Identification | Pathologist's name; dictating Cytology Case PHC01-1234; Patient's name John Doe; MRN 123-45-6789 |
Adequacy | Satisfactory for interpretation (from pulldown menu, not free text) |
Primary interpretation | Negative for malignant cells (from pulldown menu, not free text) |
Secondary free text interpretation | Negative for fungal organisms, Pneumocystis, and viral inclusions. Numerous macrophages and lymphocytes seen. |
Diagnosis Comment | (if any) |
Clinical Diagnosis and History | The patient is a 54 year old man status post lung transplant |
Ranking Code | N1 |
Tissue Code | TC1 |
Agreement Flag | Agree, Partially Disagree, or Completely Disagree |