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A 70-year-old Caucasian male patient was referred to the rheumatology clinic for abnormal findings on computed tomography (CT) imaging of the abdomen and pelvis demonstrating thickening of large-and medium-sized arterial vessels associated with a high erythrocyte sedimentation rate (ESR).

Conclusion:Compliance with hepatitis C viral screening is suboptimal in outpatient settings. Focused and simple interventions at the patient, provider, and system levels can increase compliance and help reduce the burden of significant liver disease. We hypothesize continued education and monitoring of data will demonstrate improved rates due to long time between primary care visits. Additional interventions may improve rates further.