I hope someone comments on the "focal ischemia." Ischemia means there's a reduced blood flow to that area. It may not be severe but still. . .more info would be helpful. Are you having a followup visit with your doctor? That would be a good time to ask about that.
Depending on what literature you look at a normal EF is above 50 or 55% generally going up to 70% being considered a normal range.