> Technique difficulty study due to the patient is too thin with limited intercostal space and poor echo window> Thickened aortic valve and normal aortic root size with trivial aortic regurgitation (AR)> Thickened mitral valve, mild mitral annulus calcification (MAC) and normal left atrium (LA) size with mild mitral regurgitation (MR)> Mild concentric left ventricle hypertrophy (CLVH), probably normal LV wall motion and preserved LV systolic function > Trivial tricuspid regurgitation (TR) and mild pulmonic regurgitation (PR) with normal PA pressure > E/A fusion due to tachycardia> No definite vegetations can be found in this transthoracic echocardiogram study..