Findings on echocardiogram.
There is mild to moderate concentric left ventricular hypertrophy. Left ventricular systolic function is moderately reduced. LVEF is 30-35%. There is global hypokinesis.
There is flattening of the interventricular septum, consistent with RV overload. The right ventricular size is moderately to severely dilated. The right ventricular function is severely reduced.
Injection of agitated saline contrast documented no interatrial or intrapulmonary shunt. The right atrium is moderately dilated. There is mild to moderate tricuspid regurgitation. There is a small posterior pericardial effusion.