051005 reported on 051007.............. ref SDS 16 WJ6G
141390 -    23.  CT     050530 reported on 050610.............. ref SDS 15 G75L
141391 -    24.  CT     050325 reported on 050422.............. ref SDS 14 G75L
141392 -    25.  CT     041217 reported on 041230.............. ref SDS 13 G75L
141393 -    26.  CT     041103 reported on 041104.............. ref SDS 12 WV7H
141394 -    27.  CT     040921 reported on 041005.............. ref SDS 10 NL4N
141395 -    28.  CT     040710 reported on 040811.............. ref SDS 9 H85S
141396 -    29.  CT     040410 reported on 040416.............. ref SDS 7 LK5L
141397 -    30.  CT     040307 reported on 040318.............. ref SDS 6 LK5L
141398 -    31.  CT     031031 reported on 031205.............. ref SDS 5 IG9K
141399 -    32.  CT     030626 reported on 030710.............. ref SDS 4 AL6N
141400 -    33.  CT     030428 reported on 030508.............. ref SDS 3 LK5L
141401 -    34.  PET    021218 reported on 030109.............. ref SDS 2 LK5L
141402 -    35.  PET    020529 reported on 020603.............. ref SDS 1 0001
141404 -         ..
141405 -    1.  Patient
141413 -         ..
141414 -    2.  CT NECK, CHEST, ABDOMEN AND PELVIS
141415 -
141416 -        Kaiser issued 2 separate reports again...
141417 -
141418 -            Neck................. ref DRT 1 489L
141419 -            Chest, abdomen....... ref DRT 2 XQ55
141438 -  ..
141439 - The report received this morning at the Kaiser Radiology Department,
141440 - ref SDS C8 6V3I, repeats prior problems at Kaiser issuing multiple
141441 - reports on CT tests for the purpose of double billing to increase
141442 - revenues, shown in the record on 090107, ref SDS A0 RU6R, for the test
141443 - on 081230, ref SDS 96 JR4L, and which repeated mistakes on the prior
141444 - test on 081107, and reported on 081113. ref SDS 87 YO7M and
141445 - ref SDS 87 RU5N
141447 -  ..
141448 - To enable efficient case management, consolidate headings for seperate
141449 - reports into a single summary of content, per above. ref SDS 0 RU6R
141451 -  ..
141452 - Defective reporting today conflicts with Doctor Davidson's
141453 - instructions on 090409, ref SDS A7 XZ6U, and reverses progress Kaiser
141454 - made issuing a consolidated reports for Millie's CT test received on
141455 - 090415 1642. ref SDS B3 RU6R, for the CT test on 090413, and which
141456 - implemented Doctor Johnson's referral order issued on 080325
141457 - requesting a consolidated report. ref SDS A5 LX5J
141459 -  ..
141460 - During the meeting this morning at Kaiser, Al Hutchins, Manager of
141461 - Reporting for Radiology, apologized for continuing difficulty
141462 - implementing policy to use good management that avoids mistakes.
141463 - ref SDS C8 6V5I
141465 -  ..
141466 - Background upgrading reports for CT tests at Kaiser is reported in the
141467 - record on 090415 1642. ref SDS B3 GD5I
141469 -  ..
141470 - CT test 090612 report continues...
141471 -
141472 -        Performed in:  WCR Outpatient in Walnut Creek
141473 -
141477 -
141478 -
141479 -
1415 -

SUBJECTS
CT Test 080212 Report Errors Omissions Comparisons Patient History T

4003 -
400401 -  ..
400402 - Errors Omissions Comparisons Patient History Trend Analysis
400403 - Patient History Comparison PE Cor Pulmonale Esophigitis Enlarged Heart
400404 -
400405 - Follow up ref SDS B4 IX4F, ref SDS A0 IX4F.
400407 -  ..
400408 - CT test 090612 report continues...
400409 -
400410 -    3.  HISTORY
400411 -
400412 -        Evaluate for progression of disease. ref DRT 1 NX44
400413 -
400414 -        Without progression of metastatic disease in a 73-year-old
400415 -        female. ref DRT 2 XQ59
400417 -  ..
400418 - Background on problems with history on prior tests is reported for the
400419 - prior test on 090415 1642. ref SDS B3 9W8F
400421 -  ..
400422 - Tracking patient history enables the analyst to investigate changes on
400423 - critical issues, cited previously as problematic on 080912.
400424 - ref SDS 73 MB6F
400426 -  ..
400427 - The report today repeats errors and omissions listed in the report for
400428 - the prior test listed on 080215. ref SDS 48 IX4L
400430 -  ..
400431 - CT test 090612 report continues...
400432 -
400433 -    4.  TECHNIQUE:
400434 -
400435 -        Standard enhanced CT scan of the neck was performed after
400436 -        uneventful administration of intravenous contrast. ref DRT 1
400437 -        NX5V
400439 -         ..
400440 -        Axial images of the chest, abdomen, and pelvis were obtained
400441 -        with administration of 150 cc of Omnipaque 300, patient has
400442 -        power port. ref DRT 2 XQ63
400443 -
400445 -  ..
400446 - CT test 090612 report continues...
400447 -
400448 -    5.  COMPARISON:
400449 -
400450 -        Comparison:  April 13, 2009 [reported on 090415 1642,
400451 -        ref SDS B3 OO6M], and December 30, 2008 [reported on 090107
400452 -        1058, ref SDS A0 OO6M], as shown in the Kaiser's report today.
400453 -        ref DRT 1 IW4J
400455 -         ..
400456 -        Comparison:  December 30, 2008 [reported on 090107 1058,
400457 -        ref SDS A0 4K5H], and April 13, 2009 [reported on 090415 1642.
400458 -        ref SDS B3 OO6M, as shown in Kaiser's 2nd report today].
400459 -        ref DRT 2 XQ62
400460 -
400461 -
400462 -
4005 -

SUBJECTS
Right Axillary Lymph Node Minimally Enlarged CT Test 080212 Findings

6903 -
690401 -  ..
690402 - CT test 090612 report continues...
690403 -
690404 -    6.  FINDINGS
690406 -         ..
690407 -        Neck Supraclavicular
690408 -
690409 -        Follow up ref SDS B4 JL7M, ref SDS A0 5O6N.
690410 -
690411 -        1.  The visualized portions of the skull base are unremarkable.
690412 -            ref DRT 1 NX5X
690414 -             ..
690415 -            The visualized portions of the sinuses are clear.
690416 -            ref DRT 1 625M
690418 -             ..
690419 -            The fossa of Rosenmuller shows normal symmetric
690420 -            configuration and there is no evidence of focal mass.
690421 -            ref DRT 1 626G
690423 -             ..
690424 -            The posterior oropharynx shows normal adenoidal tissue.
690425 -            ref DRT 1 626L
690427 -             ..
690428 -            The tonsillar papilla region is unremarkable. ref DRT 1
690429 -            6268
690431 -             ..
690432 -            The base of the tongue is unremarkable. ref DRT 1 M63F
690434 -             ..
690435 -            No significant lymphadenopathy is appreciated. ref DRT 1
690436 -            6333
690438 -             ..
690439 -            No supraclavicular, axillary, mediastinal, or hilar
690440 -            lymphadenopathy is detected. ref DRT 2 XQ69
690442 -             ..
690443 -            The oropharynx and level of the vocal cords are
690444 -            unremarkable. ref DRT 1 6337
690446 -  ..
690447 - Report on lymphadenopathy is vague. ref SDS 0 HW40
690449 -  ..
690450 - Millie's patient history of breast cancer for the past 7 years has
690451 - tracked lymphadenopathy mostly in the left, but recently in the right
690452 - supraclavicular, shown by the report for the CT test on 090413,
690453 - received on 090415 1642. ref SDS B3 JL7M
690455 -  ..
690456 - Why doesn't the report for the current test on 090612 expressly
690457 - comment on this history that is crucial to Millie's treatment plan?
690458 -
690459 -
690461 -  ..
690462 - Thyroid Gland Findings Described Unchanged Not Presented in Prior Test
690463 -
690464 - Follow up ref SDS B4 NB3L, ref SDS A0 NB3L.
690465 -
690466 - CT test 090612 report continues...
690467 -
690468 -        2.  Thyroid gland...
690469 -
690470 -            The thyroid is unremarkable.  There is normal vascular
690471 -            enhancement of the vascular structures.  Again noted are
690472 -            bilateral small nonenhancing thyroid foci which grossly
690473 -            appear stable. ref DRT 1 6338
690475 -             ..
690476 -            Note that the current study was performed at 2.5 mm slice
690477 -            thickness and therefore reveal more detail in the 5.0-mm
690478 -            slices performed on April 13, 2009 study. ref DRT 1 4Y6L
690480 -  ..
690481 - Does this report resolve "redemonstration of nonspecific small thyroid
690482 - lesions" found in the CT test on 090413, and reported on 090415 1642.
690483 - ref SDS B3 NB3L
690485 -  ..
690486 - Aligns with test on 081107, reported on 081113, ref SDS 87 NB3L, with
690487 - the test on 081230, reported on 090107, ref SDS A0 NB3L, and with the
690488 - last CT test on 090413, reported on 090415 1642. ref SDS B3 NB3L
690489 -
690490 -        3.  Impression [neck only]
690491 -
690492 -            Stable unenhancing bilateral thyroid foci.  No
690493 -            lymphadenopathy detected. ref SDS 0 HW40  See CT of the
690494 -            chest performed same day for evaluation of the lungs.
690495 -            ref DRT 1 NX7I
690496 -
690497 -
690498 -
690499 -
690500 -
6906 -

SUBJECTS
Right Axillary Lymph Node Minimally Enlarged CT Test 080212 Findings

9803 -
980401 -  ..
980402 - Findings Stable No Progression Lymphadenophathy Since February
980403 - Right Axillary 3 Lymph Node Stable No Evidence Progression Disease
980404 - Stable Lymphadenophathy No Progression of Cancer CT Test 080911
980405 - Distant Metastasis No Evidence Disease NED Stable No Progression
980406 -
980407 - Follow up ref SDS B4 4K5H, ref SDS A0 4K5H.
980408 -
980409 - CT test 090612 report continues...
980410 -
980411 -        4.  The clustered nodularity described in the right axilla on
980412 -            the previous study a stable. ref DRT 2 XQ7H
980414 -             ..
980415 -            There continues to be associated fatty stranding unchanged
980416 -            in its distribution.  The patient's right-sided port,
980417 -            central line terminating in the superior vena cava is again
980418 -            identified. ref DRT 2 XQ7M
980420 -             ..
980421 -            Moderate calcification in the aorta which is normal caliber
980422 -            is again seen.  Trachea is patent. ref DRT 2 HS99
980424 -  ..
980425 - This appears to continue positive findings from the prior test on
980426 - 090413, reported in the record on 090415 1642. ref SDS B3 4K5H
980428 -  ..
980429 - Without specific sizes of swelled lymph nodes, findings are vague and
980430 - inconclusive.
980432 -  ..
980433 - Analyst repeats new practice cited on 090415 1642, ref SDS B3 QQ8H, of
980434 - failing to present specific details reported the past year, and cited
980435 - as missing in the report for the pior test on 081230, shown in the
980436 - record 090107. ref SDS A0 YH54
980438 -  ..
980439 - Problems with image test reporting were previously reviewed on 040416,
980440 - and reflect continuing quality care problems, ref SDS 7 PTSX, though
980441 - recently significant improvement seemed to occur in some areas; yet,
980442 - today there was reduced support, cited on 090107. ref SDS A0 YH54
980443 - Variability in quality of radiology reporting places patients and
980444 - Kaiser at risk.
980445 -
980446 -
980447 -
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 B4 WM9L, ref SDS A0 WM9L.
990406 -  ..
990407 - CT test 090612 report continues...
990409 -  ..
990410 - Kaiser repeats error reported on 090415 1642, ref SDS B3 WM9L, omittng
990411 - report on the left axillary, perhaps reflecting long standing prior
990412 - findings from beginning of year and before, shown from prior test on
990413 - 081107, and reported on 081112. ref SDS 83 WM9L
990414 -
990415 -
990416 -
9905 -

SUBJECTS
Default Null Subject Account for Blank Record

A003 -
A00401 -  ..
A00402 - Hilar Left Side Lymph Node 5 MM Stable No Right Hilar Adenopathy
A00403 -
A00404 - Follow up ref SDS B4 5H6F, ref SDS A0 5H6F.
A00405 -
A00406 - CT test 090612 report continues...
A00407 -
A00408 -        5.  No supraclavicular, axillary, mediastinal, or hilar
A00409 -            lymphadenopathy is detected. ref DRT 2 XQ69
A00411 -  ..
A00412 - Commingling findings previously presented seperately complicates
A00413 - analysis of trends and correlations.
A00415 -  ..
A00416 - Aligns wtih the test on 090413, reported in the record for 090415
A00417 - 1642. ref SDS B3 5H6F, and with prior testing on 081230 reported
A00418 - 090107, ref SDS A0 5H6F, and continues alignment with favorable
A00419 - finding for the test on 081117 reported on 081112. ref SDS 83 5H6F
A00420 -
A00421 -
A00422 -
A005 -

SUBJECTS
Default Null Subject Account for Blank Record

A103 -
A10401 -  ..
A10402 - CT Tests Find Ground Glass Opacities Early Signs Cancer
A10403 - Lungs 4 Nodes Appear More Conspicuous than on Prior Studies
A10404 - Ground Glass Opacities Nodular Densities Appear More Prominent
A10405 - Cancer Early Signs Ground Glass Opacities Identified by CT Tests
A10406 -
A10407 - Follow up ref SDS B4 RV78, ref SDS A0 RV78.
A10409 -  ..
A10410 - CT test 090612 report continues...
A10411 -
A10412 -        6.  There is patchy groundglass density in both lungs, right
A10413 -            greater than left.  This is similar in appearance to the
A10414 -            previous study allowing for technical differences in
A10415 -            scanning technique. ref DRT 2 XQ8L
A10417 -             ..
A10418 -            There is an area of increased density consistent with
A10419 -            streaky atelectasis and bronchiectasis noted in the
A10420 -            lingula.  This was seen on the previous study but appears
A10421 -            more extensive on the current study.  This is likely
A10422 -            related to chronic change however, a developing infiltrate
A10423 -            cannot be completely excluded. ref DRT 2 XQ84
A10425 -             ..
A10426 -            Biapical scarring is also seen. ref DRT 2 HS53
A10428 -  ..
A10429 - Ground glass opacities were researched on 090415 1642. ref SDS B3 XZ8G
A10431 -  ..
A10432 - Radiation injury was also researched on 090415 1642. ref SDS B3 GO6G
A10434 -  ..
A10435 - Stable rise of ground glass opacities in the lungs reported today
A10436 - compared with the test on 090413, reported, 090415 1642, ref SDS B3
A10437 - RV78, seems to align with Millie's increased breathing problems,
A10438 - reported to the team on 090510 1953 ref SDS B7 LJ6T
A10440 -  ..
A10441 - Biapical scarring seems related to radiation injury, and is a new
A10442 - condition, compared with the CT test on 090413, reviewed in the record
A10443 - for, 090415 1642. ref SDS B3 RV78  On 090423, Doctor Hsu advised that
A10444 - radiation Millie received beginning on 090219, and ending on 090317,
A10445 - would continue to have effects for months. ref SDS B6 YN5N
A10447 -  ..
A10448 - On 090514 0830 Doctor Rugo indicated during a meeting at UCSF that
A10449 - ground glass opacities listed in Millie's CT test on 090413, and
A10450 - reviewed on 090415, ref SDS B3 RV78, were likely progressing and
A10451 - therefore cause breathing problems due to radiation injury, rather
A10452 - than spread of cancer. ref SDS B8 U85I
A10454 -  ..
A10455 - On 090616 1245 Doctor Rugo requested Kaiser's radiology report for
A10456 - Millie's CT test on 090612 in order to check for progression of ground
A10457 - glass opacities in the lungs which contributes to evaluating Doctor
A10458 - Hsu's concern on 090609 that medical mistakes performing radiation in
A10459 - Feb-Mar failing to treat IBC in the breastbone area could be causing
A10460 - problems in Millie's lungs that explain recent loss of breathing
A10461 - capacity, and excessive coughing. ref SDS C6 D644
A10462 -
A10463 -
A10464 -
A105 -

SUBJECTS
Default Null Subject Account for Blank Record

A203 -
A20401 -  ..
A20402 - Cetuximab Side Effects Interstitial Disease CT Test Finding
A20403 - Interstitial Disease Lungs No Findings Reported CT Test 080911
A20404 -
A20405 - Follow up ref SDS B4 TS4J, ref SDS A0 TS4J.
A20407 -  ..
A20408 - CT test 090612 report continues...
A20409 -
A20410 -            Pleura: Normal for CT test on 081230 reported in the
A20411 -            record on 090107. ref SDS A0 TS4J
A20413 -  ..
A20414 - There is again no report on "pleura" for the current CT test on
A20415 - 090612, received today. ref DRT 2 XQ55
A20417 -  ..
A20418 - Background on this issue related to Millie's breathing problems is
A20419 - reported for prior testing on 090415 1642. ref SDS B3 TS4J
A20420 -
A20421 -
A20422 -
A20423 -
A205 -

SUBJECTS
Default Null Subject Account for Blank Record

A303 -
A30401 -  ..
A30402 - Hepatic Dome Liver Lesions Continue Stable
A30403 -
A30404 - Follow up ref SDS B4 653N, ref SDS A0 653N.
A30405 -
A30406 - CT test 090612 report continues...
A30407 -
A30408 -        7.  There is a stable hypodense well circumscribed hepatic
A30409 -            cysts in the liver dome.. ref DRT 2 HS57
A30411 -  ..
A30412 - Test report today, seems to align with prior history reported on
A30413 - 090415 1642. ref SDS B3 653N
A30414 -
A30415 -
A30416 -
A305 -

SUBJECTS
Default Null Subject Account for Blank Record

A403 -
A40401 -  ..
A40402 - Spleen Calcifications Granulamatous Disease
A40403 - Granulamatous Disease Spleen Calcifications
A40404 -
A40405 - Follow up ref SDS B4 N96N, ref SDS A0 N96N.
A40407 -  ..
A40408 - CT test 090612 report continues...
A40409 -
A40410 -        8.  The abdominal findings are stable.  No periaortic or
A40411 -            pericaval lymphadenopathy is suspected. ref DRT 2 XQ42
A40413 -  ..
A40414 - There is nothing presented on the spleen, pancreas, adrenal glands,
A40415 - kidneys and bladder, as stated in the report for the prior CT test
A40416 - reviewed on 090415 1642. ref SDS B3 N96N
A40418 -  ..
A40419 - This test seems to continue prior favorable findings. ref SDS B3 GR7N
A40420 -
A40421 -
A40422 -
A405 -

SUBJECTS
Default Null Subject Account for Blank Record

A503 -
A50401 -  ..
A50402 - Kidneys Gallbladder Adrenal Appear Unchanged
A50403 -
A50404 - Follow up ref SDS B4 PH6I, ref SDS A0 PH6I.
A50405 -
A50406 - CT test 090612 report continues...
A50407 -
A50408 -        9.  See remarks above for spleen, and reporting in summary on
A50409 -            abdominal region. ref SDS 0 N96N
A50410 -
A50411 -
A50412 -
A50413 -
A505 -

SUBJECTS
Default Null Subject Account for Blank Record

A603 -
A60401 -  ..
A60402 - Colon Bowel Hiatal Hernia Diverticulitis No evidence
A60403 - Bowel Colon Hiatal Hernia Diverticulitis No evidence
A60404 - Diverticulitis No evidence Colon Bowel Hiatal Hernia
A60405 - Hiatal Hernia Diverticulitis No evidence Colon Bowel
A60406 -
A60407 - Follow up ref SDS B4 EQ5J, ref SDS A0 EQ5J.
A60409 -  ..
A60410 - CT test 090612 report continues...
A60411 -
A60412 -       10.  The bowel loops unremarkable.  There is no free air or free
A60413 -            fluid.  Diverticulosis without evidence for diverticulitis
A60414 -            is again seen.  The mild prominence of the bowel wall the
A60415 -            level of the distal colon and rectum is unchanged in the
A60416 -            previous study. ref DRT 2 XM47
A60418 -  ..
A60419 - CT test findings appear stable compared to prior test history,
A60420 - reported on 090415 1642. ref SDS B3 EQ5J
A60421 -
A60422 -
A60424 -  ..
A60425 - Spine Lower Lumbar Degenertive Changes in Disks Facet Joints
A60426 -
A60427 - Follow up ref SDS B4 NC4L, ref SDS A0 NC4L.
A60429 -  ..
A60430 - CT test 090612 report continues...
A60431 -
A60432 -       11.  The bony structures are grossly intact and appear unchanged
A60433 -            since the previous study. ref DRT 2 HS68
A60435 -  ..
A60436 - Seems to align with prior test on 090413, and previous test history,
A60437 - all reviewed on 090415, ref SDS B3 NC4L
A60439 -  ..
A60440 - CT test 090413 report continues...
A60442 -  ..
A60443 - Cancer Seems Stable Lung Disease Correlates Rising Breathing Problems
A60444 -
A60445 - Follow up ref SDS B4 FY5O, ref SDS A0 FY5O.
A60446 -
A60447 -    7.  IMPRESSION
A60448 -
A60449 -        1.  Slight increase in the lingula atelectasis and
A60450 -            bronchiectasis.  Please correlate clinically to exclude
A60451 -            symptoms of early pneumonic infiltrate developing.
A60452 -            Otherwise, no significant change. ref DRT 2 HT3F
A60454 -  ..
A60455 - Impression of lingula atelectasis bronchiectasi listed in findings,
A60456 - per above, ref SDS 0 RV78, correlates with findings of rising ground
A60457 - glass opacities, in the lungs for the test on 090413, reported on
A60458 - 090415, ref SDS B3 AQ6U, aligns with Millie suffering increasing
A60459 - painful breathing, explained by Doctor Hsu on 090609 as caused by
A60460 - radiation injury from medical mistakes getting radiation services at
A60461 - UCSF on referral from Kaiser. ref SDS C0 QG8F
A60462 -
A60463 -
A60464 -
A60465 -
A60466 -
A60467 -
A60468 -
A60469 -
A605 -