Figure 73a

Parasternal Long- and Short-Axis Views of the Left Ventricle, Showing Symmmetric Left Ventricular Hypertrophy.
Small regions of increased reflectivity are apparent within the interventricular septum (long arrows). The aortic-valve cusps are thickened and also show increased reflectivity (short arrow). This is an illustration of how the echocardiogram can pick up abnormalities as above in the case of amyloidosis of the heart.

DiSalvo, T.G., King, M.E., Smith, R.N., Case Records of the Massachusetts General Hospital, A 66-Year-Old Woman with Diabetes, Coronary Disease, Orthostatic Hypotension, and the Nephrotic Syndrome, NEJM, Vol. 342, Jan 27-00, p 264-274.(modified)