Terrified about echo report

[CHERIE1960]

I had an echocardiogram done on April 26th. The hospital sent me a copy of the report that they sent to my doctor.I have been terrified ever since reading the report. Can someone please explain it to me? I received a postcard in the mail from my doctor that says "Your echocardiogram was normal". But how can it be? Here is what it says at the end:

Summary/Impression
1) This study shows a trace mitral and tricuspid regurgitation and mild pulmonary hypertension.
2) Mild dilatation of left atrium and right ventricle.
3) Moderate concentric left ventricular hypertrophy with normal systolic and diastolic function.
4) No pericardial effusion is seen.
5) No intracardiac echogenic masses suggestive of thrombus, tumor or vegetation is seen.

The words "pulmonary hypertension" are what is scaring me to death. Why would my doctor consider that "normal"? To my knowledge pulmonary hypertension is a progressive, terminal disease.
Also, the concentric left ventricular hypertrophy. Could that be a normal thing? And the dilatation of the left atrium and right ventricle? What could have caused these things? Is that tied in with pulmonary hypertension? I do not smoke, but I have gone up to 250 pounds, and I am 5'5. (I want desperately to lose the weight, and I get out of breath very easily when I go up stairs or walk outside. This is why my doctor ordered the echo. To see how my heart is. Does it look like I have pulmonary hypertension? Thank you so much for answering.

[CCF-M.D.-CRC]

Dear cherie,
A echocardiogram, like any test, must be interperted in light of the clinical picture and with an understanding of what is "within normal limits".  What this means it that certain findings may not be clinically significant.  I believe this is why your doctor sent you a card saying the test was normal.  The finding of mild pulmonary hypertension may or may not be important depending on the clinical findings.  It is possible this is just a mildly elevated reading of one of the waveforms and is in no way related to the clinical disease of pulmonary hypertension.  Left ventricular hypertrophy indicates thickening of the walls of the heart and is common in persons with hypertension.  Obesity may also predispose to hypertrophy. Of course as with any test that you have questions about the ordering doctor has a responsibility to make sure you understand the results.

[CHERIE1960]

I forgot to mention that I am 41 years old, female, and the ejection fraction was estimated at 65% and pulmonary artery pressure was estimated at 36 mHg. Sorry about the double post. It was an accident and I couldn't find a way to delete it.