Is it 93306 or 93307 ?
** FINAL REPORT **
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FINDINGS
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Study quality -
This was a technically difficult study with suboptimal views.
Study performed with the patient on the supine position.
Left Ventricle -
The left ventricle is moderately dilated. LVEDd- 6.4cm.
Overall left ventricular systolic function is severely reduced with
an EF of 25%.
Suboptimal diastology assessment.
Left Atrium -
The left atrium is mildly dilated.
LA diameter- 4.1 cm.
The left atrium was not well visualized.
Right Ventricle -
The right ventricle was not well visualized but systolic function
appears mildly reduced.
Right Atrium -
The right atrium was not well visualized.
Mitral Valve -
Mild mitral annular calcification present.
There is moderate-to-severe mitral regurgitation (3+).
Aortic Valve -
There is mild aortic regurgitation (1+).
The aortic valve appears moderately thickened consistent with
moderate aortic sclerosis. Valve excursion is reduced. There is at
least moderate aortic stenosis (low flow-low gradient) with peak/mean
gradients of 34/18mmHg. Limited views preclude an accurate estimation
of AVA.
Tricuspid Valve -
The tricuspid valve appears structurally normal.
There is mild tricuspid regurgitation.
Suboptimal spectral tracing precludes accurate estimation of RVSP.
Aorta -
Normal aortic root diameter.
The proximal ascending aorta was not well visualized.
IVC/Hepatic Veins -
The IVC was not visualized.
Pericardium -
There is no pericardial effusion.
CONCLUSIONS
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1. This was a technically difficult study with suboptimal views.
2. Study performed with the patient on the supine position.
3. The left ventricle is moderately dilated. LVEDd- 6.4cm.
4. Overall left ventricular systolic function is severely reduced
with an EF of 25%.
5. There is moderate-to-severe mitral regurgitation (3+).
6. There is mild aortic regurgitation (1+).
7. There is at least moderate aortic stenosis (low flow-low gradient)
with peak/mean gradients of 34/18mmHg.
8. There is no pericardial effusion.