October 16, 2010

HISTOPATH:
Pathological Diagnosis:
ACUTE AND CHRONIC NON SPECIFIC INFLAMMATION WITH LIQUEFACTION NECROSIS (ABSCESS), GLUTEAL MASS
Gross/Microscopic Descriptions:
Specimen consists of (10) fragments of grayish-brown fatty to firm rubbery tissues, each measure 0.9-3cm and
measuring in aggregate of 5x4x2cm. Representative sections submitted.
Microsections disclose fibrofatty tissues with foci of acute and chronic inflammation with liquefaction necrosis.
Clinical correlation suggested.

December 10, 2010

MICROBIOLOGY:
Specimen: SPUTUM
Visual Appearance: BLOOD-TINGED
Acid Fast Bacilli Stain:
Direct Smear: +5
Concenctrated Smear: POSITIVE FOR AFB

October 16, 2010

2D-ECHO:
Procedure Exam: UPPER ABDOMEN (Liver, Gallbladder, Pancreas)

Liver is not enlarged. Smooth margins. Increased echogenecity with coarse echotexture. There are two hypoechoic foci
seen at:
a. Posterior Inferior segment of the right lobe (6) measuring 1.8x0.9cm
b. Medial segment of the left lobe (4) measuring 2.4x2.0cm

The intrahepatic ducts and common bile ducts are not dilated.

The gallbladder measures 5.4x2.1cm. Vesical wall is not thickened. No intraluminal echoes seen. CBD measures 0.3cm.

The pancreas and spleen are normal in size and echopattern with no mass noted.

Impression: NORMAL SIZED LIVER WITH PARENCHYMAL DISEASE. HEPATIC NODULES AS DESCRIBED. NORMAL
GALLBLADDER, PANCREAS AND SPLEEN.

December 18, 2010

X-RAY:
Procedure: CHEST PA ADULT

Ill-defined haze density noted at the right apex.

Heart is not enlarged.
Diaphragm, sulci and bony thorax are intact.

Impression: APICOLORDOTIC VIEW SUGGESTED.

December 20, 2010

X-RAY:
Procedure: SKULL APL

No gross osseus findings in the sections taken.

Note of enlarged nasal turbinates.
No lytic changes.

Impression: N/A

October 18, 2010

X-RAY:
Procedure: CHEST PA ADULT

Both lung fields are clear.

Heart is not enlarged.
Diaphragm, sulci and bony thorax are intact.

Impression: ESSENTIALLY NORMAL CHEST.

December 18, 2010

X-RAY:
Procedure: APICOLORDOTIC VIEW XRAY

Apicolordotic view shows hazy opacities both upper lobe

Probably represents pneumonitis
Suggest clinical correlation and follow-up after treatment for re-evaluation.

Impression: CLINICAL CORRELATION & FOLLOW-UP.

December 26, 2010

X-RAY:
Procedure: CHEST PA ADULT

Follow-up chest film (supine) taken 12-16-2010 when compared to previous film (PA) dated 12-17-2010 (with
apicolordtic view 12-18-2010) shows no significant interval change, possibility of Koch’s infection is considered.
Suggest clinical correlation and follow-up.

Impression: N/A.