Patient DOB: Date of Study: Lab:

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Patient Name: Sarah McClennen Patient DOB: Date of Study: Lab: August 2, 1965 June 26, 2017 Concord, New Hampshire Pain Lump Cancer Mammogram Count: 5-10 Last Anatomical Study: 6/5/13 Study Results:

1 Patient Name: Sarah McClennen Patient DOB: Date of Study: Lab: August 2, 1965 June 26, 2017 Concord, New Hampshire Pain Lump Cancer Mammogram Count: 5-10 Last Anatomical Study: 6/5/13 Study Results: normal Diagnosed with Cancer: No Date of Diagnosis: - Cancer Type: - Treatment: none Hormone Therapy: none Breast Disorders: two skin biopsies on my right breast, clear margins, pre melenoma. Surgical History: Brain Surgery: left cerebellum area, scar midline up back of head, December 2006, DHMC Hanover, NH; Two skin biopsies on Right Breast, clear margins, pre melanoma February 2010, DHMC Hanover, NH; Hysterectomy: laparoscopic, I still have ovaries, Feb 2015, New London Hospital, New London, NH; Right hemicolectomy: laparoscopic, May 2015 Catholic Medical Center, Manchester, NH; Skin biopsy on the left shoulder blade, March 2017, clear margins, pre melanoma. Concerns: no concerns Breast Symptoms: Hysterectomy, Breast disorders Miscellaneous Symptoms: Family stroke history, Head Concerns: no concerns Had a brain surgery December 2006, menningioma. I have a titanium plate in my left occipital region., Abdomen pain, Abs History: hysterectomy, ovaries intact, February 2015 adhesion removal during hysterectomy, scar tissue between small intestine, liver and gallbladder right hemicolectomy, cecal bascule, May 2015, Abs Concern: no concerns, Upper Concerns: no concerns, Lower Concerns: no concerns Exam Notes: - Vascular Patterns Right Breast Asymmetrical: unilateral area of vascular patterns, A questionable pattern of vascularity is seen. This creates a need for future monitoring as recommended Left Breast Asymmetrical: unilateral area of vascular patterns, A questionable pattern of vascularity is seen. This creates a need for future monitoring as recommended Focal Hyperthermia No significant area of focal hyperthermia noted Upper Inner Quadrant ºC, Small area of focal hyperthermia seen Global Global hyperthermia is seen (>0.3C) Global hyperthermia is seen (>0.3C) ºC Nipple/Areola Contour Delta t temperature measurements within normal limits (<1.0C) A normal contour is seen in inverse grayscale imaging Delta t temperature measurements within normal limits (<1.0C) A normal contour is seen in inverse grayscale imaging Fibrocystic Assessment Previous Score: 4 Current Score: 2 Improvement Comparative Study General Impressions The vascular network appear to have improved when compared to the previous exam. The global delta t increased from 0.17c < 0.43c, this increase creates the need for thermal follow up in 6 months. The left breast show a higher thermal activity demonstrated by a global delta t of 0.43Âº celsius which is higher than the threshold also some areas of focal hyperthermia are present along with questionable patterns of vascularity creating the need for thermal follow up in six months. The mild mottling patterns noted across the breasts, bilaterally, may indicate fibrocystic changes. Consultation with a doctor who works with lifestyle changes is recommended in order to assess and improve hormone levels, eliminate toxins that may be producing these abnormal heat patterns, and improve overall wellness. Consultation with an integrative doctor is recommended in order to assess hormone levels, eliminate toxins that may be producing these abnormal heat patterns, and improve

2 overall lifestyle. Recommendations Follow-up Lifestlye changes 6 months Patient Symptoms Family stroke history, Head Concerns: no concerns Had a brain surgery December 2006, menningioma. I have a titanium plate in my left occipital region., Abdomen pain, Abs History: hysterectomy, ovaries intact, February 2015 adhesion removal during hysterectomy, scar tissue between small intestine, liver and gallbladder right hemicolectomy, cecal bascule, May 2015, Abs Concern: no concerns, Upper Concerns: no concerns, Lower Concerns: no concerns Head/Neck Symptoms: Family Stroke History, Concerns: no concerns Had a brain surgery December 2006, menningioma. I have a titanium plate in my left occipital region. Thermal Impressions: Oral inflammation, Cerebrovascular Screening Temp: 0.37, Cerebrovascular Screening: Abnormal, Oral Inflammatory Factor: 2, Anterior neck congestion, Lymphatic congestion disguising possible thyroid condition Comments: The cerebrovascular screening shows a supraorbital Delta t of 0.37 ÂºCelsius which is higher than the threshold and may indicate an increased risk of carotid artery blockage, clinical evaluation and thermal follow up in six months are recommended. Mild oral inflammation and lymphatic congestion that extends to the submandibular and anterior cervical regions and may be disguising a possible thyroid condition, clinically correlate. TMJ is thermographically normal. Recommendations: Clinical correlation, Dental consultation, Carotid arteries evaluation Chest Not Performed Abdomen Symptoms: Abdomen Pain, Surgical History: hysterectomy, ovaries intact, February 2015 adhesion removal during hysterectomy, scar tissue between small intestine, liver and gallbladder right hemicolectomy, cecal bascule, May 2015, Concerns: no concerns Thermal Impressions: Thermographically Normal Comments: - Recommendations: - Spine/Posture Symptoms: - Thermal Impressions: Interscapular hyperthermia, Thoracic hyperthermia, Lumbosacral hyperthermia, Postural deviation Comments: There are some areas of hyperthermia on the upper and lower back that may indicate spinal segmental dysfunction, clinical evaluation and chiropractic consultation are advised. Recommendations: Clinical correlation, Chiropractic evaluation Lower Extremity Symptoms: Concerns: no concerns Thermal Impressions: Questionable vascular hyperthermia, Anterior tibialis inflammation Comments: The anterior tibialis hyperthermia may indicate overuse and the vascular hyperthermia is likely due to varicosities, clinically correlate. Recommendations: Clinical correlation Upper Extremity Symptoms: Concerns: no concerns Thermal Impressions: Thermographically Normal Comments: - Recommendations: - General Impressions No remarks. Follow-up 6 months A Note to the Physician Relevant comments are made to direct the physician in clinical management. This important tool should be used in addition to the physician's other

3 diagnostic tools to create a complete clinical impression. The areas highlighted represent areas of concern that may need to be investigated by clinical correlation and other testing. This may include physical, exam, palpation, radiology, metabolic testing, or other traditional methods of diagnosing. Thermographic imaging is a screening test that alerts of possible areas of pathology at the indicated levels. Normal variants are also common. Sometimes pathological findings appear earlier than tradition tests. Close thermal follow-up is highly recommended over time. *Thermographic Wellness, Inc is a PACT certified interpretation service that has contracted the above interpreters for this evaluation. Interpreted and reviewed by Thermographic Wellness, Inc based on the standards of the Professional Academy of Clinical Thermology. DESCRIPTION OF THE CLINICAL THERMAL IMAGING STUDY The patient above was examined by digital infrared thermal imaging using a high-resolution thermographic camera specific for clinical applications. Standardized thermography protocols were observed which are designed to optimize clinical correlation of thermal patterns. Medical Thermography is a system using a highly technical and non-contact infrared camera to capture and record temperature variations on the skin, the largest organ of the body. As such, the surface of the skin provides vital information that is directly influenced by complex metabolic and vascular activity, including micro-circulation, below the surface via the sympathetic nervous system. These patterns of activity vary in intensity and distribution over each body region, represented by images with variation in colors. Detection of variations in skin temperature allows for recognition of asymmetric, abnormal or suspicious thermal patterns over a specific area or region of interest. Changes of these patterns may be recognized by the interpreter as abnormal physiology or function. Thermal Analysis This report is based on study guidelines that are based on, but not limited to, side-to-side temperature intensity measurement and comparison, established thermological signs including pattern recognition and comparison of changes over time. This method of analysis allows objective clinical correlation by the patient's physician and contributes to the decision-making process regarding therapy, additional testing and eventual diagnosis. Breast Thermography Thermography is defined by the Food and Drug Administration (FDA Code of Federal Regulations Sec ). Thermography is an adjunctive test and does not replace mammography or any other anatomical imaging test. A negative thermogram, mammogram or ultrasound does not preclude biopsy based on clinical condition. The value of thermography as a screening tool is the non-invasive nature of the test and the unique ability to accurately measure skin temperature changes. Such monitoring affords detection of even subtle thermal changes that, although not independently diagnostic, may precede anatomical findings by years and prompt early investigation and prevention. As there is no single known test capable of monitoring all complex anatomical and biological influences of disease, monitoring with additional testing such as ultrasound, MRI, mammography or other testing as recommended by the patient's personal physician is always advised. Study Outcome This study provides adjunctive clinical information and recommendations based solely upon the images and patient information provided, to support the patient's physician in medical or health evaluation. All findings in this report are considered by the interpreter to be related to the general health of the reported region. A "Thermographically Suspicious" finding in this report does not indicate that it is suspicious for any specific disease. This report has been analyzed by the following interpreters according to PACT Standards and Protocols: Prepared by: Beth Borchers, DC Preliminary Interpreter: Peter Lang, MD, FPACT Senior Interpreter: Alexander Sepper, MD, PHD

SarahMcClennen_20 SarahMcClennen_20 Image Zone Min Delta T(Min) Max Delta T(Max) Avg Delta T(Avg) Left 1 28.65 ºC -0.

84 Left 4 32.76 ºC 33.43 ºC 33.21 ºC Left 5 32.21 ºC 0.30 33.15 ºC 0.77 32.71 ºC 0.57 Left 6 31.91 ºC 32.38 ºC 32.

4 SarahMcClennen_20 SarahMcClennen_20 Image Zone Min Delta T(Min) Max Delta T(Max) Avg Delta T(Avg) Left ºC ºC ºC 0.07 Left ºC ºC ºC Left ºC ºC ºC Left ºC ºC ºC Left ºC ºC ºC 0.57 Left ºC ºC ºC Left ºC ºC ºC Left ºC ºC ºC SarahMcClennen_20 SarahMcClennen_20 1/13

5 SarahMcClennen_21 SarahMcClennen_23 Image Zone Min Delta T(Min) Max Delta T(Max) Avg Delta T(Avg) Left ºC ºC ºC Right ºC ºC ºC SarahMcClennen_21 SarahMcClennen_23 2/13

6 SarahMcClennen_22 SarahMcClennen_24 SarahMcClennen_22 SarahMcClennen_24 SarahMcClennen_26 SarahMcClennen_25 3/13

7 SarahMcClennen_26 SarahMcClennen_25 SarahMcClennen_27 SarahMcClennen_27 Image Zone Min Delta T(Min) Max Delta T(Max) Avg Delta T(Avg) Left ºC ºC ºC 0.37 Left ºC ºC ºC 4/13

8 SarahMcClennen_28 SarahMcClennen_29 SarahMcClennen_28 SarahMcClennen_29 SarahMcClennen_31 SarahMcClennen_31 5/13

9 SarahMcClennen_32 SarahMcClennen_33 SarahMcClennen_32 SarahMcClennen_33 SarahMcClennen_14 SarahMcClennen_14 6/13

10 SarahMcClennen_16 SarahMcClennen_17 SarahMcClennen_16 SarahMcClennen_17 SarahMcClennen_19 SarahMcClennen_30 7/13

11 SarahMcClennen_19 SarahMcClennen_30 SarahMcClennen_18 SarahMcClennen_15 SarahMcClennen_18 SarahMcClennen_15 8/13

12 SarahMcClennen_6 SarahMcClennen_6 SarahMcClennen_7 SarahMcClennen_5 SarahMcClennen_7 SarahMcClennen_5 9/13

13 SarahMcClennen_3 SarahMcClennen_4 SarahMcClennen_3 SarahMcClennen_4 SarahMcClennen_9 SarahMcClennen_11 10/13

14 SarahMcClennen_9 SarahMcClennen_11 SarahMcClennen_8 SarahMcClennen_10 SarahMcClennen_8 SarahMcClennen_10 11/13

15 SarahMcClennen_2 SarahMcClennen_34 SarahMcClennen_2 SarahMcClennen_34 SarahMcClennen_12 SarahMcClennen_13 12/13

16 SarahMcClennen_12 SarahMcClennen_13 13/13

Patient DOB: Date of Study: Lab:

Patient DOB: Date of Study: Lab: Mammogram Count: 1-5 Last Anatomical Study: 2/1/00 Study Results: fine Diagnosed with Cancer: No Date of Diagnosis: - Cancer Type: - Treatment: none Hormone Therapy: none Breast Disorders: breast reduction