Echocardiogram was obtained for assessment of left ventricular function. The patient has been admitted with diagnosis of syncope. Overall, the study was suboptimal due to poor sonic window.
FINDINGS:
- Aortic root appears normal.
- Left atrium is mildly dilated. No gross intraluminal pathology is recognized, although subtle abnormalities could not be excluded. Right atrium is of normal dimension.
- There is echo dropout of the interatrial septum. Atrial septal defects could not be excluded.
- Right and left ventricles are normal in internal dimension. Overall left ventricular systolic function appears to be normal. Eyeball ejection fraction is around 55%. Again, due to poor sonic window, wall motion abnormalities in the distribution of lateral and apical wall could not be excluded.
- Aortic valve is sclerotic with normal excursion. Color flow imaging and Doppler study demonstrates trace aortic regurgitation./p>
- Mitral valve leaflets are also sclerotic with normal excursion. Color flow imaging and Doppler study demonstrate trace to mild degree of mitral regurgitation.
- Tricuspid valve is delicate and opens normally. Pulmonic valve is not clearly seen. No evidence of pericardial effusion.
CONCLUSIONS:
- Poor quality study.
- Eyeball ejection fraction is 55%.
- Trace to mild degree of mitral regurgitation.
- Trace aortic regurgitatio
Choose the correct PCS code based on the case study.