 Prior to formal consultation, the patient did have an echocardiogram performed on 02/06/2007, which showed a structurally normal heart with normal left ventricular (LV) systolic function, ejection fraction of 60%, aortic sclerosis without stenosis, a trivial pericardial effusion with no evidence for immunocompromise and mild tricuspid regurgitation with normal pulmonary atrial pressures. 
Prior to formal consultation , the patient did have an echocardiogram performed on 02/06/2007 , which showed a structurally normal heart with normal left ventricular ( LV ) systolic function , ejection fraction of 60 % , aortic sclerosis without stenosis , a trivial pericardial effusion with no evidence for immunocompromise and mild tricuspid regurgitation with normal pulmonary atrial pressures .