TTE (apical 4 chamber view) showing dilated cardiac chambers including mild dilation of the left ventricle (LV), right atrium (RA), and right ventricle (RV), and moderate dilation of the left atrium (LA). The ejection fraction was estimated at 10% with severely impaired left ventricular systolic function, impaired right ventricular systolic function, and grade three diastolic dysfunction. TTE: Transthoracic echocardiogram.