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EFTA01196907

DOJ Epstein Files
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..tral Valve There is mild to moderate mitral annular calcification There is mild mitral regurgitation. Tncuspid Valve The tricuspid valve is normal There is moderate tricuspid regurgitation Doppler findings do not suggest pulmonary hypertension. Aortic Valve Mild calcific non-stenotic aortic valve thickeniing. No aortic regurgitation is present Pulmonic Valve The pulmonic valve leaflets are thin and pliable; valve motion is normal. Trace pulmonic valvular regurgitation. Great Vessels The aortic root is normal size. The pulmonary artery is normal size. Pericardium/Pleural There is no pericardial effusion. MMode/2D Measurements & Calculations IVSd (20): 1 13 cm (Avg ) LVIDd (2D): 4 67 cm (Avg ) LVIDs (20): 3 53 cm (Avg ) LVPWd (2D): 1.09 cm Doppler Measurements & Calculations Max vel(TR) 243 crrls (Avg ) RVSP(TR) 33.7 mmHg • User Defined 2D/MMode Measurements Aortic Root: 366 tit LA VOLUME. 84.5 cro3 Reading Physician: FS (2O) 24 3 EF(2D-Teich): P 483 RA Press 10 0 mmHg ' JOHN BROCKMAN [15-08-25-1408091 8/25/2015 Pagc 2 of 2 EFTA01196907