trops lesss than 3

Impression: 

The left ventricular ejection fraction appears: Grossly preserved 

No pericardial effusion identified. 

RV Dilation present/absent: No significant right ventricular dilation 

appreciated 

18m w/o significant history

Several months of intermittent CP

Lasts up to a few hours at a time, extends to left arm

No other associated symptoms

Worse than usual today

EKG w/ Mobitz I

Troponin negative

## Work-up pending:

Cardiology recs

## Expected disposition:

Pending cardiology recs