HEALTHCARE/ALLIANCE NAME

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HOSPITAL MEDICAL CENTER NAME

ECHOCARDIOGRAPHY REPORT

PATIENT INFO:

Patient: ECHO PATIENT Patient ID #: 12345678-EH

Exam date: 5-28-02 Echo #: 02-321

Sex: Male DOB: 01-02-1947 Age: 55

Height: 66.0 inches Weight: 166 lbs. BSA: 2.23

Billing modifier: (distinctive procedure (-59) Study location: Noninvasive Cardiology

Referring M.D.: Dr. Echo Ref. Site: Cardiology Associates

INDICATIONS/REASON FOR ECHOCARDIOGRAM:

Aortic insufficiency

Mitral valve disease

Assess ventricular function

STUDY: 2D, M-mode, Color Flow and Doppler Study Quality: Good quality study

OBSERVATIONS:

Left Ventricular Evaluation: AORTIC ROOT:

Ejection fraction: 65% Not dilated

Normal size 2.10 cm.

Normal wall thickness

LEFT ATRIUM: MITRAL VALVE:

Normal size. Normal mitral valve

2.58 cm.

RIGHT VENTRICLE: AORTIC VALVE:

No enlargement. Normal aortic valve

Normal function.

RIGHT ATRIUM: TRICUSPID VALVE:

Normal in size. Normal tricuspid valve

RA Pressure 5-10 mm/Hg.

PULMONIC VALVE:

Normal Pulmonic valve

CONCLUSIONS:

No evidence of Valvular disease.

Chambers within normal limits and function.

Good LV function.

No wall motion abnormalities.

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Interpreting Physician’ name

Test Patient, 5-28-02

LV Long dimension: 5.6 cm LVOT: 3.4 cm

Post wall: 1.1 cm

LA long axis: 3.66 cm

AO root 3.12 cm

Septum: .98 cm

Measurements taken from the parasternal long-axis view