Chapter 827: 815 Rigorous Scholarship (Everything Unknown to the Alliance Leader Burns to Ash, Plus 5)

The radiology department is divided into X-ray, CT, MRI, and ultrasound. However, in most hospitals the ultrasound room is listed separately; although it is also a radiology department, it lies outside the radiology department.

Perhaps it's because there is no radiation, or perhaps when ultrasound first appeared domestically it was stipulated this way.

Just as in Europe spinal surgery is performed by neurosurgery, while domestically it is done by orthopedics.

Some hospitals combine X-ray, CT, and MRI into a single radiology department, while others keep them separate.

Here at 912 they are separate, and Director Chu is the head of CT and MRI.

Zheng Ren had previously done 64-slice CT three-dimensional reconstruction, had communicated with Director Chu, and had visited before, so he went straight to the director's office door and knocked lightly.

Inside was completely silent.

Huh? At this time, isn't Director Chu here?

Zheng Ren tried knocking again, twice, but still no one answered.

He hadn't expected to come up empty-handed; now Zheng Ren was stuck. Not having contacted Director Chu beforehand was a major mistake.

While self-reflecting, he pondered whether to seek out Director Chu's student, Doctor Liang, to resolve this issue.

Better to look first; Su Yun's side is also busy, and it's important.

Zheng Ren always felt a bit guilty about dumping all that work on Su Yun and asking him for everything, which seemed unreasonable.

Although he bears the title of boss, if he dumps everything on Su Yun, that guy could retort him to death.

Doctor's office…… office…… office……

In most places the doctor's office in the CT room is called the reading room, where CT and MRI doctors view images and issue diagnostic reports.

Zheng Ren found the reading room; through the door crack he saw seven or eight doctors gathered around the viewer, discussing something.

In the very center was Director Chu himself.

Having finally found it, Zheng Ren hurriedly knocked on the door. Although no one would hear the knock or notice his gesture, he still knocked properly before entering.

Director Chu was looking at the images, murmuring something.

Zheng Ren walked to the back and first glanced at the images.

It was a 256-slice CT of the coronary arteries; the three coronary arteries were very clear, not looking like coronary heart disease. Yet Director Chu and the others were pondering over an almost normal image, wondering what.

"Director Chu, greetings." Zheng Ren knew interrupting their train of thought wasn't good, but the gastroenterology patients were waiting for their exams, so he steeled himself and came as quickly as possible.

Director Chu was somewhat displeased, but upon turning his head and seeing Zheng Ren, he immediately smiled.

He reached through the crowd, grabbed Zheng Ren's arm, pulled him over, and said, "Boss Zheng, come on over."

Uh…… Zheng Ren froze for a moment.

"Come take a look, see what's wrong with this patient." Director Chu, without courtesy, pulled Zheng Ren to his side and said.

"I……"

"Hurry up and look at the images; after viewing, we'll talk." Director Chu, also a bit overbearing, directly cut off Zheng Ren's words: "This person is the first user of the new method of 64-slice CT three-dimensional reconstruction, Zheng Ren, Boss Zheng."

Seeing the surrounding doctors were puzzled, Director Chu proceeded to introduce.

Around the viewer fell silent; this very young doctor turned out to be the renowned Boss Zheng.

Indeed, one cannot judge a person by appearance.

Everyone says Boss Zheng is not old, but who would have thought he's this young.

Zheng Ren also found it strange; the 256-slice coronary CT mainly looks at the coronary arteries. The image showed the arteries were very clear, with no problems, so what were Director Chu and the others doing here?

Wait…… the myocardial reconstruction image seems to have something going on.

"Director Chu, the coronary arteries are fine, but the myocardium seems to have an issue." Zheng Ren, habitually resting his chin on his hand, said while looking at the image on the viewer.

"Xiao Liang, give Boss Zheng a rundown of the condition."

Doctor Liang stood to the side, answered with an acknowledgment, grabbed a stack of papers, and began reading out the key points.

The patient is a 32-year-old male who, six months ago, experienced palpitations and shortness of breath after activity, among other symptoms. At the time it was ignored, but the condition progressed rapidly; a month and a half later he suffered a fainting spell after activity, accompanied by swelling in the limbs.

He went to the local hospital for examination; the ECG showed T-wave changes, ST-segment depression, and other typical symptoms of myocardial infarction.

Serum troponin and brain natriuretic peptide were elevated; several tests together indicated heart disease.

After a full inpatient workup, no coronary artery problems were found, which was rather strange. The local hospital gave no definitive diagnosis, only labeling it a suspected myocardial infarction, and sent him to a superior hospital in the capital for confirmation.

That's all the medical history; Doctor Liang finished reading it quickly.

Zheng Ren felt somewhat moved; this place, 912, truly lives up to being a top-tier hospital—no wonder their standards are so high!

The CT room only needs to issue reports based on the images seen, but Director Chu and the team also compare with the medical history, and upon spotting doubts they immediately begin discussion within the department.

This rigorous scholarly attitude is truly commendable!

"Boss Zheng, based on the patient's history this should be a myocardial infarction. But the heart's blood supply is fine, so the likelihood of a typical infarction is low." Director Chu pointed at the images: "Here I see myocardial changes; I suspect a disease that alters myocardial structure. I've already told the cardiology outpatient clinic, and had a nurse bring him for an urgent echocardiogram."

Zheng Ren nodded; he had been thinking the same.

But what exactly the disease is…… with only a single cardiac 256-slice CT image, we cannot give an answer.

The passive ability of 【Reconstruction】 is not omnipotent. The system panel can directly give a diagnosis, but here in the capital many cases involve patients' relatives bringing the images for consultation, the patient not accompanying them, or as right now, I simply cannot see the patient at all.

A medical practice model completely unlike that of Haicheng.

Zheng Ren recalled the case history Doctor Liang had just related, then suddenly asked, "Doctor Liang, does the patient have a proteinuria test report?"

Some heart diseases come with proteinuria, and even isolated proteinuria doesn't indicate much; Doctor Liang hadn't paid special attention to it.

He began searching the printed materials; this file is a cardiology case, lacking a urinalysis or urine protein test report.

It's likely the patient himself brought the local records; the cardiology department head therefore didn't order the test.

"Boss Zheng, the medical record hasn't been written yet; we can't see it on our end." Doctor Liang quickly replied.

"Hmm." Zheng Ren then started reviewing the images from the beginning.

This time he didn't focus on the coronary arteries, but began carefully observing changes in the heart's structure.

The 【Reconstruction】 ability converts a 64-slice CT three-dimensional reconstruction into cardiac ultrasound and MRI; Zheng Ren noticed some alterations in the patient's cardiac images.

Domestically, cardiac MRI is as rare as breast MRI and clinically not very useful. However, on this patient's delayed cardiac MRI images one can see a ring-shaped enhancement in the subendocardium.

And in cardiac ultrasound, there are some subtle changes: the whole heart thickens, and there are irregular echoes within the myocardium.

Zheng Ren began to recall similar case reports.