Laboratory Testing/Radiologic Work-Up

Results

Complete Blood Count

White blood cell count: 11.33 /nL

Segmented Neutrophils: 57.9 %

Lymphocytes: 32.7 %

Monocytes: 7.4 %

Eosinophils: 1.1 %

Hemoglobin: 12.4 g/dL

Hematocrit: 37.5 %

Complete Metabolic Panel

Sodium: 141 mEq/L

Potassium: 4.5 mEq/L

Chloride: 102 mEq/L

Bicarbonate: 25 mEq/L

Blood Urea Nitrogen: 8 mg/dL

Creatinine: 0.4 mg/dL

Calcium: 9.9 mg/dL

Glucose: 103 mg/dL

Albumin: 4.5 g/dL

Total Protein: 7.6 g/dL

Total bilirubin: 0.2 mg/dL

Alanine Transaminase: 56 U/L

Aspartate Aminotransferase: 39 U/L

Alkaline Phosphatase: 229 U/L

C-Reactive Protein

8.3 mg/L

Erythrocyte Sedimentation Rate

58 mm/h

Heterophile Ab Screen

Negative

EBV Ab Panel

IgM Negative, IgG Positive

Uric Acid

2.4 mg/dL

LDH

359 U/L

CK

96 U/L

Abdominal X-ray

Calcifications in the left upper quadrant

Chest X-Ray

Normal chest radiograph.

Abdominal Ultrasound

Multiple tiny hypoechoic lesions within the spleen, which was not enlarged for the patients age. Suspect 2 hypoechoic lesions in the liver, otherwise liver demonstrates normal size, contour and echotexture.