um muhammed 
free past medical history 
she has   hydtrectomy and then it w as complicated by   fistula 


she  came  for  follow up 
creatinien  1
bun 15 
hba1c  5/9
wbc    5   hgb    13.4   plt   245
urine analysis shwoed     1030       blood  2    no  albumin and  no  wbc
tsh  2.23 
abdomoimal  us  shwoed   mild   fattyninflitration and  no  focal leasion 

riht    measure   12 
left   measure   12.5 
diffuse  gassesous abdomen 