Re: ULTRASOUND digest 1066
From: hansa bhatt (hansa_bhatt@hotmail.com)
Mon Nov 27 12:37:06 2000
dear obgynnet, i go thro your mail but i just dont get the images to
view,kindly help.i also am going toget a scanner,will it help me to send you
the images? thanks,hansa.
>From: ultrasound@obgyn.net
>Reply-To: ultrasound@obgyn.net
>To: Multiple recipients of list ULTRASOUND
><ultrasound@mail.medispecialty.com>
>Subject: ULTRASOUND digest 1066
>Date: Tue, 14 Nov 2000 03:54:24 -0600
>
> ULTRASOUND Digest 1066
>
>Topics covered in this issue include:
>
> 1) Re: 3D
> by Joshua Copel <joshua.copel@yale.edu>
> 2) Re: education
> by "Dra. Claudia Inhaia" <csinhaia@smo.com.br>
> 3) New Case: Diaphragmatic Hernia
> by "Martin Necas" <exiled@clear.net.nz>
> 4) New Case: Diaphragmatic Hernia
> by "Martin Necas" <exiled@clear.net.nz>
> 5) Informal Case: Unusual Yolk Sac
> by "Martin Necas" <exiled@clear.net.nz>
> 6) Informal Case: Unusual Yolk Sac
> by "Martin Necas" <exiled@clear.net.nz>
> 7) Informal Case: Fetal Intraabdominal Mass
> by "TCE" <tsaice@kimo.com.tw>
> 8) Re: 3D
> by The-Hung Bui <The-Hung.Bui@ks.se>
> 9) Re: Informal Case: Fetal Intraabdominal Mass
> by SHLOMO GOBI <gobi1@bezeqint.net>
> 10) Re: Informal Case: Unusual Yolk Sac
> by Mário Libardi <mariolibardi@uol.com.br>
> 11) RE: Informal Case: Fetal Intraabdominal Mass
> by "Martin Necas" <exiled@clear.net.nz>
>
>----------------------------------------------------------------------
>
>----------------------------------------------------------------------
>Date: Mon, 13 Nov 2000 12:37:58 -0500
>----------------------------------------------------------------------
>From: Joshua Copel <joshua.copel@yale.edu>
>To: ultrasound@obgyn.net
>Subject: Re: 3D
>Message-ID: <3A1026F1.F1418FB1@yale.edu>
>MIME-version: 1.0
>Content-type: text/plain; x-mac-creatorM4F5353; x-mac-typeT455854;
> charset=us-ascii
>Content-transfer-encoding: 7bit
>
>Terry & Dany are correct, Prof Hansmann is the senior expert on Ob
>ultrasound
>in Germany. For 3D, the largewst experience is probably that of Eberhart
>Merz,
>though for the life of me I can't recall off the top of my head where he
>works.
>In Europe I believe Medison is known as Kretz, the Austrian company that
>really
>makes the 3D equipment, and that Medison bought several years ago.
>
>Josh Copel
>
> >
> > Dr. Margulies is correct, Prof Hansmann will be a good source of
>information
> > on what is available in Germany. However, I think probably most every
>major
> > manufacturer is selling in Europe... I would also check with those
> > manufacturers who have 3D Multiplanar on their machines. Particularly
>look
> > at the link to Medison, one of the major sponsors of this Web site.
> >
> > Terry J. DuBose, M.S., RDMS, Assistant Professor
> > Director, Diagnostic Medical Sonography Program
> > CHRP, University of Arkansas for Medical Sciences
> > Little Rock, Arkansas, USA
> > 501-686-6510
>
>------------------------------
>
>------------------------------
>Date: Mon, 13 Nov 2000 20:16:58 -0200
>------------------------------
>From: "Dra. Claudia Inhaia" <csinhaia@smo.com.br>
>To: <ultrasound@obgyn.net>
>Subject: Re: education
>Message-ID: <002c01c04dbf$70fa0660$0500a8c0@smo.com.br>
>MIME-Version: 1.0
>Content-Type: text/plain;
> charset="iso-8859-1"
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>
>Dear Martin,
>Thank you for this informations, I am searching the better way to learn
>more
>about US, may be in 2 or 3 years to go out Brasil, who knows?
>
>Claudia Inhaia
>
>>----- Original Message -----
>From: Martin Necas <exiled@clear.net.nz>
>To: Multiple recipients of list ULTRASOUND
><ultrasound@mail.medispecialty.com>
>Sent: Thursday, November 09, 2000 6:10 AM
>Subject: RE: education
>
> > Dear Claudia,
> >
> > A good start is right here on OBGYN.net. Please take a look at the
>following
> > reference page:
> > http://www.obgyn.net/us/cme.htm
> > Here you will find access to a wide variety of resources available
>through
> > the Internet. If you are just starting ultrasound training, you may
>consider
> > doing some correspondence courses, perhaps. Get in touch with your local
> > accredited ultrasound education program, or a local ultrasound society
>for
> > information about ultrasound education in your area.
> >
> > Yours,
> >
> > Martin Necas, OBGYN.net Ultrasound Section Coordinator
> >
> > -----Original Message-----
> > From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of
>Dra.
> > Claudia Inhaia
> > Sent: Thursday, 9 November 2000 2:22 a.m.
> > To: Multiple recipients of list ULTRASOUND
> > Subject: education
> >
> > Friends from Obgyn-list,
> > same times I am shame in writing something here because my little
>experience
> > in US yet, for me is so difficult leave my city to do courses, so I ask
>you
> > if does anybody knows tell me about courses by internet, total or
>parcial,
> > in OB-gyn, thanks for hellp.
> >
> > Claudia
> >
>
>------------------------------
>
>------------------------------
>Date: Tue, 14 Nov 2000 20:24:30 +1300
>------------------------------
>From: "Martin Necas" <exiled@clear.net.nz>
>To: "Ultrasound@Obgyn. Net" <ultrasound@obgyn.net>
>Subject: New Case: Diaphragmatic Hernia
>Message-ID: <LPBBJAIGNKIMBGOPMLMJGEIPCCAA.exiled@clear.net.nz>
>MIME-Version: 1.0
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>Dear OBGYN.net Ultrasound Community
>
>Dr Udayakumar of India has sent us an interesting case for discussion.
>Please go to http://www.obgyn.net/us/present/0011/kumar1.htm
><http://www.obgyn.net/us/present/0011/kumar1.htm> to review the text and
>images. Your comments are welcome on the forum.
>
>Yours,
>
>Martin Necas, OBGYN.net Ultrasound Section Coordinator
>
>------=_NextPart_000_0017_01C04E78.E4A2F220
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>------------------------------
>
>------------------------------
>Date: Tue, 14 Nov 2000 20:24:32 +1300
>------------------------------
>From: "Martin Necas" <exiled@clear.net.nz>
>To: "Ultrasound@Obgyn. Net" <ultrasound@obgyn.net>
>Subject: New Case: Diaphragmatic Hernia
>Message-ID: <LPBBJAIGNKIMBGOPMLMJIEIPCCAA.exiled@clear.net.nz>
>MIME-Version: 1.0
>Content-Type: multipart/mixed;
> boundary="----=_NextPart_000_001A_01C04E78.E60B0DA0"
>
>------=_NextPart_000_001A_01C04E78.E60B0DA0
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>
>Dear Dr Udayakumar, and OBGYN.net Sonographers,
>
>I would be interested to hear your opinion about the outflow tract size in
>this fetus, a question posed by the author. I think that appearance may be
>quite normal. It is common to see a "chunkier" (for lack of a better word)
>MPA when compared to AO. Also, I have a hard time conceptualising
>significant pressure differences in the AO and MPA antenatally when the
>ductus arteriosus is patent. It seems to me that the pressures in the two
>vessels have to be just about the same, hence difference in vessel size
>should not be influenced by pressures. Are any of you fetal
>echocardiographers out there available for discussion?
>
>Yours,
>
>Martin Necas.
>
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>------=_NextPart_000_001A_01C04E78.E60B0DA0--
>
>------------------------------
>
>------------------------------
>Date: Tue, 14 Nov 2000 20:44:50 +1300
>------------------------------
>From: "Martin Necas" <exiled@clear.net.nz>
>To: "Ultrasound@Obgyn. Net" <ultrasound@obgyn.net>
>Subject: Informal Case: Unusual Yolk Sac
>Message-ID: <LPBBJAIGNKIMBGOPMLMJGEJBCCAA.exiled@clear.net.nz>
>MIME-Version: 1.0
>Content-Type: multipart/mixed;
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>
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> charset="iso-8859-1"
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>Dear OBGYN.net Community,
>
>Dr Moroder of Italy has sent us the following first trimester sonogram for
>consideration:
>http://www.obgyn.net/us/present/0011/moroder1.htm
><http://www.obgyn.net/us/present/0011/moroder1.htm>
>Don't forget to send your comments to the forum!
>
>Yours,
>
>Martin Necas, OBGYN.net Ultrasound Section Coordinator
>
>------=_NextPart_000_0021_01C04E7B.BBB7C220
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>------=_NextPart_000_0021_01C04E7B.BBB7C220--
>
>------------------------------
>
>------------------------------
>Date: Tue, 14 Nov 2000 20:44:52 +1300
>------------------------------
>From: "Martin Necas" <exiled@clear.net.nz>
>To: "Ultrasound@Obgyn. Net" <ultrasound@obgyn.net>
>Subject: Informal Case: Unusual Yolk Sac
>Message-ID: <LPBBJAIGNKIMBGOPMLMJIEJBCCAA.exiled@clear.net.nz>
>MIME-Version: 1.0
>Content-Type: text/plain;
> charset="iso-8859-1"
>Content-Transfer-Encoding: 7bit
>
>Dear Dr Moroder, and Sonographers worldwide,
>
>Could the images represent a small area of active hemorrhage? While the
>pictures are certainly not typical for this, active bleeding can be seen on
>2D ultrasound.
>
>As to the yolk sac, "funny" yolk sacs tend make me worried about the
>possibility of poor prognosis, so I would suggest rescanning the patient in
>a few week's time to confirm viability. If the patient is asymptomatic
>(e.g.
>no bleeding) then, I suppose one could wait till 12weeks or so at which
>time
>one can confirm viability and do nuchal translucency (hence killing 2 birds
>with one stone).
>: )
>
>Martin Necas.
>
>------------------------------
>
>------------------------------
>Date: Tue, 14 Nov 2000 16:23:16 +0800
>------------------------------
>From: "TCE" <tsaice@kimo.com.tw>
>To: <Ultrasound@OBGYN.net>
>Subject: Informal Case: Fetal Intraabdominal Mass
>Message-ID: <000601c04e14$27ee1240$150706c0@cmch.org.tw>
>MIME-Version: 1.0
>Content-Type: multipart/alternative;
> boundary="----=_NextPart_000_0003_01C04E57.3138C820"
>
>------=_NextPart_000_0003_01C04E57.3138C820
>Content-Type: text/plain;
> charset="big5"
>Content-Transfer-Encoding: quoted-printable
>
>obstruction ?
>
>------=_NextPart_000_0003_01C04E57.3138C820
>Content-Type: text/html;
> charset="big5"
>Content-Transfer-Encoding: quoted-printable
>
><!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
><HTML><HEAD>
><META content="text/html; charset=big5" http-equiv=Content-Type>
><META content="MSHTML 5.00.3013.2600" name=GENERATOR>
><STYLE></STYLE>
></HEAD>
><BODY bgColor=#ffffff>
><DIV><FONT size=2>obstruction ?</FONT></DIV></BODY></HTML>
>
>------=_NextPart_000_0003_01C04E57.3138C820--
>
>------------------------------
>
>------------------------------
>Date: Tue, 14 Nov 2000 09:39:58 +0100
>------------------------------
>From: The-Hung Bui <The-Hung.Bui@ks.se>
>To: ultrasound@obgyn.net
>Subject: Re: 3D
>Message-ID: <5.0.0.25.0.20001114092637.00a94cb0@127.0.0.1>
>MIME-version: 1.0
>Content-type: text/plain; format=flowed; charset=us-ascii
>Content-transfer-encoding: 7BIT
>
>At 11:46 2000-11-13 -0600, you wrote:
> >Terry & Dany are correct, Prof Hansmann is the senior expert on Ob
>ultrasound
> >in Germany. For 3D, the largewst experience is probably that of Eberhart
>Merz,
> >though for the life of me I can't recall off the top of my head where he
> >works.
> >In Europe I believe Medison is known as Kretz, the Austrian company that
> >really
> >makes the 3D equipment, and that Medison bought several years ago.
>
>Josh,
>
>Prof Eberhard Merz (spelling!) is with the Center for Diagnostic Ultrasound
>and Prenatal Therapy, Department of Obstetrics and Gynecology (Head: Prof.
>Dr. P.G. Knapstein), University of Mainz (Johannes Gutenberg),
>Langenbeckstr. 1, D-55101 Mainz, Germany. Phone: +49-(0)6131-173912, Fax:
>+49-(0)6131-173405. E-mail: emerz@mail.uni-mainz.de
>
>*****************************************************************
>The-Hung Bui, M.D.
>Senior Consultant
>Director, Fetal Diagnosis Programme
>Department of Molecular Medicine
>Clinical Genetics Unit
>Karolinska Hospital
>S-171 76 Stockholm, Sweden
>
> phone: +46 8 517 74989 or 517 72472 (secretary)
> fax: +46 8 32 77 34
> E-mail: The-Hung.Bui@ks.se
>******************************************************************
>
>
>------------------------------
>
>------------------------------
>Date: Tue, 14 Nov 2000 23:08:19 +0200
>------------------------------
>From: SHLOMO GOBI <gobi1@bezeqint.net>
>To: ultrasound@obgyn.net,
> Multiple recipients of list ULTRASOUND
><ultrasound@forum.obgyn.net>
>Subject: Re: Informal Case: Fetal Intraabdominal Mass
>Message-ID: <002201c04e7f$05c0abe0$84a9b3d4@gobi1>
>MIME-version: 1.0
>Content-type: multipart/alternative;
> boundary="----=_NextPart_000_001F_01C04E8F.C7072D00"
>
>------=_NextPart_000_001F_01C04E8F.C7072D00
>Content-Type: text/plain;
> charset="big5"
>Content-Transfer-Encoding: quoted-printable
>
>Can not see an image. Did U attach it?
>Shlomo
>> ----- Original Message -----
> From: TCE
> To: Multiple recipients of list ULTRASOUND
> Sent: Tuesday, November 14, 2000 10:30 AM
> Subject: Informal Case: Fetal Intraabdominal Mass
>
> obstruction ?
>
>------=_NextPart_000_001F_01C04E8F.C7072D00
>Content-Type: text/html;
> charset="big5"
>Content-Transfer-Encoding: quoted-printable
>
><!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
><HTML><HEAD>
><META content="text/html; charset=windows-1255" >http-equiv=Content-Type>
><META content="MSHTML 5.00.2014.210" name=GENERATOR>
><STYLE></STYLE>
></HEAD>
><BODY bgColor=#ffffff>
><DIV><FONT face=Arial>Can not see an image. Did U attach >it?</FONT></DIV>
><DIV><FONT face=Arial>Shlomo</FONT></DIV>
><BLOCKQUOTE
>style="BORDER-LEFT: #000000 2px solid; MARGIN-LEFT: 5px; MARGIN-RIGHT: >0px; PADDING-LEFT: 5px; PADDING-RIGHT: 0px">
>> <DIV style="FONT: 10pt arial">----- Original Message ----- </DIV>
> <DIV
> style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: >black"><B>From:</B>
> <A href="mailto:tsaice@kimo.com.tw" >title=tsaice@kimo.com.tw>TCE</A> </DIV>
> <DIV style="FONT: 10pt arial"><B>To:</B> <A
> href="mailto:ultrasound@mail.medispecialty.com"
> title=ultrasound@mail.medispecialty.com>Multiple recipients of list
> ULTRASOUND</A> </DIV>
> <DIV style="FONT: 10pt arial"><B>Sent:</B> Tuesday, November 14, >2000 10:30
> AM</DIV>
> <DIV style="FONT: 10pt arial"><B>Subject:</B> Informal Case: Fetal
> Intraabdominal Mass</DIV>
> <DIV><BR></DIV>
> <DIV><FONT size=2>obstruction >?</FONT></DIV></BLOCKQUOTE></BODY></HTML>
>
>------=_NextPart_000_001F_01C04E8F.C7072D00--
>
>------------------------------
>
>------------------------------
>Date: Tue, 14 Nov 2000 07:31:32 -0200
>------------------------------
>From: Mário Libardi <mariolibardi@uol.com.br>
>To: <ultrasound@obgyn.net>,
> "Multiple recipients of list ULTRASOUND"
><ultrasound@forum.obgyn.net>
>Subject: Re: Informal Case: Unusual Yolk Sac
>Message-ID: <004d01c04e1d$ad425ec0$2c5cddc8@uol.com.br>
>MIME-Version: 1.0
>Content-Type: text/plain;
> charset="iso-8859-1"
>Content-Transfer-Encoding: 8bit
>
>I agree with Martin.In my experience irregular shape of YS is a "marker" of
>poor prognosis on the first trimester.
>
>Mário Libardi,M.D.
>Multimagem Ultra-sonografia
>Botucatu - Sao Paulo
>BRASIL
>>----- Original Message -----
>From: "Martin Necas" <exiled@clear.net.nz>
>To: "Multiple recipients of list ULTRASOUND" <ultrasound@forum.obgyn.net>
>Sent: Tuesday, November 14, 2000 5:47 AM
>Subject: Informal Case: Unusual Yolk Sac
>
> > Dear Dr Moroder, and Sonographers worldwide,
> >
> > Could the images represent a small area of active hemorrhage? While the
> > pictures are certainly not typical for this, active bleeding can be seen
>on
> > 2D ultrasound.
> >
> > As to the yolk sac, "funny" yolk sacs tend make me worried about the
> > possibility of poor prognosis, so I would suggest rescanning the patient
>in
> > a few week's time to confirm viability. If the patient is asymptomatic
>(e.g.
> > no bleeding) then, I suppose one could wait till 12weeks or so at which
>time
> > one can confirm viability and do nuchal translucency (hence killing 2
>birds
> > with one stone).
> > : )
> >
> > Martin Necas.
> >
>
>------------------------------
>
>------------------------------
>Date: Tue, 14 Nov 2000 22:55:30 +1300
>------------------------------
>From: "Martin Necas" <exiled@clear.net.nz>
>To: <ultrasound@obgyn.net>
>Subject: RE: Informal Case: Fetal Intraabdominal Mass
>Message-ID: <LPBBJAIGNKIMBGOPMLMJOEJCCCAA.exiled@clear.net.nz>
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>Dear Shlomo,
>Please see: http://www.obgyn.net/us/present/0010/sanlucas1.htm
>
>Martin Necas, OBGYN.net Ultrasound Coordinator
>
>-----Original Message-----
>From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net]On Behalf Of SHLOMO
>GOBI
>Sent: Tuesday, 14 November 2000 10:10 p.m.
>To: Multiple recipients of list ULTRASOUND
>Subject: Re: Informal Case: Fetal Intraabdominal Mass
>
>Can not see an image. Did U attach it?
>Shlomo
>>----- Original Message -----
>From: TCE <mailto:tsaice@kimo.com.tw>
>To: Multiple recipients of list ULTRASOUND
><mailto:ultrasound@mail.medispecialty.com>
>Sent: Tuesday, November 14, 2000 10:30 AM
>Subject: Informal Case: Fetal Intraabdominal Mass
>
>obstruction ?
>
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>
><p class=MsoNormal><span class=EmailStyle17><font size=2 >color=navy face=Arial><span
>style='font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>De>ar
>Shlomo,<o:p></o:p></span></font></span></p>
>
><p class=MsoNormal><span class=EmailStyle17><font size=2 >color=navy face=Arial><span
>style='font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Pl>ease see:
><a >href="http://www.obgyn.net/us/present/0010/sanlucas1.htm">http://www.ob>gyn.net/us/present/0010/sanlucas1.htm</a><o:p></o:p></span></font></span>></p>
>
><p class=MsoNormal><span class=EmailStyle17><font size=2 >color=navy face=Arial><span
>style='font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><!>[if >!supportEmptyParas]> <![endif]><o:p></o:p></span></font></span></p>
>
><p class=MsoNormal><span class=EmailStyle17><font size=2 >color=navy face=Arial><span
>style='font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Ma>rtin
>Necas, OBGYN.net Ultrasound >Coordinator<o:p></o:p></span></font></span></p>
>
><p class=MsoNormal><span class=EmailStyle17><font size=2 >color=navy face=Arial><span
>style='font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><!>[if >!supportEmptyParas]> <![endif]><o:p></o:p></span></font></span></p>
>
><p class=MsoNormal style='margin-left:36.0pt'><font size=2 >color=black
>face=Tahoma><span >style='font-size:10.0pt;font-family:Tahoma;color:black'>-----Original
>Message-----<br>
><b><span style='font-weight:bold'>From:</span></b> >ultrasound@obgyn.net
>[mailto:ultrasound@obgyn.net]<b><span style='font-weight:bold'>On >Behalf Of </span></b>SHLOMO
>GOBI<br>
><b><span style='font-weight:bold'>Sent:</span></b> Tuesday, 14 >November 2000
>10:10 p.m.<br>
><b><span style='font-weight:bold'>To:</span></b> Multiple recipients >of list
>ULTRASOUND<br>
><b><span style='font-weight:bold'>Subject:</span></b> Re: Informal >Case: Fetal
>Intraabdominal Mass</span></font></p>
>
><p class=MsoNormal style='margin-left:36.0pt'><font size=3 >face=PMingLiU><span
>style='font-size:12.0pt'><![if >!supportEmptyParas]> <![endif]><o:p></o:p></span></font></p>
>
><p class=MsoNormal style='margin-left:36.0pt'><font size=3 >color=black
>face=Arial><span >style='font-size:12.0pt;font-family:Arial;color:black'>Can not
>see an image. Did U attach it?</span></font><font color=black><span
>style='color:black;mso-color-alt:windowtext'><o:p></o:p></span></font><>/p>
>
><p class=MsoNormal style='margin-left:36.0pt'><font size=3 >color=black
>face=Arial><span >style='font-size:12.0pt;font-family:Arial;color:black'>Shlomo</span></f>ont><font
>color=black><span >style='color:black;mso-color-alt:windowtext'><o:p></o:p></span></font><>/p>
>
><div style='border:none;border-left:solid black 1.5pt;padding:0cm 0cm >0cm 4.0pt'>
>
><p class=MsoNormal >style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
>margin-left:39.75pt;border:none;mso-border-left-alt:solid black 1.5pt;
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>face=Arial><span >style='font-size:10.0pt;font-family:Arial;color:black'>-----
>Original Message ----- </span></font><font size=2 color=black >face=Arial><span
>style='font-size:10.0pt;font-family:Arial;color:black;mso-color-alt:win>dowtext'><o:p></o:p></span></font></p>
>
><p class=MsoNormal >style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
>margin-left:39.75pt;background:#E4E4E4;border:none;mso-border-left-alt:so>lid black 1.5pt;
>padding:0cm;mso-padding-alt:0cm 0cm 0cm 4.0pt'><b><font size=2 >color=black
>face=Arial><span >style='font-size:10.0pt;font-family:Arial;color:black;
>font-weight:bold'>
>
><div style='font-color:black'>From:</span></font></b><font size=2 >color=black
>face=Arial><span >style='font-size:10.0pt;font-family:Arial;color:black'> <a
>href="mailto:tsaice@kimo.com.tw" title="tsaice@kimo.com.tw">TCE</a> ></span></font></div>
>
><font size=2 color=black face=Arial><span >style='font-size:10.0pt;font-family:
>Arial;color:black;mso-color-alt:windowtext'><o:p></o:p></span></font></p>>
><p class=MsoNormal >style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
>margin-left:39.75pt;border:none;mso-border-left-alt:solid black 1.5pt;
>padding:0cm;mso-padding-alt:0cm 0cm 0cm 4.0pt'><b><font size=2 >color=black
>face=Arial><span >style='font-size:10.0pt;font-family:Arial;color:black;
>font-weight:bold'>To:</span></font></b><font size=2 color=black >face=Arial><span
>style='font-size:10.0pt;font-family:Arial;color:black'> <a
>href="mailto:ultrasound@mail.medispecialty.com"
>title="ultrasound@mail.medispecialty.com">Multiple recipients of list
>ULTRASOUND</a> </span></font><font size=2 color=black >face=Arial><span
>style='font-size:10.0pt;font-family:Arial;color:black;mso-color-alt:win>dowtext'><o:p></o:p></span></font></p>
>
><p class=MsoNormal >style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
>margin-left:39.75pt;border:none;mso-border-left-alt:solid black 1.5pt;
>padding:0cm;mso-padding-alt:0cm 0cm 0cm 4.0pt'><b><font size=2 >color=black
>face=Arial><span >style='font-size:10.0pt;font-family:Arial;color:black;
>font-weight:bold'>Sent:</span></font></b><font size=2 color=black >face=Arial><span
>style='font-size:10.0pt;font-family:Arial;color:black'> Tuesday, >November 14,
>2000 10:30 AM</span></font><font size=2 color=black >face=Arial><span
>style='font-size:10.0pt;font-family:Arial;color:black;mso-color-alt:win>dowtext'><o:p></o:p></span></font></p>
>
><p class=MsoNormal >style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
>margin-left:39.75pt;border:none;mso-border-left-alt:solid black 1.5pt;
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>face=Arial><span >style='font-size:10.0pt;font-family:Arial;color:black;
>font-weight:bold'>Subject:</span></font></b><font size=2 color=black
>face=Arial><span >style='font-size:10.0pt;font-family:Arial;color:black'>
>Informal Case: Fetal Intraabdominal Mass</span></font><font size=2 >color=black
>face=Arial><span >style='font-size:10.0pt;font-family:Arial;color:black;
>mso-color-alt:windowtext'><o:p></o:p></span></font></p>
>
><p class=MsoNormal >style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
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>color=black><span >style='color:black;mso-color-alt:windowtext'><o:p></o:p></span></font><>/p>
>
><p class=MsoNormal >style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
>margin-left:39.75pt;border:none;mso-border-left-alt:solid black 1.5pt;
>padding:0cm;mso-padding-alt:0cm 0cm 0cm 4.0pt'><font size=2 >color=black
>face=PMingLiU><span style='font-size:10.0pt;color:black'>obstruction >?</span></font><font
>color=black><span >style='color:black;mso-color-alt:windowtext'><o:p></o:p></span></font><>/p>
>
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