Help with reading 2-d echo

Can someone please help me to interpert these dictations from the cardiologist

Mitral valve: there is a trival mitral valve thickening
                 there is trace mitral regurgitation

Tricuspid valve:  there is mild tricuspid regurgitation
                        Right ventricular systolic pressure is at 27mmhg
                         TR is eccentric

Pulmonic Valve:  Trace pulmonic valvular regurgitation

Very minimal right to left delayed shunting of agitated saline..

[kenkeith]

Mitral valve thickening (usually due to calcification) can reduce valve opening size (stenosis) and trace of MVR is insignificant.

Tricuspid valve insignificant regurgitation.  RV pressure is normal range.  TR is eccentric: means it is difficult to measure width and length of the jet stream (regurgitation) due to the eccentric nature of the jet...but report states TR is mild?!

Right to left shunting usually means there is a hole between chambers and minimal. The condition is usually congenital.    

[wiseone]

Thanks so much for posting..so is this basically something I should not be worried about? The doctor wants me to have a TEE done on next week..Also can you tell me what is meant by trae of pulmonic valvuar regurgigation?
Also the dictation on the report says unable to determine etiology as PFO vs intrapulmonary shunting.I know what a PFO is but dont know what is meant by intrapulmonary shunting

[kenkeith]

At issue is a respiratory (lungs) condition or PFO:  Transthoracic echocardiography with agitated saline contrast injection is a procedure is a test. Late arrival of saline contrast bubbles in the left atrium by pulmonary veins leading to complete left heart opacification will confirm the diagnosis of significant intrapulmonary shunting..

Intrapulmonary shunt is characterized (with test) by perfusion to an alveolus (air cell of the lung) that is not ventilated due to atelectasis (collapsed lung or airless in part or all of the lung) or other underlying condition such as pulmonary edema or consolidation that prevents ventilation to the alveolus. The blood is shunted (by-passing) the alveolus without being able to exchange gas.

P. regurgitation: There is a one-way valve from the right ventricle into the pulmonary vessel to pass blood to the lungs.  If the one-way valve doesn't completely close some of the blood flows (leaks) back into the right ventricle.  A trace of regurgitation is not considered significant.

[wiseone]

thanks so much very helpful..ill keep you posted..

[wiseone]

I had the TEE done and the doc stated no PFO.However he did document

trace mitral regurgitation
mild triscupid regurgation
trace aortic regurgitation
trace pulmonic valvular regurgitation

So are all of these normal things?

[kenkeith]

There are no valve issues.  Mild and trace rfeadings are medically insignificant.

[wiseone]

Thanks Kenkeith you have been a great helpppp....