59 yo male with VT Left VentricleThe left ventricle is mildly enlarged. The overall LV ejection fraction is 56%, the LV end diastolic volume index is 113 ml/m2 (normal range: 74+/-15), the LVEDV is 228 ml (normal range 142+/-34), the LV end systolic volume index is 50 ml/m2 (normal range 25+/-9), the LVESV is 100 ml (normal range 47+/-19). There are no regional wall motion abnormalities present. . There is patchy late gadolinium enhancement in the mid and basal lateral wall and basal inferolateral wall which suggests the presence of an underlying fibrosing, infiltrative, or inflammatory process. THis pattern is not suggestive of ischemic heart disease (MI).Left AtriumThe left atrium is dilated. Right VentricleThe right ventricle is normal in size. The overall RV ejection fraction is 54%, the RV end diastolic volume index is 81 ml/m2 (normal range 82+/-16), the RVEDV is 162 ml (normal range 142+/-31), the RV end systolic volume index is 37 ml/m2 (normal range 31+/-9), and the RVESV is 74 ml (normal range 54+/-17).Right AtriumThe right atrium is mildly dilated .Aortic ValveThe aortic valve opens widely and there is mild aortic regurgitation, but the severity of aortic regurgitation can be underestimated by the MRI pulse sequence used in this study.Mitral ValveThe mitral valve opens widely and there is no significant mitral regurgitation, but the severity of mitral regurgitation can be underestimated by the MRI pulse sequence used in this study.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation, but the severity of pulmonic regurgitation can be underestimated by the MRI pulse sequence used in this study.Tricuspid ValveThe tricuspid valve opens widely. There is no significant tricuspid regurgitation, but the severity of tricuspid regurgitation can be underestimated by the MRI pulse sequence used in this study.AortaThe aortic root at the level of the SOV is 4.3 cm.. There is a left sided aortic arch with a normal brachiocephalic branching pattern.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 Findings . 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. Lower normal LV systolic function without evidence of infarct. 2. Patchy delayed enhancement in the lateral and info lateral wall.3. Normal RV size and function without evidence for ARVD.4. Aortic SOV 4.3 cm with mild AR