24 year old with hypertrophic cardiomyopathy presenting for CMR as part of VANISH trial. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 72%, the LV end diastolic volume index is 84 ml/m2 (normal range: 74+/-15), the LVEDV is 152 ml (normal range 142+/-34), the LV end systolic volume index is 23 ml/m2 (normal range 25+/-9), the LVESV is 42 ml (normal range 47+/-19). There are no regional wall motion abnormalities present. There is a small amount of nontransmural, mid myocardial late gadolinium enhancement in the basal inferolateral wall to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. The LV walls are mostly normal in thickness (8-10 mm) with slight asymmetric hypertrophy in the basal anteroseptum (maximal15 mm). Native T1 time is normal ( < 1000 ms) including in hypertrophied area. Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 66%, the RV end diastolic volume index is 86 ml/m2 (normal range 82+/-16), the RVEDV is 156 ml (normal range 142+/-31), the RV end systolic volume index is 23 ml/m2 (normal range 31+/-9), and the RVESV is 42 ml (normal range 54+/-17).Right AtriumThe right atrium is normal in size.Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve leaflets appear elongated with chordal SAM. 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 FindingsThere is scoliosis of the thoracic spine. This 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 normal in size with normal systolic function. The overall LV ejection fraction is 72%. There are no regional wall motion abnormalities present. There is a small amount of nontransmural, mid myocardial late gadolinium enhancement in the basal inferolateral wall to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. The LV walls are mostly normal in size with slight asymmetric hypertrophy in the basal anteroseptum (max 15 mm). Native T1 time is normal ( < 1000 ms) including in hypertrophied area. 2. Normal right ventricular size and function. 