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{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M53_F11.jpg"}},{"insert":"\n\n"},{"insert":"Regarding the lab workup you ordered last week, Mary\u0027s results are all normal, except for an HbA1c of 7.5% and FBS of 118 mg\/dL.\n\nHer complete blood count, electrolyte levels, lipid profile, liver functions, kidney functions, thyroid function tests, and vitamin B12 levels are all normal. An ECG shows no abnormalities.\n\nThe echocardiogram report notes an ejection fraction of 45%, with functional mitral regurgitation, mild dilation of the left ventricle with normokinesia, mild biatrial enlargement with normal left atrial pressures, and moderate apical systolic dysfunction.\n\nA carotid ultrasound is negative for carotid stenosis.\n"}]}