The Department of Imaging is divided into X-ray, CT, MRI, and B-ultrasound. However, the B-ultrasound room of a general hospital is listed separately, and although it is also an imaging department, it is outside the imaging department.

Maybe it's because there is no radiation, or maybe it's the first time that B-ultrasound appeared in China, and that's how it was stipulated.

It's like spine surgery in Europe is done by neurosurgery, while orthopedics is done in China.

X-ray, CT, and MRI are combined imaging departments in some hospitals, while others are separated.

912 is separated here, and Director Chu is the chief director of CT and MRI.

Zheng Ren did 64-row CT 3D reconstruction before, communicated with Director Chu, and also came, so he came directly to the door of the director's office and knocked lightly.

It was quiet inside.

Huh? At this point, isn't Director Chu here?

Zheng Ren tentatively knocked twice more, but no one answered.

Unexpectedly, it was empty, and now Zheng Ren sat on wax. Didn't contact Director Chu in advance, this is a big mistake.

While examining himself, he pondered whether to find Dr. Liang, a student of Director Chu, to solve the problem.

Let's look for it first, Su Yun's side is also busy, and it is very important.

Zheng Ren has always been a little forced in his heart, and he threw so much work to Su Yun, and he looked for him no matter what, so he couldn't say anything.

Although he has the name of his boss, if he throws everything to Su Yun, he can kill himself.

Doctor's Office...... Office...... Office......

Most of the doctor's offices in the CT room are called the reading room, which is the place where the CT and MRI doctors issue diagnostic reports after reading the films.

Zheng Ren found the reading room, and through the crack in the door, he saw that seven or eight doctors were gathered in front of the reading machine, discussing something.

The middle one is Director Chu.

Finally found it, Zheng Ren hurriedly knocked on the door. Although no one would hear the knock on the door, and no one would notice his knocking, Zheng Ren still knocked on the door in a proper manner, and then went in.

Director Chu looked at the film and whispered something.

Zheng Ren walked to the back and glanced at the film first.

It was a coronary 256CT, and the three coronary arteries were very smooth, and it didn't look like coronary heart disease. But Director Chu, what are they thinking about when they look at an almost normal film?

"Hello, Director Chu. Although Zheng Ren knows that it is not good to interrupt other people's train of thought, but the patients in the gastroenterology department are waiting for the examination, so he is still cheeky and hurry up.

Director Chu was a little unhappy, but when he turned his head and saw that it was Zheng Ren, he smiled all of a sudden.

Across the crowd, he grabbed Zheng Ren's arm, pulled him over, and asked, "Boss Zheng, come on." ”

Belch...... Zheng Renleng paused.

"Take a look at the patient and see what's wrong with this patient. Director Chu unceremoniously dragged Zheng Ren to his side and said.

"I ......"

"Hurry up and watch the film, and talk about things after watching it. Director Chu was also a little overbearing, and directly interrupted Zheng Ren's words, "This is the original user of the new method of 64-row CT 3D reconstruction, Zheng Ren Zheng Boss." ”

Director Chu saw that several doctors around him were very confused, so he introduced.

The surroundings of the reader were quiet, and this very young doctor turned out to be the famous Boss Zheng.

This is really unseemly.

It is said that Boss Zheng is not very old, but who would want to be so young.

Zheng Ren is also very strange, the coronary 256CT is mainly to look at the coronary artery. The film shows that the coronary arteries are very smooth, and there is no problem with the image, Director Chu, what are they doing here?

Wait a minute...... The image of myocardial reconstruction seems to be a bit of a problem.

"Director Chu, the coronary artery is fine, but there seems to be a problem with the myocardium. Zheng Ren habitually held his cheeks and looked at the film on the reader and said.

"Xiao Liang, introduce Boss Zheng's condition. ”

Dr. Liang stood aside, and he answered, holding a wad of paper in his hand, and began to pick and choose.

The patient is a 32-year-old man who developed post-activity palpitation and shortness of breath 6 months ago. It was not noticed at the time, but the disease progressed rapidly, and the patient developed a post-activity syncope with edema of the limbs more than 1 month later.

He went to the local hospital for examination, and the electrocardiogram found typical symptoms of myocardial infarction, such as T-wave changes and ST-segment depression.

Serum troponin and brain natriuretic peptide are elevated, and several tests suggest heart disease.

It is strange to be hospitalized for a thorough examination and no coronary artery problems are found. The local hospital did not give a clear diagnosis, but only made a diagnosis of a suspicious myocardial infarction and asked him to come to the higher level hospital in the imperial capital for diagnosis.

That's all for the medical history, and Dr. Leung read it quickly.

Zheng Ren sighed with emotion, a place like 912 really deserves to be a higher-level hospital, no wonder the level of people is high!

The CT room is only responsible for issuing a report according to the images they see, but Director Chu and they also have to compare the medical history and start the discussion directly in the department after finding suspicious points.

This rigorous academic style is really amazing!

"Boss Zheng, this patient's medical history narrative should be a heart attack. However, the blood supply to the heart is fine, and a typical myocardial infarction is unlikely. Director Chu ordered a little film: "Here, I see that there is a change in the myocardium, and I suspect that it may be some kind of disease that changes the structure of the myocardium, so I have told the circulation clinic and asked the nurse to take it to urgently check an echocardiology." ”

Zheng Ren nodded, he thought so himself.

And what exactly is the disease...... There is only one film of coronary artery 256 in the heart, and the answer cannot be given.

The passive ability of [Reconstruction] is not a panacea. The system panel can directly diagnose it, but in many cases on the side of the imperial capital, the patient's family members come to see the doctor with the film, and the patient does not follow, or it seems that he can't see the patient at all.

It is a completely different diagnosis and treatment model from Haicheng.

Zheng Ren recalled what Dr. Liang said about his illness, and suddenly asked, "Dr. Liang, is there a test report for the patient's proteinuria?"

Some heart diseases can be accompanied by proteinuria, and proteinuria alone is not a problem, and Dr. Leung did not pay special attention to it.

He began to look for printed materials, which were cases in the Department of Cardiovascular Medicine, and there were no reports of urine routine and urine protein tests.

It is estimated that the local materials brought by the patient himself, and the director of the circulatory department did not give a bill for examination.

"Boss Zheng, the medical records haven't been written yet, so we can't see it here. Dr. Leung replied quickly.

"Hmm. Zheng Ren began to watch the film again.

This time, instead of focusing on the coronary arteries, he began to carefully observe the changes in the structure of the heart.

[Reconstruction] ability to convert a 64-slice CT 3D reconstruction into echocardiography and MR of the heart, Zheng Ren noticed some changes in the patient's cardiac imaging.

Cardiac MR, like breast MR, is a rare examination in China, and it is not of great clinical use. However, in this patient, a subendocardial ring enhancement foci can be seen on the cardiac MR delay.

Echocardiography, on the other hand, has some subtle changes, thickening of the whole heart, and irregular echoes in the myocardium.

Jung in began to recall reports of similar cases.

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