Example of borderline left ventricular systolic function (ejection fraction of 50%-55%) per 2-dimensional echocardiogram supplemented with myocardial strain measurements, which show abnormal global longitudinal strain (−12.3%) 15 years after cancer treatment. Patient was originally treated for Hodgkin lymphoma per Children's Oncology Group protocol AHOD0031 with doxorubicin, bleomycin, vincristine, etoposide, cyclophosphamide, and neck radiation.