C09986607 / invoice 10000

Reason: 3 Lumps Found By O RWAppointment Notes: L side armpit, chest and R side, using gap Overdue remindersHistory:Right side of chest caudally near last rib Ventral chest massRight axilla Examine:COAT/SKIN: 1) right thorax caudally near last rib small 5 cent piece mass2) dental chest small grape sized3) left lateral ventral chest at the levels of the left elbow All FNas consistent with lipomaEYES/EARS: no abnormality detected, ears and eyes clean and clearMOUTH/TEETH: Oral exam normal, no mouth pain, dental score:1HEART: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousLUNGS: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeABDOMEN/DIGESTIVE/URINARY: no abnormality on palpationCNS/MUSCULOSKELETAL: normal palpebrals and menace bilaterally; ambulating normally, no palpable neck pain, spine, limb, joint painPeripheral Lymph Nodes: no abnormality on palpationWEIGHT/DIET: Body Condition Score:REPRODUCTIVE: no significant abnormalitiesOther:Worming/Heartworm/Flea control status:UTDNutrition:Laboratory:  See aoveDifferential Diagnosis:3 x lipomasPlan:Monitor size and if growing rapidly recom surgical removal and histo GapGap Only Summary:Pet Primary Diagnosis/Suspected Diagnosis/Location:3 X lumpsSuspect cause:lipomas X3Any other conditions being treated (if any):nilKnown health concerns:nilDate of first clinical signs (if known):3/3/26    Vital Signs    Weight: 9.4;