Any idea what this means? Normal sinus rhythm. Possible Left atrial enlargement Cannot rule out Anterior infarct. Abnormal EKG

Could be normal. Depends upon your clinical situation. EKG's are not very predictive if they are done without a specific purpose in mind. If you have not had any symptoms and this EKG was done as part of a "routine" then it is very likely just an interesting finding without a physical meaning. You should discuss this with the person who ordered the test.