Question: Hi can you please shed some light on this for me. (basic history) I had an PE in 1991 which needed surgery to remove I was already in a bad state after a RTA and 2 months later got the PE which was truly life threatening and changed my life drastically, I did recover some complications after the surgery including fluid around the lungs ( I think one collapsed when I had the PE) This was drained off, the fluid around my heart resolved once i got XXXXXXX Over the years I was always ill and really fatigued leading to a diagnoses of CFS/ME. I always had my doubts about this diagnoses as I believed it was linked to all the trauma and surgeries I had. Last year I got worse so done some research for my self which lead to me getting tested for sleep apnea and I was diagnosed with sleep apnea and given a CPAP machine. I then noticed my oxygen where still low during the day ranging from 90 to 96, So I was referred for more test on my respiratory system and heart. My lung function was 70% and showed some obstruction on the breathing test and was put on an inhaler. What I need help with is understanding my latest results from a letter of my heart as there appears to be some anomalies. Can you please take a look at this extract from the actual letter and explain it to me please. I'm looking for specific explanation of the two anomalies I think is in this letter, and are these anomalies caused by the PE I had as I believe they are, their is no family history of heart problems. I would like to know the percentage or in your professional view the likelihood that these are due to the PE I had. Can you tell me what it means long term for my heart health and any treatment that can be used for it, I would like to be prepared as much as possible for my follow up appoint which is over a month away! Extract below

I have the results of this gentleman's echo which was done to look for any CTEPH because of his previous PE with surgical embolectomy. i am pleased to say that his LV shows normal dimensions, ejection fraction estimated 59% with reduced longitudinal function. LA is normal dimension, no obvious valve problems, RA and RV are within normal dimensions and good contraction. Pulmonary artery systolic pressure is normal. PA and RV outflow tract appear mildly dilated. Therefore no evidence of CTEPH.