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Click the headers to open and fill out your biopsy report.

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Number of biopsy pieces
Number with adequate myocardium
Number sampling Non-myocardial tissues
Adequacy

Myocytes

Rejection type infiltrate present?
Ischemia
Nucleation
Myocyte injury
Organization
Other changes

Capillary vasculature

Endothelium
Luminal occlusion
Other vascular changes

Interstitium

Cellularity
Edema
Fibrosis/Scar
Other interstitial changes

Lymphocytes

Plasma cells

Neutrophils

Eosinophils

Histiocytes

Quilty lesions
Features of infection
Histological AMR changes
IHC
Special stains (select all that apply)
Rejection



Positive for ACR



Positve for AMR




AMR IHC patterns








Other histologic findings
Quilty





Fibrosis / ischemia



Prior biopsy


Infection








Comments
Prior biopsy review





PTLD



Case QA


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