 She had an echocardiogram today (please see also that report), which shows stable and small-to-moderate sized pericardial effusion without tamponade, normal left ventricular ejection fraction at 55% with mild concentric left ventricular hypertrophy, mildly dilated right ventricular size, normal right ventricular ejection fraction, moderate mitral regurgitation and severe tricuspid regurgitation with severe pulmonary hypertension, estimated PA systolic pressure of 71 mmHg when compared to the prior echocardiogram done 08/29/07, previously the mitral regurgitation was mild and previously the PA systolic pressure was estimated at 90 mmHg. 
She had an echocardiogram today ( please see also that report ) , which shows stable and small - to - moderate sized pericardial effusion without tamponade , normal left ventricular ejection fraction at 55 % with mild concentric left ventricular hypertrophy , mildly dilated right ventricular size , normal right ventricular ejection fraction , moderate mitral regurgitation and severe tricuspid regurgitation with severe pulmonary hypertension , estimated PA systolic pressure of 71 mmHg when compared to the prior echocardiogram done 08/29/07 , previously the mitral regurgitation was mild and previously the PA systolic pressure was estimated at 90 mmHg .