2D ECHOCARDIOGRAM WITH COLOR FLOW DOPPLER EXAMPLE REPORTS
DATE OF PROCEDURE: MM/DD/YYYY
INDICATION FOR PROCEDURE: Cerebrovascular accident and mitral regurgitation.
PROCEDURE PERFORMED: Two-dimensional M-mode echocardiography.
PROCEDURE FINDINGS:
1. The left ventricle is normal in size with moderate concentric left ventricular hypertrophy. Left ventricular systolic function appears grossly intact, and no regional wall motion abnormalities are appreciated. The left ventricular ejection fraction is visually estimated to be 55%.
2. The left atrium is mildly enlarged. The aortic root is not dilated. Right-sided chambers appear to be normal in size, structure, and function. The interatrial septum seems grossly intact.
3. The mitral valve leaflets appear minimally thickened but demonstrate adequate diastolic excursion without prolapse. Aortic valve is a trileaflet structure with normal leaflet mobility. Tricuspid valve is normal in structure and function. Pulmonic valve appears thin and pliable.
4. There is no pericardial effusion and no intracavitary masses seen.
COLOR AND DOPPLER FLOW EXAMINATION FINDINGS:
1. Spectral Doppler interrogation of mitral inflow reveals normal inflow velocities with a reversal of E to A, compatible with decreased diastolic compliance.
2. Forward flow velocities across the left ventricular outflow tract and aortic valve approach the upper limits of normal. Aortic insufficiency is not seen.
3. There is trace tricuspid regurgitation with a peak velocity of 0.6 meters per second, corresponding to an estimated right ventricular systolic pressure of 20 mmHg, which is within normal limits.
4. Trivial pulmonic insufficiency is present.
5. No abnormal color flow pattern is identified across the interatrial septum.
SAMPLE #2
DATE OF PROCEDURE: MM/DD/YYYY
INDICATIONS FOR PROCEDURE: Precordial pain.
PROCEDURE PERFORMED: Two-dimensional M-mode echocardiography.
PROCEDURE FINDINGS:
1. The left ventricle is normal in size with mild concentric left ventricular hypertrophy. The left ventricular systolic function appears grossly intact, and no regional wall motion abnormalities are appreciated. Left ventricular ejection fraction is visually estimated to be 55%.
2. The left atrium is normal in size. The aortic root is not dilated. Right-sided heart chambers appear to be normal in size, structure, and function. The interatrial septum seems grossly intact.
3. The mitral valve leaflets appear morphologically normal in structure and demonstrate adequate diastolic excursion without prolapse. The aortic valve is a trileaflet structure with normal leaflet mobility. The tricuspid valve is normal in structure and function. The pulmonic valve is not clearly visualized.
4. There is an anterior echo-free space, which likely represents epicardial fat. No intracavitary masses seen.
COLOR AND DOPPLER FLOW EXAMINATION FINDINGS:
1. Spectral Doppler interrogation of mitral inflow reveals normal inflow velocities, and there is no mitral stenosis. Doppler analysis of mitral annulus is consistent with diastolic dysfunction. Trace mitral regurgitation is seen.
2. Forward flow velocities across the aortic valve approach the upper limits of normal. Aortic insufficiency is not seen.
3. There is trivial tricuspid regurgitation with velocities that are inadequate to estimate right ventricular systolic pressure.
4. There is no pulmonic insufficiency.
5. No abnormal color flow patterns are identified across the interatrial septum.
