20250905 Blood test, EKG and X-ray results, 9-2-25_v01 --------------------------------- URINE ALBUMIN Collected on Sep 02, 2025 3:00 PM Results RMS ACCN: 791375969 ALBUMIN, URINE, DETECTION LIMIT <= 20 MG/L View trends Normal value: <=120.0 mg/L Value=8.9 CREATININE, URINE View trends Normal range: 22.0 - 328.0 mg/dL Value=113.9 ALBUMIN/CREATININE, URINE View trends Normal value: <=29.9 mcg/mg Creat Value=7.8 =========================== CBC (COMPLETE BLOOD COUNT) WITH DIFFERENTIAL Collected on Sep 02, 2025 2:15 PM RMS ACCN: 791370911 WBC'S AUTO View trends Normal range: 4.0 - 11.0 x1000/mcL VALUE=5.7 RBC, AUTO View trends Normal range: 4.50 - 5.90 Mill/mcL VALUE=4.49 HGB View trends Normal range: 13.5 - 17.5 g/dL VALUE=13.5 HCT, AUTO View trends Normal range: 41.0 - 51.0 % VALUE=41.6 MCV View trends Normal range: 83.0 - 98.0 fL VALUE=92.7 MCH View trends Normal range: 25.0 - 35.0 pg/cell VALUE=30.1 MCHC View trends Normal range: 30.0 - 35.0 g/dL VALUE=32.5 RDW, BLOOD View trends Normal range: 11.5 - 16.0 % VALUE=13.8 PLATELETS, AUTOMATED COUNT View trends Normal range: 130 - 400 x1000/mcL VALUE=182 ===================================== ELECTROLYTES (SODIUM, POTASSIUM, CHLORIDE, CARBON DIOXIDE) Collected on Sep 02, 2025 2:15 PM RMS ACCN: 791370910 SODIUM View trends Normal range: 136 - 145 mEq/L VALUE=139 POTASSIUM View trends Normal range: 3.5 - 5.1 mEq/L VALUE=4.3 CHLORIDE View trends Normal range: 98 - 113 mEq/L VALUE=111 CO2 View trends Normal range: 19 - 29 mEq/L VALUE=20 Want more information about ELECTROLYTES (SODIUM, POTASSIUM, CHLORIDE, CARBON DIOXIDE)? ================================================ B-TYPE NATRIURETIC PEPTIDE (BNP) Collected on Sep 02, 2025 2:15 PM RMS ACCN: 791370909 B TYPE NATRIURETIC PEPTIDE View trends Normal value: <=99 pg/mL Value=29 Less than 100: Not likely heart failure 100-500: Indeterminate range Greater than 500: Heart failure likely ================================== LIPID PANEL Collected on Sep 02, 2025 2:15 PM RMS ACCN: 791370910 FASTING? YES CHOLESTEROL View trends Normal value: <=199 mg/dL Value=181 Please review results carefully for any changes to reference ranges (indicated by R superscript). Deployment of new chemistry analyzers is occurring across SCAL through 2027. TRIGLYCERIDE View trends Normal value: <=149 mg/dL Value=48 Please review results carefully for any changes to reference ranges (indicated by R superscript). Deployment of new chemistry analyzers is occurring across SCAL through 2027.Note that if triglycerides (TG) are sufficiently high, then direct LDL (if TG>1300 mg/dL) or HDL (if TG>2000 mg/dL) measurements may not be valid. HDL View trends Normal value: >=40 mg/dL Value=66 Please review results carefully for any changes to reference ranges (indicated by R superscript). Deployment of new chemistry analyzers is occurring across SCAL through 2027. LDL CALCULATED View trends Normal value: <=99 mg/dL Value=105 CHOLESTEROL/HIGH DENSITY LIPOPROTEIN View trends Normal value: <=3.9 Value=2.7 See LabNet for more information. CHOLESTEROL, NON-HDL View trends mg/dL Value=115 NonHDL targets are 30 mg/dL higher than LDL targets. =================================== HEMOGLOBIN A1C Collected on Sep 02, 2025 2:15 PM RMS ACCN: 791370910 OTHER PROVIDERS HAVE RECEIVED THIS RESULT DUE TO DUPLICATE ORDERS FOR THIS TEST. YOU MAY HAVE ORDERED THIS EXACT TEST OR ONE OF ITS COMPONENTS. THUS, COORDINATION OF CARE IS NECESSARY. CLICK ON THE ORDER DETAILS HYPERLINK FOR INDICATION OF ALL PROVIDERS WHO HAVE RECEIVED NOTIFICATION OF THIS RESULT. HGBA1C% View trends Normal range: 4.6 - 7.4 % VALUE=5.1 A less stringent goal of < 8.0% may be appropriate for an individual patient with a history of severe hypoglycemia, limited life expectancy, advanced microvascular or macrovascular complications, or extensive comorbid conditions. ESTIMATED AVERAGE GLUCOSE View trends mg/dL Value=99 ================================ TROPONIN I Collected on Sep 02, 2025 2:15 PM RMS ACCN: 791370909 TROPONIN I, HIGH SENSITIVITY View trends Normal value: <=20 pg/mL Value=5 Symptom hsTnI (pg/mL) Delta hsTnl Interpretation Duration M F (pg/mL) >=18y/o M <18y/o ================================================= Any >100 >75 Myocardial Injury ================================================= >3 hours <=20 <=12 No Myocardial Injury ================================================= 21-100 13-75 Rpt TnI in 2 hrs.Calc Delta <=5 No MI 6-10 Indeterminate >10 Acute Myocardial Injury *Troponin values may be elevated in clinical conditions other than acute coronary syndrome. ============================== ASPARTATE AMINOTRANSFERASE (AST) Collected on Sep 02, 2025 2:15 PM RMS ACCN: 791370910 AST View trends Normal value: <=34 U/L Value=18 Please review results carefully for any changes to reference ranges (indicated by R superscript). Deployment of new chemistry analyzers is occurring across SCAL through 2027. ========================= WHITE BLOOD CELL DIFFERENTIAL Collected on Sep 02, 2025 2:15 PM RMS ACCN: 791370911 NEUTROPHILS %, AUTOMATED COUNT View trends Value=68.1 LYMPHOCYTES %, AUTOMATED COUNT View trends Value=22.7 MONOS %, AUTO View trends Value=7.2 EOSINOPHILS %, AUTOMATED COUNT View trends Value=1.0 BASOPHILS %, AUTOMATED COUNT View trends Value=0.7 IMMATURE GRANULOCYTES %, AUTOMATED COUNT View trends Value=0 RBC NUCLEATED AUTO COUNT, BLD View trends Normal value: <=0 % Value=0 NEUTROPHILS, ABSOLUTE, AUTOMATED COUNT View trends Normal range: 1.80 - 7.70 x1000/mcL VALUE=3.89 LYMPHOCYTES, AUTOMATED COUNT View trends Normal range: 1.00 - 3.60 x1000/mcL VALUE=1.30 MONOCYTES, AUTOMATED COUNT View trends Normal range: 0.10 - 1.00 x1000/mcL VALUE=0.41 EOSINOPHILS, AUTOMATED COUNT View trends Normal range: 0.00 - 0.70 x1000/mcL VALUE=0.06 BASOPHILS, AUTOMATED COUNT View trends Normal range: 0.00 - 0.20 x1000/mcL VALUE=0.04 IMMATURE GRANULOCYTES, AUTOMATED COUNT View trends Normal range: 0.01 - 0.09 x1000/mcL VALUE=0.02 ===================================== CHEST XRAY Collected on Sep 03, 2025 8:14 AM Impression FINDINGS/IMPRESSION: The lungs are clear. No pleural effusions are seen. The cardiomediastinal silhouette is normal. Somewhat tortuous descending thoracic aorta noted. Partially visualized metallic screw and plate fixation of the lumbar spine. Suspect moderate degenerative joint space narrowing and reactive changes in both glenohumeral joints. This report electronically signed by Christopher T Hsu on 9/3/2025 8:14 AM Narrative CLINICAL HISTORY: Reason: left side shoulder pain COMPARISON: 8/27/2021 ================================================== X-RAY SHOULDER Collected on Sep 02, 2025 5:20 PM Impression FINDINGS/IMPRESSION: No acute fracture is identified. The alignment is normal. Severe degenerative changes are noted at the glenohumeral joint with subchondral cystic change. Mild degenerative changes are noted at the acromioclavicular joint. No significant soft tissue abnormality is identified. This report electronically signed by Jessica M Ho, M.D. on 9/2/2025 5:20 PM Narrative CLINICAL HISTORY: Reason: shoulder pain ================================== X-RAY ANKLE Collected on Jun 04, 2025 2:31 PM Impression FINDINGS/IMPRESSION: Disorganized appearance of the talocalcaneal joint with sclerotic change and probable bridging. Given patient history this is most in keeping with prior severe trauma and/or surgical change. Given the disorganized appearance, a developing Charcot-type foot cannot completely be excluded. Clinical correlation is needed. Several bony spurs are also seen along the medial lateral joint line. Ankle mortise appears grossly preserved, however there is asymmetric articulation of the tibia with the talar dome. There appears to be soft tissue swelling along the lateral joint line, internal derangement not excluded. This report electronically signed by NISHANT GANDHI on 6/4/2025 2:31 PM Narrative CLINICAL HISTORY: Reason: hx of calcaneal fx, ankle pain ============================ X-RAY ANKLE Collected on Jun 04, 2025 1:45 PM Your test results are available to you and your ordering doctor or care team. Click for tips on navigating this results page. Results Impression FINDINGS/IMPRESSION: Disorganized appearance of the hindfoot with several osteophytes projecting laterally. Developing Charcot foot cannot be excluded, differential may include postsurgical or posttraumatic changes. Recommend clinical correlation.There is apparent bridging between the talus and calcaneus. There are moderate degenerative changes in the midfoot. There is loss of the normal midfoot arch. There is bony spurring along the anterior process of the talus. Ankle mortise appears grossly preserved. Soft tissue swelling throughout the ankle, predominantly along the lateral aspect. Amorphous calcification adjacent to the medial malleolus may represent a small bony spur. This report electronically signed by NISHANT GANDHI on 6/4/2025 1:45 PM Narrative CLINICAL HISTORY: Reason: hx of calc fx. Right ankle pain