- Transducer placed on apical PMI (4th or 5th intercostal space)
- Midclavicular line at the apical PMI (point of maximal intensity)
- Notch at 3 o'clock
- ALCAPA
- Left ventricular dilation and dysfunction
- Echobright mitral valve papillary muscles and chordae
- Mitral regurgitation
- Left atrial dilation
- Anteriorly towards RVOT and pulmonary valve can profile anomalous left coronary artery from pulmonary artery