56 year old female with pulmonary hypertension, interstitial lung disease, sarcoidosis, NIDDM, diastolic hypertension referred for cardiac MRI to assess for cardiac involvement. Left VentricleThe left ventricle is mildly dilated with mildly reduced systolic function. The overall LV ejection fraction is 46%. The LVEDV is 176 ml (normal range 109+/-23), LV end diastolic volume index is 85 ml/m2 (normal range: 65+/-11), LVESV is 95 ml (normal range 31+/-10), and LV end systolic volume index is 46 ml/m2 (normal range 18+/-5). The LV mass is 97 g (normal range 114+/-24) and the LV mass index is 47 g/m2 (normal range 67+/-11). 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 is <1000 ms suggestive of absence of underlying diffuse fibrosis or infiltration.There is myocardial iron overload. Left AtriumThe left atrium is mildly dilated.Right VentricleThe right ventricle is normal in size with mildly reduced systolic function. The overall RV ejection fraction is 43%, the RVEDV is 148 ml (normal range 110+/-24), the RV end diastolic volume index is 71 ml/m2 (normal range 69+/-14), the RVESV is 85 ml (normal range 35+/-13), and the RV end systolic volume index is 41 ml/m2 (normal range 22+/-8).Right AtriumThe right atrium is normal in size. Aortic ValveThe aortic valve is trileaflet, opens widely and there is mild 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 enlarged and there is enlargement of both right and left pulmonary arteries (MPA: 48mm). Venous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium. PericardiumThere is no obvious pericardial disease.Extracardiac FindingsMediastinal adenopathy noted. 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 mildly dilated with mildly reduced systolic function. LVEF 46%.2.The right ventricle is normal in size with mildly reduced systolic function. RVEF 43%3.No regional wall motion abnormalities. 4.No late gadolinium enhancement to suggest cardiac sarcoidosis.5.Signs of pulmonary arterial hypertension.