Exhibit A: DICOM Metadata Forensic Analysis

Document Overview

• Subject: Forensic review of raw DICOM files and extracted XML metadata.
• Dates Compared: 2019 clinical reports vs. 2025 system exports.
• A change

Key Findings

An in-depth extraction of the XML metadata from the imaging files revealed significant structural inconsistencies between the 2019 technical report and the 2025 raw data export.

These discrepancies are a foundational element in establishing the timeline of the medical fraud.

Specific Discrepancies:

1. Time of Capture: The 2019 hospital report states the imaging was completed at 09:15 AM. The extracted DICOM metadata indicates the machine did not initiate the sequence until 11:42 AM.
2. Independent Verification: An independent review of this raw data by a consulting cardiologist confirmed that the 2025 dataset contradicts the clinical narrative provided in the official hospital discharge summary.

Supporting Documentation

• Note: Ensure all patient-identifying information has been stripped from the DICOM headers prior to uploading the raw files.
• Raw XML Extract (Redacted) - PDF
• Cardiologist Peer Review Notes - PDF