Vol 3 Chapter 2770: Rich imagination

"What is Dr. Liang doing?" Zheng Ren asked.
"Let's write a report." Su Yundao, "It should have been off work long ago."
"His mother is fine."
"Meet yourself and ask, why are you doing so much?"
Zheng Ren took out her mobile phone to contact Yiren. Although she had eaten with Chang Yue, she didn't have any opinions about the skewers. You can eat another meal after eating, it's nothing.
Come to 912, go straight to CT.
The light in the reading room was on. Dr. Liang was sitting in front of the viewer and was watching a chest CT intently.
"Xiao Liangzi, what do you see so fascinating?" Su Yun greeted from a distance.
"Today there are several questionable films. I glance at them." Dr. Liang saw Zheng Ren and Su Yun coming in, immediately stood up and smiled. "The director will read the film tomorrow, and I have to screen out the questionable films."
"It's so dedicated to leave. I have a question. I glanced at it." Su Yun glanced and smiled: "Oesophageal cancer, this ..."
After only a few words, Su Yun paused. The boss is by his side, and he dare not speak blindly. If there is something wrong, the boss's eyes are sharp, he will not show any affection, but he will have a face.
"It doesn't seem to be esophageal cancer."
Sure enough, Zheng Ren's words followed.
Su Yun smirked and smiled. "Just casually, let me have a look."
With that said, he bent down and lay on the table watching the film.
The narrowing of the upper esophagus is more obvious, and the patient should have symptoms of progressive dysphagia. And a mass of soft tissue density shadow appears in the narrow part, which should normally be the location of the tumor mass.
The film looks so typical that Su Yun glanced casually and thought it was esophageal cancer.
But if you look closely, there are exceptions.
"Patient's medical record." Su Yun squeezed Dr. Liang from his chair and sat directly in his position.
Dr. Liang opened the job number, and Su Yun began to look for the patient's outpatient medical records.
The patient was a 45-year-old woman who had difficulty swallowing solid food intermittently within a year. She had no history of reflux, chest pain, heartburn, vomiting, or allergies, no weight loss, and no other illnesses.
The routine blood tests in the clinic were normal, the ECG was normal, and the X-rays were normal.
"Should have done barium or gastroscopy of the upper digestive tract." Su Yun said, "Maybe it has not returned?"
"It's possible," Zheng Ren said, "but it looks a bit weird on the film."
Speaking, he clicked on the film on the film reader with his fingers, but Su Yun was drawn on the back of his hand when he was about to speak.
"Huh?" Zheng Ren frowned.
"You'll wait." Su Yun said grinningly, "Xiao Liangzi, what do you think about this patient?"
"I don't think it is a malignant tumor. The mediastinal lymph nodes are not enlarged. It is said that the lymph nodes must have responded to such a large tumor." Dr. Liang said.
Obviously, he researched for a long time, and what he just said is particularly certain.
"I didn't ask you this, what problem do you consider?" Su Yun continued to ask.
"Uh ..." Dr. Liang froze. Although there was speculation in his heart, he did not dare to speak casually. In the presence of Boss Zheng, who dares to talk nonsense.
"Just talk about it, don't you want to leave, and see how your level is." Su Yun said without taboo, "Don't come home because you ca n’t be bullied because your level is not good. I am mainly worried that you give us 912. Shame. "
"Er ... Yuner, I don't think it looks like something that grows inside the esophagus, but it looks like a soft tissue outside." Dr. Liang paused, and finally said his guess.
"Is that right? You can't shame us 912." Su Yun said, "It really isn't looking, isn't it the boss?"
"Well, no," Zheng Ren said affirmatively. "In terms of image density, the esophagus should be very intact. Look for the return of the upper gastrointestinal barium or gastroscopy, if any."
"I didn't ask you this, what are the soft tissue images you see?" Su Yun asked.
"In terms of density ..." Zheng Ren hesitated infrequently.
Su Yun knows how strong his boss is in the video and watching movies. He turned back in surprise and looked into Zheng Ren's eyes.
"How do I feel like blood vessels?" Zheng Ren said doubtfully.
"..." Su Yun shrugged. "Boss, you have too much imagination."
There are no large blood vessels, this is a normal anatomical relationship. No wonder the boss would hesitate, Su Yun said so with his mouth, and immediately began looking for return information.
However, the return of other examinations has not yet been estimated. It is estimated that the gastroscopy performed by the outpatient doctor requires fasting water or the like before surgery, which is not as simple as a chest CT.
"Here, the density is not right." Zheng Ren pointed at a point on the film. "It is definitely not a tumor, but it is also fat. The density of fat is relatively more average. Think about the possibility of thinking about blood vessels. It will be bigger, and this patient needs an enhanced CT to see it. "
Almost speaking to himself here, Zheng Ren was stunned, and the subsequent voice was much firmer.
"You don't need to check the barium or gastroscope of the digestive tract, you can directly enhance it."
"Vascular? Do you suspect an abnormality in the aortic arch and dysphagia caused by the extravascular pressure on the esophagus?" Su Yun asked while watching the film.
"It's possible," Zheng Ren said vaguely.
Dr. Liang smiled, wrote down what Zheng Ren said, and put it in a folder with a clip.
"Are you afraid of forgetting?"
"Yes, Brother Yun, isn't this how old he is?" Dr. Liang laughed.
"You are only a few years old," Su Yun despised. "What happened to the doctoral thesis?"
"There is an SCI, the low impact factor does not matter, graduation is enough." Dr. Liang said easily.
"Is it settled back home?"
"Well," Dr. Liang nodded briskly, "I feel sorry for Director Chu."
"You're sorry you're ~ EbookFREE.me ~ Su Yun said.
"..." Dr. Liang sighed, but did not speak.
"I'm sorry, no matter if you go back, there will never be Emperor so busy at home." Zheng Ren laughed.
"Well, back to the second-class hospital in my hometown, the old director is already 55." Dr. Liang laughed.
"You are ready to go back to take over."
"It doesn't make sense to take over." Dr. Liang also knew that Yune was joking, and he explained, "Although my parents are not very old, but they are of normal health, I am the only child, so I can go back and take care of them."
"By the way, how is your mother's condition? See you when you go back." Zheng Ren asked.
"It's alright." Dr. Liang put the film away and said politely, "Boss Zheng, Brother Yun, if this patient has a follow-up inspection, I'll tell you."
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