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><FONT face=Arial size=2>I think it's a coexisting mole - what are the
BHCG levels?</FONT></DIV>
<DIV><FONT face=Arial size=2></FONT> </DIV>
<DIV><FONT face=Arial size=2>Prof. Zalel</FONT></DIV>
<BLOCKQUOTE dir=ltr
style="PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
> <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. 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> </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> </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> </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> </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. Let me know if you would like any changes made. <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> </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> </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 <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> </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> </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> </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. <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> </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. I have already clipped the patients ID.
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> </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. Entire myometrium shows
change almost like mole, which is highly unlikely. So is this mole? Please
help. <BR>Dr. Mohile <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> </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> </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">
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<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> </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> 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>
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