And here is the log output going in the other direction. This is a machine is the WestUS trying to RDP to a machine in the EastUS region.
192.x.1.x = machine residing in default WestUS region
192.x.2.x = machine residing in remote EastUS region
192.x.GWWEST.x = firewall ip address on internal LB of WestUS region
[CGGWWEST:0]# tcpdump -i eth1 tcp and host 192.x.2.x
tcpdump: verbose output suppressed, use -v or -vv for full protocol decode
listening on eth1, link-type EN10MB (Ethernet), capture size 262144 bytes
19:30:05.861584 IP 192.x.1.x.61639 > 192.x.2.x.ms-wbt-server: Flags [S ], seq 2636769634, win 8192, options [mss 1418,nop,wscale 8,nop,nop,sackOK], len gth 0
19:30:05.862027 IP 192.x.GWWEST.x.34545 > 192.x.2.x.ms-wbt-server: Flags [S] , seq 2636769634, win 8192, options [mss 1418,nop,wscale 8,nop,nop,sackOK], leng th 0
19:30:05.941854 IP 192.x.2.x.ms-wbt-server > 192.x.GWWEST.x.34545: Flags [S. ], seq 2293385564, ack 2636769635, win 64000, options [mss 1376,nop,wscale 0,nop ,nop,sackOK], length 0
19:30:05.941908 IP 192.x.2.x.ms-wbt-server > 192.x.1.x.61639: Flags [S .], seq 2293385564, ack 2636769635, win 64000, options [mss 1376,nop,wscale 0,no p,nop,sackOK], length 0
19:30:05.942880 IP 192.x.1.x.61639 > 192.x.2.x.ms-wbt-server: Flags [. ], ack 1, win 1026, length 0
19:30:05.942988 IP 192.x.GWWEST.x.34545 > 192.x.2.x.ms-wbt-server: Flags [.] , ack 1, win 1026, length 0
19:30:05.943749 IP 192.x.1.x.61639 > 192.x.2.x.ms-wbt-server: Flags [P .], seq 1:20, ack 1, win 1026, length 19
19:30:05.944024 IP 192.x.GWWEST.x.34545 > 192.x.2.x.ms-wbt-server: Flags [P. ], seq 1:20, ack 1, win 1026, length 19
19:30:06.243602 IP 192.x.1.x.61639 > 192.x.2.x.ms-wbt-server: Flags [P .], seq 1:20, ack 1, win 1026, length 19
19:30:06.243817 IP 192.x.GWWEST.x.34545 > 192.x.2.x.ms-wbt-server: Flags [P. ], seq 1:20, ack 1, win 1026, length 19
19:30:06.543174 IP 192.x.1.x.61639 > 192.x.2.x.ms-wbt-server: Flags [P .], seq 1:20, ack 1, win 1026, length 19
19:30:06.543311 IP 192.x.GWWEST.x.34545 > 192.x.2.x.ms-wbt-server: Flags [P. ], seq 1:20, ack 1, win 1026, length 19
19:30:07.144209 IP 192.x.1.x.61639 > 192.x.2.x.ms-wbt-server: Flags [P .], seq 1:20, ack 1, win 1026, length 19
19:30:07.144359 IP 192.x.GWWEST.x.34545 > 192.x.2.x.ms-wbt-server: Flags [P. ], seq 1:20, ack 1, win 1026, length 19
19:30:08.344270 IP 192.x.1.x.61639 > 192.x.2.x.ms-wbt-server: Flags [P .], seq 1:20, ack 1, win 1026, length 19
19:30:08.344436 IP 192.x.GWWEST.x.34545 > 192.x.2.x.ms-wbt-server: Flags [P. ], seq 1:20, ack 1, win 1026, length 19
19:30:08.943030 IP 192.x.2.x.ms-wbt-server > 192.x.GWWEST.x.34545: Flags [S. ], seq 2293385564, ack 2636769635, win 64000, options [mss 1376,nop,wscale 0,nop ,nop,sackOK], length 0
19:30:08.943133 IP 192.x.2.x.ms-wbt-server > 192.x.1.x.61639: Flags [S .], seq 2293385564, ack 2636769635, win 64000, options [mss 1376,nop,wscale 0,no p,nop,sackOK], length 0
19:30:08.944038 IP 192.x.1.x.61639 > 192.x.2.x.ms-wbt-server: Flags [. ], ack 1, win 1026, options [nop,nop,sack 1 {0:1}], length 0
19:30:08.944170 IP 192.x.GWWEST.x.34545 > 192.x.2.x.ms-wbt-server: Flags [.] , ack 1, win 1026, options [nop,nop,sack 1 {0:1}], length 0
19:30:10.745440 IP 192.x.1.x.61639 > 192.x.2.x.ms-wbt-server: Flags [P .], seq 1:20, ack 1, win 1026, length 19
19:30:10.745581 IP 192.x.GWWEST.x.34545 > 192.x.2.x.ms-wbt-server: Flags [P. ], seq 1:20, ack 1, win 1026, length 19
19:30:14.942913 IP 192.x.2.x.ms-wbt-server > 192.x.GWWEST.x.34545: Flags [S. ], seq 2293385564, ack 2636769635, win 64000, options [mss 1376,nop,nop,sackOK], length 0
19:30:14.942975 IP 192.x.2.x.ms-wbt-server > 192.x.1.x.61639: Flags [S .], seq 2293385564, ack 2636769635, win 64000, options [mss 1376,nop,nop,sackOK] , length 0
19:30:14.943823 IP 192.x.1.x.61639 > 192.x.2.x.ms-wbt-server: Flags [. ], ack 1, win 1026, options [nop,nop,sack 1 {0:1}], length 0
19:30:14.943909 IP 192.x.GWWEST.x.34545 > 192.x.2.x.ms-wbt-server: Flags [.] , ack 1, win 1026, options [nop,nop,sack 1 {0:1}], length 0
19:30:15.546861 IP 192.x.1.x.61639 > 192.x.2.x.ms-wbt-server: Flags [P .], seq 1:20, ack 1, win 1026, length 19
19:30:15.547066 IP 192.x.GWWEST.x.34545 > 192.x.2.x.ms-wbt-server: Flags [P. ], seq 1:20, ack 1, win 1026, length 19
19:30:25.147228 IP 192.x.1.x.61639 > 192.x.2.x.ms-wbt-server: Flags [R .], seq 20, ack 1, win 0, length 0
19:30:25.147314 IP 192.x.GWWEST.x.34545 > 192.x.2.x.ms-wbt-server: Flags [R. ], seq 20, ack 1, win 0, length 0
19:30:26.943294 IP 192.x.2.x.ms-wbt-server > 192.x.GWWEST.x.34545: Flags [R] , seq 2293385565, win 0, length 0
19:30:26.943395 IP 192.x.2.x.ms-wbt-server > 192.x.1.x.61639: Flags [R ], seq 2293385565, win 0, length 0