66 year old female, evaluation for cardiac sarcoidosis Left VentricleThe left ventricle is normal in size with mildly decreased systolic function. The overall LV ejection fraction is 50%. The LVEDV is 148 ml (normal range 109+/-23), LV end diastolic volume index is 65 ml/m2 (normal range: 65+/-11), LVESV is 74 ml (normal range 31+/-10), and LV end systolic volume index is 33 ml/m2 (normal range 18+/-5). The LV mass is 178 g (normal range 114+/-24) and the LV mass index is 78 g/m2 (normal range 67+/-11). There is presence of concentric hypertrophy, more severe in the lateral wall (measured up to 20mm in end diastole). There are no regional wall motion abnormalities present. There is no convincing evidence of late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process on current scanner (3T).The native T1 myocardial relaxation time is not obtainable due to patient movement artifact. Left AtriumThe left atrium is normal.Right VentricleThe right ventricle is normal in size with mildly decreased systolic function. The overall RV ejection fraction is 44%, the RV end diastolic volume index is 60 ml/m2 (normal range 69+/-14), the RVEDV is 138 ml (normal range 110+/-24), the RV end systolic volume index is 34 ml/m2 (normal range 22+/-8), and the RVESV is 77 ml (normal range 35+/-13). Right AtriumThe right atrium is normal. 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 drain normally into the right atrium. PericardiumThere is no obvious pericardial disease.Extracardiac FindingsHepatic and renal lesions are present, as described on prior abdominal CT imaging. Upper lung pulmonary fibrosis and left lung effusion are present, as noted on prior chest CT imaging. 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. Left ventricle is normal in size with mildly decreased systolic function. The overall LV ejection fraction is 50%. There are no regional wall motion abnormalities present. 2. There is no convincing evidence of late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process on current scanner (3T).3. There is presence of concentric hypertrophy, more severe in the lateral wall (measured up to 20mm in end diastole). Therefore, an infiltrative process cannot be completely excluded even given absence of delayed hyperenhancement. 4. Right ventricle is normal in size with mildly decreased systolic function. The overall RV ejection fraction is 44%.5. See extracardiac findings.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.