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Patient: Mr. Mohan | Age: 37 (ECG printout shows age noted as ~48, likely a handwriting discrepancy) | Male
Date: 21-Jul-2026 | Facility: Sri Shabarish Scanning Centre, Shikaripura - 577427
Referred by: Dr. Mahanthesh Chetti
Document 1 & 3 - 2D Echocardiography with Color Doppler
Chambers
| Structure | Finding |
|---|---|
| Left Atrium | 26 mm - Normal |
| Right Atrium | Normal |
| Left Ventricle | Normal |
| Right Ventricle | Normal |
| LVOT / RVOT | Normal |
| RWMA | No Regional Wall Motion Abnormality |
M-Mode Measurements
| Parameter | Value | Normal Range |
|---|---|---|
| LVIDd (LV Internal Diameter, Diastole) | 40 mm | 35-56 mm ✓ |
| LVIDs (LV Internal Diameter, Systole) | 23 mm | 21-40 mm ✓ |
| IVSD (Interventricular Septal Thickness) | 9 mm | 6-11 mm ✓ |
| LVPWD (LV Posterior Wall Thickness) | 9 mm | 6-11 mm ✓ |
| LVEF (Ejection Fraction) | 60% | ≥55% = Normal ✓ |
Valves
| Valve | Finding |
|---|---|
| Mitral | Normal |
| Tricuspid | Mild TR (Tricuspid Regurgitation), PASP = 26 mmHg |
| Aortic | Normal, PG = 6 mmHg |
| Pulmonary | Normal |
Septum & Vessels
- IVS (Interventricular Septum): Intact
- IAS (Interatrial Septum): Intact
- Aorta: 22 mm, Normal
- Pulmonary Artery: Normal
- IVC: Normal and Collapsing Well
- SVC & CS: Normal | Pulmonary Veins: Normal | Pericardium: Normal thickness
Impression
- Normal Chambers
- Mild TR (clinically insignificant finding, very common in healthy people)
- Normal PA Pressure (PASP 26 mmHg - well within normal <35 mmHg)
- No RWMA
- Normal LV Systolic Function, LVEF = 60%
- No Pericardial Effusion / Clot / Vegetation
Reported by: Ms. Veda.S (Cardiac Sonographer) & Dr. Raghavendra (Non-Interventional Cardiologist, Manipal KMC)
Document 2 - ECG (12-Lead)
Performed at: Govt. General Hospital, Shikaripura | Device: Cardiart 9108
| Parameter | Value | Status |
|---|---|---|
| Heart Rate | 61 bpm | Normal (60-100) ✓ |
| P Duration | 116 ms | Normal (<120 ms) ✓ |
| PR Interval | 146 ms | Normal (120-200 ms) ✓ |
| QRS Duration | 88 ms | Normal (<120 ms) ✓ |
| QT/QTcBz | 392/395 ms | Normal ✓ |
| P/QRS/T Axis | 67°/26°/25° | Normal ✓ |
| RV5/SV1 | 1.870/0.418 mV | Normal (no LVH criteria met) ✓ |
Diagnosis: Sinus Rhythm - Normal ECG
Overall Summary
All three investigations are essentially normal for a 37-year-old male. The only finding of note is mild tricuspid regurgitation (TR), which is:
- An extremely common, incidental finding in the general population
- Associated with a normal pulmonary artery pressure (26 mmHg)
- Not clinically significant on its own without symptoms
The heart muscle is pumping well (LVEF 60%), all chambers are normal in size, there are no clots, no valve infections, no wall motion abnormalities, and the ECG shows a regular sinus rhythm. These are reassuring results. Mr. Mohan should follow up with his referring doctor (Dr. Mahanthesh Chetti) for clinical correlation with any symptoms he may have.
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