MRI CARD WWO CNTRST, VIABLTY/SCAR IMAG.MORPH/FUNCT, 10/27/2016 2:48 PM Left VentricleThe left ventricle is normal in size with normal systolic function. There is no hypertrophy (lateral wall and septum 7-9mm in thickness). There is abnormal septal motion consistent with a bundle branch block. The overall LV ejection fraction is 57%. The LVEDV is 195 ml (normal range 142+/-34), the LV end diastolic volume index is 75 ml/m2 (normal range: 74+/-15), the LVESV is 85 ml (normal range 47+/-19) and the LV end systolic volume index is 33 ml/m2 (normal range 25+/-9). 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 in the lateral wall is 1124 ms and in the IV septum it is 1114 ms. These values are mildly elevated and are suggestive of underlying diffuse fibrosis or infiltration.There is no myocardial iron overload. There is no LV thrombus. 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 50%. The RVEDV is 212 ml (normal range 142+/-31), RV end diastolic volume index is 82 ml/m2 (normal range 82+/-16), the RVESV is 107 ml (normal range 54+/-17), and the RV end systolic volume index is 41 ml/m2 (normal range 31+/-9).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 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 are normal in size and 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 native T1 myocardial relaxation time in the lateral wall is 1124 ms and in the IV septum it is 1114 ms. These values are mildly elevated and are suggestive of underlying diffuse fibrosis or infiltration. However in the absence of delayed enhancement, this is a non-specific finding.2.The left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 57%.3.The right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 50%.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.