Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Cardiovascular / Pulmonary
Sample Name: Transesophageal Echocardiogram - 1

Description: Transesophageal echocardiogram for aortic stenosis. Normal left ventricular size and function. Benign Doppler flow pattern. Doppler study essentially benign. Aorta essentially benign. Atrial septum intact. Study was negative.
(Medical Transcription Sample Report)

INDICATION: Aortic stenosis.

PROCEDURE: Transesophageal echocardiogram.

INTERPRETATION: Procedure and complications explained to the patient in detail. Informed consent was obtained. The patient was anesthetized in the throat with lidocaine spray. Subsequently, 3 mg of IV Versed was given for sedation. The patient was positioned and transesophageal probe was introduced without any difficulty. Images were taken. The patient tolerated the procedure very well without any complications. Findings as mentioned below.

FINDINGS:
1. Left ventricle is in normal size and dimension. Normal function. Ejection fraction of 60%.
2. Left atrium and right-sided chambers are of normal size and dimension.
3. Mitral, tricuspid, and pulmonic valves are structurally normal.
4. Aortic valve reveals annular calcification with fibrocalcific valve leaflets with decreased excursion.
5. Left atrial appendage is clean without any clot or smoke effect.
6. Atrial septum intact. Study was negative.
7. Doppler study essentially benign.
8. Aorta essentially benign.
9. Aortic valve planimetry valve area average about 1.3 cm2 consistent with moderate aortic stenosis.

SUMMARY:
1. Normal left ventricular size and function.
2. Benign Doppler flow pattern.
3. Aortic valve area of 1.3 cm2 planimetry.


Keywords: cardiovascular / pulmonary, aortic valve, ejection fraction, planimetry, ventricular, transesophageal, echocardiogram, atrial septum, septum intact, transesophageal echocardiogram, aortic stenosis, doppler, aortic, valves,
NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples