Medical Pathology Report Form

Basic Report Information

Patient Name

Specimen Number

Age

Gender

Male Female

Ref By

Received Date

Date Reported

Nature of Specimen

Report Status

Clinical Data

Gross Description

Microscopic Description

Diagnosis

<ul><li class="ql-align-justify">Gastric mucosa showing mild atrophy with superficial erosions and moderate infiltration by lymphocytes and plasma cells. Lymphocytes aggregate in some foci to form lymphoid follicles with active germinal centers. Neutrophils are seen infiltrating glands thus indicating activity. H. pylori characteristic forms are present. There is no evidence of intestinal metaplasia, atypia or malignancy.</li><li class="ql-align-justify">Ileal mucosa showing mild infiltration by lymphocytes and plasma cells with follicles. Villi are intact and are negative for atrophy and ulceration. No evidence of specific granulomas. No evidence of malignancy.</li><li class="ql-align-justify">Intact colonic mucosa mildly infiltrated by lymphocytes and plasma cells with lymphoid follicles. Mucigenic cells are intact. Some neutrophils are seen infiltrating glands but there is no evidence of crypt abscesses. No evidence of atypia or malignancy.</li></ul><p class="ql-align-justify"><br></p>

Image Width (px)

Image Height (px)

Image Position

Template

المسافة الفارغة من أعلى الصفحة عند عدم استخدام قالب Header Space (mm)

Generate PDF