CARD DX ECHO COMPLETE TTE TRANSTHORACIC STANDARD
Narrative
Study ID:
141916
Echocardiography Laboratory
Adult
Echocardiography Report
Name: Malkiewicz, Judith A
Study Date: 06/11/2012 09:29 AM
BP: 107/67 mmHg
MRN: 535166
Patient Location:
ECHO HR: 72
DOB:
12/08/1950
Gender:
Female Age: 61 yrs
Reason For Study: Multiple Myeloma 203.00, Clot 410.90 BSA: 1.7 m2
Authorizing
Physician: Myint, Han
Conclusions
Left ventricular systolic function and size
are normal with no regional wall motion
abnormalities. The transmitral spectral
Doppler flow pattern is suggestive of impaired
LV relaxation.
The right
ventricular systolic function and size are normal. Right ventricular systolic
pressure
is normal.
Echodensity noted in superior aspect of RA most likely
small thrombus on PICC line.
Previously measured approximately 1 cm, now is .89
cm in maximum dimension.
Compared to echo of 5/2/12, no significant change.
Procedure Summary
A complete two-dimensional transthoracic
echocardiogram was performed (2D, M-mode,
Doppler and color flow Doppler).
Left Ventricle
The left ventricle is normal in size. Left
ventricular systolic function is normal with
no regional wall motion
abnormalities. The transmitral spectral Doppler flow pattern is
suggestive of
impaired LV relaxation.
Right Ventricle
The right ventricle is normal size. The
right ventricular systolic function is normal.
Atria
The left atrium is normal size. The right atrium is normal. Echodensity
noted in
superior aspect of RA most likely small thrombus on PICC line.
Previously measured
approximately 1 cm, now is .89 cm in maximum dimension.
Mitral Valve
The mitral valve is structurally normal
with no evidence of stenosis or regurgitation.
Tricuspid Valve
The tricuspid valve leaflets are thin and
pliable and the valve motion is normal. There
is trace tricuspid regurgitation.
Right ventricular systolic pressure is normal.
Aortic Valve
The aortic valve is tri-leaflet with thin,
pliable leaflets that move normally. 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 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: 0.81 cm LVIDd: 3.7 cm FS: 46.9 %
RVDd major:
7.2 cm
LVIDs: 2.0 cm
RVDd minor:
1.8 cm
LVPWd: 0.87 cm
_______________________________________________________________________
Ao
root diam: asc Aorta Diam: EDV(MOD-sp4): 36.1 ml EDV(MOD-sp2):
2.8 cm 2.9 cm ESV(MOD-sp4): 16.3 ml 33.1 ml
LA dimension: EF(MOD-sp4): 54.9
% ESV(MOD-sp2):
2.9 cm
10.9 ml
EF(MOD-sp2): 67.0 %
_______________________________________________________________________
LAV(MOD-sp2): 21.9 mlEDV
index(MOD-bp): RVDd base: 3.1 cm
EDV(MOD-bp):
43.5
ml 24.9
ml/m2
ESV(MOD-bp):
13.7 ml
EF(MOD-bp): 68.6 %
Doppler Measurements and
Calculations
MV E max vel:
MV dec time: Ao V2
max: LV V1 max PG: 4.6 mmHg
43.9
cm/sec 0.22 sec 140.7 cm/sec LV V1 max: 106.7 cm/sec
MV A max
vel: Ao max
PG: 7.9 mmHg
65.1 cm/sec
MV E/A: 0.67
_______________________________________________________________________
PA
V2 max: TR max PG: 19.4 mmHg
RAP systole: Aortic Valve Velocity
87.3
cm/sec RVSP(TR): 22.4 mmHg 3.0 mmHg Ratio: 0.76
PA max PG: 3.0 mmHg
_______________________________________________________________________
E'
Lateral Vel: E' Septal Vel: E/E' Lateral: 4.8 E/E' Septal: 8.9
9.1 cm/sec 4.9 cm/sec
_________________________________________________________________________________________
Reviewed
and Interpreted By: Jennifer Dorosz,
MD on 06/11/2012 02:23 PM
Sonographers:
Grass, Allison, RCS
Component Results
There
is no component information for this result.
General Information
Collected:
6/11/2012 9:29 AM
Resulted:
6/11/2012 2:21 PM
Ordered By:
MYINT,HAN, MBBS
Result Status:
Final result
