Medical Examiner: Victim is a female caucasian, 20-25 years of age, all four extremities have been severed at a 45-degree angle, posterior to anterior-
Adrian Monk: She's older.
Medical Examiner: Pardon me?
Adrian Monk: She's at least 26. She was raised in one of the Baltic states. Estonia, Latvia, probably Lithuania.
Medical Examiner: Anything else?
Adrian Monk: No, no, that's it. Except the killer was a mountain climber, very experienced, and, uh he's left-handed.
Medical Examiner: You can tell all of that from this?
Adrian Monk: Well, that scar on her upper arm is from a smallpox vaccination. It was common in the Baltic states. They stopped vaccinating in 1978, so she had to have been born before then.
Medical Examiner: What about mountain climber?
Adrian Monk: The fiber rope and the knot. I believe it's called the prusik knot. Mountain climbers use it. And it's tied with the top loop facing right, so of course, he's left-handed.