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330 lines
9.1 KiB
Markdown
330 lines
9.1 KiB
Markdown
---
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type: lab-results
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category: medical
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person: Lu, Yanxin
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date: 2025-05-30
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provider: Howard H Kim, MD
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source: lu_血检_活性.pdf
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---
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# Blood Work & Fertility Labs - Yanxin Lu
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**Patient:** Yanxin Lu | **DOB:** 10/17/1989 | **MRN:** 202192870 | **PCP:** Arthur Yang, MD | **Legal Name:** Yanxin Lu
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**Source:** My CS-Link - Test Details (mycslink.cedars-sinai.org)
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---
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## Provider Messages
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**Howard H Kim, MD** - Jun 3, 2:01 AM
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> Hello,
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>
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> Your hormone labs look OK so far, your testosterone levels are pending.
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>
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> Best,
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> Howard Kim
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**Howard H Kim, MD** - Jun 6, 1:09 AM
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> Hello,
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>
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> Your testosterone levels look OK.
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>
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> Best,
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> Howard Kim
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---
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## ESTRADIOL
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**Collected on:** May 30, 2025 8:11 AM
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| Test | Value | Unit | Normal Value |
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|------|-------|------|-------------|
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| Estradiol, Serum | <15 | pg/mL | < OR = 39 |
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Reference range established on post-pubertal patient population. No pre-pubertal reference range established using this assay. For any patients for whom low Estradiol levels are anticipated (e.g. males, pre-pubertal children and hypogonadal/post-menopausal females), the Quest Diagnostics Nichols Institute Estradiol, Ultrasensitive, LCMSMS assay is recommended (order code 30289).
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Please note: patients being treated with the drug fulvestrant (Faslodex(R)) have demonstrated significant interference in immunoassay methods for estradiol measurement. The cross reactivity could lead to falsely elevated estradiol test results leading to an inappropriate clinical assessment of estrogen status. Quest Diagnostics order code 30289-Estradiol, Ultrasensitive LC/MS/MS demonstrates negligible cross reactivity with fulvestrant.
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REPORT COMMENT: FASTING:YES
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| Field | Value |
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|-------|-------|
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| Authorizing provider | Howard H Kim, MD |
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| Collection date | May 30, 2025 8:11 AM |
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| Specimens | Blood (Blood) |
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| Result date | Jun 04, 2025 7:00 PM |
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| Result status | Final |
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| Resulting lab | QUEST DIAGNOSTICS |
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**Performed At:** 8401 Fallbrook Avenue, West Hills CA 91304, 800-877-2515
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**Lab Director:** Lee H Hilborne, MD
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---
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## FSH
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**Collected on:** May 30, 2025 8:11 AM
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| Test | Value | Unit | Normal Range |
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|------|-------|------|--------------|
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| Follicle Stimulating Hormone | 5.4 | mIU/mL | 1.4 - 12.8 |
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| Field | Value |
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|-------|-------|
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| Authorizing provider | Howard H Kim, MD |
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| Collection date | May 30, 2025 8:11 AM |
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| Specimens | Blood (Blood) |
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| Result date | Jun 04, 2025 7:00 PM |
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| Result status | Final |
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| Resulting lab | QUEST DIAGNOSTICS |
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**Performed At:** 8401 Fallbrook Avenue, West Hills CA 91304, 800-877-2515
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**Lab Director:** Lee H Hilborne, MD
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---
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## LUTEINIZING HORMONE
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**Collected on:** May 30, 2025 8:11 AM
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| Test | Value | Unit | Normal Range |
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|------|-------|------|--------------|
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| Luteinizing Hormone | 4.9 | mIU/mL | 1.5 - 9.3 |
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| Field | Value |
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|-------|-------|
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| Authorizing provider | Howard H Kim, MD |
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| Collection date | May 30, 2025 8:11 AM |
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| Specimens | Blood (Blood) |
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| Result date | Jun 04, 2025 7:00 PM |
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| Result status | Final |
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| Resulting lab | QUEST DIAGNOSTICS |
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**Performed At:** 8401 Fallbrook Avenue, West Hills CA 91304, 800-877-2515
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**Lab Director:** Lee H Hilborne, MD
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---
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## PROLACTIN
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**Collected on:** May 30, 2025 8:11 AM
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| Test | Value | Unit | Normal Range |
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|------|-------|------|--------------|
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| Prolactin | 10.7 | ng/mL | 2.0 - 18.0 |
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| Field | Value |
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|-------|-------|
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| Authorizing provider | Howard H Kim, MD |
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| Collection date | May 30, 2025 8:11 AM |
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| Specimens | Blood (Blood) |
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| Result date | Jun 04, 2025 7:00 PM |
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| Result status | Final |
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| Resulting lab | QUEST DIAGNOSTICS |
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**Performed At:** 8401 Fallbrook Avenue, West Hills CA 91304, 800-877-2515
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**Lab Director:** Lee H Hilborne, MD
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---
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## SEMEN ANALYSIS
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**Collected on:** May 29, 2025 12:00 PM
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### Provider Message
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**Howard H Kim, MD** - May 30, 1:33 AM
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> Hello,
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>
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> Your motility and morphology improved, but your count decreased. Overall not significantly changed, perhaps total motile count is somewhat lower. Let's see what your other tests show.
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>
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> Best,
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> Howard Kim
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### Collection Data
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| Parameter | Value |
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|-----------|-------|
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| Abstinence Period | 3 days |
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| Collection | Masturbation |
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| Container | Sterile and Non-Toxic |
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### Semen Data
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| Parameter | Value | Unit | Normal Value | Flag |
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|-----------|-------|------|-------------|------|
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| Volume | 4.6 | mL | >1.4 | |
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| Viscosity (graded 0-4) | 2 | | <3 | |
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| Liquefaction Time | 30 | min | <61 | |
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| pH | 8.0 | | >7.1 | |
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| Agglutination (graded 1-4) | <1 | | <1 | |
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| Round Cells | <1 | x10E6/mL | <1 | |
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Lower Ref Limit for Volume = 1.5 (1.4 - 1.7)**
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### Sperm Data
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| Parameter | Value | Unit | Normal Value | Flag |
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|-----------|-------|------|-------------|------|
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| Concentration | 13 | x10E6/mL | >14 | **Low** |
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| Total Sperm Count/Ejaculate | 60 | x10E6 | >38 | |
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| Total Percent Motility | 69 | % | >39 | |
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| Progressive Motility | 62 | % | >31 | |
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**Concentration Note:** OLIGOSPERMIA. Lower Ref Limit = 15 (12 - 16)**
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Lower Ref Limit for Total Sperm Count = 39 (33 - 46)**
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Lower Ref Limit for Total Percent Motility = 40 (38 - 42)**
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Lower Ref Limit for Progressive Motility = 32 (31 - 34)**
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### Sperm Morphology (STRICT CRITERIA)
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| Parameter | Value | Unit | Normal Value |
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|-----------|-------|------|-------------|
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| Normal Sperm | 4 | % | >3 |
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| Abnormal Sperm | 96 | % | <97 |
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Lower Ref Limit for Normal Sperm = 4% (3% - 4%)**
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**Abnormal Sperm Breakdown:**
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| Defect | Percentage |
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|--------|-----------|
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| Abnormal Acrosomes | 26% |
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| Elongated/Tapered Head | 4% |
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| Amorphous Heads | 40% |
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| Round Heads | 3% |
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| Microcephalic/Pin Heads | 4% |
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| Macrocephalic Heads | 5% |
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| Midpiece Defects | 7% |
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| Tail Defects | 7% |
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### Comment
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**SPERM MORPHOLOGY NORMAL**
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** 95% Confidence Interval
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Reference values for Sperm Data are per World Health Organization (WHO) 5th Ed (2010) Standards.
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Performed by Cedars-Sinai Reproductive and Outpatient Laboratory
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444 South San Vicente Blvd, Los Angeles, CA 90048
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Anders H. Berg, M.D.-Ph.D., Director
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| Field | Value |
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|-------|-------|
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| Authorizing provider | Howard H Kim, MD |
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| Collection date | May 29, 2025 12:00 PM |
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| Result date | May 29, 2025 2:18 PM |
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| Result status | Final |
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| Resulting lab | CEDARS-SINAI REPRODUCTIVE AND OUTPATIENT LABORATORY |
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**Performed At:** 444 S. San Vicente Blvd., Los Angeles CA 90048
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**Lab Director:** Anders H. Berg, M.D.-Ph.D.
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---
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## TESTOSTERONE TOTAL FREE
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**Collected on:** May 30, 2025 8:11 AM
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### Provider Message
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**Howard H Kim, MD** - Jun 6, 1:09 AM
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> Hello,
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>
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> Your testosterone levels look OK.
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>
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> Best,
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> Howard Kim
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| Test | Value | Unit | Normal Range |
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|------|-------|------|--------------|
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| Testosterone, Total | 432 | ng/dL | 250 - 1,100 |
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| Testosterone, Free | 76.5 | pg/mL | 35.0 - 155.0 |
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For additional information on Total Testosterone, please refer to http://education.questdiagnostics.com/faq/TotalTestosteroneLCMSMS (This link is being provided for informational/educational purposes only.)
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**Free Testosterone Note:** This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.
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| Field | Value |
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|-------|-------|
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| Authorizing provider | Howard H Kim, MD |
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| Collection date | May 30, 2025 8:11 AM |
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| Specimens | Blood (Blood) |
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| Result date | Jun 04, 2025 7:00 PM |
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| Result status | Final |
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| Resulting lab | QUEST DIAGNOSTICS |
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**Performed At:** 8401 Fallbrook Avenue, West Hills CA 91304, 800-877-2515
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**Lab Director:** Lee H Hilborne, MD
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---
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## US RENAL BILATERAL COMPLETE
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**Collected on:** Jul 02, 2025 8:15 AM
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### Provider Message
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**Howard H Kim, MD** - Jul 8, 1:46 AM
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> Hello,
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>
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> Your kidney ultrasound looks normal.
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> Best,
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> Howard Kim
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### Results
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**Impression:**
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1. The kidneys are normal.
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2. Urinary bladder is incompletely distended with no gross abnormality.
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Dictated by: Marshall Bein MD
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ELECTRONICALLY SIGNED ON: 07/03/2025
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Physician to Physician Direct Line is: (310) 445-2849
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### Narrative
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| Field | Value |
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| Patient Name | LU, YANXIN |
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| Date of Birth | 10/17/1989 |
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| Exam Date | 07/02/2025 |
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| Performed at | Mink Advanced Imaging ? Marina Del Rey Admiralty |
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| Address | 4640 Admiralty Way, #100, Marina Del Rey, CA 90292 |
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**EXAM:** ULTRASOUND RENAL AND BLADDER, COMPLETE
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**HISTORY:** Testicular atrophy.
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**TECHNIQUE:** Examination of the kidneys and urinary bladder was performed with realtime evaluation and image documentation.
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**COMPARISON:** None
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**FINDINGS:**
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Right kidney: 10.6 cm long axis. There are no parenchymal or perirenal abnormalities. The collecting system is nondilated and there are no calcifications.
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Left kidney: 9.8 cm long axis and similarly normal.
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Urinary bladder: Minimally distended volume 57 cc with no gross intraluminal or wall abnormality. There is no post void residual volume.
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| Field | Value |
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|-------|-------|
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| Authorizing provider | Howard H Kim, MD |
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| Reading physician | Marshall E Bein, MD |
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| Study date | Jul 02, 2025 12:55 PM |
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| Collection date | Jul 02, 2025 8:15 AM |
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| Result date | Jul 03, 2025 2:15 PM |
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| Result status | Final |
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