This chapter deals with transesophageal echocardiography (TEE) reporting. An echocardiography report leaves a permanent time-related record from the imaging episode that will allow future studies to follow the progression of patient's disease, or the effect of therapy. TEE reports can and should contain numerical data which may be useful in both randomized controlled trials and large-scale observational studies and case series. Verbal reporting is essential in perioperative and emergency echo. Perhaps the easiest approach to a written TEE report is the blank sheet of paper. A standardized written reporting system is relatively easy to adapt to computerized storage and recall. Data recorded are: patient demographics; date, time and location of the study; name and grade of the operator; name of the referring physician; equipment employed; indications for performing the study; quality of the study, difficulties, and complications; hemodynamic conditions; specific findings; conclusions and therapeutic suggestions.