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Chapter 19
by RicoLouis
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Examine Cassie Back At The Nurses Office
Me, Nurse Hart and Cassie headed for the nurses office next as I pushed the cart. We had maybe twenty minutes till the next class. Not enough time to give Cassie a full exam and take pictures as well as measurements.
“So what do you want me to do?” Cassie asked as Nurse Hart closing the door after me as I pushed the cart inside.
“Please remove your bra and panties.” I smiled at the cute ginger haired teen. She shyly did so as she reached back and undid her bra strap making her breasts fall ever so slightly and her nipples to peek out enticingly. She wiggled the bra straps down her arm causing them to jiggle slightly before pulling the bra away revealing her lovely full breasts. They were a really nice size for her small petite frame. Slightly raised off the surface of her breasts with small hard nipples at the tip of each peak. Cassie hesitated for a moment, her fingers playing nervously with the hem of her panties. She slowly slid her panties down her legs, and stepped out revealing her neatly trimmed ginger pubes above her tight little pussy.
“Do me a favor and face the camera so I can take a quick picture for my records.” I said holding up the camera. She posed shyly slightly covering her nude body with her arm over her breasts while her other hand shyly covered her crotch. Their was something appealing about her shyness.
“Arms by you side please sweetie. You have nothing to be embarrassed about.” I smiled.
“Okay.” She said putting her arms down. A faint blush spread across her cheeks, but she didn’t look away. I couldn't help but admire her beautiful teenage body. Light freckles sprinkled across her body contrasting with her pale complexion. The impressive fullness of her large breasts created a striking contrast against her slender, petite frame
Her nipples stood erect in the cold room as if begging for attention. She had the most gorgeous breasts, perfectly round and topped with a bright pink areola and small nipples. I admired the way her nipples stood out against the pale skin. She took a deep breath, causing her breasts to rise and fall slightly.
My eyes ran down over the curves of her figure savoring her enchanting petite curves. Her waist was full leading down to the swell of her full hips. They flared out into beautiful round curves The way they swayed slightly as she stood there, shifting her hips slightly drawing attention to them even more.
Her pussy was neatly trimmed, just a small patch of soft, downy hair above her lips that matched the shade of her ginger hair. Her pussy was tight with only a small cleft visible, her outer mons were plump and inviting while hiding her inner folds of her labia within.
I smiled taking a picture. “Now the back. Turn around please.” Her petite frame was more pronounced from the rear as her small torso ran down into her narrow waist that I want to wrap my hands around. Her figure widening out at her hips as they had a full curvaceous roundness to them. Her lovely round full buttocks shifting slightly showing off her plush yet firm pale tight cheeks as they flexed. Her ass was a masterpiece, a perfect pair of round cheeks that looked so soft and delicious. Her thighs were smooth and full with a nice soft thickness to them running down into her short yet shapely legs with well defined calves.
“If you would please sit up on the table.” I smiled. Nurse Hart rolling over the ultrasound machine and apply Lube to the transducer before handing the probe to be.
“Please raise your left arm.” I said. She raised her arm up and put it behind her head causing one of her full breasts to lift up. I ran my hand down the side filling down her ribs to the fifth intercostal space between the forth and fifth ribs as I recalled what medical training I had. Her perky full tits were not helping me concentrate any. “You may probably still need to go to a doctor but I will be recording this and sending it to a cardiologist for review.” I added and reached over hitting record on the Ultrasound and took the probe from Nurse Hart keeping one hand on the spot with my left hand.
“Okay.” Cassie bit her bottom lip.
"This will be cold." I said before touching the probe to her skin. She sucked in sharply as it made contact, the cool gel causing her back to arch slightly and her breasts to perk up. I smiled reassuringly and moved the scope, my eyes flicking between her chest and the monitor as I searched for the Mitral valve.
As the valve came into view, I noticed the slight abnormality in its movement. The two leaflets of the mitral valve weren't meeting completely during systole, leaving a small gap. Through this gap, I could see a jet of blood flowing back into the left atrium - a clear sign of mitral regurgitation.
The image on the screen showed the heart's chambers in motion. It looked like the Mitral valve was not closing properly, letting a small back flow of blood seep back into the left atrium. I moved the scope up, gliding it over the top of her breasts, leaving a glistening trail of gel. Goose bumps formed across her chest as I traced the curve of her breasts, her nipples hardening visibly. From this new position, I could see the regurgitation more clearly. The color Doppler showed a small blue jet of blood flowing back through the valve.
I examined it from a different angle, confirming my initial observation. "It appears your mitral valve is not closing completely, allowing some blood to leak back. The mitral regurgitation, is mild in your case and often doesn't require immediate treatment. However, we'll send these images to a cardiologist for a full evaluation. The nurse will contact your parents with the results and any follow-up recommendations." I explained in a calm voice and smiled. I removed the ultrasound and then stopped the recording.
Nurse Hart brought her a paper towel to wipe the clear gel off of her breasts while I made a note in the girls chart. I watched as she slowly wiped away the clear sticky ultrasound gel from her left tit causing the breasts tissue to press in and then form back into shape. Jiggling slightly as she had to make several passes. Each time she moved the paper towel, the light from the room caught her skin and made the gel shine like a freshly polished gem.
"Do you mind if I observe while Mrs. Hart performs your breast examination?" I asked Cassie, trying to maintain a professional tone despite her being topless in front of me.
"No, it's fine." She shook her head and gave a small smile, though her fingers fidgeted slightly in her laps over her panties.
“Okay. She will begin by lifting your breasts and feeling their weight, symmatry and level of Ptosis.”
"What is that?" Cassie asked, her brow furrowing slightly in confusion.
“How much your breasts sag dear.” Nurse Hart replied as she put her hand gently on the girls shoulder. "I'm going to lift each breast now to assess their natural position and compare them."
Nurse Hart gently cupped Cassie's breasts, one in each hand, as her fingers slid around the sides and her thumbs meeting at Cassie's cleavage. She lifted the soft large mounds in her hand, revealing the creases underneath where the breasts met the chest wall as she held Cassie's breasts firmly in her hands. The skin stretched slightly, showing its firm elasticity.
"You have firm breasts with mild ptosis. I wish mine were still this pert." Mrs. Hat gave a smile making Cassie blush slightly.
She gave both breasts a squeeze, her fingers sinking slightly into the soft pliant skin. "Your breasts have amazing firmness."
She next pressed her breasts together and moved her head from one side to the other. “Perfect symmetry, though the left feels a little heavier.” She said giving it a little pat on the underside causing it to jiggle as the soft tissue rippled under the impact. "But I wouldn't notice if not looking for it."
I nodded writing down in my clipboard. “Next she will examine the underside, the sides the top and then insides along the cleavage looking for any lumps and assess skin smoothness, texture, and warmth.” I said giving Cassie a smile as I looked up from the clip board.
Nurse Hart began with the underside of Cassie's breasts. She cupped each breast, lifting it gently to expose the crease where it met Cassie's chest. Her fingers traced along this sensitive area, applying gentle pressure. "The skin here feels nice and smooth," Hart commented, her touch causing Cassie to shiver slightly.
Nurse Hart began with the underside of Cassie's breasts. She cupped each breast, lifting it gently to expose the crease where it met Cassie's chest. Her fingers traced along the curves of her breasts as her fingers pressed deeply into the heavy flesh in her hand as she applied firm pressure to the deep tissue. The soft mounds jiggling subtly as she moved them back and forth.
She moved her hands to the sides, her fingers tracing the outer curves of Cassie's breasts, pressing the two mounds slightly together as she probed more deeply into the tissue. Hart's fingers sank into the pliant flesh, causing Cassie's breasts to bulge and shift as she manipulated them. Her palms glided over the swell of each breast, the friction causing a slight flush to spread across Cassie's chest. Hart's thumbs grazed the edges of Cassie's areolas, eliciting a sharp intake of breath from the patient.
“Your breasts are very soft and have a smooth texture.” Nurse Hart smiled.
“Thanks.” Cassie bit her bottom lip nervously and I gave her a reassuring smile. A faint blush crept across Cassie's cheeks, highlighting her discomfort with the intimate nature of the exam.
Nurse Hart's hands moved up the sides feeling the lymph nods at the underarms as her touch made Cassie shutter slightly at the sensation which I am sure tickled a little. Cassie's arms instinctively twitched, causing her breasts to jiggle subtly as she held back a laugh.
Mrs. Hart moved to the tops of her breasts. Her as her fingers her fingertips skimmed over the fullest part of each breast where they meet the chest moving down ward as her palms pressed against her breasts. “Her breasts feel evenly warm.” Mrs. Hart said as her hands moved in tandem across both breasts. Cassie's breath hitched slightly at the intimate contact and Cassie's chest rose and fell with quicker breaths against her hands. Her fingers gripped the edge of the examination table. The gentle pressure caused Cassie's breasts to flatten and spread slightly, against Mrs. Harts hands.
“Good blood flow then.” I nodded and wrote it in the file.
Cassie's nipples hardened visibly as Nurse Hart's warm hands kneaded the sensitive mounds, her areolas puckering in response to the touch as Mrs. Hart's hands moved away to show them. Mrs. Harts hands moved from the top to the insides of her the cleavage causing her breasts to press apart as she examined the area between her nipples and her cleavage. The inner curves of Cassie's breasts pressed against Hart's hands as she rubbed them.
“After that she will lightly pinch your nipples to check for any discharge and gauge sensitivity. When she lets go we will observe how quickly the nipples return to normal color to gauge proper blood flow.”
Nurse Hart's fingers gently grasped Cassie's right nipple, applying a firm but careful pressure. Cassie gasped softly at the sensation, her back arching slightly. Hart maintained the pinch for a few seconds before releasing, watching intently as the compressed tissue quickly returned to normal and flushed pink again.
"No discharge, that's good," Hart commented, moving to the left nipple. She repeated the process, eliciting another sharp intake of breath from Cassie. The left nipple likewise returned to its normal color rapidly after being released.
"Sensitivity and blood flow both seem normal," Hart noted, her hands cupping Cassie's breasts one final time letting her thumbs trace around the nipples. Cassie's chest heaved slightly as she caught her breath, her nipples still visibly erect from the examination.
“That concludes the breast examination," I said, offering Cassie a reassuring smile. ” I smiled and walked over to cart and pulled out the dermal scanner and brought it back.
“That concludes the breast examination," I said, offering Cassie a reassuring smile. ” I smiled and walked over to cart and pulled out the dermal scanner and brought it back.
“What is that?” Cassie bit her lip as she looked at me. Cassie leaned forward slightly, her ginger hair falling over her shoulder as she tried to get a better view of the scanner.
“Think of it as a photo scanner more or less. It takes high quality images of your skin that can be looked at under the computer. I want to get some images of your freckles and then look back at them later under magnification to make sure you do not have skin problems given your pale complexion. Hold out your arm.” I smiled.
"Does it hurt?" she asked, her voice barely above a whisper. She nervously extended her arm towards me, revealing a canvas of freckles that dotted her pale skin from shoulder to wrist.
"Not at all," I assured her taking her hand. "You might feel a slight warmth, but that's it. Just try to relax. Ii is no different then putting you hand on a photo copier."
I put the scanner to her arm and ran it down slowly over her shoulder and bicep as the soft glow of the machine took a high quality image of her freckles a I worked my way down her wrist. It beat using a dermatoscope to look at each individual freckle one at a time. I moved to the other side doing the other arm. Cassie watched with fascination as the scanner moved over her skin, her eyes following its path intently. The blue light of the scanner highlighted each freckle, creating a stark contrast against her pale skin. I went back up and did the sides from her shoulders down her back and into the curve of her back and down to the top of her ass cheek were her skin became pale and then did the other side. The scanner's warm surface glided smoothly over Cassie's pale skin, capturing every freckle and detail of her beautiful body.
After scanning her arm, I moved to Cassie's back. "Turn around and lift your hair," I instructed. She gathered her long hair in her hands, exposing the nape of her neck. Cassie watched with fascination as the scanner moved over her skin, her eyes following its path intently. The blue light of the scanner highlighted each freckle, creating a stark contrast against her pale skin. The scanner hummed softly as I ran it from the base of her skull downwards. Her pale skin was a canvas of freckles, some clustered tightly together, others scattered like stars. Moving from her spine down the arch of her back and over the curve of her round behind to her tail bone.
"Now face me," I said. Cassie turned, lowering her arms. I started at her collarbone, the blue light of the scanner illuminating each dip and curve. Moving down, I scanned a scattering of freckles across her chest above her breasts making her blush. I admired the way scattered freckles dotted the upper slopes of her breasts, creating a delicate pattern on her pale skin. My eyes ran down her pale breasts, admiring their perfect roundness. The soft curves drew my gaze, her skin flawless and fair. Her nipples stood out hard and pink, small and perky. Her breasts rose and fell with each breath, the gentle movement mesmerizing as I watched.
“There all mapped.” I smiled turning off the scanner and removing the sim card sticking it in my pocket. Thankfully not all the girls would need such a thorough scan but given her freckles I was playing it safe.
“What about this one?” Cassie pointed shyly to one near her nipple maybe an inch away on the side of her breasts. “This isn't anything is it?” She asked.
“I can take a look with the dermatoscope if you want?” I said putting the scanner back.
“Okay.” Cassie nodded and shook her head.
"Hold still please," I instructed as I gently pressed the device against her breast next to her nipple where she had pointed. I slid it slightly over the curve of her breast until the mark came into view.
I peered through the lens as I examined the spot carefully. It was about 2 millimeters across with consistent color and smooth borders. All good signs that it was just a freckle. Melanomas usually have weird shapes, different colors, or fuzzy edges.
"It's just a normal freckle," I said, still examining it closely. "The edges are well defined, which is a good sign. And the color is even throughout. There's no variation or darker spots. Anything dangerous would typically have irregular borders or variations in color."
Cassie nodded, looking relieved. "So it's nothing to worry about?"
"Correct. It has all the characteristics of a harmless freckle. But if you notice any changes in size, shape, or color, let me know right away. I be glad to take another look.” I said giving her a wink.
“Mister Chase.” She blushed brightly as she tried to hide a smile.
"Any other spots you want me to check?" I grinned and gave a little wink.
“No.” She shook her head.
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