55 year old female with PMHx of alcoholic cirrhosis admitted for abdominal pain, diarrhea, found to have an IVC mass. Referred for cardiac MRI to evaluate for RA mass. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 65%. The LVEDV is 125 ml (normal range 142+/-34), the LV end diastolic volume index is 78 ml/m2 (normal range: 74+/-15), the LVESV is 44 ml (normal range 47+/-19) and the LV end systolic volume index is 27 ml/m2 (normal range 25+/-9). The LV mass is 82 g (normal range 164+/-36) and the LV mass index is 51 g/m2 (normal range 85+/-15). There are no regional wall motion abnormalities present. There is no obvious late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. Artifact over the basal inferior and inferolateral walls preclude accurate assessment of late gadolinium enhancement in these areas. The native T1 myocardial relaxation time is normal at 1060 ms. This value is suggestive off no underlying diffuse fibrosis or inflammation. 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 RVEDV is 130 ml (normal range 142+/-31), RV end diastolic volume index is 81 ml/m2 (normal range 82+/-16), the RVESV is 44 ml (normal range 54+/-17), and the RV end systolic volume index is 28 ml/m2 (normal range 31+/-9).Right AtriumThe right atrium is upper normal in size. No right atrial mass appreciated. 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 tricuspicd regurgitation.AortaThere is a left sided aortic arch with pseudo-bovine 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. Turbulence noted at the level of the IVC/RA junction but a mass could not be appreciated. However, image quality is suboptimal at this level.PericardiumThere is no obvious pericardial disease.Extracardiac FindingsModerate right and small left-sided pleural effusion. Atelectasis noted in the right lung base. 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 65%.2.The right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 66%.3.No right atrial mass/thrombus appreciated. 4.IVC mass not well seen on this study. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.