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Can you make it understandable
Here is a plain-language breakdown of Mr. Jerald Barboza's echocardiography (heart ultrasound) report from Father Muller Medical College Hospital, dated 14 July 2026.
What is an Echocardiogram?
It is an ultrasound scan of the heart that shows the size of the heart chambers, how well the heart pumps, and whether the valves are working properly.
1. Heart Chambers - All NORMAL ✅
| Chamber | What it is | Result |
|---|---|---|
| LA - Left Atrium | Upper-left chamber; receives blood from lungs | Normal size |
| LV - Left Ventricle | Lower-left chamber; pumps blood to the body | Normal size |
| RA - Right Atrium | Upper-right chamber; receives blood from the body | Normal size |
| RV - Right Ventricle | Lower-right chamber; pumps blood to the lungs | Normal size |
All four chambers are normal in size - no enlargement.
2. Wall Motion - Normal ✅
RWMA: NIL - This means there are no Regional Wall Motion Abnormalities. In simple terms, every part of the heart wall is squeezing and moving properly. This is a good sign - it rules out a previous heart attack affecting wall movement.
3. Heart Valves
| Valve | What it does | Finding | Meaning |
|---|---|---|---|
| Mitral | Between left atrium and left ventricle | Trivial MR, E/A Reversed | Very minor leak (trivial, not concerning). E/A reversal suggests mild stiffening of the left ventricle with age - common in people over 50 |
| Aortic | Between left ventricle and the aorta | Trileaflet | Normal - has 3 leaflets as expected |
| Tricuspid | Between right atrium and right ventricle | Normal | No issues |
| Pulmonary | Between right ventricle and pulmonary artery | Normal | No issues |
Key point: The only noteworthy valve finding is "Trivial MR" (mitral regurgitation) - meaning the mitral valve has a very tiny, clinically insignificant leak. This is extremely common and does not usually require treatment.
4. Structural Findings ✅
- IAS: INTACT - The wall (septum) between the two upper chambers (atria) is intact. No hole.
- IVS: INTACT - The wall between the two lower chambers (ventricles) is intact. No hole.
- IVC: 14/7 mm - The Inferior Vena Cava (the large vein returning blood to the heart) measures 14mm and collapses to 7mm. This is within normal range and suggests the patient is not volume overloaded.
5. Measurements - All Within Normal Range ✅
| Measurement | Full Name | His Value | Normal Range | Status |
|---|---|---|---|---|
| Aorta | Main artery from heart | 27 mm | 20-37 mm | ✅ Normal |
| L/T Atrium | Left atrium size | 34 mm | 19-37 mm | ✅ Normal |
| RVID | Right ventricle internal diameter | 17 mm | 9-27 mm | ✅ Normal |
| LV IVS | Thickness of the wall between ventricles | 13 mm | 6-11 mm | ⚠️ Slightly thick |
| LVPW | Left ventricular posterior wall thickness | 12 mm | 6-11 mm | ⚠️ Slightly thick |
| LVESD | Left ventricle size when heart is contracted | 29 mm | 23-38 mm | ✅ Normal |
| LVEDD | Left ventricle size when heart is relaxed | 42 mm | 34-52 mm | ✅ Normal |
| LVEF | Left Ventricular Ejection Fraction (pumping strength) | 55% | 50-75% | ✅ Normal |
The most important number - LVEF 55%
The Ejection Fraction tells you how much blood the heart pumps out with each beat. A value of 55% is normal and means the heart is pumping well.
The mild concern - LV IVS (13 mm) and LVPW (12 mm)
Both the interventricular septum and the posterior wall are slightly above normal range (normal upper limit is 11 mm). This mild thickening can be seen with:
- High blood pressure (hypertension) - the most common cause
- Regular heavy physical activity
- Age-related changes
This finding should be discussed with the cardiologist, particularly in relation to blood pressure control.
Overall Summary
The heart is generally functioning well. Pumping strength (EF 55%) is normal. All four chambers are normal in size. No holes in the heart walls. No evidence of a prior heart attack. The only things to note are a trivial (insignificant) mitral valve leak and mildly thickened heart walls - both of which are commonly seen in people with high blood pressure and are worth monitoring.
This report should be reviewed by Dr. Pradeep Pereira to decide if any follow-up or treatment (such as blood pressure medication) is needed based on the full clinical picture.
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