57 year old woman with history of cardiac sarcoid, referred for evaluation of interval changes and risk stratification. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 65%, the LV end diastolic volume index is 67 ml/m2 (normal range: 65+/-11), the LVEDV is 130 ml (normal range 109+/-23), the LV end systolic volume index is 23 ml/m2 (normal range 18+/-5), the LVESV is 45 ml (normal range 31+/-10). There are no regional wall motion abnormalities present. There is a small patch of myocardial late gadolinium enhancement in the basal inferoseptal wall at the RV insertion point. The pattern is atypical for infarction and is likely to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. It appears unchanged compared to prior MRI in 2013. Additionally, there is no evidence of acute inflammation or edema on T1 and T2 imaging.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 58%, the RV end diastolic volume index is 71 ml/m2 (normal range 69+/-14), the RVEDV is 138 ml (normal range 110+/-24), the RV end systolic volume index is 30 ml/m2 (normal range 22+/-8), and the RVESV is 58 ml (normal range 35+/-13). Right AtriumThe right atrium is normal in size. 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 psuedo-bovine brachiocephalic branching pattern (normal variant). 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 FindingsMinimal bilateral pleural effusions present. 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. There is a small patch of mid myocardial late gadolinium enhancement in the basal inferoseptal wall at the RV insertion point. The pattern is atypical for infarction and is likely to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. It appears unchanged compared to prior MRI in 2013. Additionally, there is no evidence of acute inflammation or edema on T1 and T2 imaging.3. The right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 58%. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.