Update row ('961fbab1-bbc7-4c0a-a855-749172bb890e', '34c7193c-d96f-448e-a617-43d60071f00f', 'letters-2025_12_30_092307_6953fc6b92e3f_8552.pdf', '{"name": "letters-2025_12_30_092307_6953fc6b92e3f_8552.pdf", "content_type": "application/octet-stream", "size": 38813, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-961fbab1-bbc7-4c0a-a855-749172bb890e"}', '1772237237', 'dd14dee2315242207ec27bc722f17f39b7eb344dbbfc8934f1f082445a3d0bca', '{"status": "completed", "content": "Advanced Cardiology Consultants & Diagnostic Inc\\n#250 8500 Blackfoot Trail SE\\nCalgary, AB, T2J7E1\\nTel: 403-879-7911 | Fax 403-879-7899\\nNUCLEAR MYOCARDIAL PERFUSION IMAGING PHARMACOLOGICAL STRESS STUDY\\nJanuary 02, 2026 Chart No: A4381909\\nRef. Dr.: Don Bradman Family Dr.: Anna(Libby) Morrison\\nFax : 4032470014\\nRE: Div Kash Supervising MD:Ravi Sharma\\nPHN: 57878887871 Technologist: Michelle Mitschke\\nDOB: 11 December, 1998 Clinical History:- Chest Pain\\nGender: Male\\nECG Information \\nResting ECG: - Horizontal ST changes in the Anterolateral Lead\\nPharmacological Stress Test Information\\nInterpretation by: Ravi Sharma Stress Interpretation ECG: - Atrial flutter\\nProtocol: Dipyridamole ECG Gating: No Dipyridamole Dose:\\nReason of Termination: Protocol completed\\nProtocol completed\\nMedication During Test: Aminophylline mg,\\nStage Heart Rate (bpm) Blood Pressure\\nPre-Pharmacological Stress 50\\nPharmacological Stress 2 Min\\nPharmacological Stress 4 Min\\nPharmacological Stress 6 Min\\nPharmacological Stress 8 Min\\nRecovery\\nMPI Technique:\\nMbq of 99m Tc-Tetrofosmin was administered intravenously at rest and\\nMbq of 99m Tc-Tetrofosmin was administered intravenously post pharmacological stress\\n(0.56 mg/kg - pharmacological over 4 minutes with injection at 7 minutes). Multiple gated tomographic emission\\nimages were obtained post stress and at rest. These images were reconstructing into short axis, vertical long axis and\\nhorizontal long axis planes.\\nImage quality:\\nFindings:\\nThere is normal myocardial perfusion. No fixed or reversible perfusion abnormalities are identified.\\nThe left ventricle is normal in size. All left ventricular segments thicken and contract normally. The left ventricular ejection\\nfraction is >50% post stress and >50% at rest. There is no visual evidence of TID.\\nImpression:\\nNormal myocardial perfusion and left ventricular systolic function.\\nMPI Interpreting Physician: Ramu Report Date: January 02, 2026\\nPage 1 of 1 PHN / ULI: 57878887871 Report Date: 12/30/2025"}', '1772237237', '/home/sid/xevyo/open-webui-dev/backend/data/uploads/961fbab1-bbc7-4c0a-a855-749172bb890e_letters-2025_12_30_092307_6953fc6b92e3f_8552.pdf', 'null') in file