If additional testing is indicated, the clearance for participation may be delayed. Typically, additional tests for heart and lung symptoms may include a chest x-ray, EKG and possibly an echocardiogram (ultrasound exam of the heart), which is an excellent way to screen the heart for structural problems, without using any radiation. Starting September 24th, Lakes Urgent Care will offer echocardiograms for any patient where it may be indicated or in the event a parent wants their athlete screened because of a family history of heart problems such as cardiomyopathy (abnormal enlargement of the heart chambers). The echocardiogram may also be recommended if your student has abnormal blood pressure, any warning signs or symptoms or an abnormal EKG.