ESCALONA, ELSA

2-DIMENSIONAL ECHO INTERPRETATION:

Normal left ventricular dimension with increased left ventricular mass index and normal relative wall thickness with adequate wall
motion and contractility.
Normal left atrial cavity size with LAVI of 24 ml/m2
Normal right atrium and right ventricle dimension with adequate right ventricular systolic function
Thickened mitral valve leaflets with no restriction of motion. Mitral annular calcification.
Thickened aortic valve cusps with calcified margins with no restriction of motion. Aortic annular calcification.
Structurally normal tricuspid and pulmonic valves
Normal-sized main pulmonary artery dimension
Normal aortic root dimension and proximal ascending aorta with thickened walls
Normal IVC without plethora.
Intact interatrial septum and interventricular septum.
No intracavitary thrombus and no pericardial abnormalities noted.

COLOR FLOW DOPPLER STUDY:

Reversed mitral inflow E/A velocity ratio and mitral annular velocities by TDI.
Prolonged deceleration time and prolonged isovolumic relaxation time.
Mosaic color flow display across the mitral and tricuspid valves
Normal mean artery pressure by RVOT acceleration time
Systolic pulmonary artery pressure of 10 mmHg by peak tricuspid regurgitant gradient

CONCLUSION:
Eccentric left ventricular hypertrophy with normal segmental and global systolic function with doppler evidence of grade 1
diastolic dysfunction
Normal left atrium, right atrium and right ventricle dimension with adequate right ventricular systolic function
Mitral sclerosis with trivial MR
Aortic sclerosis
Mild TR
Atherosclerotic aortic root
Normal pulmonary artery pressure

Original signed by:

REDA SO-
GARROTE, MD, FPCP, FPCC, FPSE
Cardiologist – Echocardiographer