C09996597 / invoice 10000

Appointment Reason: Check Lump, Appointment Notes: Lump closer to back seems to have grown O wanting to know plan going forward LDG*Waiting in carpark, in with ChristineHistory: Thinks lump on RHS has grown in size - previously FNA'd as lipoma Unsure if it is causing him any issues currently, doesn't seem to bother him Have noticed he can't go for really long walks, gets tired Diet - cooked chicken/turkey, veggies, grazes on dry food Don't want to put him through sx unless necessaryObjective: BAR, well behaved todayIntegument: - RHS mid-caudal lateral abdomen: ~7cmx6cm capsulated soft, mobile sc mass - LHS mid-thoracic wall behind elbow: ~6cmx 5cm capsulated soft, mobile sc mass Eyes/ears/nose - nadOral: MMs P+M, CRT <2secThorax: no murmurs detected, lung fields clear Assessment: Overweight BCS 7-8/92x masses - previously FNA'd as suspected lipomasOptions discussed: 1/ 2x surgical lump removal, est $2.5k2/ Monitor, weight loss O opted for option 2.Plan: Recommended weight loss as starting point to see if this helps his exercise tolerance. RV if mass continuing to grow or if causing him any discomfort 06/03/2026 1:32:17 PM KM:Requested LDG to process P/I    Vital Signs    Weight: 42.3;