2770 Rich imagination
"What is Dr. Liang doing?" Zheng Ren asked.
"I'm writing a report." Su Yun said, "It should have been a long time since I got off work."
"His mother is ready."
"When you meet, ask yourself, why do you have so much trouble?"
Zheng Ren took out his cell phone and contacted Yiren. Although she had eaten with Chang Yue, she didn't have any opinions on eating skewers. She could have another meal after eating, which was not a problem.
When I arrived at 912, I went straight to ct.
The lights in the reading room were on, and Dr. Liang sat in front of the reading device, focusing on looking at a chest ct.
"Xiao Liangzi, why are you so fascinated?" Su Yun called out from afar.
"There are a few films with questions today, so I'll take a look." When Dr. Liang saw Zheng Ren and Su Yun walk in, he immediately stood up and said with a smile: "Director will read the film tomorrow, and I have to sifte out the films with questions."
"I'm still so dedicated now. When I encounter any questions, I'll take a look." Su Yun glanced at him and smiled, "Esophageal cancer, this..."
After saying only half a word, Su Yun stopped. He didn't dare to talk nonsense by his boss. If there was something wrong, no matter how sharp the boss's eyes were, he would not show any mercy, but he would have to slap in the face.
"It doesn't seem to be esophageal cancer."
Sure enough, Zheng Ren's words came later.
Su Yun curled his lips and smiled, "Tell me whatever you want, I'll take a look."
As he said that, he bent down and lay on the table watching the movie.
The upper esophageal segment is more obvious, and the patient should have symptoms of progressive dysphagia. A ball of soft tissue density appears in the narrow part. Normally, this should be the location of the tumor clump.
The film looks so typical that Su Yun took a casual glance and thought it was esophageal cancer.
But looking closely, there is an abnormality.
"Patient medical record." Su Yun squeezed Dr. Liang away from the chair and sat directly in his position.
Dr. Liang opened his work number, and Su Yun began to look for the patient's outpatient medical records with ease.
The patient is a female, 45 years old, and she has difficulty swallowing solid foods intermittently within one year. She denied reflux, chest pain, heartburn, vomiting or allergies, had no weight loss, and denied other diseases.
The values of routine blood tests in outpatient clinics are normal, the electrocardiogram is normal, and the x-ray is normal.
"We should have had barium permeation or gastroscopy in the upper gastrointestinal tract." Su Yun said, "Maybe there is no return yet?"
"It's possible." Zheng Ren said, "but it's really a bit weird to watch on the movie."
As he said that, he pointed to the video on the video reader with his finger. Just as he was about to speak, Su Yun tugged on the back of his hand with his hand.
"Hmm?" Zheng Ren was stunned for a moment.
"You wait a moment." Su Yun said carelessly: "Xiao Liangzi, how did you think about this patient."
"I don't think it's like a malignant tumor, and the mediastinal lymph nodes are not enlarged. As a tumor of such a large one, the lymph nodes must have a reaction," said Dr. Liang.
It is obvious that he has been studying it for a long time, and what he just said is particularly certain.
"I didn't ask you this, what are your questions?" Su Yun continued to ask.
"Uh..." Dr. Liang was stunned for a moment. Although he had speculation in his heart, he did not dare to speak casually. In front of Boss Zheng, who dared to talk nonsense?
"Tell me casually, aren't you going to leave? Let's see how good your level is." Su Yun said without hesitation, "Don't come back home and be bullied because of his poor level. I'm mainly worried that you will embarrass us 912."
"Uh... Brother Yun, I don't think it looks like something growing inside the esophagus, it looks like a soft tissue shadow outside." Dr. Liang paused for a moment, and finally expressed his guess.
"Is that right? You can't embarrass us 912." Su Yun said, "It seems that it's not true, right, the boss."
"Well, no." Zheng Ren said with certainty, "From the density of the image, the esophageal endometrium should be very complete. Find the rewards of barium permeability or gastroscopy in the upper gastrointestinal tract, if so."
"I didn't ask you this, what are the soft tissue images outside?" Su Yun asked.
"In terms of density..." Zheng Ren hesitated for a moment.
When watching videos and movies, Su Yun knew how strong his boss was. He turned around in surprise and looked at Zheng Ren's eyes.
"Why do I feel like a blood vessel?" Zheng Ren said in confusion.
"..." Su Yun shrugged, "Boss, your imagination is too strong."
There are no large blood vessels here, which is a normal anatomical relationship. No wonder the boss hesitated for a moment. Su Yun said this and immediately began to find information for return.
However, the other examinations have not received any rewards. It is probably a gastroscopy prescribed by the outpatient doctor. There is a need to fast water before the operation, which is not as simple as chest CT.
"Here, the density is wrong." Zheng Ren said, "It is definitely not a tumor, but it is not a fat. The density of fat is relatively more average. After thinking about it, it is a blood vessel that is more likely to be more blood vessels. This patient needs to do a CT enhancement to see."
Almost talking to himself, Zheng Rencai suddenly realized, and the subsequent voice became much stronger.
"Don't check for barium permeability or gastroscopy in the upper gastrointestinal tract, just do the enhancement."
"Vascular vessels? Do you suspect it is an abnormal blood vessel in the aortic arch, and the dysphagia caused by external pressure of hyperplasia pressure on the esophagus?" Su Yun asked as he looked at the film.
"It's possible." Zheng Ren said vaguely.
Dr. Liang smiled, wrote down what Zheng Ren said, and clamped it into the folder with a clip.
"Are you afraid of forgetting?"
"Yes, Brother Yun, isn't this old?" Dr. Liang smiled.
"How old are you?" Su Yun said contemptuously, "How is your doctoral thesis?"
"There is a SCI article, it doesn't matter if the low impact factor is, graduation is enough." Dr. Liang said relaxedly.
"Is it a matter of going back to my hometown?"
"Yes." Dr. Liang nodded briskly and said, "I feel sorry for Director Chu."
"You are sorry for you." Su Yun said.
"..." Dr. Liang sighed, but said nothing.
"Nothing sorry, it's good to go back. There will never be as busy as the imperial capital in my hometown." Zheng Ren said with a smile.
"Well, when you go back to a second-level hospital in your hometown, the old director is already 55." Dr. Liang smiled.
"You are going back to take over."
"It doesn't make sense to take over the class or not." Dr. Liang also knew that Brother Yun was joking. He explained, "It's just that although his parents are not very old, they are in average health. I am still an only child, so I can take care of him when I go back."
"By the way, how is your mother's condition? See you after you go back." Zheng Ren asked.
Chapter completed!