A reduced coronary flow reserve has been reported in patients with ischemia like symptoms and normal coronary arteries (no occlusions). The bases can be flow velocity, left ventricle muscle mass, diabetes, hypertension, etc.
There is mild left ventricle pumping dysfunction due to akinesis (damaged heart cells) in the area given (septum...wall that separates heart chambers). Pumping dysfunction is very slight as normal EF is 55 to 75%.
There is a small hole in the wall that separates the right and left atrium.
There may be a biopsy associated with trabeculations!?. I'm not sure what the indications are when the echo was inconclusive, but the report shows results?