Table 1.
Laboratory and imaging results.
| Investigations | Results | Comments | Normal levels |
|---|---|---|---|
| Hemoglobin | 120 g/l | Within normal range | 98–137 g/L |
| Platelets | 209 × 10e9/L | Within normal range | 150–400 × 10e9/L |
| White cell count | 10.4 × 10e9/L | Within normal range | 5.9–16.9 × 10e9/L |
| Serum sodium | 137 mmol/L | Within normal range | 133–139 mmol/L |
| Serum potassium | 4.0 mmol/L | Within normal range | 3.7–4.7 mmol/L |
| Urea | 2.8 mmol/L | Within normal range | 0.9–4.5 mmol/L |
| Creatinine | 34 μmol/L | Within normal range | 20–90 μmol/L |
| Alanine aminotransferase | 734 U/L | Abnormal | <35 U/L |
| Alkaline phosphatase | 175 U/L | Abnormal | 35–127 U/L |
| Gamma-glutamyl transferase | 40 U/L | Within normal range | 8–78 U/L |
| Total bilirubin levels | 4 μmol/L | Within normal range | 0–15 μmol/L |
| Unconjugated bilirubin | 4 μmol/L | Within normal range | 0–10 μmol/L |
| Cytomegalovirus Ab.IgM | Not detected | ||
| EBV VCA IgM antibodies | Not detected | ||
| Hepatitis profile (A, B, C, D, E) | Negative | ||
| HSV IgM total antibodies (EIA) | Not detected | ||
| Coagulation profile | Within normal range | ||
| ANA screen | Negative | ||
| Smooth muscle Ab | Negative | ||
| Mitochondrial Ab | Negative | ||
| Liver kidney microsome Ab | Negative | ||
| Extractable nuclear Ab screen | Negative | ||
| HIV serology | Negative | ||
| dsDNA Ab (Farr) interpretation | Negative | ||
| Urine analysis | Unremarkable | ||
| Urine protein/creatinine ratio | 11.7 | Negative | <30 mg/mmol |
| Gliadin peptide (DGP) IgG | 1.2 U/ml | Negative | 0–20 U/mL |
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| Abdominal ultrasound | Unremarkable | Incidental 16 mm echogenic lesion within segment VIII has sonographic appearances of a probable benign haemangioma. No cause found for patient's raised LFTs | |
| Gallbladder contains mobile debris, no sonographic evidence of cholelithiasis or cholecystitis | |||
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| MRI cholangiogram | No biliary dilatation or choledocholithiasis. Cystic pancreatic lesions are compatible | ||
| With side-branch IPMN, with no worrisome features on this study | |||
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| Obstetric ultrasound | Normal growth and wellbeing | ||
| EFW is on the 29th percentile with normal fetal movements, AFI and Doppler | |||