Chapter 2769 Rich Imagination

"What is Dr. Liang doing?" Zheng Ren asked.

"I'm writing a report." Su Yun said, "It should have been off work a long time ago."

"His mother is well."

"When you meet, ask yourself why you have so many things."

Zheng Ren took out his mobile phone to contact Yiren. Although she and Chang Yue had already had dinner, she didn't have any objections to the chubby. It's not a problem that you can eat another meal after one meal.

Come to 912, go straight to CT.

The light in the reading room was on, and Dr. Liang was sitting in front of the reading device, concentrating on a chest CT.

"Xiao Liangzi, what are you looking at so engrossed in?" Su Yun greeted from afar.

"There are a few questionable films today. I'll take a look." Seeing Zheng Ren and Su Yun walk in, Dr. Liang immediately stood up and said with a smile, "Tomorrow the director will review the films, and I have to screen out the questionable films."

"You're so dedicated even after you're about to leave. If you have any questions, I'll take a look." Su Yun took a look and said with a smile: "Esophageal cancer, this..."

After only half a sentence, Su Yun paused. With the boss by his side, he didn't dare to talk nonsense. If there is something wrong, no matter how sharp the boss's eyes are, he will not show any mercy, but he will be slapped in the face.

"It doesn't seem to be esophageal cancer."

Sure enough, Zheng Ren's words came later.

Su Yun curled his lips and smiled, "Tell me what you want, I'll take a look."

As he spoke, 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 group of soft tissue density shadows appeared in the narrow part, which should normally be the location of the tumor mass.

The film looked so typical that even Su Yun thought it was esophageal cancer at a casual glance.

But if you look closely, there are exceptions.

"Patient's medical records." Su Yun pushed Dr. Liang away from the chair and sat directly in his place.

Dr. Liang opened the work account, and Su Yun started to look for the patient's outpatient medical records familiarly.

A 45-year-old woman presented with intermittent dysphagia of solid food over the course of a year. Denies history of reflux, chest pain, heartburn, vomiting, or allergies, no weight loss, and denies history of other medical conditions.

Routine blood tests in the outpatient clinic showed normal values, normal electrocardiogram, and normal X-rays.

"Should have done an upper gastrointestinal barium examination or a gastroscopy." Su Yun said, "Maybe it hasn't been reported yet?"

"It's possible." Zheng Ren said, "But it does look a bit weird in the film."

As he spoke, he pointed to the film on the film reader with his finger, but Su Yun grabbed the back of his hand just as he was about to speak.

"Huh?" Zheng Ren was taken aback.

"Wait a minute." Su Yun said carelessly, "Xiao Liangzi, what do you think about this patient?"

"I don't think it's a malignant tumor. The mediastinal lymph nodes are not enlarged. It is said that the lymph nodes must respond to such a large tumor." Dr. Liang said.

Obviously, he has studied for a long time, and what he just said is very certain.

"I didn't ask you this, what are you thinking about?" Su Yun continued to ask.

"Uh..." Dr. Liang was stunned for a while, although he had guesses in his heart, he didn't dare to speak casually. Who dares to talk nonsense in front of Boss Zheng.

"Let's just talk about it, don't you want to leave, let's see how your level is." Su Yun said without any taboo, "Don't come home because you are bullied because your level is not good enough. I am mainly worried that you will give us 912 Shame."

"Uh...Brother Yun, I don't think it looks like something growing inside the esophagus, but rather like a shadow of soft tissue outside." Dr. Liang paused, and finally expressed his guess.

"Is that right? You can't embarrass us with 912." Su Yun said, "It really doesn't look right, right, boss."

"Well, no." Zheng Ren said with certainty, "Judging from the image density, the lining of the esophagus should be intact. Look for the results of upper gastrointestinal barium X-ray or gastroscopy, if there is any."

"I didn't ask you this, what do you see in the soft tissue image outside?" Su Yun asked.

"In terms of density..." Zheng Ren hesitated for a while, which was rare.

Videos, watching movies, Su Yun knows how strong his boss is. He turned his head in surprise and looked into Zheng Ren's eyes.

"Why do I feel like a blood vessel?" Zheng Ren asked suspiciously.

"..." Su Yun shrugged, "Boss, your imagination is too strong."

There are no large blood vessels here, which is a normal anatomical relationship. No wonder the boss hesitated, Su Yun said so, and immediately started looking for return materials.

But other examinations have not yet reported. It is estimated that the outpatient doctor ordered a gastroscopy. Before the operation, food and water should be fasted. It is not as simple as a chest CT.

"Here, the density is wrong." Zheng Ren pointed at a point on the film and said, "It's definitely not a tumor, but it's also not right to say that it's fat. The density of fat is relatively more even. After thinking about it, I think it's the possibility of blood vessels It will be bigger, and this patient will need an enhanced CT to see it."

Almost talking to himself, Zheng Ren came to a sudden realization, and then his voice became much firmer.

"There is no need to check the upper gastrointestinal barium X-ray or gastroscopy, and do the enhancement directly."

"Blood vessels? Do you suspect that the aortic arch has abnormal blood vessels, and the dysphagia caused by the external force of the proliferating blood vessels compresses the esophagus?" Su Yun asked while looking at 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?"

"That's right, Brother Yun, isn't that old?" Dr. Liang said with a smile.

"How old are you?" Su Yun sneered, "How about your doctoral dissertation?"

"There is an SCI article, it doesn't matter if the impact factor is low, graduation is enough." Dr. Liang said relaxedly.

"Is it settled to go back to my hometown?"

"Yes." Dr. Liang nodded briskly and said, "I feel sorry for Director Chu."

"You are the one who is sorry." Su Yun said.

"..." Dr. Liang sighed, but did not speak.

"There's nothing I'm sorry for. It's good to go back. There won't be such a busy emperor in my hometown." Zheng Ren laughed.

"Well, the old director is already 55 in a Grade II hospital back in my hometown." Dr. Liang laughed.

"You are going back to take over."

"It doesn't matter whether you take over or not." Dr. Liang also knew that Brother Yun was joking. He explained, "Although my parents are not very old, they are in average health. I am still the only child, so it is convenient to take care of me when I go back."

"By the way, how is your mother's condition? See you when you get back." Zheng Ren asked.

"It's ready." Dr. Liang started to put away the film, and said politely: "Boss Zheng, brother Yun, if this patient has a follow-up examination, I will tell you."