WABH

CERTIFIED

-iSai Hospital
Hospital Pt. Ltd.)
Akhilesh Kumar Singh
erajSinha
eneral Surgery)
o.:28362

Sunil lkunoy Ambasha, 3yaams, Male

Aineglonimll
A

Colonco

Station
DS/2, Behind Geological Survey of India, Near Kankarbagh Police
(Bihar), Tel. : 0612-236 0236/37
Rajendra Nagar Over Bridge, Kankarbagh, Patna - 800 020
wiw.srÌsailhospital.in
5110BR2011PTC017365
 Shri Sai Hospital
JASS
S (A Unit of Akhilesh Kumar Singh Hospital Pvt. Ltd.)
CIN:U85110BR2011PTCO17365 NABH (Qualty Councll of Indla) re Hofoja
in association with GASTROENTEROLOGY
RESEARCHPVT. LTD.
&
Kumar Banka
Dr. Ameet
MD (Medicine)
Dr. Deepak DM (Gastroenterology)
Dr. Sanjeev Kumar Thakur Dr. Sanjeev Kumar MD (Medicine)
MD (Medicine) MD (Medicine) DNB (Gastroenterology) 34477 (Bihar)
Regd. No. :
Regd. No. : 29382 (Bihar)
DM (Gastroenterology) Regd. No.: 45652 (Bihar)
Regd. No. : 29359 (Bihar) Department of
OPDGastroenterology
Name Sumil Kumax Anbas4 ha Sexpl
Regd. No. Date_22oz/23 Age 63 yos
SPO2
BP_L8o]q_SPO2
Height Weight S K Pulse 9g

Roen c
eoslpal.

legneclosesp

n at benwi

locol

FEE VALID FOR 15 DAYS ONLY

Kankarbagh Police Station, Kankarbagh, Patna 20

Plot ## DS/2, Behind Geological Survey of India, Near www.shrisaihospital.in
9771403982, 9771411082, 9128322894
riSaiHospital NAR
BH
CERTIFIEn

Ltd.)
Kumar Singh Hospital Pvt.
Mhiesh
of

Ambasthy
BP 14o|2ommt

RLeelp per ret

pe a l
posn m

tue ued
vye

cole Biopy p

MeI

Dupluaac 3ot Hy

#
$t of DS/2, Behind Kankarbagh Police Station
Rajendra NagarGeolOverogicalBridge,
: U85110BR2011PTCO17365
ISurvey of India, Near
Kankarbagh, Patna - 800 020 (Bihar), Tel. : 0612-236
0236/37 www.shrisaihospital. in

FFF VALIDFOR 15 DAYS ONIY

 DASS
GASTROENTEROLOGY
Patient Name: Mr. Sunil Kumar
ShriSaiHospital
Alrit f Akhetesh Kmar Sg
Hospital Pyt. Ltd

Ref By: Shri Sai Hospital

|Registration No: 42547 Age/Sex: 63 Yrs/M Date: 22-07-2023 08:01:33 AM
Diagnosis: Procedure:Sigmoidoscopy

Flexible Procto-Sigmoidoscopy Report

Findings:
External Appearance -_Nodular swelling felt
PR Examination- Painful
Growth felt. blood on finger.
ColonosCope Passed upto 24cms from the anal verge.
Preparation is very poor.
Sigmoid Colon: Normal visualised mucosa.
Rectum .:A noduloproliferative growth seen just above the anal verge.
Congested hermorthoids noted.

Impression:
Congested Hemorrthoid
Anorectal Growth- Biopsy taken

Dr. Ameet Kr. Banka Dr. Sanjeev Kr.Thakur Dr. Sanjeev Kumar
Dr. Deepak
MD, DM MD, DM MD
2 MD, DNB
Regd. No. 45652 Regd. No. 34477 Regd. No. 29359 Regd. No. 29382
jer
10
 STAR MRI
ID NO : 230722/00/5 DATE:23/07/23
PATIENT'SNAME :SUNIL KUMAR AMBASTHA
AGE /SEX :63YRS/M
REF BY :SHRI SAL HOSPITAL
INVESTIGATION : MRIOF PELVIS WITH CONTRAST -T2W Sagittal -TIW, STIR, highly T2W, STIR, hghly
e u e On SHEMENS SAMPRA 1.5T nagnet, the following nnlke seouences were ohtained- Axial
T2W SSFSE MR-mvelogram (Sagittal and coronal).

FINDINGS:
Presence of asymmetrical heterogeneous enhancing mural thickening seena
invoBving the distal rectum extending just above the anorectal junction for
Tength of ~ 7.0 cm bulk of the thickening lying along the posterior aspect with
lumen. The lesion is
semilunar appearance causing significantnarrowing of the hyperintense on 12
intermediate to hypointense on TI and heterogeneously lesion is causing
The
STIR and showing moderate diffusion restriction. inflammatory soft tissue
significant narrowing of the lumen with mild associated
hypointense rim posteriorly. No
stranding with disruption of normal T2involvement
invoBvement of mesorectal fascia seen. No of adjacent prostate or
seminal vesicle seen.
Urinary bladder is normal.
Prostate is normal.
Visualized bones are normal.
No enlarged pelvic or inguinal lymphnode
seen.

Muscles and soft tissue planes appearnormal.

left inguinal hernia with herniation of mesentericfat only.
Note is made of

IMPRESSION: pelvic lymphnodes

rectum. No enlarged inguinalor
Findings are suggestive of ca
seen.
The
Thwmks for referral.
with other investigations.
Please correlate clinically & purposes.
opinion of radiologist for clinical
This report is merely an nvoeueut
Not for medicolegalpurpose.
Jtrnt spbenter
Dr. Manoj Kumar
Chandigarh
MD. (Rado Diagnosis), PGI - Lnter spmtett Spae
Consúltant Radidlogist

Patses ale wan Kuow w ethe terspaeer spesa

SYSTEM
MRI Siemens Sempra * DIGITAL X-RAY DR
(10C ¡ c yg auds)
MIG H-167, aÍazz teiaf, Ad ts $O^A|a, YCGI-800020,
/0612-3584 880
Mob.:9264459225, Ph.: 0612-2330 390
 CLRTIFIED

ShriAkhilesh SaiHospital
(A Unit of Kumar Singh
Hospital PM Ltd)

22/07/2023 12-0O AM
UHID #I Adm.#: 42547 I Bill # OP/03118/23-24 Biled On 22/07/2023 10:56 AM
Patient Name Mr. SUNIL KUMAR AMBASTHA Age: 63 year Coliected On
Reported On : 22/07I2023 11:31 AM
Reffered by Gender: Mate :066751
Bed #: Lab #
Sample Type : SERUM
AT-KANKARBAGH, PATNA, PATNA
Address
Department of Biochemistry
Biological Reference interval
Investigation Name Result Value
Serum Creatinine 0.60 1.40 mg/dl
1.38 mg/dl
(JEFE-COMPENSENTED)

Dr. TANWI SINGH Dr. PANKAJ KR. PATEL

MB8S, MD (PATH), Reg No. 39425 M.B.B.S, MD, Ex Senior Resident
Ex. Serorant IGIMS, AIMS,
pathology PGIMER, RML Hospital, New Delhi

thnician This Renort is not valild for medico-lagalQnose. olease coralate with clinical findings.
Consultant Pathology

Station
Plot # DS/2, Behind Geological Survey of India, Near Kankarbagh Police
Westef-Paietdse-Wagar-Over Pridge, tankarvagtr Patra -tsg6G
chNU851TOBR2011PTC017365
Tetr -06t2-230 02 PAinl Date : 22/7/20
www.shrisainospital.in
 SShriSai Hospital
(A Unit of AKhilesh Kumar Singh Hospital Pvt. Ltd.) CT SCAN
\0: 32135 DATE: 22/07/2023
: Mr. Sunil Kumar Ambastha
1GE/SEX : 63 VRS. /M
REF B : Shri Sai Hospital, Patna.
INVESTIGATION : NCCT& CECT THORAX.
REPORT
Spiralvolumetric data acquisition of thorax is obtained from the thoracic inlet to subdiaphragmatic
region, pre and post i.v.contrast. Study is done in both mediastinal and lung windows.
Findings:
B/L lung appears normal in morphology and attenuation.
No mediastinal or hilar lymphadenopathy seen.
Tracheo-bronchialtree appears normal. No obvious endobronchial lesion seen.
Aortashows normal caliber and enhancement.
Pulmonary artcry and its major branches shows normal enhancement.
Cardiac chambers show normal enhancement and appears normal in size.
No pleural effusion seen.
Intrathoracic part of oesophagus appears normal.
Thoracic cage appears normal.
Visualised liver appears normal.

IMPRESSION: . FIS/ONormal Study.

Thanks for referral.
This report is merely an opinion of radiologist for clinical purposes.
Not for medicolegal purpose.

RADIOLOGIST
Dr.Rahul Komar Sinha
MD(RD)-PMCH.FRCR)
EX-Senior Resident- Safdarjung llospital, Delhi

Plot # DS/2, Behind Geological Survey of India, Near Kankarbagh Police Station
West of Rajendra Nagar Over Bridge, Kankarbagh, Patna -800 020 (Bihar), Tel. :0612-236 0236/37
CIN : U85110BR2011PTCO17365 www.shrisaitospital.
 Shri Sai Hospital CT SCAN
DATE:22/077/2023
: Mr. Nunil Kumar Ambastha
: 63 \RS. / M
REF B : ShriSai
INVESTIGATION Hospital, Patna.
:
NCC& CECT OF ABDOMEN.
REPORT
Spiral volumetric data acquisition is obtained from the
post i.v.contrast after ingestion of negative oral contrast.dome of diaphragm to pubic symphysis, pre and
Findine:
Liver (14 cm) appears normal in size, shape and enhancement. PV, hepatic and splenic vein shows
normal enhancement. CBD and IHBD not dilated.
GBwell distended and shows normal wall thickness. No radiodense calculus seen.
Pancreas appears normalin size, shape and enhancement. No peripancreatic fat stranding seen.
Main pancreatic duct not dilated.
Spleen (11.7cm) appears normal in size, shape and enhancement.
BIL kidney appears normal in size, shape, locatien and contrast enhancement. No
calculus/hydronephrosis seen.
Urinary bladder is well distended. Wall thickness appears normal. Prostate appears normal.
Aorta and IVC shows normal enhancement. No ascites/pleural effusion seen.
Anorectal region in lumen shows soft tissue mass lesion of about 4.2 x 2.9 x 2.3 cm (CC x TR x AP)
arising from the posterior wall. There is no serosal breach or perianal soft tissue extension seen.
No enlarged Iymph node seen in perirectal and pelvic region.
RIF region is unremarkable. Appendix appears normal in posterior location.
Umbilical region shows defect of about 13 x 13 mm in abdominal wallleading to herniation of
omental fat. Left inguinal region shows herniation of omental fat within the inguinal canal. Right
inguinal region appears unremarkable.

IMPRESSION: FS/O Anorectal region in lumen shows soft tissue mass lesion of about
4.2 x 2.9 x2.3 cm (AP x TR x AP) arising from posterior wall and confined within the
lumen.
Left indirect inguinal hernia leading to herniation of omental fat within the inguinalcanal.
Umbilical hernia leading to herniation of omental fat; otherwise unremarkable scan of
abdomen.
Disc degenerative changes leading to moderately reduced disc space at L5-S1 level with endplate B.
sclerosis.

Thanks for referral.

Please correlate clinically & with other investigations.
This report is merely an opinion of radiologist for clinicalpurposes.
Not for medicolegal purpose.

RADIOLOGIST
Dr.Rahul Kumar Sinha
MD(RD)-PMCH,FRCR(I1)
EX-Senior Resident- Safdarjung Hospital, Delhi
Police Station
Survey of India, Near Kankarbagh
Plot # DS/2, Behind Geological
Kankarbagh, Patrna - 800 020 (Bihar), Tel. : 0612-236 0236/37 W.w shr Sainosp tal f
of Rajendra Nagar Over Bridge,
West
CIN: U85110BR2011PTC017365
 NO. SCMH637 Dato)DI|22
HIN
DM
HD
KOCHS
BA
ALERSY
OTHER
|NM STAGE
CEF COMPLAIN :

L H D A I n s 2020)
PAST HISTORY -

Fomily History
Addiction -
F/H

GENERAL PHYSICAL EXAMINATION:

ECO GPS

CY
 BREAST

R L
 f 2 34

) (2/3 l2s ) hm,

J et
Date Clinical Note
Da

pl

AkF, LEZ, TsH, CEA