And was positive for vegitation. They reviewed their previous echo, and saw the start of vegitation on the valves at that time. So he had the bacteria on them for quite some time. He had a TEE done at the completion of his antibiotic course. The left atrium is enlarged, but there is no evidence of thrombus or spontaneous echo-contrast.
Interatrial septum is intact.
The right atrium is probably at the upper limits of normal. The left ventricle is at the upper limits of normal in dimensions. The mitral valve is thickened and there is prolapsing of the posterior mitral leaflet into the left atrium and at the tip of the leaflet, there is a nodular and mobile structure consistent with a vegetation. In some views, the anterior leaflet may have a smaller mobile structure and possibly reflects vegetation, although it could also be part of a thickened myxomatous portion of the valve. The mitral valve has moderate regurgitation which is directed anteriouly towards the septum.