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Pathology Report No.: 03-S-5698 Date of Surgery: 07/17/- - - Preoperative Diagnoses 1. Diabetic plantar space abscess of the right foot. 2. Grade 2 diabetic ulceration of the right foot. Postoperative Diagnoses 1. Diabetic plantar space abscess of the right foot. 2. Grade 2 diabetic ulceration of the right foot. Specimen Submitted: Necrotic tissue, right foot. Date Specimen Received: 07/17/- - - Date Specimen Reported: 07/18/- - - CLINICAL HISTORY: Pain and ulceration, right foot; diabetes mellitus. GROSS DESCRIPTION: Received in formaldehyde labeled necrotic material, right plantar abscess are multiple pieces of white, tan, and yellow tissue that are irregular in size and shape. In aggregate it is about 3 cm of tissue. Selected pieces are submitted in a signle cassette.
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Mytuyet Huynh
6/21/2012
PATHOLOGY REPORT Patient Name: Mark L. Smith Patient ID: 03-S-5698 Date of Surgery: 07/17/- - - Page 2
MICROSCOPIC DESCRIPTION: There is acute and chronic inflammation and granulation tissue. These changes are consistent with an abscess cavity. MICROSCOPIC DIAGNOSIS: Soft tissue from plantar surface of right foot debridement: Acute and chronic inflammation and granulation tissue.
Mytuyet Huynh
6/21/2012