12. Sample Report
Delhi Medical Healthcare Academy
Echocardiogram and Doppler Report
Name: Date:
DOB: Age: Sex: Height : Weight: BP:
Referring Physician: Indication: Sonographer :
ECHOCARDIOGRAPHIC EXAMINATION DOPPLER EXAMINATION
|
Aortic Root mm [ < 38 ] | Aortic Valve
I
Aortic Valve | Peak Flow ----------- m/s [ 1.0 - 2.0 ]
Excursion mm [ > 15 ] | Gradient ----------- mm Hg
Calcification
[ ] None [ ] Moderate
[ ] Mild [ ] Severe
| Regurgitation
| [ ] None [ ] Mild
I [ ] Trace [ ] Moderate
[ ] Severe
Left Atrium
Mitral Valve
mm [ < 40 ] I
| Mitral Valve
EF Slope : mm/s [ 70 - 150] | E wave velocity - ----- m/s [ 0.6 - 1.3 ]
EPSS : mm [ 2 - 7 ] | A wave velocity ------- m/s
MAC | E/A ratio ---------- [ 0.75 - 1.5 ]
[ ] None [ ] Moderate | Deceleration Time ---------- ms [ > 140 , < 220 ]
[ ] Mild [ ] Severe | Area cm*2 [ 4.0 - 6.0 ]
Left Ventricle |
EDD mm [ 37 - 56 ] | Regurgitation
ESD mm [ 20 - 35 ] | [ ] None [ ] Mild [ ] Severe
Fractional Shortening FS % [ > 25 ] | [ ] Trace [ ] Moderate
IVS mm [ 6 - 11 ] |
PW mm [ 6 - 11 ] | Tricuspid Valve
Ejection Fraction EF % [ > 55 ] | E wave peak velocity m/s [ 0.6 - 0.7 ]
| A wave peak velocity m/s
I Regurgitation
Right Ventricle mm [ < 30 ] | [ ] None [ ] Mild [ ] Severe
| [ ] Trace [ ] Moderate
Pericardial Effusion | V max m/s RAP: RVSP : mm Hg
[ ] None [ ] Present | Pulmonic Valve
| Peak Flow m/s [ 0.6 - 1.3 ]
| Regurgitation
| [ ] None [ ] Mild [ ] Severe
| [ ] Trace [ ] Moderate
Technique: Echocardiography was performed utilizing real-time with 2-D and M-mode image documentation.
Transvalvular flow was with pulse and color Doppler technique.
Findings:
Assessment:
13. Sample Report
Referral: Myocarditis?
Report
Normal size of the left ventricle (End-diastolic volume = xxml / xxml/m2 ), normal wall thickness and normal left ventricular function (EF = xx%, Global
Longitudinal Peak systolic strain (GLPSS) = -xx.x%), no regional wall motion abnormalities, normal diastolic function.
Normal size of the left atrium (xx ml/xx ml/m2 ), normal size of the right atrium.
Normal size and morphology of the right ventricle, normal right ventricular function, no abnormalities of the interventricular septum.
Normal size of all visible segments of the ascending aorta, normal size of the pulmonary artery, normal pulmonary valve (physiologic pulmonary
regurgitation).
Normal morphology and function of the aortic valve; Normal morphology and function of the mitral valve. Normal morphology of the tricuspid valve,
physiologic / trace tricuspid regurgitation, normal systolic pulmonary pressure (sPAP = xx mmHg, TR velocity x.x/s)
Normal size and respiratory collapse of the inferior vena cava.
No pericardial or pleural effusion
Conclusion: Normal echocardiogram (no evidence for acute or chronic myocarditis). No change to the previous findings (xx.xx.xxxx)
