Cardiovascular / Pulmonary
Sample Name: Fiberoptic Bronchoscopy - 1
Description: Fiberoptic bronchoscopy, diagnostic. Hemoptysis and history of lung cancer. Tumor occluding right middle lobe with friability.
(Medical Transcription Sample Report)
2. History of lung cancer.
POSTOPERATIVE DIAGNOSIS: Tumor occluding right middle lobe with friability.
PROCEDURE PERFORMED: Fiberoptic bronchoscopy, diagnostic.
LOCATION: Endoscopy suite #4.
ESTIMATED BLOOD LOSS: Minimal.
INDICATIONS FOR PROCEDURE: The patient presented to ABCD Hospital with a known history of lung cancer and acute hemoptysis with associated chest pain. Due to her prior history, it was felt that she would benefit from diagnostic fiberoptic bronchoscopy to help determine the etiology of the hemoptysis. She was brought to endoscopy suite #4 and informed consent was obtained.
PROCEDURE DETAILS: The patient was placed in the supine position and intubated by the Anesthesia Service. Intravenous sedation was given as per Anesthesia. The fiberoptic scope was passed through the #8 endotracheal tube into the main trachea. The right mainstem bronchus was examined. The right upper lobe and subsegments appeared grossly within normal limits with no endobronchial lesions noted. Upon examining the right middle lobe, there was a tumor noted occluding the lateral segment of the right middle lobe and a clot appreciated over the medial segment of the right middle lobe.
Keywords: cardiovascular / pulmonary, hemoptysis, lung cancer, tumor, fiberoptic, bronchoscopy, endoscopy suite, adequate hemostasis, fiberoptic bronchoscopy, endobronchial lesions, middle lobe, lobe,