Very strong, augmentative ECHO ECHO. Very thunderous echo. Very sound echo. ECHO, which can be heard perfectly. It is also a way of saying a costeño, which do not pronounce the "cleavage". The dress section.
Does not exist in Spanish. It can be an acronym for Transesophageal echocardiography, or a word in another language (in French would be the stump of branches pruned or leafless, in guarani has something to do with the penalty.) . . ) .