# Additional Records Discovered — Filesystem Scan

**Scan date:** May 24, 2026
**Scope:** User home directory, mounted volumes (/Volumes/kraken), Desktop, Documents, Downloads

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## Mounted Drives

| Volume | Path | Purpose |
|--------|------|---------|
| Macintosh HD | / | System |
| **kraken** | **/Volumes/kraken** | **External/storage drive — contains Archives with medical records** |

---

### Kraken Volume

| File | Date | Size | Content |
|------|------|------|---------|
| `Archives/Atrium_Health_Summary.pdf` | Dec 18, 2024 | 14KB | Patient health summary from Atrium Health |
| `Archives/1 of 1 - My Health Summary.pdf` | Dec 18, 2024 | 14KB | Same summary (duplicate) |
| `Archives/BCBS_NC.pdf` | Oct 14, 2024 | <1KB | Blue Cross NC insurance ID card (not case-relevant — source: ~/Projects/personal/case-summary/records/insurance/) |
| `Archives/BCBS_NC_2024-10-02.pdf` | Oct 2, 2024 | <1KB | BCBS payment receipt (not case-relevant — source: ~/Projects/personal/case-summary/records/insurance/) |
| `Archives/Medical Marijuana for Cirrhosis - Marijuana Doctors.pdf` | — | — | Research article about medical marijuana (supporting research) |

---

## Desktop

| File | Size | Content |
|------|------|---------|
| `Lower-Back-MRI/cdrom-DICOM.iso` | **54 MB** | **Complete lumbar spine MRI DICOM dataset** — 269 images across 9 series (T1, T2, STIR, etc.) |
| `Lower-Back-MRI/MRI.zip` | 24 MB | Same DICOM dataset in ZIP format |
| `Lower-Back-MRI/lower-back-mri.png` | 37KB | Thumbnail/screenshot of MRI (240×240px) |
| `lumbar-spine.jpg` | — | Lumbar spine image (duplicate of health/) |

---

## Documents

| File | Date | Size | Content |
|------|------|------|---------|
| `Personal/Atrium_Health_Summary_2025-11-18.pdf` | Nov 18, 2025 | **4.7 MB** | **Most comprehensive health summary** — 8,984 lines of text including all imaging results, medication history, problem list, and vitals |
| `Personal/Foraminal Stenosis_ What It Is, Symptoms, Types & Treatments.pdf` | — | 1.2 MB | Medical research article (supporting evidence for spinal condition) |
| `Personal/Invoice-SZAWGGMW-0001.pdf` | — | 395KB | Medical invoice |
| `Personal/Receipt-2252-0627.pdf` | — | 395KB | Medical receipt |
| `Personal/Matthew_ClinicalSummary.zip` | Sep 2025 | 61KB | Duplicate of Robinhood clinical summary |

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## Insurance Documents (~/Projects/personal/case-summary/records/insurance/)
*Not case-relevant — insurance ID cards and payment receipts. Stored in source directory only.*

| File | Content |
|------|---------|
| `Blue Cross NC Insurance-ID Cards (2024).pdf` | 2024 insurance card |
| `Blue Cross NC Insurance-ID Cards (2025).pdf` | 2025 insurance card |
| `Blue Cross NC Insurance-ID Cards (2026).pdf` | 2026 insurance card |
| `BCBS_2025.pdf` | 2025 insurance document |
| `BCBS_2026.pdf` | 2026 insurance document |
| `BCBSNC-2026-01-cards.pdf` | Jan 2026 cards |
| `bcbsnc-2026-02.pdf` | Feb 2026 document |
| `BCBS_2026-01-receipt.pdf` | Jan 2026 receipt |
| `BCBSNC_RECEIPT_2026-01.pdf` | Jan 2026 receipt |
| `HealthSummary_Dec_15_2025.zip` | Dec 15, 2025 health summary (also in docs/health/) |
| `Payment Receipt_ Pay My Bill...pdf` | Medical payment receipt |

---

## Key Data Not Previously Incorporated

### From Atrium Health Summary Nov 2025:
- Patient also lived in **Engelhard, NC** (Nov-Dec 2024) — coastal NC
- **Citalopram and Fluoxetine** listed as allergies (medium criticality) — confirms SSRI allergy
- **Pregabalin (Lyrica) 25mg** started **Nov 17, 2025** — recently added, then discontinued due to side effects
- XR Cervical Spine (Oct 13, 2025): *"Mild multilevel degenerative disc disease C4-C7. Minimal retrolistheses of C3 with extension, reduces with flexion"*
- XR Lumbar Spine (Oct 13, 2025): *"Moderate degenerative disc disease and mild facet arthropathy L4-S1. Minimal retrolistheses of L5"*
- Vital signs Nov 2025: BP 142/90, Pulse 100 — still elevated

### DICOM MRI Dataset (Desktop/Lower-Back-MRI/):
- **Complete lumbar spine MRI** from June 2025
- 269 DICOM images in 9 series (T1, T2, STIR, etc.)
- Could be loaded into any DICOM viewer (Horos, OsiriX, etc.)
- Corroborates the lumbar spondylosis findings documented in text reports

---

## Consolidated Document Inventory

| Source | New Files Found | Status |
|--------|----------------|--------|
| docs/ (original) | ~30 files | Already analyzed |
| docs/health/ | 54 files | Partially analyzed (key content extracted) |
| Desktop/Lower-Back-MRI/ | 4 files (54MB DICOM) | New — DICOM data documented |
| Documents/Personal/ | 5 medical files | New — Nov 2025 summary extracted |
| Documents/ (BCBS, etc.) | 15 insurance files | New — insurance history documented |
| Kraken/Archives/ | 5 medical files | New — early records (2024) documented |

**Total medical documents across all locations:** ~115+ files