39 year old male with a history of left ventricular hypertrophy, syncope, SVT, atypical chest pain. Negative coronary angiogram. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 58%. There is mild concentric hypertrophy(IVSd=11 mm). The LV end diastolic volume index is 80 ml/m2 (normal range: 74+/-15), the LVEDV is 187 ml (normal range 142+/-34), the LV end systolic volume index is 34 ml/m2 (normal range 25+/-9), the LVESV is 79 ml (normal range 47+/-19), the LV mass index is 48 g/m2 (normal range 85+/-15), and the LV mass is 115 g (normal range 164+/-36). 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. Native pre-contrast myocardial T1 relaxation time ranges between 950-1050 ms (normal), extra-cellular volume fraction is normal (27%), T2-ratio is 1.6 (normal), global relative enhancement ration is 1.1 (normal). No evidence of myocardial iron overload based on normal T2-star relaxation time. All of these suggest that there is no underlying myocardial fibrosis, inflammation, or infiltration. Left AtriumThe left atrium is normal in size (75ml). Right VentricleThe right ventricle is normal in size with mildly reduced systolic function. The overall RV ejection fraction is 46%, the RV end diastolic volume index is 110 ml/m2 (normal range 82+/-16), the RVEDV is 258 ml (normal range 142+/-31), the RV end systolic volume index is 60 ml/m2 (normal range 31+/-9), and the RVESV is 140 ml (normal range 54+/-17).Right AtriumThe right atrium is mildly dilated.Aortic ValveThe aortic valve 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 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 left ventricular size and normal systolic function (LVEF 58%) with mild concentric left ventricular hypertrophy. No evidence of underlying myocardial fibrosis inflammation or infiltration based on multiple quantitative myocardial tissue characterization parameters.2. Normal right ventricular size with mildly reduced systolic function (RVEF 46%). 3. Mild right atrial dilationI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.