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The left ventricle is moderately dilated. There is no thrombus. There is global thinning of the left ventricular walls. Left ventricular systolic function is severely reduced. Ejection Fraction = <25%. The transmitral spectral Doppler flow pattern is suggestive of impaired LV relaxation. There is severe global hypokinesis of the left ventricle. Moderate left atrial enlargement. The right atrium is mildly dilated. There is trace mitral regurgitation. There is trace tricuspid regurgitation