Tuesday, July 4, 2017

LV aneurysm case with echo that has calcified mural thrombus






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Final Conclusion Previous Study: 03/12/2012
1. Normal left ventricular chamber size with moderate-severe decrease in systolic function.
Estimated left ventricular ejection fraction is
30%.
2. Regional wall motion abnormalities are present. Hypokinesis of the mid
anteroseptal/anterior segments and akinesis of the entire
apex.
3. Large (2.6 cm x 2.2 cm) sessile and partially calcified chronic left ventricular apical
thrombus.
4. Normal right ventricular size and systolic function.
5. No significant valvular heart disease.
6. Mild ascending aorta dilatation (4.1 cm).
7. When compared to the previous echocardiographic report of 03/12/2012, there has been no
significant change. LV apical thrombus
is unchanged.
Estimated EF: 30%
FINDINGS
Left Ventricle Normal left ventricular chamber size. Moderate-severe decrease in left
ventricular systolic function. Estimated
left ventricular ejection fraction is 30%. Regional wall motion abnormalities are present.
Hypokinesis of the mid
anteroseptal/anterior segments and akinesis of the entire apex. Large (2.6 cm x 2.2 cm)
sessile and partially
calcified chronic left ventricular apical thrombus. Mild concentric increase in left
ventricular wall thickness.
Diastolic Function Indeterminate left ventricular diastolic function due to fused mitral E and
A waves.
Right Ventricle Normal right ventricular chamber size. Normal right ventricular systolic
function. Right ventricular systolic
pressure cannot be estimated due to inability to detect peak tricuspid regurgitation Doppler
velocity.

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