Interpretation of stress test results

Can you interpret this in such a way that I can get a clearer picture in lay terms?

RESULT:

CHAMBER SIZE: The left ventricular cavity appears mildly dilated. There
is no evidence of transient ischemic dilation.

PERFUSION: Stress and rest SPECT images reveal a moderate to large sized,
severe intensity, fixed perfusion defect, involving the apex, apical
inferior, mid inferior, basal inferior, mid inferolateral and basal
inferolateral segments suggestive of myocardial scar. No reversible
perfusion defects are noted to suggest ischemia.

FUNCTIONAL ASSESSMENT: There is moderate global hypokinesis with apical
and mid inferior/inferolateral wall akinesis. The calculated post stress
ejection fraction is 37%.

Compared to the prior study dated 6/24/2009, the apical infarct is new.
The global hypokinesis is new.

IMPRESSION:

1. NO DEFINITE EVIDENCE OF ISCHEMIA.

2. LARGE INFARCTION AT THE APEX, INFERIOR AND INFEROLATERAL WALL WITH
CORRESPONDING REGIONAL WALL MOTION ABNORMALITY IN ADDITIONAL TO MODERATE
GLOBAL HYPOKINESIS. CALCULATED LVEF IS 37%.

3. INTERVAL DEVELOPMENT OF APEX INFARCT AND MODERATE GLOBAL HYPOKINESIS
SINCE 6/24/09.  

Thanks, charles sharp