Introduction:
Transthoracic echocardiography is capable enough to assess anatomical , functional , haemodynamic abnormalities (1). In a case of normal left ventricle systolic function , the symptoms like exercise intolerance , dyspnoea on easy fatigue ability draws attention towards pathologies to structure dorsal to left atrium i.e. extra cardiac pathologies which are well described below but Left Atrium (LA ) compression / impression by dorsum of spine is not reported in literature.