Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Radiology
Sample Name: Transesophageal Echocardiogram - 5

Description: Transesophageal echocardiogram. MRSA bacteremia, rule out endocarditis. The patient has aortic stenosis.
(Medical Transcription Sample Report)

CLINICAL INDICATIONS: MRSA bacteremia, rule out endocarditis. The patient has aortic stenosis.

DESCRIPTION OF PROCEDURE: The transesophageal echocardiogram was performed after getting verbal and a written consent signed. Then a multiplane TEE probe was introduced into the upper esophagus, mid esophagus, lower esophagus, and stomach and multiple views were obtained. There were no complications. The patient's throat was numbed with Cetacaine spray and IV sedation was achieved with Versed and fentanyl.

FINDINGS:
1. Aortic valve is thick and calcified, a severely restricted end opening and there is 0.6 x 8 mm vegetation attached to the right coronary cusp. The peak velocity across the aortic valve was 4.6 m/sec and mean gradient was 53 mmHg and peak gradient 84 mmHg with calculated aortic valve area of 0.6 sq cm by planimetry.
2. Mitral valve is calcified and thick. No vegetation seen. There is mild-to-moderate MR present. There is mild AI present also.
3. Tricuspid valve and pulmonary valve are structurally normal.
4. There is a mild TR present.
5. There is no clot seen in the left atrial appendage. The velocity in the left atrial appendage was 0.6 m/sec.
6. Intraatrial septum was intact. There is no clot or mass seen.
7. Normal LV and RV systolic function.
8. There is thick raised calcified plaque seen in the thoracic aorta and arch.

SUMMARY:
1. There is a 0.6 x 0.8 cm vegetation present in the aortic valve with severe aortic stenosis. Calculated aortic valve area was 0.6 sq. cm.
2. Normal LV systolic function.


Keywords: radiology, endocarditis, aortic stenosis, tee probe, mrsa bacteremia, transesophageal echocardiogram, aortic, echocardiogram, esophagus, vegetation, transesophageal,
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