A 57 year old female with personal history of diabetes, osteoarthritis and overwight who was referred to cardiac MRI after she was diagnosed with idiopathic ventricular tachycardia. Left VentricleThe left ventricle is mildly dilated with mildly reduced systolic function. The overall LV ejection fraction is 46%, the LV end diastolic volume index is 89 ml/m2 (normal range: 65+/-11), the LVEDV is 207 ml (normal range 109+/-23), the LV end systolic volume index is 48 ml/m2 (normal range 18+/-5), the LVESV is 112 ml (normal range 31+/-10). There is global mild hypokinesis with regional variation. Normal LV thickness. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.Normal native myocardial T1-times. No findings to support active inflammation/edema of the myocardium.No intracavitary thrombus was seen.Left AtriumThe left atrium is mildly dilated (110ml).Right VentricleThe right ventricle is normal in size with mildly reduced systolic function. The overall RV ejection fraction is 40%, the RV end diastolic volume index is 89 ml/m2 (normal range 69+/-14), the RVEDV is 205 ml (normal range 110+/-24), the RV end systolic volume index is 53 ml/m2 (normal range 22+/-8), and the RVESV is 122 ml (normal range 35+/-13). No regional wall motion abnormalities were noted.Right AtriumThe right atrium is mildly dilated. Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely, the leaflets are thickened and there is no significant mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is no significant tricuspid regurgitation.AortaThere is a left sided aortic arch with a normal brachiocephalic branching pattern. The aortic root is normal in size.Pulmonary VeinsAll four pulmonary veins drain normally into the left atrium.Pulmonary ArteryThe main pulmonary artery is normal in size. Venous AnatomyThe SVC and IVC drain normally into the right atrium. PericardiumThere is no obvious pericardial disease.Extracardiac FindingsThis study is not designed for the specific evaluation of extra-cardiac findings; therefore, the differentiation between artifacts and real extracardiac pathology may be difficult. If clinically indicated, a separate dedicated evaluation should be considered.
1. The left ventricle is mildly dilated with mildly reduced systolic function, the LVEF is 46%. There is global mild hypokinesis with regional variation. Normal LV thickness. 2. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. Normal native myocardial T1-times. No findings to support active inflammation/edema of the myocardium. No evidence of infiltrative disease. 3. The right ventricle is normal in size with mildly reduced systolic function, the RVEF is 40%. No regional wall motion abnormalities.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.