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1 Report Page 1 of3 Electronic Medical InterpreLaCion REPORT EMI Inc W. First St., Suite E Fort Myers, Florida admin@emiinterp.com Patient: John Anderson Date of Birtli: 09/23/1967 Patient ID: Referring Practitioner: Dr. Mestis Reported By: Matt Sullivan Scan Date: 4/23/2013 Report Ref: Report Type: Full Body Thermographer: Deb Re Ronald I Blum FACOEM. FAAFP. Matt Sullivan Ann Stanger All ngrmal protocols were observed HISTORY AND SUBJECTIVE COMPLAINTS: Age/Gender: Male 45 Occupation: Police Officer Prinnary Care Physician: Dr. Mestas Miriam Devlin Bina Santram Clinical Concerns: Current Symptoms: Current Treatment: Current Medication: zolof, Darren Wright Marcel Meelis Brian Tyler Bryan Cotton Casper Lacle Israel Posner John Ward Karen Pendleton Shannon Tyler John Bartone Thermogram Hx: n/a Previous Report #'s: n/a Results of clinical correlation: Mammogram/Ultrasound Hx: n/a Family Hx: mother and sister died of cancer Ob/Gyn Hx: n/a Surgical Hx: cl-c2 fusion, c5-c6 disc removed and replaced and fused, right writst broken, right elbow bursa sack removed. Dental Hx: crowns General Hx: Diagnoses: Skin Lesions or Physical Abnormalities: Notes: We will be taking two full bodies scans. One out a power FX band and one with a power FX band in the same day. We would like your opinion as to the difference you see in any cellular change. THERMOGRAPHIC INTERPRETATION: HEAD AND NECK: Ethmoid thermal activity is consistent with a degree of sinus congestion. Perioral thermal activity may relate to some degree of diffuse dental or gingival inflammation. No focal intensity is identified. Hyperthermia involving the jaw angles, submental regions and anterior neck &tocpath=userl /23/2013

2 Report Page 2 of 3 Ken Fernandez-Taylor Thomas Hudson appears to be lymphatic in nature. Increase involving the posterior neck L > R appears to be muscular. No midline intensity is evident with regards to the cervical vertebrae. There are no thermal findings to indicate TMJ, thyroid or carotid artery dysfunction. CHEST: Hyperthermia at the upper chest bilaterally as well as medially on the left is consistent with costochondral inflammation. Hyperthermic asymmetry is present at the left axilla and appears consistent with enhanced lymphatic activity involving this side. Increase noted involving the sternum may correspond to underlying esophageal irritation. There are no asymmetries present at the anterior or posterior torso that indicate an increased risk for cardiac dysfunction. BACK: Increase noted at the upper back and particularly the upper trapezius bilaterally is consistent with increased muscular tension. Delineation of the upper lumbar levels may correspond to a degree of underlying joint degeneration. There is no indication as to retroperitoneal visceral dysfunction. ABDOMEN: Left upper quadrant hyperthermia may correspond to lymphatic drainage from the adjacent breast/ chest only. Dysfunction involving the spleen as well as the splenic flexure region of the large bowel are alternative considerations. Findings are otherwise unremarkable. UPPER EXTREMITIES: Extensive hyperthermia involving the lateral shoulders/ upper arms appears to be myofascial. Specific intensit/ is present at the lateral elbow, right side, and is consistent with post surgical status. No finding is evident towards the right wrist to correlate with the fracture history. LOWER EXTREMITIES: The right lower extremity is overall warmer consistent with gait preference for this side. Increase involving the insteps L > R appears to be ligamentous in nature. No joint related finding is evident. DISCUSSION: Findings with regards to the sternum/ esophagus are as noted above. Findings at the left upper abdominal quadrant are as noted above. Otherwise, no indication as to visceral dysfunction. FOLLOW-UP: Suggest clinical correlation of thermal findings with patient's history and symptoms. PROCEDURE: This patient was examined with digital infrared thermal imaging to determine if asymmetrical thermal findings indicate abnormal physiology. Thermography is a physiologic test, which demonstrates thermal patterns in skin temperature that may be normal or which may indicate disease or other abnormality. If abnormal heat patterns are identified relating to a specific region of interest or function, clinical correlation and further investigation may be necessary to assist your health care provider in diagnosis and treatment. Thermal imaging is an adjunctive test, which contributes to the process of differential diagnosis, and is not independently diagnostic of pathology. 4/23/2013

3 Report Page 2 of 3 4/23/2013 Ken Fernandez-Taylor Thomas Hudson HD appears to be lymphatic in nature. Increase involving the posterior neck L > R appears to be muscular. No midline intensity is evident with regards to the cervical vertebrae. There are no thermal findings to indicate TMJ, thyroid or carotid artery dysfunction. CHEST: Hyperthermia at the upper chest bilaterally as well as medially on the left is consistent with costochondral inflammation. Hyperthermic asymmetry is present at the left axilla and appears consistent with enhanced lymphatic activity involving this side. Increase noted involving the sternum may correspond to underlying esophageal irritation. There are no asymmetries present at the anterior or posterior torso that indicate an increased risk for cardiac dysfunction. BACK: Increase noted at the upper back and particularly the upper trapezius bilaterally is consistent with increased muscular tension. Delineation of the upper lumbar levels may correspond to a degree of underlying joint degeneration. There is no indication as to retroperitoneal visceral dysfunction. ABDOMEN: Left upper quadrant hyperthermia may correspond to lymphatic drainage from the adjacent breast/ chest only. Dysfunction involving the spleen as well as the splenic flexure region of the large bowel are alternative considerations. Findings are otherwise unremarkable. UPPER EXTREMITIES: Extensive hyperthermia involving the lateral shoulders/ upper arms appears to be myofascial. Specific intensity is present at the lateral elbow, right side, and is consistent with post surgical status. No finding is evident towards the right wrist to correlate with the fracture history. LOWER EXTREMITIES: The right lower extremity is overall warmer consistent with gait preference for this side. Increase involving the insteps L > R appears to be ligamentous in nature. No joint related finding is evident. DISCUSSION: Findings with regards to the sternum/ esophagus are as noted above. Findings at the left upper abdominal quadrant are as noted above. Otherwise, no indication as to visceral dysfunction. FOLLOW-UP: Suggest clinical correlation of thermal findings with patient's history and symptoms. PROCEDURE: This patient was examined with digital infrared thermal imaging to determine if asymmetrical thermal findings indicate abnormal physiology. Thermography is a physiologic test, which demonstrates thermal patterns in skin temperature that may be normal or which may indicate disease or other abnormality. If abnormal heat patterns are identified relating to a specific region of interest or function, clinical correlation and further investigation may be necessary to assist your health care provider in diagnosis and treatment. Thermal imaging is an adjunctive test, which contributes to the process of differential diagnosis, and is not independently diagnostic of pathology.

4 Report Page 1 of 6 http: //www. emi- interp. com/assets/scripts/report images.asp?id= /23/2013 Eiectronic Medical interpretation THERMOGRAMS Patient: John Anderson Date of Birthi: 09/23/1967 Patient ID: Referring Practitioner: Dr. Mestis Scan Date: 4/23/2013 Report Ref: Report Type: Full Body Tliermographer: Deb Re I standard 8 C color range mm

6 Report Page 3 of 6 http: //www. em i- interp. com/assets/scripts/report images. asp?id= /23/2013 Eiectroriic Medical interpretation THERMOGRAMS Patient: John Anderson Scan Date: 4/23/2013 Date of Birth: 09/23/1967 Report Ref: Patient ID: Report Type: Full Body Referring Practitioner: Dr. Mestis Thermograptier: Deb Re standard 8 C color range V OHN.TIF OHN.TIF

7 4/23/2013 Report Page 4 of Copyright Eiectronic Medical Interpretation Inc. All rights resen/ed.

8 com/ assets/ scripts/reportimages. asp?id= /23/2013 Report Page 5 of6 Etectroaic Medical interpreiauon THERMOGRAMS Patient: John Anderson Date of Birth: 09/23/1967 Patient ID: Referring Practitioner: Dr. Mestis Scan Date: 4/23/2013 Report Ref: Report Type: Full Body Thermographer: Deb Re I standard 8 C color range

REPORT. AH normal protocols were observed HISTORY AND SUBJECTIVE COMPLAINTS:

REPORT. AH normal protocols were observed HISTORY AND SUBJECTIVE COMPLAINTS: Report Page 1 of3..^ E'ectrontc Bee Medical int.erpre-.a>;ior REPORT EMI Inc. 2030 W. First St., Suite E Fort Myers, Florida 33901 admin@iemiinterp.com Patient: John Anderson Date of Birth: 09/23/1967