C09996300 / invoice 10000

History:Presented for mass check. Mass. Near the hip. Has been there for more than a year. Seems to be bigger in size. EDDU nad. No change in activity levels. Up to date with preventatives. Examination:BAR, BCS 5/9, MM pink, moist, CRT <2s, dental grade II/IV - particularly the carnassialsHR=132, pulses strong and synchronous, no arrhythmia or murmur heardRR=panting, normal chest excursions, lung fields clearComfortable on abdominal palpation, PLNs unremarkableRectal temperature not performedPoint of left hip. ~1 cm wide firm raised slightly white dermal mass. Laboratory: Cytology - cheesy white material in an oily background obtained - cellular debris and lipocytes seen on cytologyAssessment:Sebaceous cystPlan:Recommend dental. Excise mass at the same time. Estimate provided.    Vital Signs    Weight: 15.5;