CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 11 0000. ref SDS 8 0000.
040502 -
040503 -
040504 - [...below on 160805 0845 at 1354 enter neuroradiologist
040505 - report on cerebral MRI study performed today. ref SDS 0
040506 - SQ5S
040507 -
040508 - [On 160808 0430 drove to VA Medical Center in San
040509 - Francisco, and received neuroradiologist report for MRI
040510 - scan on 160805. ref SDS 14 SJ7N
040512 - ..
040513 - [On 160808 1000 drove to Stanford Neuroscience in Palo
040514 - Alto, near Stanford University, and delivered CD with scan
040515 - files and neuroradiology report for cerebral MRI performed
040516 - on 160805; these were submitted to Mellisa for delivery to
040517 - Doctor Vora, who is on vacation. ref SDS 15 OT3H
040518 -
040519 -
040520 -
040521 -
040523 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Went to Radiology on 2nd floor Building 200. IV was installed for
040902 - contrast required to perform brain MRI, reported in another record
040903 - earlier today, on 160805 0800. ref SDS 13 425F
040905 - ..
040906 - Discussions on the order of performing MRI studies, with result that
040907 - MRI on brain was performed after doing MRIs on both knees, also
040908 - reported in the record on 160805 0800. ref SDS 13 4263
040910 - ..
040911 - After completing MRI studies on both knees, the tech did the MRI on
040912 - the brain.
040914 - ..
040915 - This required changing position from the knee MRI, simply switching
040916 - so the head enters the machine first.
040918 - ..
040919 - This took about 30 minutes, and did not seem to last as long as the
040920 - 1st MRI on the brain performed on 160617 1637. ref SDS 1 027K
040921 -
040922 - [...below on 160805 0845 at 1354 enter neuroradiologist
040923 - report on cerebral MRI study performed today. ref SDS 0
040924 - SQ5S
040926 - ..
040927 - [On 160808 0430 drove to VA Medical Center in San
040928 - Francisco, and received neuroradiologist report for MRI
040929 - scan on 160805. ref SDS 14 SJ7N
040931 - ..
040932 - [On 160808 1000 drove to Stanford Neuroscience in Palo
040933 - Alto, near Stanford University, and delivered CD with scan
040934 - files and neuroradiology report for cerebral MRI performed
040935 - on 160805; these were submitted to Mellisa for delivery to
040936 - Doctor Vora, who is on vacation. ref SDS 15 OT3H
040938 - ..
040939 - The tech removed the IV.
040941 - ..
040942 - Thanked him for a great job. Very professional, timely, courteous.
040943 -
040944 -
040945 -
040947 - ..
0410 -
0411 -
0412 - 0920
0413 -
041301 - After completing MRI on brain, went to the Radiology control
041302 - center, and ordered the files on a CD.
041304 - ..
041305 - Phylis said the CD should be ready in an hour.
041306 -
041308 - ..
0414 -
0415 -
0416 - 1038
0417 -
041701 - Went to cafeteria to work.
041702 -
041703 - Called for Doctor Vora about how to access Stanford Neuroscience
041704 - server to upload files for MRI performed today, as requested by the
041705 - doctor during the meeting at Stanford on
041706 -
041707 -
041708 -
041709 -
041711 - ..
0418 -
0419 -
0420 - 1245
0421 -
042101 - Visited Radiology. Phylis was not in the office, possibly already
042102 - involved in retirment celebration.
042104 - ..
042105 - The woman at the counter found the order Phylis prepared this morning
042106 - for putting the MRI for the brain on a CD.
042108 - ..
042109 - She said the VA has 24 hours to fill this order.
042111 - ..
042112 - We reviewed the understanding that it would be provided in an hour, in
042113 - order to support neurology 2nd opinion at Stanford Neuroscience, per
042114 - above. ref SDS 0 ZE9G
042116 - ..
042117 - The woman took cellphone number. She will call when the CD is ready
042118 - for the patient to pickup in about an hour.
042120 - ..
042121 - Called Stanford Neuroscience
042122 -
042123 -
042125 - ..
0422 -
0423 -
0424 - 1354
0425 -
042501 - Received CD for cerebral MRI of brain performed earlier today, per
042502 - above. ref SDS 0 B68H This follows up prior MRI on 160618 1348.
042503 - ref SDS 2 EY9G
042505 - ..
042506 - Gearview.exe MRA scan files from are stored in...
042507 -
042508 - Note this will not open in Windows 10, needs Windows 7...
042509 -
042510 - F:\05\00003\SM\CC\GMPF\GFJ\20160805-091215\GEARView.exe
042512 - ..
042513 - Verified the files open in Windows 7, not in Windows 10.
042515 - ..
042516 - Neuroradologist's report was not available 4 hours after completing
042517 - the scan.
042519 - ..
042520 - Will get it from the VA when on campus for meeting on 160810.
042521 -
042522 - [On 160808 0430 drove to VA Medical Center in San
042523 - Francisco, and received neuroradiologist report for MRI
042524 - scan on 160805. ref SDS 14 SJ7N
042525 -
042526 - [On 160808 1000 drove to Stanford Neuroscience in Palo
042527 - Alto, near Stanford University, and delivered CD with scan
042528 - files and neuroradiology report for cerebral MRI performed
042529 - on 160805; these were submitted to Mellisa for delivery to
042530 - Doctor Vora, who is on vacation. ref SDS 15 OT3H
042531 -
042533 - ..
042534 - Stored neuroradiologist report for MRI on 160805 at...
042535 -
042536 - F:\05\00003\SM\CC\AGMJ\20160805-080000\mhv_WELCH_20160809_1259.txt
042538 - ..
042539 - It is the last report in this file...
042540 -
042541 -
042542 - 1. Procedure/Test Name: MRI BRAIN W&W/O GAD
042543 - Date/Time Exam Performed: 05 Aug 2016 @ 0807
042544 - Ordering Location: San Francisco CA VAMC
042545 - Requesting Provider: MASSA,STEPHEN
042546 - Reasons for Study: brain blood vessel abnormality
042548 - ..
042549 - 2. Clinical History:
042550 -
042551 - f/u of abn enhancement of brain surface blood vessels. Please
042552 - perform 8/5/16 at the time of the ortho MR. Discussed with Dr
042553 - Sugrue.
042554 -
042556 - ..
042557 - 3. Does the patient have one of the following devices?: No
042558 -
042559 - 1. cardiac pacemaker
042560 - 2. cardiac defibrillator
042561 - 3. implanted device or pump
042562 - 4. neurostimulator
042563 -
042565 - ..
042566 - 4. Has this patient had surgery for a brain aneurysm?: No
042568 - ..
042569 - 5. Will this patient need sedation?: No
042570 -
042571 - Sedation orders are the responsibility of the ordering provider
042572 - and should be placed at the time of imaging request.
042573 -
042575 - ..
042576 - 6. Is there anything within this patient that you are unsure about
042577 - in regards to MR safety?: (foreign body, metal object, etc):
042578 - No
042580 - ..
042581 - If yes, please put in a short description below:
042583 - ..
042584 - 7. Performing Location: San Francisco CA VAMC 4150 CLEMENT STREET, SAN FRANCISCO 94121
042585 - Radiologist: WILSON,DAVID M
042586 - --------------------------------------------------------------------------
042587 - RADIOLOGY REPORT
042589 - ..
042590 - 8. Report:
042592 - ..
042593 - MR and MRA Brain with contrast 8/5/2016
042595 - ..
042596 - 9. History: Followup up blood vessel abnormality seen on prior MRI
042598 - ..
042599 - 10. Comparisons: MRI brain 6/18/2016
042601 - ..
042602 - 11. Technique:
042604 - ..
042605 - MRI of the brain and MRA of the neck and brain performed
042606 - without and with contrast at 3 Tesla.
042608 - ..
042609 - 12. Findings:
042610 -
042611 - 1. Interval resolution of the previously seen right
042612 - holohemispheric subarachnoid enhancement which was most
042613 - predominant in the right frontal and occipital lobes.
042614 -
042615 - 2. The cortical blood vessels are no longer abnormal in these
042616 - regions suggesting that their prominence on prior
042617 - examination was due to hyperemia from underlying
042618 - inflammation. No vascular anomaly identified.
042620 - ..
042621 - 3. There is no acute intracranial hemorrhage, acute infarct,
042622 - mass, or mass effect.
042624 - ..
042625 - 4. Normalization of the diffusion signal abnormality seen
042626 - within the right superior cerebellum.
042628 - ..
042629 - 5. The ventricles and sulci are normal for the patient's age.
042631 - ..
042632 - 6. Right maxillary sinus mucous retention cyst.
042634 - ..
042635 - 7. The orbits are unremarkable.
042637 - ..
042638 - 8. No focal bony abnormality is identified.
042639 -
042641 - ..
042642 - 13. MRA:
042643 -
042644 - No hemodynamically significant stenosis or occlusion of the
042645 - major vessels of the neck or brain. Symmetric vascular flow
042646 - within the brain bilaterally.
042647 -
042649 - ..
042650 - 14. Impression:
042651 -
042652 - 1. Interval resolution of the previously seen holohemispheric
042653 - subarachnoid enhancement most conspicuous in the right
042654 - frontal and occipital lobes when compared to 6/18/2016.
042655 - Given the interval resolution of these findings it was
042656 - favored to be infectious or inflammatory.
042658 - ..
042659 - 2. No hemodynamically significant stenosis of the vessels of
042660 - the neck or brain. No vascular malformation identified.
042661 -
042663 - ..
042664 - The images were personally reviewed by David Wilson MD who
042665 - agrees with the above interpretation.
042667 - ..
042668 - Primary Diagnostic Code:
042669 -
042670 -
042671 -
042672 -
042673 -
042675 - ..
0427 -
0428 -
0429 - 1644
0430 -
043001 - Called for...
043002 -
043003 - Doctor Nirali Vora
043004 - Stanford Health Care
043005 - Neuroscience
043006 - 213 Quarry Road
043007 - Palo Alto, CA 94304
043008 -
043009 - 650 725 5792 Option #1
043011 - ..
043012 - Talked to Fernando.
043014 - ..
043015 - He will notify Doctor Vora and Sun Kim, that MRI was performed this
043016 - morning, as scheduled. Customer has the CD. Needs to know where to
043017 - upload for Doctor Vora and Doctor Kim to review.
043019 - ..
043020 - Alternatively, will ship via UPS to Stanford.
043022 - ..
043023 - The doctor can view the file anytime via Google Remote Access.
043024 -
043025 -
043027 - ..
0431 -
0432 -
0433 - 1000 on 160806
0434 -
043401 - Next morning called for Jesse again at...
043402 -
043403 - 650 725 5792
043405 - ..
043406 - Used contact information in the record on 160801 0813. ref SDS 9 WF5I
043408 - ..
043409 - Talked to Michelle.
043411 - ..
043412 - She said to setup account on Stanford cloud system, call...
043413 -
043414 - 866 367 0758
043415 -
043416 -
043417 -
043418 -
043419 -
043420 -
043421 -
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0435 -