Test Results

Facility: _______

Ordering Physician: Dr. _______

Indication: Headaches, vision changes

Findings

[Copy key findings from radiology report here]

• Mass identified at clival region
• Size: Approximately ___ x ___ x ___ cm
• Extension into: [note any spread to adjacent structures]
• Compression of: [brainstem, nerves, etc.]

Impression

_______ mass suspicious for chordoma vs. _______. Clinical correlation and biopsy recommended.

My Notes

[Your personal notes, questions, reactions to this finding]

Facility: _______

Ordering Physician: Dr. _______

Indication: Post-operative follow-up

Findings

• Expected post-surgical changes at [location]
• Residual tumor: [none/present]
• Surgical bed: [description]
• Complications: [none/hematoma/edema/etc.]

Comparison

Compared to pre-operative MRI from [date]: [tumor removed/reduced/unchanged]

Specimen: Clival mass biopsy

Pathologist: Dr. _______

Diagnosis

Chordoma, conventional type

Microscopic Description

[Summary from pathology report - physaliphorous cells, cords and lobules, etc.]

Immunohistochemistry (IHC)

Marker	Result	Notes
S-100	Positive	Supports chordoma diagnosis
EMA	Positive	Epithelial marker
Brachyury	Positive	Specific for chordoma
Ki-67	___%	Proliferative index

Test	Result	Reference Range	Status
CBC - WBC	_____	4.5-11.0 K/μL	_____
Hemoglobin	_____	13.5-17.5 g/dL	_____
Platelets	_____	150-450 K/μL	_____
PT/INR	_____	0.9-1.1	_____
PTT	_____	25-35 sec	_____
Creatinine	_____	0.7-1.3 mg/dL	_____
Type & Screen	Type: ___	-	-