Department of Pathology

Test Date: 9/19/10

Physician: Dr. M. Jamias

Test Result Normal Range

Urea Nitrogen HI 52 mg/dL 9-20
Creatinine HI 1.6 mg/dL .8-1.5
Sodium 138 mmol/L 137-145
Potassium 4.1 mmol/L 3.5-5.1
ALT HI 165 U/L 21-72
Albumin LO 2.0 g/dL 3.5-5.0
ALKP HI 396 U/L 38-126

09/19/2010
Sample Type: Blood
Physician: Dr. M. Jamias

Results Flags Units Normal Range

PT, INR, PA
Percent Activity 41.4% %
Prothrombin Test 19.4 secs SEC 9.8-12.7
INR 1.67

9/19/2010

CBC

Results Flags Units Normal Range

WBC 20.92 (+) 10^3/UL 4-10
HGB 105.00 (-) g/L 140-180
HCT 0.29 (-) .42-0.54
PLT Adequate 10^3/UL 150-450
Neut% 0.87 (+) 0.5-0.7
Lymph% 0.05 (-) 0.2-0.7
Mono% 0.08 0-0.14
Eo% 0 0.01-0.03
Bas% 0 0-0.1
9/18/2010

SEROLOGY

Troponin T: negative

SERUM

Test Result Normal Range

CK-MB 12 u/L 0-16

9/19/2010

ULTRASOUND OF THE HEPATO- BILIARY TREE

The liver is normal size and configuration with smooth contours. Parenchymal echogenicity is generally
within normal limits. However, there is 9.0 x 6.4 x 8.7 cm fairly defined slightly hypoechoic mass lesion
demonstrated in the right hepatic lobe. The intra and extra hepatic ducts are not dilated. The hepato
renal interface is clear.

The gallbladder is normal in size and outline. Its wall is not thickened. No abnormal interlineal echos
seen that would suggest formation.

IMPRESSION

Right hepatic lobe mass lesions, as described. Early stage of Amoebic abscess is highly entertained.
Clinical correlation is suggested

Normal ultrasound of the gall bladder

Non-dilated biliary tree

CHEST X-RAY 9/21/2010

There is a wedge-shaped density in the upper-lobe with associated ipilsateral upward traction
and tracheal leftward deviation

A confluent density curved laterally upward is seen in the right lower to mid hemithorax

True cardiac size is difficult to assess, apparently slight pushed to the left aorta appear slightly tortous
No significant findings.

IMPRESSION

- Consider chronic Koch’s with partial atelectasis secure previous films if any or close follow up
study to asses stability
- Moderate pleural effusion, right likely relate to hepatic abscess or allegedly present in this case
- Mildly artherosclerotic aorta

ULTRASOUND OF THE RT. HEMOTHORAX and LIVER 9/20/2010

Scanning of the right hemithorax showed fluid collection at the right mid to lower hemothorax whose
approximate volume is 225 cc and sectoral scan. There are internal septations within. There is
atelectasis at the right lower lobe

Scanning of the liver showed an irregularly thick walled, complex mass. Within it are hypoechocic,
coarse, reterogenous structure. There are also internal septations within. This mass measures 12.0 x
11.0x 11.0 cm with approximate volue of 843 cc

IMPRESSION

Pleural effusion, loculated, right mid to lower hemithorax with atelectatis of the right lower lobe.

Large complex mass, right lobe of the liver, consider liver abscess.