Qtr 1 Physician RBM 2017 (Med/Surg) case study # 5

CIGNA SI-PPO/OAP Commercial
70491- CT NECK Soft Tissue; with contrast material(s)
70 y/o M
Case initiated 01/30/2017

To MD Review: Per: ACDS/ fax R/T: spot on his neck, noted some sinus drainage Reason: Evaluation of R cervical lymph node

FOV/ LOV: 1/6/2017

PE: in the submandibular region there is a rubbery, mobile, benign appearing 1.5 cm x 1 cm nodule that is mobile, likely reactive lymph node

PMH: no hx. of Ca.

TX: none

Prior Imaging: none

LABS: none

NURSE COMMENT: ( C-Neck-5.1 ) US initially

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