Parasternal long axis view of the heart demonstrates a left ventricle with a normal chamber size and wall thickness with normal global systolic function. The right ventricular outflow tract, aortic root, and left atrium do not appear grossly dilated. No obvious endoluminal flap in the aortic root. Aortic and mitral valves demonstrate grossly normal excursion, coaptation, and structure.
Coronal and axial views of the right upper quadrant demonstrate no obvious hydronephrosis or intraperitoneal free fluid.
A sagittal view of the abdominal aorta demonstrates an undulating, hyperechoic linear band within the anechoic vessel lumen. Appears to move independently of the adjacent vessel wall. Visualized extent appears to have a normal diameter. Abovementioned findings highly suspicious for the intimal flap of an acute aortic dissection.