Transthoracic echocardiogram still and loop four-chamber view revealing an ejection fraction of 25% (normal > 55%) with diffuse hypokinesis, moderately dilated right ventricle, and reduced right ventricular function. Left ventricular internal diameter end diastole: 49 mm; left ventricular internal diameter end systole 46 mm (RR male 42–59 mm). Right ventricular internal diameter end diastole: 47 mm (RR 35–45 mm).