SRINI VAS

Male 08/12 /2023 05:35 :05

, MBDICOVBR BOSPITAL,BI-TBC CITr
Rate 83
EMERGENCY ROOM (1021)
RR 723
PR 144
QRSD 81
QT 351
QTcB 413
Q'l'c:P 391
--AXI:S --
p 43
QRS 0
T 73
12 Lead; Standa rd. Placem ent

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 MEDICOVER
DEPARTMENT OF RADIOLOGY HOSPITALS
Patient Name : Mr. P SRINIVAS REDDY Age/ Gender A tJ~0Y<(lf)SA!Mrue>AYA HEALTHCARE PVT LTD.
Bill Dt : 08-Dec-2023 06: 15 AM Admn/UMR No : MCIP231217364 / MPU0155702
Sample Ctd Dt : 08-Dec-2023 06: 15 AM Bill No/Result No : MSl 762215 / RES1710661
Received Date Ward/Room/Bed : MICU 3/3 FLR/4
Report Date : 08-Dec-2023 12:29 PM
Ref By : DR.EHSAN AHMED KHAN MBBS,fv11-1. Org.Name
Sample Type Passport No:

MRI STROKE PROTOCOL + BRAIN + DWI + ANGIO

TECHNIQUE
,,,....,_ Tl /T2 /FLAIR/DWI - Axial;T2 - Sagittal ; T2 - Coronal ;
~:Jf/13D TOF
FINDINGS

MRI BRAIN

* Diffuse prominence of cortical sulci, basal cisl'"'' ns and bilateral sylvian fissures.
*Multiple patchy and confluent T2/ FLAIR hyperintensities at bilateral frontoparietal periventricular and subcortical
white matter regions - Ischemic changes.

* Small focus of diffusion restriction with low ADC at left posterior corona radiata with corresponding T2 /FLAIR
hyperintensity - S/o Small acute infarct.

. Rest of the cerebral parenchyma shows normal signal characteristics.

Ventricular system is normal.

No evidence of extra axial fluid collections.

Brainstem and cerebellar hemispheres are norr•..:L

/'
9'..1
CP angles and Internal auditory canals are normal

Pituitary is normal.

Bilateral orbits are normal.

Visualized intracranial flow vascular voids are normal

IMPRESSION :

* Mild diffuse cerebral atrophy. _

* Extensive patchy and confluent small vessel ischemic changes at bilateral frontoparietal periventricular and

Opp. Cyber Gateway, IBIS Hotel Lane, Hi-tech City, Hyderabad, Telangana - 500081
Lab Purpose
Tel : +9140 4540 4540 / 4940 4940
VERJFIED BY : 022381
Page 1 of 2
 • ,I\
•
MEDICOVER
DEPARTMENT OF RADIOLOGY HOSPITALS
Patient Name : Mr. P SRINIVAS REDDY Age/ Gender A tJS0Y¢f)SAINRl®AYA HEALTHCARE PVf LTD.
Bill Dt : 08-Dec-2023 06: 15 AM Admn/UMR No : MCIP231217364 / MPU0155702
Sample Ctd Dt : 08-Dec-2023 06: 15 AM Bill No/Result No : MS1762215 / RES1710661
Received Date Ward/Room/Bed : MICU 3/3 FLR/4
Report Date : 08-Dec-202~ 12:29 PM
Ref By : DR.EHSAN AHMED KHAN MBBS,MO. Org.Name
Sample Type Passport No:

subcqrtical white matter regions.

* Small acute infarct at left pos~erior corona radiata.

-- Suggested clinical correlation

MRI BRAIN ANGIO

* 30 TOF sequence of brain was obtained for evaluation of intracranial vasculature.

* 30 post processing was performed using thick MIP / Thin MIP/ Techniques.
•Bilateral ICAs /ACA /MCA are normal in caliber/ flow signal.

Visualised V4 segments of both vertebral arteries are normal.

Basilar artery and left PCA are normal.

Pl & P2 segments of right PCA are normal.

* Diffuse moderate to significant narrowing at P2 & P3 segments of right PCA.

r' Arteries of circle of willis are within normal limits.

No AVM / aneurysm is seen.

IMPRESSION:

* Diffuse moderate to significant narrowing at P2 & P3 segments of right PCA.

* Rest of the angio is normal.
- For clinical correlation.
*ll end Of Report ***

DR.R SURESH KUMAR, DMRD.DNB

CONSULTANT RADIOLOGIST
I
Opp. Cyber Gateway, IBIS Hotel Lane, Hi-tech City, Hyderabad, Telangana - 500081
VERIFIE~l~y9~~045404540 I 49404940
j
Lab Purpose
2238
' I Approved By: RSURESHK Dispatched By : 019545
Paae 2 of 2
 MEDICOV ER HOSPITA LS
MADHAPUR -AGI-IPL
~L

::: PATIENT INFORMATION :::

ID :: 1036 (MCIP23121 7364)

NAME :: Mr. P Srinivas Reddy
AGE/SEX :: 52Y 6M 7D Male
DATE :: 08-Dec-2023
ADDRESS ....
Doctor : : Dr.G.Ranjith MD DM
Refd. By : : Dr.G.Ranjith MD DM
Technologist:: Mr.P.Naveen

::: EEG REPORT :::

Or.G.Ranjith MD OM
 ------ ------
MEDI COVE R HOSP ITALS l -j
Speed: 30 mm/s(N. Type: ANALYSI S Page:101 /115-41-! DL.
52V 6M 7D Male LF: 1.0 Hz - HF:70 Hz EMG ON
~PL 1036(MC IP23121 7364)Mr. P Srinivas Reddy SEN: 7.SµV/m m Notch: 50 Hz Montage : LONGITU DINAL SEN LFHF~
_ 08-Dec-2 023 ----
00: 16:42 Dr.G.Ran jith MD DM I
G1 G2
7.5 1.0 70
'
IFP2-F4
7.5 1.0 70
IF4-C4
7.5 1.0 70
C4-P4
7 .s 1.0 70
P4-O2
7.5 1.0 70
FP1-F3
7.5 1.0 70
F3-C3
7.5 1.0 70
C3-P3
I 7.5 1.0 70
P3-O1
'7.5 1.0 70
I
FP2-F8
7.5 1.0 70
FS-T4
, 7.5 1.0 70
T4-T6
7.5 1.0 70
I
T6-O2
7.5 1.0 70
FP1-F7
7.5 1.0 70
F7-T3
7.5 1.0 70
T3-TS
7.5 1.0 70
1TS-Ol
00:16:46 00:16:47 00:16:48 00:16:49 00:16:50 00:16:51 00:16:52
00:16:44 00:16:45
-
 DEPARTMENT OF LABORATORY
MEDICOVER
Name
HOSPITALS
: Mr. P.SRJNIVAS REDDY Age/ Gender :5 s) Mae
Bill Date A UNIT OF SAHRUDAYA HEALTHCARE PVT LTD
08-Dec-2023 06:26 AM Admn I UMR No : MCJP231217364 / MPU0l55702
Sample Ctd Dt 08-Dec-2023 06:26 AM Bill No / Result No : MS 1762223 / RES 1710222
Received Date : 08-Dec-2023 06:28 AM Ward/Room/Bed : MICU 3/3 FLR/4
Report Date : 08-Dec-2023 09:59 AM Passport No:
Ref By DR.EHSAN AHMED KHAN MBBS,MD. Sample Type : Citrated Blood

Parameters Result Biological Reference Intervals

APTT{ACTIVATED PARTIAL THROMBOPLASTIN TIME)
APTT 20.3 * 26.6 - 36.6 Seconds
Optical turb1domefl)1
CONTROL 31.6

* APIT results may be affected by many commonly administered drugs and further studies should be made to determine the source of
unexpected abnormal results.

PT {PROTHROMBIN TIME) WITH INR

PROTHROMBIN TIME 11.6 10.52 - 12.52 Seconds
Optical turbidometry
CONTROL 11.52

INR 1.01

Calculated -PT derived)

I )The PT clotting times may be prolonged by substances including corticosteroids, EDTA, oral contraceptives, asparaginase, clofibrate,
erythromycin, ethanol, tetracycline and anticoagulants such as heparin and Coumadin.
2)The PT may be shortened by substances including antihistamines, buta barbital, caffeine oral contraceptives and phenobarbital and
vitamin K. The use of Icteric, Lipemic, or Hemolyzed sample should be avoided due to possible interference especially when using
photo-optical instruments.
J)The impact of other therapeutic drugs, in addition to oral anticoagulant therapy, can influence interpretation of PT test results.

CBP(COMPLETE BLOOD PICTURE)

HEMOGLOBIN :. 1.,,9 . 13.0-17.0 gms/dL

Photometric
RBCCOUNT 5.7 * 4.5 - 5.5 1012/L

Electrical Impedance
PCV/HCT 43 40.0- 50.0 %

Calculated
MCV 75 * 83.0 - I 01.0 fl

Calculated
MCH 14 * 27.0 - 32.0 pg

Calculated
MCHC 32 31.5 - 34.S g/dL

Calce:J~8~cyber Gateway, IBIS Hotel Lane, Hi-tech City, Hyderabad, Telangana - 500081
Lab Purposo
Tel: +9140 4540 4540 / 4940 4940 Page 1 of 2
Release Date: 09-12-2023 05:47:42
I DEPARTMENT OF LABORATORY
MEDICOVER
I Name Mr. P SRINIVAS REDDY Age/ Gender : s ae
A UNIT OF SAHRUDAYA HEALTHCARE PVT LTD
Bill Date 08-Dec-2023 06:26 AM Admn / UMR No : MCIP23 I2 I 7364 / MPU0 155702
Sample Ctd Dt 08-Dec-2023 06:27 AM Bill No/ Result No : MS 1762223 / RES 1710258

Received Date 08-Dec-2023 06:28 AM Ward/Room/Bed : MICU 3/3 FLR/4

Report Date 08-Dec-2023 11 :09 AM Passport No:

Ref By DR.EHSAN AHMED KHAN MBBS,MD. Sample Type : Whole Blood

Parameters Result Biological Reference Intervals

I
RDW(cv) 16.5 * 11.6 - 14.0 %
I
TLC (TOTAL LEUCOCYTE COUNT) !v.O 4.0 - IO.0 I0"3/µI
Impedance
DIFFERENTIAL COUNT
e NEUTROPHILS 76 40.0-80.0 %
DHSS/Microscopy
LYMPHOCYTES 18 * 20.0- 40.0 %
DHSS/Microscopy
MONOCYTES 05 2.0 - 10.0 %
DHSS/Microscopy
EOSINOPHILS 01 1.0- 6.0 %
DHSS/Microscopy
BASOPHILS 00 00- 01 %
DHSS/Microscopy
PLATELET COUNT 278 150 - 410 10"3/µL
Electrical Impedance
MPV 8.5 7.5-11.5 fl

PERIPHERAL SMEAR{Leishman's Stain/Microsco1 y}

RBC Normocytic normochromic with few microcytes.

WBC Within normal limits.

r
PLATELETS Adequate.

*** End Of Report ***

Suggested Clinical Correlation • If neccessary, Please discuss

VERIFIED BY : 020089

Dr. KHAN MOHAMMED TAHA ALI, MD,PI

CONSULTANT HEMATOPATHOLOGIST

Opp. Cyber Gateway, IBIS Hotel Lane, Hi-tech City, Hyderabad, Telangana. 500081
Re~~
1
sk+8i:?9~-1~~d12./ 4o!?44l:19 • Page 2 of 2
lab Purpose
 ~SPR INT!'
DIAGNOST ICS .. f
LABORATORY REPORT: Biochemistry

Name : Mr. P SRINIVASA REDDY Age/Sex : 052V Y(s)/MALE

BIii Date : 1O-Oec-2023 05:40 PM UMRNo. : 32312000902
Rec.Ct : 10-Dec-2023 05:40 PM BIii No. : MOPB231203021
Repl Dt : 20-Dec-2023 09:06 AM Result No : RJB231201526
Ref By : EHSAN AHMED KHAN Sample ID : JBH231200943
Sample Type

METANEPHRINES, 24 HRS URINE

Parameters Result Biological Reference Interval Units

CREATININE, URINE BY JAFFE 0.3 gm/L

METHOD

Metanephrine level ELISA

Metanephrine in urine 11.1 µg/L

URINE VOLUME IN 24 HOURS 4000 ml

Metanephrine, urine per day 44.4 <350 µg/24 hrs

Metanephrines Creatinine Ratio 37 33-109 ug/g creatinine

INTERPRETATION :
Metanephrine and Normetanephrine are the metabolites of the catecholamine Epinephrine and Norepinephrine ,
respectively ,They are metabolized to Vanillylmandelic acid or excreted with the urine .Patient with
pheochromocytoma or other tumours derived from neuroendocrine cells show elevated urinary levels of total
Metanephrines.

As Catecholamine secretion from neuroendocrine cells might show high variations, urine samples collected over a
period of 24 hours are used to average these fluctuations.

Only in case where the laboratory results are in an acceptable agreement with the overall clinical picture of the
patient it can be used for therapeutic consequences. The test result itself should never be the sole determinate
for deriving any therapeutic consequences.

*** End Of Report •••

Suggnted Cllnlcal Correlation• H neccessary, Please discuss

DR. G. MUNNI KRISHNA

MD BIOCHEMISTRY

-
Jubilee Hills I Gachibowli I AS Rao Nagar I LB Nagar I JNTU
-
APMC/FMR/84082

www.sprintdiagno stics.in
 MEDICOVER
HO SP ITA LS
A UNIT OF SAHRUDAYA HEALTHCARE PVT LTD.
DEPARTMENT OF RADIOLOGY

Name : Mr. P SRINIVAS REDDY Age/ Gender : 52 Y(s) I Male

Bill Date : 09-Dec-2023 0 I:0 I PM Admn / UMR No : MCIP23 I2 I7364 / MPUO 155702
Received Dt Bill No/ Result No :MSl7638IO / RESI714645
Rept Dt : 09-Dec-2023 04: 16 PM Ward/Room/Bed :TWIN SHARING/1228/1228 B
Ref By : Dr.EHSAN AHMED KHAN
MRRS. MD

CT KUB PLAIN
CT KUB plain study was done with philips ingenuity 128 slice

•
TECHNIQUE
CT scanner

FINDINGS BOTH KIDNEYS:

RIGHT KIDNEY is contracted in size (7.3 x 3.7 ems).

- Significant dilatation of calyces with parenchymal thinning.
- Significant dilatation of renal pelvis (with max. AP diameter
measuring 3.2 ems) with abrupt narrowing--Iikely PUJ
stricture.
- Entire course of right ureter is reduced in caliber.

LEFT KIDNEY - Mild compensated hypertrophy measuring

11.9 x 5.5 ems. No gross parenchymal lesions are seen. No
calculi I hydronephrosis is seen. Cortical thickness - 1.8 ems.

Liver, gall bladder, spleen and pancreas are normal.

No significant retroperitoneal lymphadenopathy is seen.

* Mildly thickened gastric wall at pyloric region (maximum

thickness 6.5 mm) -- Needed upper GI Endoscopy correlation.

Urinary bladder is normal in size I wall thickness. No calculi/

masses seen.

Prostate is normal in size and homogenous attenuation.

Visualised lung segments are clear.

* Sclerotic lesion at 14 vertebral body - likely bony island.

- Rest visualised bones and soft tissues are normal.

bad, Telangana - 500081

Opp. Cyber Gateway, IBIS Hotel Lane, Hi-tech City, Hydera Lab Purpose
1 4
ReleaI~ 6l?e1: Po1~1~t~1° oi~jgj~ o
1 4 Page 7 of 8
 MEDICOVER
HOSPI TALS
A UNIT OF SAHRUDAYA HEALTHCARE PVT LTD.
DEPARTMENT OF RADIOLOGY

Name : Mr. P SRINIVAS REDDY Age/ Gender : 52 Y(s) I Male

Bill Date : 09-Dec-2023 01 :0 I PM Admn / UMR No :MCIP231217364 / MPU0155702
Received Dt Bill No/ Result No :MS1763810 / RES1714645
Rept Dt : 09-Dec-2023 04: 16 PM Ward/Room/Bed :TWIN SHARING/1228/1228 B
Ref By : Dr.EHSAN AHMED KHAN
MBBS.MD

IMPRESSION
• Contracted right kidney with significant dilatation of calyces

•
and parenchymal thinning.
- Significant dilatation of renal pelvis (with max. AP diameter
measuring 3.2 ems) with abrupt narrowing -- likely PUJ
stricture.

• Mildly thickened gastric wall at pyloric region (max.

thickness 6.5 mm) -- Needed upper GI Endoscopy correlation.

--For clinical correlation.

*** End Of Report***

Dr. SUGGUNA MAHEEJA, MD

CONSULTANT RADIOLOGIST

Opp. Cyber Gateway, IBIS Hotel Lane, Hi-tech City, Hyderabad, Telangana - 500081
Releall~ati
1
: 1i~?f-~8~jO £i?fR: 1f4° Page 8 of 8 Lab Purpose