Difference between revisions of "DZI20-206-Case-12"

From MGH Learn Pathology
(Edited automatically from page DZI20-206.)
(Added status template)
 
(5 intermediate revisions by 2 users not shown)
Line 1: Line 1:
{{dziCase
+
{{ServiceRequestCase
|qc=yes
+
|identifier=DZI20-206-Case-12
|qcuser=Aja51
+
|intent=order
|qctime=Feb 24, 2021 22:57:07
+
|category=409073007
|order_date=February 18, 2021 05:31:43 PM
+
|priority=routine
|user=Mjf79
+
|orderDetail=case
|dziorder=DZI20-206
+
|locationCode=learn
|case_id=12
+
|basedOn=DZI20-206
|publish_timestamp=2021/02/26 14:00
+
|code=study
|clinical_hx=liver tx bx (slides 1-2)
+
|requisition=Frozen Conference
permanent (slides 3-4)
+
|supportingInfo=FROZEN SECTION DIAGNOSIS #3; (RIGHT LOBE LIVER BIOPSY):
|case_diagnosis=FROZEN SECTION DIAGNOSIS #3; (RIGHT LOBE LIVER BIOPSY):
+
Liver parenchyma with up to 40% macrovesicular steatosis. No areas of confluent necrosis are seen.
Liver parenchyma with up to 40% macrovesicular steatosis. No areas of confluent necrosis are seen."
 
"A. LIVER BIOPSY:  Grade 3 steatosis without steatohepatitis, necrosis, or fibrosis (see note).
 
 
B. LIVER BIOPSY, LEFT LOBE: Grade 3 steatosis without steatohepatitis, necrosis, or fibrosis (see note).  
 
  
 
 
C. LIVER BIOPSY, RIGHT LOBE:  Grade 3 steatosis without steatohepatitis, necrosis, or fibrosis (see note).  
 
C. LIVER BIOPSY, RIGHT LOBE:  Grade 3 steatosis without steatohepatitis, necrosis, or fibrosis (see note).  
 
Note: Parts A, B, and C show fragments of liver parenchyma with grade 3 of 3 steatosis (ranging from approximately 70% to 80%), accentuated in the centrilobular zones. No classical hepatocyte ballooning is present. There is no evidence of steatohepatitis. No significant lobular inflammation is noted, and portal tracts show mild non-specific mononuclear inflammation. Trichrome stains on parts A, B, and C show no pathologic fibrosis on any of the liver specimens. PASD stains on parts A, B, and C show no PASD positive globules on any of the specimens. Iron stains on parts A, B, and C show focally increased iron in Kupffer cells."
 
Note: Parts A, B, and C show fragments of liver parenchyma with grade 3 of 3 steatosis (ranging from approximately 70% to 80%), accentuated in the centrilobular zones. No classical hepatocyte ballooning is present. There is no evidence of steatohepatitis. No significant lobular inflammation is noted, and portal tracts show mild non-specific mononuclear inflammation. Trichrome stains on parts A, B, and C show no pathologic fibrosis on any of the liver specimens. PASD stains on parts A, B, and C show no PASD positive globules on any of the specimens. Iron stains on parts A, B, and C show focally increased iron in Kupffer cells."
 +
|reasonCode=liver tx bx + level (slides 1-2)
 +
permanent (slides 3)
 +
|subject=MGH
 +
|performer=AZ375
 +
|authoredOn=February 18, 2021 05:31:43 PM
 +
|requester=Mjf79
 +
|sequence=12
 +
|access=public
 
}}
 
}}
{{wsiSlide
+
{{Media
|order_date=February 18, 2021 05:31:43 PM
+
|basedOn=DZI20-206-Case-12
|user=Mjf79
+
|type=image
|source_filename=Z0FBQUFBQmdMLVp6ckxvaU1nZWs0a2kzalhPZlBwRUZRcXFCSlpFQlFJTW81Z2g3cDdHM2lsNHNrSUhsbkJyTjkxZWM3VTd0MFRzRTduVThRcV9iSWV0dnJ1VGtOYURUeGc9PQ
+
|view=show
|slide_stain=H&E
+
|partOf=DZI20-206
|slide_anatomy=Show
+
|frames=1
 +
|reasonCode=H&E
 +
|identifier=DZI20-206-Case-12_1
 +
|createdDateTime=February 18, 2021 05:31:43 PM
 +
|operator=Mjf79
 +
|subject=Z0FBQUFBQmdMLVp6ckxvaU1nZWs0a2kzalhPZlBwRUZRcXFCSlpFQlFJTW81Z2g3cDdHM2lsNHNrSUhsbkJyTjkxZWM3VTd0MFRzRTduVThRcV9iSWV0dnJ1VGtOYURUeGc9PQ
 +
|modality=mrxs
 
}}
 
}}
{{wsiSlide
+
{{Media
|order_date=February 18, 2021 05:31:43 PM
+
|basedOn=DZI20-206-Case-12
|user=Mjf79
+
|type=image
|source_filename=Z0FBQUFBQmdMLWFHdVZVWkFJcW5yYzJRZ0Jrbng3aXNnZ2ZNME1JRUhoTGZJclB1RVhmbnNVbUhhMTRoNkt3RGk2MV9sQ0RsRG5WNWxZVTVRVkloTDZqMVRBQks2Szk4M1E9PQ
+
|view=show
|slide_stain=H&E
+
|partOf=DZI20-206
|slide_anatomy=Show
+
|frames=2
 +
|reasonCode=H&E
 +
|identifier=DZI20-206-Case-12_2
 +
|createdDateTime=February 18, 2021 05:31:43 PM
 +
|operator=Mjf79
 +
|subject=Z0FBQUFBQmdMLWFHdVZVWkFJcW5yYzJRZ0Jrbng3aXNnZ2ZNME1JRUhoTGZJclB1RVhmbnNVbUhhMTRoNkt3RGk2MV9sQ0RsRG5WNWxZVTVRVkloTDZqMVRBQks2Szk4M1E9PQ
 +
|modality=mrxs
 
}}
 
}}
{{wsiSlide
+
{{Media
|order_date=February 18, 2021 05:31:43 PM
+
|basedOn=DZI20-206-Case-12
|user=Mjf79
+
|type=image
|source_filename=Z0FBQUFBQmdMcVNpSTdRVkk2UDBHU3Q4eUhMYkxqT0NMcXJRTUxmVTdpNWhVdWNqYlFIMXZfaUplSUdmRkE4emxJWjB1U1B2alNvd1ByS2tUdXd3S09vZkRrSW9qR1M0VHc9PQ
+
|view=show
|slide_stain=H&E
+
|partOf=DZI20-206
|slide_anatomy=Show
+
|frames=3
 +
|reasonCode=H&E
 +
|identifier=DZI20-206-Case-12_3
 +
|createdDateTime=February 18, 2021 05:31:43 PM
 +
|operator=Mjf79
 +
|subject=Z0FBQUFBQmdMcVNpSTdRVkk2UDBHU3Q4eUhMYkxqT0NMcXJRTUxmVTdpNWhVdWNqYlFIMXZfaUplSUdmRkE4emxJWjB1U1B2alNvd1ByS2tUdXd3S09vZkRrSW9qR1M0VHc9PQ
 +
|modality=mrxs
 
}}
 
}}
{{wsiSlide
+
{{Media
|order_date=February 19, 2021 04:25:11 PM
+
|basedOn=DZI20-206-Case-12
|user=Mjf79
+
|type=image
|source_filename=Z0FBQUFBQmdMLWFIdXFycWVreVhSbUlhdFFBUlp5bFZoSmM2Nlhzb1Vxa3ZqdGwxMTJ4SC1GZlRjTDZ1OTR5TEN0Y0wzNDBqc3p1NF9CX2FoQzNJQi14OE84ZlpWSDRpUHc9PQ
+
|view=show
|slide_stain=H&E
+
|partOf=DZI20-206
|slide_anatomy=Show
+
|frames=4
 +
|reasonCode=H&E
 +
|identifier=DZI20-206-Case-12_4
 +
|createdDateTime=February 19, 2021 04:25:11 PM
 +
|operator=Mjf79
 +
|subject=Z0FBQUFBQmdMLWFIdXFycWVreVhSbUlhdFFBUlp5bFZoSmM2Nlhzb1Vxa3ZqdGwxMTJ4SC1GZlRjTDZ1OTR5TEN0Y0wzNDBqc3p1NF9CX2FoQzNJQi14OE84ZlpWSDRpUHc9PQ
 +
|modality=NONE
 +
}}
 +
{{status
 +
|status=active
 +
|requester=Mjf79
 +
|authoredOn=February 18, 2021 05:31:43 PM
 
}}
 
}}

Latest revision as of 14:00, December 9, 2024

DZI20-206-Case-12
liver tx bx + level (slides 1-2) permanent (slides 3)
FROZEN SECTION DIAGNOSIS #3; (RIGHT LOBE LIVER BIOPSY):

Liver parenchyma with up to 40% macrovesicular steatosis. No areas of confluent necrosis are seen.

C. LIVER BIOPSY, RIGHT LOBE: Grade 3 steatosis without steatohepatitis, necrosis, or fibrosis (see note).

Note: Parts A, B, and C show fragments of liver parenchyma with grade 3 of 3 steatosis (ranging from approximately 70% to 80%), accentuated in the centrilobular zones. No classical hepatocyte ballooning is present. There is no evidence of steatohepatitis. No significant lobular inflammation is noted, and portal tracts show mild non-specific mononuclear inflammation. Trichrome stains on parts A, B, and C show no pathologic fibrosis on any of the liver specimens. PASD stains on parts A, B, and C show no PASD positive globules on any of the specimens. Iron stains on parts A, B, and C show focally increased iron in Kupffer cells."
December 31, 1969 7:00:00 PM