In this study ,out of 2215 patients referred for echocardiography unit in Al-sadder general hospital in Al-Ammara from jul.2003- jul.2005. 847 (38.2%) patients were found to have abnormal echocardiograms with more males were been examined than females. Echocardiography findings, were not matching the clinical impression that warranted such test in considerable number of patients. In this study, results regarding the incidence or sex distribution of some cardiac abnormalities were comparable to that recognized in some other studies, while different results were recognized, regarding some other cardiac lesions