Sir Ganga Ram Hospital

Patient's Name: Mr. Deepak Sood Date : 07.08.2018

r
ABDOM|NAt ULTRASOUNp

Liver shows coarse parenchymal echotexture with surface irregularity. Shear Wave
LTltrasound Liver Elastography was performed. The average liver stiffness is 115.03 kPa -
suggestive of severe fibrosis. Small amount of fluid is seen at the superior surface of the
liver. There is no dilatation of the intrahepatic biliary radicals seen.

Portal vein diarneter is 1lmm. It shows normal hepatopedal flows with mean velocity of 29cmsls
and volume flow of 1.1 litre/min.

I{epatic afiery is prominent, shows peak systolic velocity of 115 cms/s and RI of 0.64.
llcpatic veins show triphasic spectral trace.

No calculus is seen.
ommon duct is normal.
Pancreas has normal echopattern.
lloth kidneys appear normal in size, shape and echotexture. Right kidney measures 11.8x5.1cms.
Left kidney measures 12.7x5.8cms. There is no dilatation of pelvicalyceal system or caleuli
seen on either side.
Spleen is enlarged in size and meaiures 15.7cms. Echotexture is homogenous.

t\

Appe:iiances are suggestive of chronic liver disease with portal hypertension. :

l!

Dr. k Chawla
Sr. Consu\tant, Ultrasound Department
 INSTITUTE OF LIVER, GASTROENTEROTOGY AND PANCREATICO BIIIARY SCIENCES
SIR GANGA RAM HOSPITAL NEW DETHI

Ffibf'o*:*,t".
Examination rePort
rrsTrTuTlol{
1 srR
TR
GATaGA
G$'€A N'il
n^rr rFSPrr^r-
HOEPTTTL XAIG
RAEIS€T TT6AR
TTO(FO
'€IiOCLHI

PATTCIIT

First Name DEEPAKSOOD

Age/Gender 58/MAtE

Date 4lO2l2Ot9
,!
Referred by DR PIYUSH RANIAN

Code FS1903:14

EXAMINATION

Operator DR PRAKAS}ICHAND

Median r:.0

IQR'l 5.9

IQR*/med

CAP 234

Comnent

i'!(S{ai$ ba nvdittldeffe tftdd 6&l ard br UE lFry4ci of pau* dl u,s ti*ra bt s ld wre., fi€
uagrernm $Ert h F{snd
yddr! +{i,r J md h itftr?ntd ry a logq rO tve gt4. htrB is mut dE @& nrdd
fi|*tn Wffi n tG d k p*& t.
r;,qxf : :tii 3.leffulrfftt ud Ug &i{1i6t PF0nuS hffid
a@dq b $e riH6(UrfsRd|ua|hfrE
I INSTITUTE OF LIVER, GASTROENTEROLOGY AND PANCREATICO BILIARY
'3' sclENcES
SIR GANGA RAM HOSPITAL NEW DELHI

FIBROSCAN IN LIVER DISEASE

fibrosis in
Liver stiffness as measured by transient elastography correlates with advanced
and many other
patients with chronic hepatitis B, C or non-alcoholic fatty liver disease(NAFLD)
causes of liver disease and cutoffs vary according to the etiology of liver disease.

Liver stiffness in normal adults is <5 to 6kPa.

Optimal Cutoff Optimal cutoff

for diagnosing significant for diagnosing cirrhosis
fibrosis

Chronic HBV infection 7-8 kPa 10-11 kPa

Chronic HCV infection 7-8 kPa 11-12kPa

Nonalcoholic fattY liver

disease(NAFLD) 6-7 kPa 1 0-1 1 kPa
I or no fibrosis from those with
significant fibrosis. A linear correlation with increasing fibrosis does not occur' and
15-2Oo/o

discordance between elastography scores and histologic fibrosis may occur'

patients with minimal
Ultrasound elastography does not distinguish patients with no fibrosis from
fibrosis. Advanced fibrosis may be underestimated and patients with macronoduolar cinhosis
may be classified as non-cirrhotic.

Fibrosis may be overestimated in patients with extrahepatic cholestasis, acute hepatocellular

injury or after heavY meals.

Liver Fat:

Controlled attenuation parameter(CAP) correlates with fat content of the liver.

Optimal cutoff values of CAP for prediction of >33% and >66% fat in liver are 255-260d8/m and
290-295dBim respectivelY.

lf the values of one or both liver stiffness and CAP are abnormal, the individual is advised to be
under regular follow uP.

(Consultant)
 r5l DR. suRI LAB
DR. J,5. SURI
r'4.8.8.S., M.D. (Path.) Aill'1S
Intemational Fellow CAP
Pathologist
DMC Reg. No. 12496

DR. PRADEEP SINGH SURI

ffi PRIVATE LIMITED
M.B.B.S., M.D. (Path.) MAMC, MBA(HCA) FMs
23 B, PUSA ROAD, NEW DELHI.IIO OO5 INDIA
Pathologist
DMC Regn. No. | 5069 TEL.: 47533 654, 401 | I 85 l, 257397 17, 25863072
DR. (MRS.) AVTNASH SURI
M.B.B,S., M.S. (Gynae.&Obsl)
Gynaecologist & Obnetrician
DMC Regn No. 12497

S.No. 190309018 Perm No. : 12609

Name Mr. DEEPAK SOOD Age / Sex : 58 Yrs / Male
Ref. Doctor DT.PIYUSH MNJAN Sample Type : CITMTE

Reg. Datefflme 0910312019 8:57 Coll. Datefiime: 09J03120t9 8:59

Print Dateffime 09103120L9 16:13

HAEMATOLOGY TEST REPORT

Investigations Result Units Method

PROTHROMBINE TIME
Test tz.t sec. COAGULATION

Control 11.5 sec.

ISI 1.00

PROTHROMBIN MTIO 1.05

//
I.N.R. 1.05 -v/
--End Of Report--

\lv-h
Dr.Pradeep S. Suri
W--
Dr.J.p. Suri
Page I of2
 DR. suRI LAB
DR. J. 5. SuRl
M.B.B.s., fi.D. (Path.) AIrMS
International Fellow CAP
Pathologist
DMC Regn. No. | 2496
fl'a
,,#; PRIVATE LIMITED
DR. PRADEEP SINGH SURI
|Y.8,8.5.. M.D. (Path.) MAMc,IYBA(HCA) f Ms
23 B, PUSA ROAD, NE\^/ DELHI-IIO OO5 INDIA
Pathologist
DMC Regn. No. | 5069 TEL.: 47533 654, 40 | | 185 |,25739717,25863A72
DR, (MRS.) AVTNASH SURI
M,B.B.S., M.5. (Gynae. & Obst,)
Gynaecologist & Obstetrician
DMC Regn. No. | 2497

S.No. 190309018 Perm No. : t2609

Name Mr. DEEPAK SOOD Age / Sex : 58 Yrs / Male

Ref. Doctor DT.PIYUSH MNJAN Sample Type : SERUM

Reg. Dateffime 0910312019 8:57 Coll. Datefl-ime: 0910312019 8:59

Print Datefl-ime 09103120L9 16:13

BIOCHEMISTRY TEST REPORT

LIVER FUNCTION TEST
Investigation Result Units Biological Ref. Interual Method
S.BIURUBIN 3.40. mg/dL 0.2-r DIAZO SALT

s.BTURUBIN (DIRECT) t.80 t mg/dL 0-0.6 DIAZOREACNON

S.BIURUBIN (INDIRECT) 1.60 mg/dL 0.1 - 0.5

5 -34 NADH
s.G.o.T. 104 UIL
0-55 NADH
S.G.P.T. 54 UIL
S.ALKAUNE PHOSPHATASE 22L UIL s0 - 136 P.NPP

S.PROTEIN 7;-- 9m/dL 6.4 - 8.2 BIURET

S.ALBUMIN /r; )
\_6 gm/dL 3.4-5 BCG

S.GLOBUUN 9m/dL 2-4

A/G RAIO 0.58 :1 l-1.8
L-GG-3.C4.N SUBSTRATE
S.GGTP 22 UIL 5-85
--End Of Report--

Dr.Pradeep S. Suri
Page2 of2
MAMC M.B.B.S M.D.(Path.)
t- ;i
Dn. J, S.3unr
M.B.B.S., M.D. (Path.) AIIMS
International Fellow CAP
Pathologist
DMC Reen. No. | 2496

DR. PMDEEP SINGH SURI

tr
ffi
DR. SURI LAB
PRIVATE LIMITED
l'1.8.8.S., M.D. (Path.) MAMC,IvIBA (HCA) FrYs
23 B, PUSA ROAD, NEW DELHI.IIO OO5 INDIA
Pathologisl
DMC Regn. No. 15059 TEL.: 47533 654, 4Ol | | 85 l, 257397 17, 25863072
DR. (MRS.) AVINASH SURI
M.B.B.S., M.S. (Gynae. & Obst.)
Gynaecologist & Obstetrician
DMC Regn. No. 12497

S.No. 190309018 Perm No. : 12609

Name Mr. DEEPAK SOOD Age / Sex : 58 Yrs / Male
Ref. Doctor DT.PIYUSH MNJAN Sample Type : EDTA

Reg. Dateffime 09103120L9 8:57 Coll. Datefl-ime: 0910312019 8:59

Print Dateflime 09103120t9 16:13

XPERT HCV VIRAL LOAD

Result llnits Method
Investigations
XPERT HCVVIRAL LOAD ASSAY
HCV NOT DETECTED

TEST COMMENTS :
Hepatitis C virus (HCV) is a single stranded RNA virus with a genome of 9500 nucleotldes.
INTENDED USE :
The Xpert HCV VIRAL LOAD Assay, performed on GeneXpert instrument systems, is designed for
the rapid quantitation of Hepatitis C Virus (HCV) RNA in human serum or plasma from
HCV-infected individuals. The test utilizes autornated reverse transcriptase pclymerase chain
reaction (RT-PCR)to detect the RNA of interest for the quantitation of HCV'
The Xpert HCV VIRAL LOAD Assay quantifies HCV genotypes 1-6 over the range of 10 to
1OO,ObO,O0O IUlmL. The Xpert HCV VIRAL LOAD Assay is intended for use as an aid
in the
lttdrld9YrLtYlrL Ltc\/ infocrad nafients undergoi-ng antiviral-
r v!nr rrv therapy. The test measures HCV RNA
levers at basel-ine and during treatment and can be util-ized to predict sustainded and
non-sustained virological responce to HCV therapy'
Results from the Xpert HCV VIRAL LOAD Assay may afso be used to confirm HCV infection in
anti-HCV positive individuafs. In anti HCV positive individuals who test negative for HCV
RNA, use of another HCV antibody assay may be considered for distinction between
true HCV
exposure and biofogic false positivity. Repeat HcV RNA testing may be indicated in cases
that have had HCV exposure in the last 6 months or have clinical evidence of HCV disease'

--End Of Report--

Dr.J.S. Suri
Page I ofl M.B.B.S M.D.(Path.) MAMC M.B.b.S M.D.(Path.)
802968 - Dr. Suri Path Lab
03/09/19 11:26:46

Test Report

Patient lD*: 190309018

Sample lD: Xpert-H 030919093858
Test Type: Specimen
Sample Type:

Assay lnformation

Xpert-HCV Viral Load In Vitro Diagnostic

Test Result: HCV NOT DETECTED

HCV -1 NEG
IQS.H 207 PASS
IQS-L 287 PASS

User: Dr. Suri Path Lab

StatUs: DOne Start Time: 03/09/19 09:4f:01
Expiration Date*: 05/05/19 End Time: 03/09/19 11:26:32
S/VV Version: 4.8 lnstrument S/N: 802968
Cartridge S/N*: 248716518 Module S/N: 692219
Reagent Lot lD*: 322102 Module Name: A3
Notes:
Error Status: OK

Tech. Initial/Date Supervisor I nitial/Date

* indicates that a particular field is entered using a barcode scanner

For In Vitro Diagnostic Use OnlY.

GeneXpert@ Dx System Version 4.8 Page 1 of 1

 @". g,Qg,wg?-,i,^*
I Gastroenterologist, Hepatologist & Therapeutic Endoscopist
I Senior Consultant & Vice Chairman, Department of Gastroenterology
Sir Ganga Ram Hospital, New Delhi
GRIPMER,

Glinic: Clinic:
SIR GANGA RAM TIOSPITAL GASTRO & LIVER CLINIC
Private OPD, Room No.F-93, Flat No. 58, DDA Flats Pocket-7,
10.00 a.m. to 2.00 p.m. Sector-1 2, Dwarka, New Delhi-75
Monday. to Saturday. Timings :7.3O. p.m. to 9.30 p.m. Mon - Sat.
For Appointm ent : 42254000, 25750000 For Appointment : 9818689805, 9971470417
42251129. 42251130

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 DR. l. S. SuRl
rq.e3.d, la.ol(p"th.) erMs
lnermtioml Fellow,CAP
hrdo$st
:I: DR. ST
PRIV ATH
..,::.j
Di{C Regn No. 12496

DR PRADEEP SINGH SURI

MSS'S-M.D. (Padr.) M Hc, MBA (HCA) FMs
23 B, PUSA ROAD, NEW
P*dogist
D}ERegn tlo 15069 l,
TEL.: 47533 654, 401 | | 85
DR. (HRS.) AVTNASH SURI
mA.95H5{qoae&ObsL) a:.a

Qrtaobgi* a Obstetrician
B€btrltb.

S-No. 190330010 Perm No. : 12609

Name Mr. DEEPAK SOOD Age / Sex _ : 58 Yrs/ Male

Rd. Docbr T)r.PInJSH MNJAN Sample Type : CITMTE

Reg. Da@fl-ine 30lo3l20t9 8223 Colf. Datefiimez 30103120t9 8:25

Print Dateflime 30103120t9 L4:2L

HAEMATOLOGY TEST REPORT

Investigations Bs|llt Units Method

PROTHROMBINE TIME
18.2 COAGULATION
Test sec.
Control 11.5 sec.
ISI 1.00

PROTHROMBIN RATIO 1.58

I.N.R. 1.s8 ;q
SAI{PLE RE-CHECKED.
---End Of Report--

.l
Dr.Pradeep S. Suri
YL--
Dr,I.S. Suri
 DR. J. S, SuRl
M.B$.s., M.Df (Path.) AllMs
International Fellow CAP
Pathologist
DMC Regn. No. I 2496

DR. PRADEEP SINGH SURI

PRIVATE LIMITED
M.B.B.S., M.D. (Path.) MAMC, MBA (HCA)
Pathologist
FMs
23 B, PUSA ROAD, NEW DCIUI-IIO OO5 INDTA
DMC Reg. No. 15069 TEL.: 47533 654,4A1 | 185 1,257397a7,25e63072
DR. (MRS.) AVTNASH SURr
M.B.B.S., M.5. (Gynae. & Obst.)
Gynaecologist & Obstetrician
DMC Regn. No. I 2497
--=ZZ

S.No. 190330010 Perm No. : 12609

Name Mr. DEEPAK SOOD Age / Sex : 58 Yrs / Male
Ref. Doctor DT.PIYUSH MNJAN Sample Type : SERUM

Reg. Dateflime 3010312019 8:23 Coll. Datefiime: 30103120t9 8:25

Print Datef-ime 3010312019 r4:2I

BIOCHEMISTRY TEST REPORT

LIVER FUNCTION TEST
Investigation R.esult Units Biological Ref. Interval Method
S.BIURUBIN 3.30 mg/dL 0.2-l DIAZO SALT

s.BruRUBrN (DTRECT) 1.80 t mg/dL 0-0.6 DIAZOREACTION

s.BrLrRUBrN (rNDrRECr)
s.G.o.T.
@65
mg/dL
UIL
0.1 - 0.5
5-34 NADH

S.G.P.T. 35 UIL 0-55 NADH

S.ALIGUNE PHOSPHATASE 195 UIL 50 - 136 P.NPP

gm/dL 6.4 - 8.2 BIURET

S.PROTEIN

S.ALBUMIN
/a\
7.3

\7 gm/dL 3.4-5 BCG

S.GLOBULIN 4.70 gm/dL 2-4

A/G MTIO 0.55 :1 1-1.8
S.GGTP 20 UIL s-85 L-GG-3.C4-N SIJBSTRATE

--End Of Report--

Dr.Pradeep S. Suri
Page 3 of3
 DR. st
DR. J. S._SURI
M.86.5., M.D.-(Path.) AIIMS
krerrntiond
Pdtobgist
Dl.lCR4nNo.
DR
Fetlow, CAP

12496

PRADEEP SINGH SURI

l'5l
ffi PRIVATE
l,tBls-H.D.("dr) HAMC,MBA(HCA) FMs 23 B, PUSA ROAD, NEW DELHI.I
Wr@ist
Dt{CRetrhb lYb9 l,
TEL.: 47533 654, 4Ol | 185
DR (HRs.) AVTNASH SURI
|.tg.Bs-lr.s(qree&Ob6t)
96sobel*&Obffikian
Dt{cRqn}le

S.No. 190330010 Perm No. : 12609

Name Mr. DEEPAK SOOD Age/ Sel< : 58 Yrs / Male

Ref. Doctor DT.PIYUSH RANIAN Sample Type : SERUM

Reg. Dateflime 301o3120L9 8:23 Coll. Datef ime: 3010312019 8:25

Print Dateftime 30lO3l2OL9 t4:21

BIOCHEMISTRY TEST REPORT

Investigation Result tlnits Biological Ref. Interval Method

S.LIPASE t17 Ult t3-42
S.AMYI.ASE s6 ulL 37 - r25
--End Of Report-

n
\l

Dr.Pradeep S. Suri
r---
Dr.J.S. Suri
 ffi

DR. ST]RI LAB

DR. J. S. SuRl
M.B.B.S.ufl.D. (Path,) Al IMS
'lnternational Fellow CAP
Pathologist
DMC Regn. No. 12496

DR. PRADEEP SINGH SURI

l'1.8.8.5., M.D. (Path.) MAHC, MBA(HCA)
re
ESTD. | 980 PRIVATE LIMITED
Pathologist
FMs
23 B, PUSA ROAD, NEw DELHI-IIO OO5 INDIA
DMC Regn. No. | 5059 TEL.: 47533 654, 401 I I 85 a, 257397 17, 25863072
DR. (MRS.) AVTNASH SURI
M.B.8.5., M.5. (Gynae.& Obst)
Gynaecologist & Obstetrician
DMC Regn- No. | 2497

S.No. 190s09008 Perm No. : 12609

Name Mr. DEEPAK SOOD Age / Sex : 58 Yrs / Male

P.ef. Doctor DT.PIYUSH MNJAN Sample Type : SERUM

R.eg. Dateffime 09J0s12019 8:22 Coll. DatefFime: 0910s120t9 8:29

Print Dateflime 0910512019 15:10

BIOCHEMISTRY TEST REPORT

LIVER FUNCTION TEST
Investigation Result Units Biological Ref.Interufl Method
S.BILIRUBIN 3.50 mg/dL 0.2-1 DTAZO S,\LT

s,BrLrRUBrN (DrRECr) 2.10 mg/dL 0-0.6 DIAZO REACTION

S.BILIRUBIN (INDIRECT) 1.4o mg/dl 0.1 - 0.5

s.G.o.T. eo ulL 5 -34 NADH

S.G,P.T. 44 UIL 0-55 NADH

S.ALKALIN E PHOSPHATASE 222 ulL 50 - 136 P-NPP

S.PROTEIN 7.2 gm/dl 6.4 - 8.2 BruRET

S.ALBUMIN 2.6 gm/dl 3.4-5 BCG

S.GLOBULIN 4.60 gm/dl 2-4

A/G RATIO O.57 :1 l-1.8
S.GGTP 2t UIL 5-85 L.C'G.3.C4.N SUBSTRATE

-*.End Of Report--

Dr.Pradeep S. Suri Dr.J.S. Suri

 DR. J. S. SuRl
M.8.8.5., M.D. (Path.) AIIMS
' lntemd*onal Fellow CAP
n-ff DR. SURI LAB
Pathologist
DMC Regn. No. I 2495

DR. PRADEEP SINGH SURI

ffi PRIVATE LIMITED
M.B.B.S,M.D. (Path.) MAMc, MBA(HCA) FMs 23 B, PUSA ROAD, NEW DELHI.IIO OO5 IND'IA
Pathologist
DMC Regn. No. I 5069
TEL.: 47533 654. 4ol | | 85 l, 25i397 17, 25853A72
DR. (MRS.) AVINASH SURI
M.B.B.S., M.S. (Gynae. & Obst.)
Gynaecologist & Obstetrician
DMC Regn. No. | 2497
a.-=a=

S.No. 190509008 Perm No. : 12609

Name Mr. DEEPAK SOOD Age / Sex : 58 Yrs / Male
Ref. Doctor DT.PIYUSH MNJAN Sample Type : CITMTE

Reg. Dateflime 09i0sl2019 8:22 Coll. Dateffime: 09/05/2019 8:29

Print Date/Time 0910s12019 15:10

HAEMATOLOGY TEST REPORT'

Inveslisatiotrs R.esult Units Method

PROTHROMBINE TIME '

COAGULATION
Test 18.5 sec.

- Control 11.5 sec.

ISI 1.00

PROTHROMBIN RATIO 1.61

I.N.R. 1.61

SAi'iPi,E RE-Cbi$CiiEi' .

--End Of Report--

n
Dr.Pradeep S. Suri
s---
Or.f.S. Suri
 @*. g,*/) g,WgL"Vh*,*
FD Gastroenterologist, Hepatologist & Therapeutic Endoscopist
senior consultant a vlce chairman, Department of Gastroenterology
Sir Ganga Ram HosPital, New Delhi
Glinic:
Clinic :
GASTRO & LIVER CLINIC
SIR GANGA RAM HOSPITAL Flat No. 58, DDA Flats Pocket-7,
Private OPD, Room No.F-93' Sector-1 2,Dwarka, New Delhi-75
'10.00 a.m. to 2.00 P.m.
Timings :7.30. p.m. to 9.30 p.m. Mon - Sat'
Monday. to SaturdaY. For Afpointment : 981 8689805, 9971470417
For Appointm ent : 42254000' 25750000
42251129. 42251130

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www.artemishospitals.com

Dr €iriraj Bora Dr Ramdip Ray Dr Shyam Mahansaria

MBBS, MS, MCh {Gl Surg}, Fellowship in Uver Transplant MBSS, Mt MRCS {lngl, Fellowship in Liver Tr3nsplant MBBS, MS, MCh t HPB Surgery )

Sr Consultant & Joint Chief 5r Consultant & Joint Chief Consultant Surgeon

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A ,{), t Artemis Hepital {A unit of Artemis Medicare Services Ltd.}
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, Emergency & Trauma: +91-124-4588 888
Flegistered Omce: Plot l'lo. 14, Sector ?O, Owa*a, New Delhi -
CIN: U8511{EL2OO}PLC126414 | GST:06AAFCAOT3OM1Z1{HR!.
ll&75| Corporate OfFce: Artemis Hospital, Sector 5L Gurug€m - 12?00L Hary3na, hdia
OTAAFCAOI3OMIZZ{DEI} | TAN: D€LA16O48€ | HN: MFCAOl30tvl I Emait: infu@artemisl$oitals.com ffit