"What is Dr. Liang doing?" Zheng Ren asked.
"I'm writing a report." Su Yun said, "I should have gotten off work long ago."
"Is his mother okay?"
"When you meet me, ask yourself why you have so many things to do."
Zheng Ren took out his cell phone to contact Yi Ren. Although she and Chang Yue had already had dinner, she didn't have any objections to the skewers. After one meal, you can have another meal, it doesn’t matter.
Came to 912 and went straight to CT.
The lights in the reading room were on, and Dr. Liang was sitting in front of the reading machine, concentrating on a chest CT scan.
"Xiao Liangzi, what are you looking at so fascinatedly?" Su Yun greeted from a distance.
"There are a few questionable films today, let me take a look." When Dr. Liang saw Zheng Ren and Su Yun walking in, he 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 are so dedicated even when you are about to leave. If you have any questions, let me take a look." Su Yun glanced at him and said with a smile: "Esophageal cancer, this..."
After only half a sentence, Su Yun paused. He didn't dare to talk nonsense when his boss was around. If there is something wrong, the boss will have sharp eyes, 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 soon after.
Su Yun curled his lips and smiled, "Just tell me, let me take a look."
As he spoke, he bent down on the table and watched the film.
The narrowing of the upper esophagus is more obvious, and the patient should have symptoms of progressive dysphagia. A soft tissue density shadow appears in the narrow part, which should normally be the location of the tumor mass.
The film looked so typical that Su Yun even glanced at it and thought it was esophageal cancer.
But if you look closely, there is something unusual.
"Patient medical records." Su Yun squeezed Dr. Liang out of the chair and sat directly in his seat.
Dr. Liang opened his work account, and Su Yun started looking for the patient's outpatient medical records with ease.
The patient is a 45-year-old female who has had intermittent difficulty swallowing solid food over the past year. He denied any history of reflux, chest pain, heartburn, vomiting, or allergies, had no weight loss, and denied any history of other illnesses.
The routine blood test values in the outpatient clinic were normal, the ECG was normal, and the X-rays were normal.
"You should have had a barium dialysis or gastroscopy of the upper gastrointestinal tract." Su Yundao said, "Maybe you haven't reported back yet?"
"It's possible." Zheng Ren said, "But it does look a bit weird on the film."
As he spoke, he tapped the film on the reader with his finger. Just as he was about to speak, Su Yun slapped his hand on the back of his hand.
"Huh?" Zheng Ren was stunned for a moment.
"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 swollen. Normally, for such a large tumor, the lymph nodes must react," Dr. Liang said.
It's obvious that he has been studying for a long time, and what he just said is particularly certain.
"I didn't ask you this, what are you thinking about?" Su Yun continued to ask.
"Uh..." Dr. Liang was stunned for a moment. Although he had some guesses in his heart, he did not dare to speak casually. Who dares to talk nonsense in front of Boss Zheng
"Just tell me, aren't you leaving? Let's see how you are doing." Su Yun said without hesitation, "Don't come home because you are not good enough and can't even speak out if you are bullied. I'm mainly worried about you giving us 912." Shameful."
"Uh... Brother Yun, I don't think it's something growing inside the esophagus, but more like an external soft tissue shadow." Dr. Liang paused for a moment, and finally expressed his guess.
"Isn't this right? We can't embarrass our 912 department." Su Yun said, "It doesn't look like it, right boss."
"Well, no." Zheng Ren said with certainty, "Judging from the image density, the esophageal lining should be intact. Look for the results of upper gastrointestinal barium fluoroscopy or gastroscopy, if available."
"I didn't ask you this, but what do you think of the soft tissue images outside?" Su Yun asked.
"Looking at the density..." Zheng Rendu hesitated for a rare moment.
From watching videos and watching movies, Su Yun knew how powerful his boss was. He turned back in surprise and looked into Zheng Ren's eyes.
"Why does it feel like a blood vessel to me?" Zheng Ren said doubtfully.
"..." Su Yun shrugged, "Boss, your imagination is too strong."
There are no large blood vessels here, this is a normal anatomical relationship. No wonder the boss hesitated. Su Yun said this and immediately started looking for return information.
But the results of other examinations are not yet available. It is probably a gastroscopy ordered by an outpatient doctor. You must fast and drink before the operation. 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 not right to say it's fat. The density of fat is relatively more even. After thinking about it, I think it's possible that it's blood vessels. It will be larger, and this patient needs an enhanced CT to see it."
Almost talking to himself, Zheng Ren suddenly realized, and then his voice became much firmer.
"There is no need to check the upper gastrointestinal tract barium dialysis or gastroscopy, just do enhancement."
"Vessels? Do you suspect it is dysphagia caused by abnormalities in the blood vessels of the aortic arch and hyperplasia of blood vessels that compress 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?"
"Yes, Brother Yun, aren't you getting older?" Dr. Liang said with a smile.
"How old are you?" Su Yun said contemptuously, "How is your doctoral thesis going?"
"There is an SCI article. It doesn't matter if the impact factor is low. Graduation is enough." Dr. Liang said easily.
"Have you decided to return to your 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 said nothing.
"There's nothing to be sorry for. It doesn't matter if you go back, the imperial capital won't be as busy back home." Zheng Ren said with a smile.
"Well, the old director of a second-class hospital in my hometown is already 55." Dr. Liang said with a smile.
"You are preparing to go back and take over."
"It doesn't make any sense whether he takes 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 an only child, so it is easier 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 put the film away and said politely: "Boss Zheng, Brother Yun, if this patient has follow-up examinations, I will tell you."