The report showed up in mychart about 10 pm I'm sure the Dr will calling in the morning. With this report what am I in for are there any ? I need to ask the Dr when he calls
Thanks Tony
DIAGNOSIS:
1. Colon, efferent limb, J pouch biopsy
Colonic mucosal biopsy showing severe chronic active colitis and
cryptitis.
Negative for crypt abscesses, granulomas or dysplasia.
2. Colon, afferent limb, J pouch biopsy
Colonic mucosal biopsy showing severe chronic active colitis and
cryptitis.
Negative for crypt abscesses, granulomas or dysplasia.
3. Rectum, rectal cuff, biopsies:
Rectal mucosal biopsies showing severe chronic active proctitis and
cryptitis.
Negative for crypt abscesses, granulomas or dysplasia.
GROSS DESCRIPTION:
1. The specimen is received in formalin labeled with the patient's name
and consists of 3 pieces of tan, irregularly shaped soft tissue which
range in size from 0.3 cm up to 0.4 cm in greatest dimension. The
specimen is entirely submitted in one cassette.
2. The specimen is received in formalin labeled with the patient's name
and consists of one piece of irregularly
shaped, tan soft tissue. The
specimen measures 0.3 cm in greatest dimension. The specimen is entirely
submitted in one cassette.
3. The specimen is received in formalin labeled with the patient's name
and consists of two pieces of irregularly shaped, tan soft tissue. The
smaller piece measures 0.3 cm and the larger piece measures 0.4 cm in
greatest dimension. The specimen is entirely submitted in one
cassette. MC
CPT: 88305 x 3
Final Diagnosis performed by Maria Pedemonte, MD. Electronically signed
8/28/2016 17:46
