I had undergone a 2D echo its report is Post PPI, No RWMA, Normal LV systolic function, grade II V diastolic dysfunction, mild MR, Moderate TR, Mild PAH. XRay chest shows cardiac size Normal, Biateral lung field Normal, raight costophrenic angle blunted. blood reports are normal. I have high systolic BP goes high in the evening 165/72 or so. Ears get waarm and red nkm,