### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My mom at 56 years (4ft 12 inch, normal bp, no sugar, no cholestrol issues), obese around 65 Kg  has been recently diagnosed via an echo cardiogram to have an 15mm ASD.  I also noticed that the report mentions the following (mild tricuspid regurgitation & mild pulmonary hyper tension)Are these side effects of ASD?  or was the ASD caused by these?  Also, her echo cardiogram taken an year ago didnt show the ASD problem.2 -D AND DOP P L ER F INDINGSRh y t hm  :  S i n u s  Rh Y t hmMitial valve, tricuspid valve, aortic valve and pulmonic valve normalTrivial mitral and mild tricuspid valve regurgitation.Lefr ventricle: Normal systolic  function, no RWMA, Diastolic dysfunctionLeft atrium is normal. Right ventricle and right atrium is dilated.I A S  :Os t i um s e c o n d um  A SD me a s u r i n g   1 5mm wi t h  L -R s h u n t .Intact inter ventricular  sePtum.No LV/LA masses, vegetations  or thrombus.Main pulmonary artery and aorta normal.No pericardial  thickening and/or effusion.ECHO DI AGNOS I SCONGENI T A L   HE ART  DI S E A S EOstium secondum ASD measuring 15mm with L-R shuntMild pulmonary arterial hypertension Normal biventricular  systolic  functionLV diastolic dysfunction

### output:

DEAR OVERTHINKS FOR CONSULTING AT ChatDoctorI UNDERSTAND YOUR CONCERN.ASD AS SUCH IS A CONGENITAL CONDITION THAT IS PRESENT FROM BIRTH BUT AS ASD IS USUALLY WITHOUT SYMPTOM IT IS DIAGNOSED INCIDENTAL DURING HEART CHECK SHE HAS MILD PULMONARY HAN WHICH CAN B BCO OF LONG STANDING ADD AND YOU DON'T HAVE TO WORRY ABOUT TRIVIAL MR HOPE I HAVE ANSWERED YOUR QUESTION. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS