Echo said i had moderately dilated left ventricle another said it was not a few months later. still get possible lvh on ekg. don't know what to do.

Echocardiographic: assessment is very dependent on the technical performance of the recording. This can be very variable and determined by the experience and skill of the technician. Medicine like Enalapril can also affect LV dilatation and improve or normalize it. If you are thin chested the EKG may be misinterpreting higher voltage as LVH. It is most likely you have NO cardiac issues at all at your age.

Test Result: Sometimes a test measurement will look abnormal on one evaluation and then normal on another simply due to minor differences in operator skill, type of machine used, the interpreting MD's skills, or simple errors. Test Results always need to be interpreted with consideration of the individual patient's issues in conjunction with a physical examination and correlation with all available data.