60RRBH25R0009 CMOS Onsite-Remote Consultative File Note Attachment 8.pdf

This document is an Onsite Consultation File Note for a medical evaluation of a patient with stage 4 colon cancer. The file contains detailed medical documentation from a consultation dated 9/10/2024, including diagnostic information from various medical tests and procedures. Key medical findings include a CT scan of the abdomen and pelvis showing suspicious colon carcinoma, a colonoscopy revealing an infiltrative submucosal and ulcerated mass, and a biopsy confirming invasive moderately to poorly differentiated adenocarcinoma.

Additional medical imaging, including a PET CT, showed multiple bilateral pulmonary nodules with elevated metabolic activity and significant tumor progression. The patient underwent 5 days of palliative radiation. The medical consultant's notation indicates the claimant's cancer is considered far advanced, with the physical impairment meeting specific listing criteria. The document includes various medical measurements such as CEA levels and details about surgical procedures like a hemicolectomy and pathology findings.