Pathology Report

FINAL DIAGNOSIS:

*** SUPPLEMENTAL REPORT ***

(Previous signout date: ******)

After the discussion with Dr. ******, deeper levels (A and B) and

stains (A) were performed. In specimen A, there is a minute myxoid

tissue fragment in the edge of the blood clot, which does not show

elastin fiber on VVG stain. The SMA stain is negative. It most likely

represents a minute native endocardial tissue. There is no evidence of

myxoma, fibroelastoma, or fibroelastosis in the sample. The case was

reviewed by Dr. Jenings in consultation and Dr. ****** was notified of

the finding on date ******. fxy

*** ORIGINAL DIAGNOSIS ***

A. ATRIAL MASS, BIOPSY:

BLOOD CLOT ONLY.

B. ATRIAL MASS, BIOPSY:

BLOOD CLOT ONLY.

COMMENT: The case was reviewed at the departmental consensus. AE1:AE3

immunostain performed on the block B1 does not show epithelial

component. bal

I attest that the above diagnosis is based upon my personal

microscopic examination of the slide(s)

and/or other materials, and that I have

reviewed, approved, and electronically signed this report.

Attending Pathologist: ******** **, MD

SPECIMEN: A. SOFT TISSUE MASS, FSA, ATRIAL MASS

# of Blocks: 1

B.

SOFT TISSUE MASS, ATRIAL MASS

# of Blocks: 1

CLINICAL HISTORY: UNSPECIFIED

PRE-OP DIAGNOSIS: STROKE SYMPTOMS

SURGICAL PROCEDURE: REMOVAL OF ATRIAL MASS

FROZEN SECTION / IO CONSULT:

FSA, ATRIAL MASS: DEGENERATED BLOOD ELEMENTS.

********, MD/kn date: *******

GROSS DESCRIPTION: Specimen A is labeled atrial mass. Received in

the fresh state is an irregular tan to pink, rubbery tissue measuring

1.3 x 0.1.0 x 0.3 cm which is submitted entirely for frozen section

microscopy as FSA and is re-embedded for permanent control in cassette

A.

Specimen B is labeled left atrial mass. Received in formalin is a

tan to pink and irregular, rubbery tissue measuring 1.3 x 1.1 x 0.3 cm

which is submitted in total in a single cassette B1. /kn

Assigned Resident: ; Grossed by: ******* ; Dictating

:

*********

Reported: **/**/2013