Chapter 2770

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

"I'm writing a report." Su Yun said, "it's supposed to be off work long ago."

"His mother is well."

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

Zheng Ren takes out her mobile phone to contact Yi Ren. Although she has had dinner with Chang Yue, she doesn't have any opinions about Lu Chuan. After a meal, you can have another meal. It's not a matter.

Come to 912 and go straight to CT.

The light in the film reading room is on. Dr. Liang sits in front of the film reader and is concentrating on a chest CT.

"Xiao Liangzi, what are you looking at so absorbed?" Su Yun greeted from a distance.

"There are some questionable films today. I'll take a look." When Dr. Liang saw Zheng Ren and Su Yun coming in, he immediately stood up and said with a smile, "the director will read the film tomorrow. I have to screen out the films in question."

"I have to go. I'm still so dedicated. I'll take a look at any questions." Su Yun glanced and said with a smile, "esophageal cancer, this..."

After only half a sentence, Su Yun stopped. The boss is around. He doesn't dare to talk nonsense. If there is something wrong, the boss has sharp eyes. He won't show any mercy, but he has to hit his face.

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

Sure enough, Zheng Ren's words came later.

Su Yun chuckled, "just say it and I'll have a look."

With that, he bent down and lay on the table watching the film.

The narrowing of the upper esophagus is obvious, and the patient should have the symptoms of progressive dysphagia. A mass of soft tissue density shadow appears in the narrow part. Normally, this should be the location of tumor mass.

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

But when you look closely, there are exceptions.

"Patient medical record." Su Yun pushed Dr. Liang away from the chair and sat directly in his position.

Dr. Liang opened his work number and Su Yun began to look for the patient's outpatient medical records.

The patient was a female, 45 years old, who had difficulty swallowing solid food intermittently within one year. No history of reflux, chest pain, heartburn, vomiting or allergy, no weight loss, and no history of other diseases.

The values of routine blood test in outpatient department were normal, ECG and X-ray were normal.

"I should have had a barium meal or Gastroscopy of the upper gastrointestinal tract." Su Yun said, "maybe it hasn't returned yet?"

"It's possible." Zheng Ren said, "but it's a little weird on the film."

As he spoke, he pointed to the film on the film reader with his finger, but Su Yun pulled it on the back of his hand when he was about to speak.

"Huh?" Zheng renleng.

"Wait a minute." Su Yun said, "Xiao Liang, what do you think of this patient?"

"I don't think it's a malignant tumor. The mediastinal lymph nodes are not enlarged. Normally, 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 particularly certain.

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

"Er..." Dr. Liang was stunned. Although there was speculation in his heart, he didn't dare to speak casually. Who dares to talk nonsense in front of boss Zheng.

"Just say it. I'm leaving. Let's see how good you are." Su Yun said without taboo, "don't come back home because you are not good enough to be bullied. I'm mainly worried that you will give us 912 shame."

"Er... Brother Yun, I don't think it's something long inside the esophagus. It's like an external soft tissue shadow." Dr. Liang paused and finally said his guess.

"Is that right? We can't 912 lose face." Su Yun said, "it doesn't look like it, does it, boss."

"Well, No." Zheng Ren said definitely, "from the image density, the inner membrane of the esophagus should be very complete. Find the return of barium penetration of the upper gastrointestinal tract or gastroscope, if any."

"I didn't ask you this. What's the soft tissue image outside?" Su Yun asked.

"In terms of density..." Zheng Ren hesitated for a while.

Su Yun knows how strong his boss is when he watches videos and movies. He turned back in surprise and looked into Zheng Ren's eyes.

"How do I feel like a blood vessel?" Zheng Ren said suspiciously.

"...." Su Yun shrugged, "boss, you have too much imagination."

There are no large blood vessels here. This is a normal anatomical relationship. No wonder the boss hesitated. Su Yun said so and immediately began to look for return information.

But there is no return from other examinations. It is estimated that the gastroscopy prescribed by the outpatient doctor and fasting and water before operation are not as simple as chest CT.

"Here, the density is wrong." Zheng Ren pointed to a point on the film and said, "it's definitely not a tumor. It's wrong to say it's fat. The density of fat is relatively more average. After thinking about it, it's more likely to be a blood vessel. This patient needs an enhanced CT to see it."

Almost talking to himself, Zheng Rencai suddenly said this, and his subsequent voice was much firmer.

"There is no need to check the barium permeability of the upper gastrointestinal tract or gastroscope, and do enhancement directly."

"Blood vessels? Do you suspect dysphagia caused by abnormal blood vessels in the aortic arch, hyperplasia of blood vessels and external pressure on the esophagus?" Su Yun looked at the film and asked.

"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 old?" Dr. Liang smiled.

"How old are you?" Su Yun despised, "how's the doctoral thesis?"

"There is an SCI. It doesn't matter if the influencing factor is low. Graduation is enough." Dr. Liang said easily.

"It's settled to go back to my hometown?"

"Yes." Dr. Liang nodded lightly and said, "I'm sorry, director Chu."

"You're sorry. You're the one." 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 emperors so busy in my hometown." Zheng Ren smiled.

"Well, the old director of a second-class hospital back home has been 55." Dr. Liang smiled.

"You're going back to take over."

"It doesn't make sense to 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 general health. I am still the only child. It is convenient to take care of them when I go back."

"By the way, how's 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 a follow-up examination, I'll tell you."