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Home » Cancer Registration & Surveillance Modules » Abstracting a Cancer Case » Abstracting Diagnostic Procedures » Clinical Examinations » Radiologic Examination » Practical Examples » Example 2
- Abstracting a Cancer Case
- Abstracting the Medical Records
- Composition of a Medical Record
- Abstracting Diagnostic Procedures
- Clinical Examinations
- Manipulative Procedures
- Operative Procedures
- Pathological Examinations
- Additional Information
Radiologic Example 2
View the suggested abstraction.
Name: Hector Breathless
Hospital No.: 000002
Age:55
Sex: Male
Race: White
Examination Desired: Metastatic series
Reason for Exam: Carcinoma of lung
Report:
Calcified opacity is noted in the left femoral head and left ilium; also in the skull; these are probably Osteoblastic metastatic lesions.
Date: 4/19/91
Exam: Metastatic
Radiologist: U.C. Picks, MD
