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

Old MI

Assess ventricular function

STUDY: 2D Color Flow and Doppler Study Quality: Good quality study

MEASUREMENTS:

		Normal		Normal CM/M2
LVID (D)	4.1 CM	3.5 – 5.6 CM	2.03 CM/M2	1.9 – 3.2 CM/M2	LVOT DIA.	CM
LVID (S)	3.2 CM	2.5 – 4.0 CM
LVSW (D)	1.0 CM	0.7 – 1.1 CM			AVA	CM
LVPW (D)	.9 CM	0.7 – 1.1 CM
% FS	.33 CM	0.24 – 0.42 CM
EST. EF %	55%	55 – 75%			MVA	CM
LV MASS	260 CM	MEN: <265 G	129 G/M2	135 G/M2
	CM	WOMEN: < 200 G	G/M2	110 G/M2
AO ROOT	3.2 CM	2.0 - 3.7 CM	1.6 CM/M2	1.2 – 2.2 CM/M2
	CM	1.0 – 4.0 CM	CM/M2	1.1 – 2.2 CM/M2

DOPPLER MEASUREMENTS:

AORTIC VALVE
ANATOMY: Bicuspid	PEAK SYSTOLIC VELOCITY
	MEAN GRADIENT	30
AORTIC REGURG: 2+	VALVE AREA	1.7
	LVOT AREA
	PRESSURE HALF-TIME
MITRAL VALVE
ANATOMY:	PEAK DIASTOLIC VELOCITY:
	MEAN PRESSURE GRADIENT:	15
	MITRAL VALVE AREA:	6
TRICUSPID VALVE
ANATOMY:	PA PRESSURE	26/12/21
TRICUSPID REGURG: 1+	PEAK SYSTOLIC VELOCITY
PULMONIC VALVE
ANATOMY:	PEAK SYSTOLIC VELOCITY
PULMONIC REGURG:

OBSERVATIONS:

Left Ventricular Evaluation:

Ejection fraction: 55%

Mild left ventricular dilatation.

Normal wall thickness.

Moderate concentric left ventricular hypertrophy.

Minimally impaired LV function.

Anterobasal moderate Hypokinesis.

LEFT ATRIUM:

Mild enlargement.

Left atrial smoke.

RIGHT VENTRICLE:

No enlargement.

Normal function.

RIGHT ATRIUM:

Normal in size.

RA Pressure 5-10 mm/Hg.

OTHER CHAMBERS:

Normal Ra and RV sizes.

AORTIC ROOT:

Descending aortic dilatation.

Annuloaortic ectasia.

MITRAL VALVE:

Mild mitral regurgitation.

Diastolic flutter of anterior leaflet consistent with aortic insufficiency.

Moderate subvalvular thickening.

AORTIC VALVE:

Moderate insufficiency.

Mild stenosis.

Orifice area: 2.3 cm. (Planimetry.)

Bicuspid valve.

TRICUSPID VALVE:

Normal tricuspid valve.

PULMONIC VALVE:

Moderate insufficiency.

Supravalvular stenosis.

PULMONARY PRESSURES

Pulmonary hypertension.

IVC imaging unremarkable.

Pulmonary artery systolic pressure of 35 mm/Hg.

PERICARDIUM:

Trivial effusion.

IMAGES:

Parasternal long-axis view Parasternal short-axis view

Four chamber view Two chamber view

SEGMENTAL WALL MOTION:

The left ventricle demonstrates segmental wall motion abnormalities suggestive of LAD disease and possible compromise of the right coronary artery.

The mid anterior septum is hypokinetic.

The mid septum is hypokinetic.

The Apical septum is hypokinetic

The Mid anterior wall is dyskinetic.

The apical lateral wall is hypokinetic

The Apical anterior wall is akinetic.

Wall motion score index: 1.72 (Normal: 1.00 Markedly abnormal >1.99)

Wall motion abnormalities diagram: Abnormalities seen on red

CONCLUSIONS:

Consistent with acquired Valvular disease.

Pericardial effusion without echocardiographic evidence for tamponade.

Consistent with Hypertensive vascular disease.

Segmental wall motion abnormalities.

Valvular aortic stenosis.

Valvular mitral stenosis.

Valvular aortic insufficienc.

Valvular mitral insufficiency.

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Interpreting Physician’ name