| _creationDate | July 31, 2024 |
| _modificationDate | August 30, 2024 |
| _creator | Si787 |
| _fullText | {{ServiceRequestCase
|identifier=WSI24-146-Case-1
|intent=order
|code=apdidactic
|category=409073007
|subject=MGH
|requester=Ah1558
|performer=Vn7
|orderDetail=case
|locationCode=MGH
|access=Public
|status=active
|origin=CPOE
|priority=Routine
|basedOn=WSI24-146
|requisition=Thyroid
|reasonCode=38F ... |
| _numRevisions | 2 |
| _isRedirect | No |
| identifier | WSI24-146-Case-1 |
| basedOn | WSI24-146 |
| requisition | Thyroid |
| intent | order |
| category | 409073007 |
| priority | Routine |
| code | apdidactic |
| orderDetail | case |
| subject | MGH |
| occurrenceDateTime | August 13, 2024 12:00:00 PM |
| authoredOn | July 31, 2024 4:07:05 PM |
| requester | Ah1558 |
| performer | Vn7 |
| locationCode | MGH |
| reasonCode | 38F Right Thyroid Nodule |
| supportingInfo | C. RIGHT HEMITHYROID:
-Marked lymphocytic thyroiditis with extensive lymphoplasmacytic infiltrate • follicular atrophy • and with multiple nodules present within fibroadipose tissue and lipomatous metaplasia • with a dominant adenomatous nodule measuring at least 1.6 cm • consistent with end-stage Hashimoto's thyroiditis within the appropriate clinical setting.
Immunohistochemistry performed at MGH on block C2 shows that the residual thyroid follicles within the inflammatory infiltrate are positive for TTF-1 • PAX 8 • very focally positive for thyroglobulin • and are negative for p63 • and p40. S100 highlights the sustentacular cells and is negative within the follicular cells. |
| specimen | null |
| bodySite | null |
| sequence | 1 |
| access | Public |
| identifier | fe24cf6e-f168-49c1-9924-e6a4a76ba381 |
| basedOn | WSI24-146-Case-1 |
| partOf | WSI24-146 |
| status | active |
| type | null |
| modality | mrxs |
| view | show |
| operator | Ah1558 |
| reasonCode | HE Surf Recut 4u |
| bodySite | null |
| frames | 1 |
| content | fe24cf6e-f168-49c1-9924-e6a4a76ba381.mrxs |
| note | null |
| subject | null |
| identifier | 67e0e807-10bc-4db2-b80d-68d2079e1680 |
| basedOn | WSI24-146-Case-1 |
| partOf | WSI24-146 |
| status | active |
| type | null |
| modality | mrxs |
| view | show |
| operator | Ah1558 |
| reasonCode | HE Surf Recut 4u |
| bodySite | null |
| frames | 2 |
| content | 67e0e807-10bc-4db2-b80d-68d2079e1680.mrxs |
| note | null |
| subject | null |
| identifier | 27efd44b-c4bd-42e5-9e0c-b4cdf1c6c05f |
| basedOn | WSI24-146-Case-1 |
| partOf | WSI24-146 |
| status | active |
| type | null |
| modality | mrxs |
| view | show |
| operator | Ah1558 |
| reasonCode | PAX8 B4 |
| bodySite | null |
| frames | 3 |
| content | 27efd44b-c4bd-42e5-9e0c-b4cdf1c6c05f.mrxs |
| note | null |
| subject | null |
| identifier | 964d14d7-8ef3-46b4-81c1-46f32ce624f0 |
| basedOn | WSI24-146-Case-1 |
| partOf | WSI24-146 |
| status | active |
| type | null |
| modality | mrxs |
| view | show |
| operator | Ah1558 |
| reasonCode | HE Surf Recut 4u |
| bodySite | null |
| frames | 4 |
| content | 964d14d7-8ef3-46b4-81c1-46f32ce624f0.mrxs |
| note | null |
| subject | null |
