Ventricular enlargement. Ultrasound scan of a the heart of a 40-year-old man during the systolic phase of the heartbeat, showing probable ventricular enlargement (upper right). This scan passes vertically through the heart, with the heart's four chambers seen as the black areas. The central white areas are the walls and valves separating the chambers. The top of the heart is at bottom. The top two chambers are the ventricles (with the enlarged left ventricle at upper right), and the bottom two chambers are the atria. At left is the tricuspid valve. At right is the mitral valve. The heart is a hollow muscular pump that contracts continuously under a steady cycle of electrical impulses, sending blood to the lungs and around the body. An electrocardiogram (ECG) trace is seen across bottom, with the peaks of electrical activity corresponding to the beating of the heart. Ultrasound scanning uses high-frequency sound waves to look at structures inside the body.