43-year-old female with dyspnea on exertion, obstructive and restrictive pattern on pulmonary function testing, normal ejection fraction. Referred for cardiac MRI to rule out cardiac sarcoidosis. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 60%. The LVEDV is 131 ml (normal range 109+/-23), LV end diastolic volume index is 77 ml/m2 (normal range: 65+/-11), LVESV is 52 ml (normal range 31+/-10), and LV end systolic volume index is 31 ml/m2 (normal range 18+/-5). The LV mass is 70 g (normal range 114+/-24) and the LV mass index is 41 g/m2 (normal range 67+/-11). There are no regional wall motion abnormalities present. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. The native T1 myocardial relaxation time is <1050 which is within normal limits..There is no myocardial iron overload. 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 58%, the RVEDV is 158 ml (normal range 110+/-24), the RV end diastolic volume index is 93 ml/m2 (normal range 69+/-14), the RVESV is 67 ml (normal range 35+/-13), and the RV end systolic volume index is 39 ml/m2 (normal range 22+/-8).Right AtriumThe right atrium is normal in size. Aortic ValveThe aortic valve is trileaflet, opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely 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 mild 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.Normal sized left ventricle with normal systolic function (LVEF 60%)2.Normal sized right ventricle with normal systolic function (RVEF 58%)3.No late gadolinium enhancement. No evidence of inflammatory or infiltrative disease of the myocardium.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.