C09988246 / invoice 10000

Species:CANINE
Breed:Australian Shepherd
Age (years):8
Diagnosis or signs:Consultation
Consult notes
05/03/2026 History:
- Presented for vaccination and checkup
- New hard lump noted on back of neck by owner

Physical Exam Findings:
Oral Cavity: Excellent dental health
Integument: Hard lump palpated on dorsal neck

Diagnostic Results:
- Fine needle aspirate performed on neck lump
- Cytology: sebaceous cyst - accumulation of sebaceous material producing cells; benign

Assessment:
- Problem list:
1. Sebaceous cyst - benign

Plan:
- Kennel cough vaccination administered
- Leptospirosis vaccination administered
- Heartworm vaccination and test administered
- PrevectoQuantum administered
- Worming tablet administered
- Monitor cyst; removal only if becomes problematic or if under anaesthesia for another procedure

Communications:
- Discussed FNA procedure and cytology results with owner
- Advised cyst is benign and can be left in place
- Discussed that cyst may be removed if Milo goes under anaesthesia for another reason, or if it becomes a nuisance (e.g., bursts from scratching)
- No follow-up required for 3 months

Animal clinical history (3 most recent)

2026-03-05T00:00:00Z 09:13:18
History:
- Presented for vaccination and checkup
- New hard lump noted on back of neck by owner

Physical Exam Findings:
Oral Cavity: Excellent dental health
Integument: Hard lump palpated on dorsal neck

Diagnostic Results:
- Fine needle aspirate performed on neck lump
- Cytology: sebaceous cyst - accumulation of sebaceous material producing cells; benign

Assessment:
- Problem list:
1. Sebaceous cyst - benign

Plan:
- Kennel cough vaccination administered
- Leptospirosis vaccination administered
- Heartworm vaccination and test administered
- PrevectoQuantum administered
- Worming tablet administered
- Monitor cyst; removal only if becomes problematic or if under anaesthesia for another procedure

Communications:
- Discussed FNA procedure and cytology results with owner
- Advised cyst is benign and can be left in place
- Discussed that cyst may be removed if Milo goes under anaesthesia for another reason, or if it becomes a nuisance (e.g., bursts from scratching)
- No follow-up required for 3 months

Previous claim history (11)

DateClaim #Diagnosis
2025-03-24C8492440DENTAL (TOOTH) DISORDER
2025-03-22C8487029PAIN - SPINAL - PRESENTING COMPLAINT
2024-11-22C7982581MASS LESION - SKIN (CUTANEOUS)
2024-11-22C7982581LAMENESS LH
2024-03-13C6988790LIPOMA
2024-03-04C6971556FLEA/TICK/WORM CONTROL
2024-03-04C6971556VACCINATIONS OR HEALTH CHECKS
2024-03-04C6971556HEARTWORM CONTROL
2022-11-02C5252607DERMATITIS
2020-12-25C3396582DIARROHEA
2020-06-15C2991478INSECT BITE/STING

Line items(lines with upstream diagnosis are skipped by the model)

LinetstarcAmountDateUpstream diagnosis
10000tstarc_vaccination_(canine)170.502026-03-05
upstreamDSTP_routine_care_-_vaccinations_or_health_checks
20000tstarc_heartworm_control228.002026-03-05
upstreamDSTP_routine_care_-_heartworm_control
30000tstarc_flea_and_tick_control513.002026-03-05
upstreamDSTP_routine_care_-_flea/tick/worm_preventative_medication
40000tstarc_intestinal_worm_control50.452026-03-05
upstreamDSTP_routine_care_-_flea/tick/worm_preventative_medication
50000tstarc_diagnostic_test_-_cytology97.002026-03-05

UPM+

  • DG01606SKIN (CUTANEOUS) CYSTDSTP_mass_lesion_-_unspecified

Variant (sleepy_king)

MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.920
Threshold: 0.44
Above:
Correct?