this is the report i have PRINT THIS PAGE | CLOSE THIS WINDOW Name: XXXXXXX J. Wood | DOB: 6/3/1982 | MRN: 722663 | PCP: XXXXXXX Valenzuela, MD CYTOLOGY SPECIMEN - Details Component Results Component Your Value Standard Range Cytology Final Report 707 East Main Street Middletown, NY 10940 Phone: 845-333-0089 Fax: 845-341-0139 CYTOPATHOLOGY REPORT PATIENT: WOOD, XXXXXXX J. ACCESSION NO: OC19-000995 D.O.B.: 06/03/1982 AGE: 37 SEX: M COLLECTED: 08/22/2019 MRN: 722663 SERV: Surgery LOC: OENDOE RECEIVED: 08/22/2019 NDO REPORTED: 08/30/2019 POOL ROOM ACCOUNT #: 0000 PHYSICIAN: XXXXXXX FELDMAN, M.D. FINAL DIAGNOSIS Parotid gland tail, right, FNA: Satisfactory for evaluation. Polymorphous population of lymph oid cells with focal histiocytic aggregates. Focal benign salivary gland acini. Negative for malignant cells. See comment. Comments: The findings are compatible with a reactive intra-parotid lymph node. Additionally the focal histiocytic aggregates are suggestive of granulomas (the limited number of these aggregates preclude a definitive diagnosis of granulomatous lymphadenitis). Correlation with clinical findings is required. Results of fungal culture tests will be reported in an addendum. Balamurali Varadarajalu, MD on 08/30/2019 3:42 pm CLINICAL HISTORY: The patient is a 37 year old male who presents with a right neck mass. He noticed the mass about 3 months ago. The mass is non-tender but slightly sore on palpation and has remained unchanged over the last 3 months. He reports no associated symptoms and states that he is in his usual state of health (except for maybe more frequent migraine headaches recently). He denies fever, chills and unintentional weight loss. Social history is significant for smoking (1/4 pack for 20 years) and negative for heavy alcohol consumption. Family history is negative for tumors. Follow up sonogram showed a 2 cm soft tissue mass in the tail of the parotid with internal vascularity. Physical examination reveals a somewhat XXXXXXX oval, soft, subcutaneous mass measuring about 1.5 cm in the right upper neck slightly anterior and inferior to the ear. The mass is non- tender. The overlying skin is unremarkable. IMMEDIATE EVALUATION: Polymorphous lymphoid cells with focal histiocytic aggregates suggestive of granulomas. GROSS DESCRIPTION: Received labeled right neck lymph node FNA are 2 air-dried slides which are stained with Diff-Quik, 2 alcohol-fixed slides which are stained with Pa p stain, and one NuFix container with 15 cc of pink hazy fluid from which one set of cytospins are prepared and stained with Pap stain. FINE NEEDLE ASPIRATION PROCEDURE: After sterilization of the skin, two passes were initially made using sterile 25 1/2 gauge needles without attached syringe. Local anesthesia was not given. Scant bloody material was obtained on both passes. The first pass showed normal salivary gland tissue and the second showed possible granulomas in a lymphoid background. Subsequently an additional pass was made (using sterile 25 1/2 gauge needle without attached syringe) to obtain specimen for cultures. Firm pressure was applied after withdrawal of the needles, following which no bleeding was noted. Technical Services performed at Pathline. 535 East Crescent Ave, XXXXXXX NJ 07446 General Information Collected: 08/22/2019 11:45 AM Reported: 08/30/2019 3:42 PM Ordered By: XXXXXXX Feldman, MD Result Status: Final result This test result has been released by an automatic process. MyChart® licensed from Epic Systems Corporation © 1999 - 2016