Just saw the pericardial effusion, meaning there is indeed build up in that sack.
Then the left ventricular diastolic dysfunction grade 1. I don't know much about that, but seems to be related to LVH. if your cardiologist wasn't concerned about it then I wouldn't be. You might ask him next time you see him about that and the pericardial effusion.
Your ejection fraction is excellent. It could be with the lvh that the left ventricle is somewhat less compliant than normal and doesn't stretch out as much. Just a guess on my part. Wall motion was normal, and that's the most important thing.
How I remember the conversation was there was nothing that was concerning. This was was in both conversation with the person performing the echo and my Dr's review post visit. I appreciate your input and will actually ask your question about the pericardial effusion. That is one great benefit of Cleveland Clinics MyChart is questions are answered.