ECHO COMPLETE W/CONTRAST (5 months ago)

Left Ventricle – Structure and Systolic Function: The left

ventricular cavity size is Normal. Ventricular wall thickness is

mildly increased. Global left ventricular systolic function is

normal. The ejection fraction is 66% by biplane method of discs. Left

ventricular basal fractional shortening is normal. No regional wall

motion abnormalities are seen.

Left Ventricle – Diastole:The Doppler derived transmitral left

ventricular inflow velocity pattern is E wave dominant. The Doppler

derived early diastolic deceleration time is short at 155 msec. The

velocity of the early diastolic septal mitral annular movement, as

determined by tissue Doppler imaging is normal at 0.100 m/s. The

velocity of the early diastolic lateral mitral annular movement, as

determined by tissue Doppler imaging is normal at 0.10 m/s. The

overall diastolic function is normal with normal left ventricular

filling pressures.

Left Atrium: The left atrium is normal in size.

Right Atrium: The right atrium is normal in size.

Atrial Septum: Atrial septum is structurally normal and intact on 2D

and color Doppler interrogation.

Right Ventricle: The right ventricular size is normal. The right

ventricular diastolic area is 21.20 cm which is normal. The right

ventricular systolic area is 11.50 cm which is normal. Global right

ventricular systolic function is normal. The right ventricular

fractional area change is 45.75% which is normal. The tricuspid

annular plane systolic excursion is 2.49 cm consistent with normal

right ventricular systolic function. The right ventricular systolic

pressure, as estimated using the tricuspid regurgitation velocity, is

26.9 mmHg.

Aortic Valve: The aortic valve is trileaflet with normal excursion.

Normal Doppler interrogation flow patterns without stenosis or

insufficiency.

Mitral Valve: The mitral valve is structurally normal. Trace mitral

regurgitation is present.

Tricuspid Valve: The tricuspid valve is structurally normal. Trace

tricuspid regurgitation is present.

Pulmonic Valve: The pulmonic valve is not well visualized.

Aorta: The aorta at the level of the sinuses of Valsalva is normal in

diameter at 2.60 cm. The ascending aorta is normal at 2.70 cm.

Pulmonary Artery: The tricuspid regurgitant velocity is 2.44 m/s, and

with an assumed right atrial pressure of 3 mmHg, the estimated

pulmonary artery systolic pressure is normal at 26.9 mmHg.

Pericardium: No pericardial effusion seen.

Summary:

1. Normal left ventricular cavity size.

2. Mildly increased left ventricular wall thickness.

3. Normal global left ventricular systolic function.

4. No regional left ventricular wall motion abnormalities.

5. Normal diastolic function with normal left ventricular filling

pressures.

6. Normal right ventricular systolic function.

7. Normal atrial septum by 2D and color Doppler.

8. Trileaflet aortic valve with normal excursion.

9. No aortic stenosis or insufficiency.

10. Trace mitral regurgitation.

11. Trace tricuspid regurgitation.

12. Normal aortic root diameter for body size.

13. No pericardial effusion.