in this video we see the phase array scanner on a cardiac preset placed roughly in a parasternal long axis view on the patient's left chest this was a somewhat technically challenging scan this patient presented with fatigue and shortness of breath on exertion and some notable findings even in this sub-optimal scan are evident first is dilation of the left ventricle and the left atrium and the right ventricle impaired contractility of that left ventricle signifying a reduced ejection fraction and can also be evidenced in this mitral valve not coming all the way up to the septum and also notable is sclerosis and likely stenosis of the aortic valve here that might be a significant contributing factor to this patient's symptoms other views of course would be necessary to confirm the diagnosis but those were quite challenging due to the patient's body habitus in this case you
