C09993268 / invoice 10000

Reviewer

Species:CANINE

Breed:Cavalier King Charles Spaniel

Age (years):8

Diagnosis or signs:Checkup

Consult notes

05/03/2026 H: when in for mavis, noted lump on r.lat flan region. 
o hasnt noted prev. 
legs going well. 

S: BAr
O: t 38.2, hr 98, grade 2 murmur. mms pink, crt 1-2 secs, pulses ok.
lungs clear.
eyes nad
ers nad
lns and
skin nad
abdo nad
ms nad
urogen and xternally. 

r.late flank, just caudal to ribs. mobile soft sc lump. pos sudner muscle layer. slightly difficult to feel borders cranialy. 
on aspiration, only fat obtained. 

A; lipoma? other? liposarc?

P; at this stage main suspicion is lipoma. discussed liposarcoma. monitor for any change, will recheck whenever in for mavis' anal glands. if any alteration, then recc removal and histo.

Animal clinical history (3 most recent)

2026-03-05T00:00:00Z 17:04:19

H: when in for mavis, noted lump on r.lat flan region. 
o hasnt noted prev. 
legs going well. 

S: BAr
O: t 38.2, hr 98, grade 2 murmur. mms pink, crt 1-2 secs, pulses ok.
lungs clear.
eyes nad
ers nad
lns and
skin nad
abdo nad
ms nad
urogen and xternally. 

r.late flank, just caudal to ribs. mobile soft sc lump. pos sudner muscle layer. slightly difficult to feel borders cranialy. 
on aspiration, only fat obtained. 

A; lipoma? other? liposarc?

P; at this stage main suspicion is lipoma. discussed liposarcoma. monitor for any change, will recheck whenever in for mavis' anal glands. if any alteration, then recc removal and histo.

Previous claim history (33)

Date	Claim #	Diagnosis
2026-02-25	C09963364	ARTHRITIS
2026-02-19	C09928948	PRURITUS - PRESENTING COMPLAINT
2026-02-09	C09877019	CORNEAL ULCER
2026-02-04	C09853570	CORNEAL ULCER
2026-01-27	C09813009	ARTHRITIS
2026-01-21	C09792039	ARTHRITIS
2026-01-14	C09759150	ARTHRITIS
2026-01-07	C09724924	GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2021-10-13	C4150835	VACCINATIONS OR HEALTH CHECKS
2021-09-08	C4057358	VULVA ATROPHY/FOLD DERMATITIS
2021-09-01	C4045253	VULVA ATROPHY/FOLD DERMATITIS
2021-04-19	C3680584	EAR INFECTION
2021-03-03	C3566800	LAMENESS LH
2020-12-30	C3404948	EAR INFECTION
2020-12-29	C3436604	Assessment - Non Routine
2020-12-22	C3394391	URINARY TRACT INFECTION (UTI)
2020-11-10	C3300143	EAR CONDITIONS
2020-05-04	C2882317	LAMENESS LF
2020-02-21	C2748389	GASTRITIS
2020-02-20	C2746266	VOMITION
2020-02-20	C2747112	GASTRITIS
2020-01-04	C2651125	DERMATITIS
2019-10-08	C2484608	OTITIS EXTERNA
2019-09-20	C2466098	PATELLA LUXATION
2019-08-13	C2385238	ANAL SACCULITIS
2019-08-12	C2383389	ANAL SACCULITIS
2019-07-17	C2340852	SCOOTING
2019-06-07	C2272240	LAMENESS LF
2019-05-28	C2266320	SCOOTING
2019-03-26	C2201604	SCOOTING
2019-01-25	C2043268	DESEXING
2019-01-25	C2043268	HEARTWORM CONTROL
2019-01-25	C2043268	DENTAL ILLNESS TREATMENT

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation-revisit	96.30	2026-03-05	—

UPM+

DG02574LIPOMADSTP_lipoma

Variant (sleepy_king)

LIPOMA

DSTP_lipoma

Conf: 0.310

Threshold: 0.15

Above: ✓

Correct?

Yes No