franny
bananafish

clinical summary:
Thu Dec 10 2009

1) left ventricular dilation with reduced systolic function r/o myocardial failure.
2) mild mitral regurgitation
3) moderate to severe secondary left atrial enlargment
4) mild pleural effusion

there is significant cardiace disease in this patient. the pleural effusion is most likely secondary to congestive heart failure based on today's evaluation. the progress is guarded wth a high risk for complications including recurrent congestive heart failure and thromboembolic disease.

thus goes the echocardiogram for my orangehead by a board certified cardiologist.

bad day.
bad day.
bad day.

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