C09974613 / invoice 10000

Appointment Reason: Chest Xrays, Appointment Notes: 23/2 LS H: improvement on doxy.E:  bar, mmpin, crt <2, HR 100, rr panting.L:  attached - slight H neuts (URT infx- has been on doxy)hw test negT: acp 0.16/meth 0.64ml SC.gaba6ml given on arrival.alfaxan induction, iso maintenanceunder GA: Full chest xrays.- lung pathology noted- mild generalised interstitial Pattern - likely old age related fibrosis/ mild chronic airway inflammation/ loss of lung elasticity.  No nodular -vertebral heart score: 10.5- higher end of normalrecovery smooth. P: sending xrays to internal med for review.11.5yo StaffyX Fn BanksyChronic cough - dry, non productive, mostly with excitement and at night/mornings.  Not with exercise.  Couple mins of coughing every couple hours.  Mild tracheal sensitivity. Has been on doxycycline for 7days now with significant improvement.    NAD with heart auscultation- VHS higher end of normal?  Lung sounds little dull.I suspect mild generalised interstitial Pattern - suspect old age related fibrosis/ mild chronic airway inflammation?  Is it possible you could review if I am missing anything - is the heart look large due to position?02/03/2026 3:44:51 PM CD:sent  to SASH :)    Vital Signs    Weight: 32.3;