Dear Doctor, I am 41 years old. I am obese 107kg. I have Asthma, urticaria, GERD problems. Past 2 months I am taking deep breath and yawning a lot. During continuous speech I get shortness of breath. Recently 2D Echocardiogram was taken for me on the advice of Cardiologist, since my ordinary Echocardiogram taken at reputed hospital had shown mild PAH, trivial TR, Grade 1 diastolic dysfunction. This time 2D Echocardiogram was done by another Cardiologist. He said everything is normal. Only Trivial TR. No PAH. No Diastolic dysfunction. I noticed that the report states Right Atrial outflow tract is Abnormal Turbulent flow present in systole. What is this? Please clarify I am worried.