| _creationDate | June 7, 2024 |
| _modificationDate | August 30, 2024 |
| _creator | Si787 |
| _fullText | {{ServiceRequestCase
|subject=MGH
|intent=order
|category=409073007
|occurrenceDateTime=2024-06-07 12:00:00-07:00
|basedOn=WSI24-127
|priority=Routine
|code=study
|orderDetail=case
|authoredOn=2024-06-07 13:36:44.931440+00:00
|requester=Kx601
|locationCode=learn
|sequence=3
|performer=Mm768
|bodySit ... |
| _numRevisions | 3 |
| _isRedirect | No |
| identifier | WSI24-127-Case-3 |
| basedOn | WSI24-127 |
| requisition | null |
| intent | order |
| category | 409073007 |
| priority | Routine |
| code | study |
| orderDetail | case |
| subject | MGH |
| occurrenceDateTime | June 7, 2024 3:00:00 PM |
| authoredOn | June 7, 2024 9:36:44 AM |
| requester | Kx601 |
| performer | Mm768 |
| locationCode | learn |
| reasonCode | A 40-year-old male never-smoker presented with a 1 year history of progressive dyspnea on exertion • and dry cough for six months • occasional wheezing and chronic fatigue. The patient is an engineer • working as project manager • but reported a history of exposure to engine exhaust • benzene and carbon black in the 90’s. His medical history included ocular migraines and intermittent “hives with stress”. Pulmonary function tests showed an FEV1/FVC of 48% • FEV1 29% and DLCO 44%. Alpha-1 antitrypsin levels were found normal several times. ANA and RF were negative. IgG levels were low • 595. |
| supportingInfo | Panacinar emphysema with small vessel vasculitis. Hypocomplementemic urticarial vasculitis syndrome |
| specimen | null |
| bodySite | LUNG WEDGE BIOPSY |
| sequence | 3 |
| access | public |
| identifier | 2361f188-7583-458b-9fe6-a2bf988933cb |
| basedOn | WSI24-127-Case-3 |
| partOf | WSI24-127 |
| status | completed |
| type | null |
| modality | mrxs |
| view | show |
| operator | Kx601 |
| reasonCode | null |
| bodySite | null |
| frames | 1 |
| content | 2361f188-7583-458b-9fe6-a2bf988933cb.mrxs |
| note | null |
| subject | null |
| identifier | 86380266-cc56-4886-a864-689df9707048 |
| basedOn | WSI24-127-Case-3 |
| partOf | WSI24-127 |
| status | completed |
| type | null |
| modality | mrxs |
| view | show |
| operator | Kx601 |
| reasonCode | H&E |
| bodySite | null |
| frames | 2 |
| content | 86380266-cc56-4886-a864-689df9707048.mrxs |
| note | null |
| subject | null |