Left ventricle: preserved global systolic function. No obvious regional wall motion abnormalities. Grossly normal chamber size.
Pericardium: no obvious effusion.
Right ventricle: mild-moderate dilation, estimated end-diastolic area approaches that of the LV in the apical 4 chamber view. Flattening of the interventricular septum noted at end-systole (paradoxical septal motion) suggestive of right ventricular pressure overload. Grossly normal TAPSE suggestive of preserved (longitudinal) systolic function.
Aorta: no intimal flaps or marked dilation evident.
Atria: no obvious dilation, masses, or thrombi.
Valves: MV/AV with a normal 2D appearance without flail/prolapse or restriction.
Lungs: lung sliding reduced (albeit present) bilaterally. bilateral, inhomogenous and diffuse sonographic interstitial syndrome with lung (primarily ground glass rockets) rockets. interspersed pleural thickening and shaggy irregularity with associated sub-B lines.
IVC: limited visualization, indeterminate.
Lower extremity veins: right common femoral vein lacks full compressibility. non-mobile, intraluminal density against posterior venous wall. Non-occlusive, with turbulent luminal color flow.
Overall interpretation:
- focused bedside echo findings in favor of acute cor pulmonale
- given evidence of DVT, pulmonary embolism suspected, and CT was ordered