Repeat Echocardiogram - March 27 2012

Study ID: 137479

Echocardiography Laboratory
Adult Echocardiography Report

Name: Malkiewicz, Judith A Study Date: 03/27/2012 07:22 AM BP: 122/62 mmHg
MRN: 535166 Patient Location: ECHO HR: 70
DOB: 12/08/1950 Gender: Female Height: 62.5 in
Age: 61 yrs Weight: 163 lb
Reason For Study: Thrombus/heart valve prosthesis 996.71, Right Atrial
Mass BSA: 1.8 m2
Authorizing Physician: Wolfel,
Eugene E

Conclusions
An irregular soft-tissue echodensity is seen in the right atrium, possibly extruding from right atrial catheter tip (see image 53). This suggests a thrombus or vegetation attached to the central line.
Also noted is a prominent eustachian valve, apparently not contiguous with the atrial mass.
Compared to prior study, the following changes are noted: atrial mass better seen on current study.
Recommend transesophageal echo to better visualize catheter tip.

Procedure Summary
A complete two-dimensional transthoracic echocardiogram was performed (2D, M-mode,
Doppler and color flow Doppler). The study was technically limited. Compared to prior
study, the following changes are noted: atrial mass better seen on current study.

Left Ventricle
The left ventricle is normal in size. There is normal left ventricular wall thickness.
Left ventricular systolic function is normal with no regional wall motion abnormalities.
Spectral Doppler of pulmonary veins suggests increased LA pressures.

Right Ventricle
The right ventricle is normal in structure and function.

Atria
The left atrium is normal size. An irregular soft-tissue echodensity is seen in the
right atrium, possibly extruding from right atrial catheter tip (sswe image 53). This
suggests a thrombus or vegetation attached to the central line.
Also noted is a prominent eustachian valve, apparently not contiguous with the atrial
mass.

Mitral Valve
The mitral valve leaflets appear normal. There is no evidence of stenosis, fluttering,
or prolapse. There is trace mitral regurgitation.

Tricuspid Valve
The tricuspid valve leaflets are thin and pliable and the valve motion is normal. There
is mild tricuspid regurgitation. Right ventricular systolic pressure is normal.

Aortic Valve
The aortic valve is tri-leaflet. The aortic valve opens well. There is no aortic
stenosis. No aortic regurgitation is present.

Pulmonic Valve
The pulmonic valve is not well seen, but is grossly normal. There is no pulmonic
valvular stenosis. Mild pulmonic valvular regurgitation.

Great Vessels
The aortic root is normal. The inferior vena cava is normal in size with respiratory
collapse, indicating a right atrial pressure of approximately 3 mmHg.

Pericardium
There is no pericardial effusion.

MMode/2D Measurements and Calculations
IVSd: 0.94 cm LVIDd: 3.6 cm FS: 38.3 % RVDd major: 4.6 cm
LVIDs: 2.2 cm RVDd minor: 2.2 cm
LVPWd: 0.98 cm

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Ao root diam: asc Aorta Diam: 2.6 cm EDV(MOD-sp4): 59.4 ml EDV(MOD-sp2):
2.5 cm ESV(MOD-sp4): 17.5 ml 42.7 ml
LA dimension: EF(MOD-sp4): 70.4 % ESV(MOD-sp2):
3.0 cm 12.4 ml
EF(MOD-sp2):
71.0 %

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LAV(MOD-sp4): 29.6 ml EDV index(MOD-bp): RVDd base: 2.9 cm
EDV(MOD-bp): LAV(MOD-sp2): 28.4 ml 28.4 ml/m2
50.1 ml LAV(MOD-bp): 30.8 ml
ESV(MOD-bp): LAV(MOD-bp) index:
14.7 ml 17.5 ml/m2
EF(MOD-bp): 70.7 %

Doppler Measurements and Calculations
MV E max vel: MV dec time: Ao V2 max: LV V1 max PG: 3.8 mmHg
47.4 cm/sec 0.23 sec 137.7 cm/sec LV V1 max: 97.0 cm/sec
MV A max vel: Ao max PG: 7.6 mmHg
58.4 cm/sec
MV E/A: 0.81

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PA V2 max: TR max PG: 14.6 mmHgRAP systole: Aortic Valve Velocity
104.5 cm/sec RVSP(TR): 17.6 mmHg 3.0 mmHg Ratio: 0.70
PA max PG: 4.4 mmHg

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E' Lateral Vel: E' Septal Vel: E/E' Lateral: 6.5 E/E' Septal: 6.1
7.3 cm/sec 7.8 cm/sec
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RV S': 12.8 cm/sec

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Reviewed and Interpreted By: Lawrence Hergott, MD on 03/27/2012 10:03 AM
Sonographers: Noyes, Steven, RCS

Component Results

There is no component information for this result.

General Information

Collected:

3/27/2012 7:22 AM

Resulted:

3/27/2012 9:56 AM

Ordered By:

Eugene E Wolfel, MD

Result Status:

Final result