Here are the doctor's notes:
"Myrna had a good evaluation today. Her radiographs did not reveal any congestion in her lungs or evidence of impeding congestive heart failure. The echocardiogram revealed stable parameters with the exception of her left atrial dimension, which as decreased slightly from 2.45cm to 2.20cm since February. Her blood pressure was 128mmHg today. I could not be more pleased with today's finding. I do not recommend any changes in her therapy."