How to Answer Date Diagnosis Chest Questions (Complete Guide)
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Original Question
date of diagnosis: 06/20/2024 – PTA CT Chest/Abd/Pelvis: Chest: Lungs clear w/o masses or nodules. No mediastinal/hilar LAD. Abd: Entirely normal, liver w/o lesions and no abd LAD. Pelvis: No LAD, circumferential distal rectal thickening spanning approx 9 cm in length. No LAD. 06/30/2024 – MRI Pelvis: Mass is 1.8 cm from anal verge and involves the rectum for a length of 10.2 cm. Main tumor is less than 1 mm from the mesorectal fascia, the circumferential margin is threatened. Tumor invades beyond the muscularis propria for greater than 15 mm into perirectal fat. No tumor invasion into adjacent organs. Tumor replaces the muscle layer of the internal anal sphincter, but does not extend into intersphincteric plane. Mesorectal nodes w/mixed signal intensity. Remainder of pelvis normal. IMP: Extensive annular tumor, imaging c/w T3 N1 disease. Scopes 06/18/2024 – PTA Colonoscopy w/ rectal mass bx: Fungating, ulcerated, partially obstructing, large mass was found in the distal rectum extending to the anal verge. Mass was circumferential causing significant stenosis. IMP: Malignant-appearing tumor in rectum, bx’d. Labs 06/30/2024 – CEA: 6.6 ng/mL (0.0 – 5.0 ng/mL normal).
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