Re: your opinion

From: Prof. Yaron Zalel (zalel_y@netvision.net.il)
Thu Jul 5 21:57:17 2007


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I think it's a coexisting mole - what are the BHCG levels?

Prof. Zalel

> ----- Original Message -----
From: DuBose, Terry To: Multiple recipients of list ULTRASOUND Sent: Thursday, July 05, 2007 9:32 PM Subject: RE: your opinion

We have a current case on which an opinion is requested. Please take a look at this case and let the physician know if you think it is a coexisting mole/

http://www.obgyn.net/ultrasound/?page=/ultrasound/present/0707/pregnancy_mole

Thanks, Terry

Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM

Associate Professor & Director Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, CHRP 4301 West Markham St. Mail Slot #563 Little Rock, Arkansas, 72205 USA 501-686-6510 or 501-686-5948 DuBoseTerryJ@UAMS.edu http://www.uams.edu/chrp/sonography/ http://www.obgyn.net/us/panel/panel.htm http://www.io.com/~dubose/ ---------------------------------------------------------------

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From: Donna Wyant [mailto:Donna_Wyant@hotmail.com] Sent: Thursday, July 05, 2007 12:37 PM To: DuBose, Terry; 'nila mohile' Cc: 'Donna Wyant'; 'Barbara Nesbitt' Subject: RE: your opinion

Hi Terry,

Here is the page for you. Let me know if you would like any changes made. http://www.obgyn.net/ultrasound/?page=/ultrasound/present/0707/pregnancy_mole

Donna

Donna Wyant Special Sections Content Coordinator OBGYN.net http://www.obgyn.net Donna.Wyant@obgyn.net

From: DuBose, Terry [mailto:DuboseTerryJ@uams.edu] Sent: Thursday, July 05, 2007 10:39 AM To: nila mohile Cc: Donna Wyant; donna.wyant@obgyn.net; Barbara Nesbitt Subject: RE: your opinion

Dr. Mohile, it certainly does look like a co-existing mole. however, let us post it and get more opinions.

Donna, can you post these images right away and let me have the URL so we can call for opinions. I have already clipped the patient's ID. Please use this text:

"Please opine on this usg.G4P1 with 2 previous vesicular moles has 16 weeks live foetus, normal looking placenta and fluid. Entire myometrium shows change almost like mole, which is highly unlikely. So is this mole? Please help. Dr. Mohile nilamohile@hotmail.com "

Thanks, Terry

Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM

Associate Professor & Director Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, CHRP 4301 West Markham St. Mail Slot #563 Little Rock, Arkansas, 72205 USA 501-686-6510 or 501-686-5948 DuBoseTerryJ@UAMS.edu http://www.uams.edu/chrp/sonography/ http://www.obgyn.net/us/panel/panel.htm http://www.io.com/~dubose/ ---------------------------------------------------------------

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From: nila mohile [mailto:nilamohile@hotmail.com] Sent: Wednesday, July 04, 2007 2:24 PM To: terry.dubose@obgyn.net Subject: your opinion

Dear Dr. Dubose, I could not send this mail to ultrasound forum and hence directing to you.Please opine on this usg.G4P1 with 2 previous vesicular moles has 16 weeks live foetus, normal looking placenta and fluid.Entire myometrium shows change almost like mole, which is highly unlikely. So is this mole? Please help. Dr. Mohile.

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> <DIV style="FONT: 10pt arial">----- Original Message ----- </DIV> <DIV style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black"><B>From:</B> <A title=DuboseTerryJ@uams.edu href="mailto:DuboseTerryJ@uams.edu">DuBose, Terry</A> </DIV> <DIV style="FONT: 10pt arial"><B>To:</B> <A title=ultrasound@dns.obgyn.net href="mailto:ultrasound@dns.obgyn.net">Multiple recipients of list ULTRASOUND</A> </DIV> <DIV style="FONT: 10pt arial"><B>Sent:</B> Thursday, July 05, 2007 9:32 PM</DIV> <DIV style="FONT: 10pt arial"><B>Subject:</B> RE: your opinion</DIV> <DIV><BR></DIV> <DIV class=Section1> <P class=MsoNormal><FONT face=Arial color=green size=3><SPAN style="FONT-SIZE: 12pt; COLOR: green; FONT-FAMILY: Arial">We have a current case on which an opinion is requested.&nbsp;&nbsp;&nbsp; Please take a look at this case and let the physician know if you think it is a coexisting mole/ <o:p></o:p></SPAN></FONT></P> <P class=MsoNormal><FONT face=Arial color=green size=3><SPAN style="FONT-SIZE: 12pt; COLOR: green; FONT-FAMILY: Arial"><A href="http://www.obgyn.net/ultrasound/?page=/ultrasound/present/0707/pregnancy_mole">http://www.obgyn.net/ultrasound/?page=/ultrasound/present/0707/pregnancy_mole</A><o:p></o:p></SPAN></FONT></P> <P class=MsoNormal><FONT face=Arial color=green size=3><SPAN style="FONT-SIZE: 12pt; COLOR: green; FONT-FAMILY: Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P> <P class=MsoNormal><FONT face=Arial color=green size=3><SPAN style="FONT-SIZE: 12pt; COLOR: green; FONT-FAMILY: Arial">Thanks, Terry <o:p></o:p></SPAN></FONT></P> <P class=MsoNormal><FONT face=Arial color=green size=3><SPAN style="FONT-SIZE: 12pt; COLOR: green; FONT-FAMILY: Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P> <DIV> <P style="MARGIN-BOTTOM: 12pt"><FONT face="Times New Roman" color=green size=2><SPAN style="FONT-SIZE: 10pt; COLOR: green">Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM<BR><BR>Associate Professor & Director<BR>Diagnostic Medical Sonography Program<BR><st1:place w:st="on"><st1:PlaceType w:st="on">University</st1:PlaceType> of <st1:PlaceName w:st="on">Arkansas</st1:PlaceName></st1:place> for Medical Sciences, CHRP<BR><st1:Street w:st="on"><st1:address w:st="on">4301 West Markham St.</st1:address></st1:Street> Mail Slot #563<BR><st1:place w:st="on"><st1:City w:st="on">Little Rock</st1:City>, <st1:State w:st="on">Arkansas</st1:State>, <st1:PostalCode w:st="on">72205</st1:PostalCode> <st1:country-region w:st="on">USA</st1:country-region></st1:place><BR>501-686-6510 or 501-686-5948<BR>DuBoseTerryJ@UAMS.edu<BR><A href="http://www.uams.edu/chrp/sonography/">http://www.uams.edu/chrp/sonography/</A><BR><A href="http://www.obgyn.net/us/panel/panel.htm">http://www.obgyn.net/us/panel/panel.htm</A><BR><A href="http://www.io.com/~dubose/">http://www.io.com/~dubose/</A><BR>---------------------------------------------------------------</SPAN></FONT><FONT=20 ------------------------------------------------------------</SPAN></FONT size=3D2><SPAN style=3D"FONT-SIZE: = ------------------------------------------------------------</SPAN></FONT10pt"><o:p></o:p></SPAN></FONT></P></DIV> <DIV> <DIV class=MsoNormal style="MARGIN-LEFT: 0.5in; TEXT-ALIGN: center" alignÎnter><FONT face="Times New Roman" size=3><SPAN style="FONT-SIZE: 12pt"> <HR tabIndex=-1 alignÎnter width="100%" SIZE=2> </SPAN></FONT></DIV> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><B><FONT face=Tahoma size=2><SPAN style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">From:</SPAN></FONT></B><FONT face=Tahoma size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma"> Donna Wyant [mailto:Donna_Wyant@hotmail.com] <BR><B><SPAN style="FONT-WEIGHT: bold">Sent:</SPAN></B> Thursday, July 05, 2007 12:37 PM<BR><B><SPAN style="FONT-WEIGHT: bold">To:</SPAN></B> DuBose, Terry; 'nila mohile'<BR><B><SPAN style="FONT-WEIGHT: bold">Cc:</SPAN></B> 'Donna Wyant'; 'Barbara Nesbitt'<BR><B><SPAN style="FONT-WEIGHT: bold">Subject:</SPAN></B> RE: your opinion</SPAN></FONT><o:p></o:p></P></DIV> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face="Times New Roman" size=3><SPAN style="FONT-SIZE: 12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT faceÊlibri color=#1f497d size=2><SPAN style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: Calibri">Hi Terry,<o:p></o:p></SPAN></FONT></P> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT faceÊlibri color=#1f497d size=2><SPAN style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: Calibri"><o:p>&nbsp;</o:p></SPAN></FONT></P> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT faceÊlibri color=#1f497d size=2><SPAN style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: Calibri">Here is the page for you.&nbsp; Let me know if you would like any changes made.&nbsp; <A href="http://www.obgyn.net/ultrasound/?page=/ultrasound/present/0707/pregnancy_mole">http://www.obgyn.net/ultrasound/?page=/ultrasound/present/0707/pregnancy_mole</A> <o:p></o:p></SPAN></FONT></P> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT faceÊlibri color=#1f497d size=2><SPAN style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: Calibri"><o:p>&nbsp;</o:p></SPAN></FONT></P> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT faceÊlibri color=#1f497d size=2><SPAN style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: Calibri">Donna<o:p></o:p></SPAN></FONT></P> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT faceÊlibri color=#1f497d size=2><SPAN style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: Calibri"><o:p>&nbsp;</o:p></SPAN></FONT></P> <DIV> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><I><FONT face="Bookman Old Style" color=#1f497d size=2><SPAN style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-STYLE: italic; FONT-FAMILY: 'Bookman Old Style'">Donna Wyant<BR>Special Sections Content Coordinator<BR>OBGYN.net&nbsp; <A href="http://www.obgyn.net/">http://www.obgyn.net</A> <BR><A href="mailto:Donna.Wyant@obgyn.net">Donna.Wyant@obgyn.net</A> <o:p></o:p></SPAN></FONT></I></P> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT faceÊlibri color=#1f497d size=2><SPAN style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: Calibri"><o:p>&nbsp;</o:p></SPAN></FONT></P></DIV> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT faceÊlibri color=#1f497d size=2><SPAN style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: Calibri"><o:p>&nbsp;</o:p></SPAN></FONT></P> <DIV> <DIV style="BORDER-RIGHT: medium none; PADDING-RIGHT: 0in; BORDER-TOP: #b5c4df 1pt solid; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; BORDER-LEFT: medium none; PADDING-TOP: 3pt; BORDER-BOTTOM: medium none"> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><B><FONT face=Tahoma size=2><SPAN style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">From:</SPAN></FONT></B><FONT face=Tahoma size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma"> DuBose, Terry [mailto:DuboseTerryJ@uams.edu] <BR><B><SPAN style="FONT-WEIGHT: bold">Sent:</SPAN></B> Thursday, July 05, 2007 10:39 AM<BR><B><SPAN style="FONT-WEIGHT: bold">To:</SPAN></B> nila mohile<BR><B><SPAN style="FONT-WEIGHT: bold">Cc:</SPAN></B> Donna Wyant; donna.wyant@obgyn.net; Barbara Nesbitt<BR><B><SPAN style="FONT-WEIGHT: bold">Subject:</SPAN></B> RE: your opinion<o:p></o:p></SPAN></FONT></P></DIV></DIV> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face="Times New Roman" size=3><SPAN style="FONT-SIZE: 12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=green size=3><SPAN style="FONT-SIZE: 12pt; COLOR: green; FONT-FAMILY: Arial">Dr. Mohile, it certainly does look like a co-existing mole… however, let us post it and get more opinions.&nbsp;&nbsp; <o:p></o:p></SPAN></FONT></P> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=green size=3><SPAN style="FONT-SIZE: 12pt; COLOR: green; FONT-FAMILY: Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=green size=3><SPAN style="FONT-SIZE: 12pt; COLOR: green; FONT-FAMILY: Arial">Donna, can you post these images right away and let me have the URL so we can call for opinions.&nbsp; I have already clipped the patient’s ID.&nbsp;&nbsp; Please use this text:<o:p></o:p></SPAN></FONT></P> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=green size=3><SPAN style="FONT-SIZE: 12pt; COLOR: green; FONT-FAMILY: Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P> <P class=MsoNormal style="MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 1in; MARGIN-RIGHT: 0in; mso-margin-top-alt: 0in"><FONT face=Arial color=green size=3><SPAN style="FONT-SIZE: 12pt; COLOR: green; FONT-FAMILY: Arial">“</SPAN></FONT><FONT face=Tahoma size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">Please opine on this usg.G4P1 with 2 previous vesicular moles has 16 weeks live foetus, normal looking placenta and fluid.&nbsp; Entire myometrium shows change almost like mole, which is highly unlikely. So is this mole? Please help. <BR>Dr. Mohile&nbsp;&nbsp; <A href="mailto:nilamohile@hotmail.com">nilamohile@hotmail.com</A> </SPAN></FONT><FONT face=Arial color=green><SPAN style="COLOR: green; FONT-FAMILY: Arial">”</SPAN></FONT><FONT face=Tahoma size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma"><o:p></o:p></SPAN></FONT></P> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=green size=3><SPAN style="FONT-SIZE: 12pt; COLOR: green; FONT-FAMILY: Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=green size=3><SPAN style="FONT-SIZE: 12pt; COLOR: green; FONT-FAMILY: Arial">Thanks, Terry <o:p></o:p></SPAN></FONT></P> <P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=green size=3><SPAN style="FONT-SIZE: 12pt; COLOR: green; FONT-FAMILY: Arial"><o:p>&nbsp;</o:p></SPAN></FONT></P> <DIV> <P style="MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 0.5in; MARGIN-RIGHT: 0in; mso-margin-top-alt: 0in"><FONT face="Times New Roman" color=green size=2><SPAN style="FONT-SIZE: 10pt; COLOR: green">Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM<BR><BR>Associate Professor & Director<BR>Diagnostic Medical Sonography Program<BR><st1:place w:st="on"><st1:PlaceType w:st="on">University</st1:PlaceType> of <st1:PlaceName w:st="on">Arkansas</st1:PlaceName></st1:place> for Medical Sciences, CHRP<BR><st1:Street w:st="on"><st1:address w:st="on">4301 West Markham St.</st1:address></st1:Street> Mail Slot #563<BR><st1:place w:st="on"><st1:City w:st="on">Little Rock</st1:City>, <st1:State w:st="on">Arkansas</st1:State>, <st1:PostalCode w:st="on">72205</st1:PostalCode> <st1:country-region w:st="on">USA</st1:country-region></st1:place><BR>501-686-6510 or 501-686-5948<BR>DuBoseTerryJ@UAMS.edu<BR><A href="http://www.uams.edu/chrp/sonography/">http://www.uams.edu/chrp/sonography/</A><BR><A href="http://www.obgyn.net/us/panel/panel.htm">http://www.obgyn.net/us/panel/panel.htm</A><BR><A href="http://www.io.com/~dubose/">http://www.io.com/~dubose/</A><BR>---------------------------------------------------------------</SPAN></FONT><FONT=20 ------------------------------------------------------------</SPAN></FONT size=3D2><SPAN style=3D"FONT-SIZE: = ------------------------------------------------------------</SPAN></FONT10pt"><o:p></o:p></SPAN></FONT></P></DIV> <DIV> <DIV style="MARGIN-LEFT: 0.5in"> <DIV class=MsoNormal style="MARGIN-LEFT: 0.5in; TEXT-ALIGN: center" alignÎnter><FONT face="Times New Roman" size=3><SPAN style="FONT-SIZE: 12pt"> <HR alignÎnter width="100%" SIZE=2> </SPAN></FONT></DIV></DIV> <P class=MsoNormal style="MARGIN-LEFT: 1in"><B><FONT face=Tahoma size=2><SPAN style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">From:</SPAN></FONT></B><FONT face=Tahoma size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma"> nila mohile [mailto:nilamohile@hotmail.com] <BR><B><SPAN style="FONT-WEIGHT: bold">Sent:</SPAN></B> Wednesday, July 04, 2007 2:24 PM<BR><B><SPAN style="FONT-WEIGHT: bold">To:</SPAN></B> terry.dubose@obgyn.net<BR><B><SPAN style="FONT-WEIGHT: bold">Subject:</SPAN></B> your opinion</SPAN></FONT><o:p></o:p></P></DIV> <P class=MsoNormal style="MARGIN-LEFT: 1in"><FONT face="Times New Roman" size=3><SPAN style="FONT-SIZE: 12pt"><o:p>&nbsp;</o:p></SPAN></FONT></P> <P class=MsoNormal style="MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 1in; MARGIN-RIGHT: 0in; mso-margin-top-alt: 0in"><FONT face=Tahoma size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">Dear Dr. Dubose,<BR>&nbsp;I could not send this mail to ultrasound forum and hence directing to you.Please opine on this usg.G4P1 with 2 previous vesicular moles has 16 weeks live foetus, normal looking placenta and fluid.Entire myometrium shows change almost like mole, which is highly unlikely. So is this mole? Please help. <BR>Dr. Mohile.<o:p></o:p></SPAN></FONT></P> <DIV style="MARGIN-LEFT: 0.5in"> <DIV class=MsoNormal style="MARGIN-LEFT: 0.5in; TEXT-ALIGN: center" alignÎnter><FONT face=Tahoma size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma"> <HR alignÎnter width="100%" SIZE=2> </SPAN></FONT></DIV></DIV> <P class=MsoNormal style="MARGIN-LEFT: 1in"><FONT face=Tahoma size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">Sign in and get updated with all the action! <A href="http://content.msn.co.in/Sports/FormulaOne/Default" target=_new>Formula One</A><o:p></o:p></SPAN></FONT></P><PRE style="MARGIN-LEFT: 0.5in"><FONT face="Courier New" size=2><SPAN style="FONT-SIZE: 10pt">Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information.&nbsp; Any unauthorized review, use, disclosure or distribution is prohibited.&nbsp; If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.<o:p></o:p></SPAN></FONT></PRE></DIV> <P><PRE wrap>Confidentiality Notice: This e-mail message, including any<CR> attachments, is for the sole use of the intended<CR> recipient(s) and may contain confidential and privileged<CR> information. Any unauthorized review, use, disclosure or<CR> distribution is prohibited. If you are not the<CR> intended recipient, please contact the sender by reply<CR> e-mail and destroy all copies of the original message.<CR> </PRE> <P></P></BLOCKQUOTE></BODY></HTML>

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