This document summarizes the history and criteria for diagnosing left ventricular noncompaction (LVNC) via echocardiography. It describes the original 1990 criteria using X/Y ratios between trabeculations and recesses. Second 1999 criteria used a noncompacted to compacted myocardium ratio over 2.3. Later studies refined understanding. The latest 2014 criteria require all 4 criteria be met regarding prominent trabeculations, synchronous movement, two-layer structure, and perfusion of intertrabecular spaces. Echocardiography looks for a noncompaction to compaction ratio over 2 and more than 3 recesses communicating to the left ventricle in diastole. MRI diagnoses if noncompaction mass is