LABS

Complete Blood Count
EXAMINATION RESULT RANGE IMPLICATION
Hemoglobin 112 g/L 90-140 g/L NORMAL
Hematocrit 0.32 L/L 0.28-0.42 L/L NORMAL
RBC 4.39 x10^12/L 4.7-6.1 x10^12/L DECREASED
WBC 8.77 x10^9/L 5.5-15.5 x10^9/L NORMAL
Neutrophils 0.36 0.43-0.65 DECREASED
Lymphocytes 0.40 0.20-0.45 NORMAL
Monocytes 0.07 0.05-0.12 NORMAL
Eosinophils 0.16 0.01-0.03 INCREASED
Basophil 0.01 0-0.01 NORMAL
MCV 73.60 fL 80-94 fL DECREASED
MCH 25.5 pg 27-31 pg DECREASED
MCHC 347 g/L 320-360 g/L NORMAL
Platelet 341 x10^9/L 150-400 x10^9/L NORMAL
Immature 0.10% 0-1% NORMAL

Granulocytes
Blood Type “O”
RH POSITIVE
PT CONTROL 11.90 sec
PT 11.90 seconds 9.4 - 12.5 seconds NORMAL
% Activity 100.00
INR 1.00
APTT Control 29.40 seconds
APTT 37.60 seconds 25. - 36.5 seconds INCREASED

Chemistry Result
Sodium 132.7 mmol/L 135-148 mmol/L DECREASED
Potassium 4.73 mmol/L 3.5-5.3 mmol/L NORMAL
Chloride 104.3 mmol/L 98-107 mmol/L NORMAL
LDH 437.00 U/L 266-500 U/L NORMAL
Magnesium 0.85 mmol/L 0.74-1.03 mmol/L NORMAL
Phosphorus 1.60 mmol/L 0.81-1.50 mmol/L INCREASED
SGOT/AST 32.00 U/L 0-37 U/L NORMAL
SGPT/ALT 11.87 U/L 0-42 U/L NORMAL
Blood Uric Acid 284.50 umol/L 286-518 umol/L DECREASED
Blood Urea Nitrogen 3.00 mmol/L 2.9-9.3 mmol/L NORMAL
Ionized Calcium 1.19 mmol/L 1.1-1.3 mmol/L NORMAL
CT SCAN RESULT
Clinical information: Abdominal enlargement for 7 months
Technique: intravenous contrast enhanced trans-axial images of the whole abdomen were
obtained using 1.5 mm slices. Multiplanar data sets were constructed for additional views.
Findings:
CT SCAN OF THE ABDOMEN WITH IV CONTRAST:

There is a massive, intraperitoneal, fluid-attenuating, non-enhancing collection occupying the
abdominopelvic cavity. It displaces the collapsed bowels posteriorly and centrally. No solid
attenuating component or septations noted.
The liver is normal in size with smooth borders and homogenous parenchyma. Portal and
hepatic veins and its radicles are not dilated. Hepatic arteries and intra and extra hepatic ducts
are unremarkable.
Gallbladder is normal in size with no intraluminal densities. Its wall is not thickened.
Pancreas shows the normal dimension of its head, body and tail. Pancreatic duct is not dilated.
There is fullness along the peripancreatic region.
CHEST X-RAY
EXAMINATION: CHEST APL
The study is taken in suboptimal inpsiration.

There are no active lung parenchymal infiltrates
Pulmonary vessels are within normal limits.
The heart is not enlarged.
The trachea is midline.
The costophrenic angles and hemidiaphragms are intact.
The osseous structures and soft tissues are unremarkable.
IMPRESSION: NO SIGNIFICANT CHEST FINDINGS.
SONOGRAPHIC REPORT
ABDOMINAL ULTRASOUND:
Ultrasound of the abdomen including the prostate gland was performed using a 3.6 MHZ convex
transducer.
SONOGRAPHIC FINDINGS:
LIVER: Homogenous parenchyma, and no focal solid or cystic mass is noted. It measures 10.0
in its cranio-caudal length. The intra-hepatic bile ducts are not dilated. Intact porto-venous
channels. CBD measures 0.9mm.
GALLBLADDER: It measures 3.3 x 0.8 cm without stone or mass. Wall is not thickened, less
than 3.0 mm. There is no pericholecystic fluid collection.
PANCREAS: Normal size, contour and echopattern. Masses are not seen. Pancreatic duct is
not dilated.
SPLEEN: The length of the spleen is 7.5 cm, and no mass or calcifications noted. No extra
vesical mass is identified.
KIDNEYS AND URINARY BLADDER/PROSTATE GLAND:
The right kidney measures 6.8 x 3.0 x 2.6 cm (LWH), while the left kidney measures 7.3 x 3.2 x
3.3 cm (LWH), Well-defined cortico-medullary junction. No mass, ectasia nor stone is noted. No
pararenal lesion is seen Ureters are not dilated.
The urinary bladder is adequately filled without mass or stone. Wall is intact. No extra-vesical
mass is noted.
There is a large left-sided abdomino-pelvic cystic mass with multiple thick and thin septations
measuring approximately 18.9 x 21.3 x 9.1 cm (LWH) or total volume of 1,905 cc. It displaces
the bowels to the contralateral side:
IMPRESSION:
• LARGE ABDOMINO-PELVIC MULTILOCULATED CYSTIC MASS, LEFT. SUGGEST CT
CORRELATION FOR FURTHER EVALUATION.
omplete Blood Count
Hemoglobin 96 g/L 90-140 g/L NORMAL
Hematocrit 0.32 L/L 0.28-0.42 L/L NORMAL
RBC 4.82 x10^12/L 4.7-6.1 x10^12/L NORMAL
WBC 25.06 x10^9/L 5.5-15.5 x10^9/L INCREASED
Neutrophils 0.74 0.43-0.65 INCREASE
Lymphocytes 0.19 0.20-0.45 DECREASED
Monocytes 0.07 0.05-0.12 NORMAL
Eosinophils 0.00 0.01-0.03 DECREASED
Basophil 0.00 0-0.01 DECREASED
MCV 65 fL 80-94 fL DECREASED
MCH 20 pg 27-31 pg DECREASED
MCHC 310 g/L 320-360 g/L DECREASED
Platelet 528 x10^9/L 150-400 x10^9/L INCREASED
Immature 0.40 % 0-1% NORMAL

Granulocytes
Blood Type “AB”
RH POSITIVE
Chemistry Result
LDH 445.00 U/L 266-500 U/L NORMAL
SGOT/AST 35 U/L 0-37 U/L NORMAL
SGPT/ALT 30.99 U/L 0-42 U/L NORMAL

SPUTUM CULTURE RESULT
EXAMINATION
PLEURAL FLUID
Specimen LIGHT YELLOW
Color TURBID
Transparency 5341.1
Red Blood Cell Count 10459.4
White Blood Count 93.5%
PMN%(Segmenters) 6.5%
MN%(Lymphocyte) 38.9
Epithelial Cells 10498.3
Total Cell Count 1700.5
Bacteria
RESULT
GENE XPERT RESULT
MTB Trace DETECTED.

RIF-Resistance INDETERMINATE

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Complete Blood Count

EXAMINATION RESULT RANGE IMPLICATION

Hemoglobin 112 g/L 90-140 g/L NORMAL

Hematocrit 0.32 L/L 0.28-0.42 L/L NORMAL

RBC 4.39 x10^12/L 4.7-6.1 x10^12/L DECREASED

WBC 8.77 x10^9/L 5.5-15.5 x10^9/L NORMAL

Neutrophils 0.36 0.43-0.65 DECREASED

Lymphocytes 0.40 0.20-0.45 NORMAL

Monocytes 0.07 0.05-0.12 NORMAL

Eosinophils 0.16 0.01-0.03 INCREASED

Basophil 0.01 0-0.01 NORMAL

MCV 73.60 fL 80-94 fL DECREASED

MCH 25.5 pg 27-31 pg DECREASED

MCHC 347 g/L 320-360 g/L NORMAL

Platelet 341 x10^9/L 150-400 x10^9/L NORMAL

Immature 0.10% 0-1% NORMAL

Blood Type “O”

EXAMINATION RESULT RANGE IMPLICATION

PT CONTROL 11.90 sec

PT 11.90 seconds 9.4 - 12.5 seconds NORMAL

APTT Control 29.40 seconds

APTT 37.60 seconds 25. - 36.5 seconds INCREASED

Sodium 132.7 mmol/L 135-148 mmol/L DECREASED

Potassium 4.73 mmol/L 3.5-5.3 mmol/L NORMAL

Chloride 104.3 mmol/L 98-107 mmol/L NORMAL

LDH 437.00 U/L 266-500 U/L NORMAL

Magnesium 0.85 mmol/L 0.74-1.03 mmol/L NORMAL

Phosphorus 1.60 mmol/L 0.81-1.50 mmol/L INCREASED

SGOT/AST 32.00 U/L 0-37 U/L NORMAL

SGPT/ALT 11.87 U/L 0-42 U/L NORMAL

Blood Uric Acid 284.50 umol/L 286-518 umol/L DECREASED

Blood Urea Nitrogen 3.00 mmol/L 2.9-9.3 mmol/L NORMAL

Ionized Calcium 1.19 mmol/L 1.1-1.3 mmol/L NORMAL

Clinical information: Abdominal enlargement for 7 months

CT SCAN OF THE ABDOMEN WITH IV CONTRAST:

The study is taken in suboptimal inpsiration.

Hemoglobin 96 g/L 90-140 g/L NORMAL

Hematocrit 0.32 L/L 0.28-0.42 L/L NORMAL

RBC 4.82 x10^12/L 4.7-6.1 x10^12/L NORMAL

WBC 25.06 x10^9/L 5.5-15.5 x10^9/L INCREASED

Neutrophils 0.74 0.43-0.65 INCREASE

Lymphocytes 0.19 0.20-0.45 DECREASED

Monocytes 0.07 0.05-0.12 NORMAL

Eosinophils 0.00 0.01-0.03 DECREASED

Basophil 0.00 0-0.01 DECREASED

MCV 65 fL 80-94 fL DECREASED

MCH 20 pg 27-31 pg DECREASED

MCHC 310 g/L 320-360 g/L DECREASED

Platelet 528 x10^9/L 150-400 x10^9/L INCREASED

Immature 0.40 % 0-1% NORMAL

Blood Type “AB”

LDH 445.00 U/L 266-500 U/L NORMAL

SGOT/AST 35 U/L 0-37 U/L NORMAL

SGPT/ALT 30.99 U/L 0-42 U/L NORMAL

MTB Trace DETECTED.

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