Sonolex

Echocardiogram shorthand to a board-style echo report.

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Trainee JD

Cardiogenic shock — acute MR

Shorthand

ef18 sev mr flail p2 eroa 0.4
rvol 60 lv dil edd 7.0 rap 8
pasp 48 no as no effusion

Parsed · 8 confirmed

LVEF 18% MR severe flail P2 EROA 0.4 RVol 60 LVEDD 7.0 RAP 8 PASP 48

Summary

LV severely reduced (LVEF 18%).

Severe MR, flail P2 (EROA 0.4 cm²).

LV dilated (LVEDD 7.0).

RAP 8. PASP 48 — moderate PH.

Supervisor

Dr. Jane Doe · Institute Health

Inbox · 3 Reviewed

Supervisor JD

Inbox

Cases waiting on your review.

Dr. John Doe Institute Health · fellow NEW

Cardiogenic shock — acute MR

LVEF 18% MR severe EROA 0.4

Dr. Jane Roe Institute Health · ICU fellow NEW

Rule out tamponade

Mod effusion IVC plethoric RA collapse

38m

Dr. Sam Doe Eastside General · fellow v2 · resubmitted

Pre-op for non-cardiac surgery

LVEF 55% Mild AS AVA 1.2

Sonolex, on iPhone.

9:41

Cardiogenic shock — acute MR

Shorthand

ef18 sev mr flail p2 eroa 0.4
rvol 60 lv dil edd 7.0 rap 8 pasp 48

Parsed 8 confirmed

LVEF · 18% MR · severe EROA 0.4 RVol 60 flail P2 LVEDD 7.0 RAP 8 PASP 48

Core values

LVEF· severely reduced18%

EROA· severe0.4cm²

LVEDD· dilated7.0cm

PASP· moderate PH48mmHg

Summary

LV severely reduced (LVEF 18%).
Severe MR, flail P2 (EROA 0.4 cm²).
LV dilated. RAP 8. PASP 48 — moderate PH.

Shorthand · parsed

9:42

Case saved

✓ Sent for review

Routed to Dr. Jane Doe · Institute Health.
Saved to the Review tab. Not yet signed.

Summary

LV severely reduced (LVEF 18%).
Severe MR, flail P2 (EROA 0.4 cm²).
LV dilated (LVEDD 7.0 cm).
RAP 8. PASP 48 mmHg — moderate PH.

Sent for review · light

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Case Log

Requirement 5: Practice Experience

Illustrative preview — not a real patient log

Transthoracic Examinations

Examinations performed and Interpreted

Physician's Full Name:John Doe, MD

Physician's Date of Birth:

Cases Performed and Interpreted

#	Date	Indications	Echo Findings	Clinical Diagnosis	Signed by Supervisor
1	05/04/2026	Cardiogenic shock	EF 18%, severely reduced LV systolic function, severe MR (flail P2, EROA 0.4 cm²), LV dilated (LVEDD 7.0 cm), RAP 8, PASP 48 — moderate PH	Severe LV dysfunction, severe MR	Dr. Jane Doe, MD
2	05/05/2026	Rule out tamponade	Moderate circumferential pericardial effusion, RA collapse, IVC plethoric, LV function normal	Early tamponade physiology	Dr. Jane Doe, MD
3	05/06/2026	HFrEF follow-up	EF 38%, mild MR, LV mildly dilated (LVEDD 5.8 cm), RAP 8, normal RV function	HFrEF, stable	Dr. Jane Doe, MD
4	05/07/2026	Chest pain, troponin negative	EF 55%, no RWMA, no effusion, normal valves, normal RV	Normal study	Dr. Jane Doe, MD
5	05/08/2026	Pre-op TAVR clearance	EF 60%, severe AS (AVA 0.7 cm², peak grad 68, mean grad 42), mild AR, LV concentric remodeling, normal RV	Severe AS, pre-op	Dr. Jane Doe, MD
6	05/09/2026	RV strain, septic shock	RV dilated, McConnell sign, flat IVS, PASP 52, mild TR, EF 55%	Submassive PE, septic shock	Dr. Jane Doe, MD
7	05/10/2026	Routine TTE	EF 60%, normal LV, mild MR, mild TR, no AS, IVC 1.8 normal collapse, normal RV	Normal study	Dr. Jane Doe, MD
8	05/11/2026	Syncope workup	EF 60%, no RWMA, no significant valvular disease, no LVOT obstruction, no thrombus	No echo cause of syncope	Dr. Jane Doe, MD
9	05/13/2026	Dyspnea, ICU admission	EF 35%, global hypokinesis, moderate MR, LV dilated (LVEDD 6.2 cm), RAP 12, PASP 55 — moderate PH	Decompensated HFrEF	Dr. Jane Doe, MD
10	05/14/2026	Endocarditis, suspected	EF 55%, 1.2 cm vegetation on anterior MV leaflet, severe MR, no abscess, LA dilated	Probable IE, severe MR	Dr. Jane Doe, MD
11	05/15/2026	Cardiogenic shock, post-MI	EF 25%, anterior + apical RWMA, no VSD, no LV thrombus, no acute MR, RAP 10	Anterior STEMI, post-revasc	Dr. Jane Doe, MD
12	05/16/2026	Aortic dissection, rule out	EF 55%, no aortic regurgitation, no pericardial effusion, ascending aorta 3.4 cm, no intimal flap visualized	No echo evidence of dissection	Dr. Jane Doe, MD

Attestation

I attest that this is an accurate recording of the cases performed and interpreted by myself and are complete critical care transthoracic echocardiograms.

Fellow · Institute Health

john.doe@institute.edu

SUPERVISOR

Jane Doe, MD

Critical Care · Institute Health

Identity fields only. No phone numbers, NPI, or postal addresses are included in this log.

Generated by Sonolex · Saturday, May 16, 2026 · 11:13 PM · Page 1 of 1

Exported from /trainee/cases/ → Export PDF · Letter-size, print-clean, 12 cases shown

What Sonolex does

Parses shorthand

Every measurement, valve grade, and named sign extracted into structured findings.

Board-style prose

ASE 2015 – 2025 reference ranges. CCE, NBE, ASCeXAM phrasing.

Safety flags

Acute severe AR, tamponade, vegetation, amyloid pattern, extreme LVH — surfaced inline.

Inconsistency checks

Severe MR with small LA. Severe AR with non-dilated LV. Low-flow severe AS. Surfaced as prompts.

Logbook export

Board-credential-ready PDF. Teaching points, supervisor signoff.

On-device

iPhone-local by default. Only an opt-in, de-identified payload reaches our review server when you send a case for sign-off.

Every echo modality

Transthoracic TTE

Transesophageal TEE

Point of care POCUS

Who it's for

Anyone who performs and writes their own echos.

Residents
Fellows
Attendings
Intensivists
Anesthesiologists
Emergency physicians
APPs · NPs · PAs
Sonographers
Medical students
Other physicians

Where to begin.

Pick your side. The web is read-only for trainees + the full review surface for supervisors. Compose new cases in the iOS app.

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Important. Sonolex is a documentation tool. It is not a diagnostic medical device under FDA classification. It does not interpret echocardiograms or make clinical decisions — the clinician does, and Sonolex renders the clinician's findings into a structured report. Always verify findings clinically and follow your institution's reporting policy. Not for patient use.