Source documents — Denise Walker

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Doc 1 — Referral letter — Southside Primary Care (08/20/2026)

Referral from Dr. A. Whitfield, Southside Primary Care, (404) 555-0181. 08/20/2026.
Patient Denise Walker, DOB 05/11/1962. 64F with history of TIA 3 weeks ago, now
recurrent right-sided weakness x2 days, fluctuating. Please evaluate for possible
recurrent stroke. CT head at outside facility 8/1, report only. Current meds per
our records: aspirin 81mg daily, atorvastatin 40mg daily, lisinopril 10mg daily.
No anticoagulant. Insurance: BCBS PPO.

Doc 2 — Discharge summary — Eastside Regional Medical Center (07/29/2026)

EASTSIDE REGIONAL MEDICAL CENTER — DISCHARGE SUMMARY
Patient: Denise Walker  DOB: 05/11/1962  Admitted: 07/27/2026  Discharged: 07/29/2026
Discharge diagnosis: Transient ischemic attack.
HPI: 64F presented 07/27 with acute right arm weakness and word-finding difficulty lasting approximately 40 minutes, fully
resolved on arrival. Last known well 07/27 09:15. NIHSS 0 on evaluation.
Hospital course: CT head without acute infarct. CTA head and neck obtained.
Telemetry x48h: normal sinus rhythm, no atrial fibrillation captured.
Labs: LDL 118, A1c 6.1, TSH normal.
Started: aspirin 81mg daily, atorvastatin 40mg daily.
Plan: outpatient transthoracic echocardiogram to be scheduled after discharge.
14-day ambulatory rhythm monitor ordered. Neurology follow-up 4-6 weeks.
Note at discharge: echocardiogram NOT completed during admission.

Doc 3 — CT head without contrast — Eastside Regional (07/27/2026)

EASTSIDE REGIONAL — RADIOLOGY REPORT
Exam: CT HEAD WITHOUT CONTRAST  Date: 07/27/2026  Patient: Denise Walker
Indication: transient right arm weakness, rule out hemorrhage.
Findings: No acute intracranial hemorrhage. No acute territorial infarct.
Mild chronic microvascular ischemic changes. No mass effect or midline shift.
Impression: No acute intracranial abnormality.

Doc 4 — CTA head and neck — Eastside Regional (07/28/2026)

EASTSIDE REGIONAL — RADIOLOGY REPORT
Exam: CTA HEAD AND NECK  Date: 07/28/2026  Patient: Denise Walker
Findings: Right cervical internal carotid artery atherosclerotic plaque with
approximately 40% stenosis by NASCET criteria. Left ICA patent, <20% stenosis.
Intracranial vasculature patent. No large-vessel occlusion, no aneurysm.
Impression: Moderate (40%) right ICA stenosis, below surgical threshold.

Doc 5 — CT head — Northlake Urgent Care Imaging (08/01/2026), report only

NORTHLAKE URGENT CARE IMAGING — RADIOLOGY REPORT (report only, images not transmitted)
Exam: CT HEAD WITHOUT CONTRAST  Date: 08/01/2026  Patient: Denise Walker
Indication: recurrent transient right-sided weakness.
Findings: No acute hemorrhage. No new territorial infarct. Stable chronic
microvascular changes compared to prior description.
Impression: No acute abnormality. Clinical correlation recommended.

Doc 6 — Ambulatory cardiac monitor report — 14-day patch (07/30–08/13/2026)

AMBULATORY ECG MONITOR — FINAL REPORT
Patient: Denise Walker  DOB: 05/11/1962  Wear period: 07/30/2026 - 08/13/2026 (14 days)
Analyzable time: 96%.
Findings: Predominant sinus rhythm. PAROXYSMAL ATRIAL FIBRILLATION detected.
AF burden: 2.1% of monitored time. Number of AF episodes: 9.
Longest AF episode: 4 hours 32 minutes (08/07/2026, asymptomatic).
Ventricular rate during AF: mean 88 bpm, max 132 bpm.
Impression: Paroxysmal atrial fibrillation, asymptomatic, longest episode >4 hours.