A family reports a more reassuring follow-up

CAPTIONS / IMAGE LABELS MYYL Bile duct cancer PATIENT FOLLOW-UP RECORDS Lan Sandan · 57 · Shanxi English translation · Original medical images retained CASE RECORD · Bile duct cancer · 57 Lan Sandan had received local treatment for more than six months before further liver findings and increased pelvic fluid were described. Symptoms included marked jaundice, poor appetite, repeated retching, abdominal pain, weakness and weight loss. FOLLOW-UP The family later shared photographs showing less visible jaundice and reports with changes in previously described nodal, liver S8 and pelvic-fluid findings. The original photographs and reports remain below; their exact wording defines the scope of the comparison. CHAT PANEL S199-P01 Lan Sandan · Bile duct cancer Yes, I have seen it too. The response looks very good. There are still some nodules, which we expect to address with further Chinese medicine treatment. Are you free today? Please send the photos. The director is seeing patients today, and I will try to arrange a consultation this morning or afternoon. Voice message: 7 seconds. 7″ Okay. Hold to talk CHAT PANEL S199-P02 Lan Sandan · Bile duct cancer Voice message: 14 seconds. 14″ Hello, Mr Liu. These are my mother's follow-up results. The hospital would not print the report and asked me to take a photo instead. Can you read it? Voice message: 19 seconds. 19″ The doctor told the director the response was very good. Something had been seen in the liver before, but now it has completely disappeared. They said it looked very good. Voice message: 21 seconds. 21″ I would like more Chinese medicine for my mother to consolidate the improvement. Please arrange a time for the director to see her. Voice message: 25 seconds. 25″ Please check whether the prescription needs changing. Do you still need photos of my mother's face, tongue and hands? I will send them… [cropped] Hold to talk