59 year old man with history atrial fibrillation and hemachromatosis, referred for cardiac MRI for further evaluation of possible underlying cardiomyopathy and myocardial iron overload. Left VentricleThe left ventricle is normal in size with hyperdynamic systolic function. The overall LV ejection fraction is 75%, the LV end diastolic volume index is 101 ml/m2 (normal range: 74+/-15), the LVEDV is 218 ml (normal range 142+/-34), the LV end systolic volume index is 24 ml/m2 (normal range 25+/-9), the LVESV is 52 ml (normal range 47+/-19). There is mild concentric LVH. There are no regional wall motion abnormalities present. There is a small amount of patchy late gadolinium enhancement in the basal infero- lateral wall which may suggest the presence of an underlying fibrosing or prior infiltrative/inflammatory process. Based on T2 Star imaging, there is no evidence of myocardial iron overload. Left AtriumThe left atrium is mildly dilated. Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 70%, the RV end diastolic volume index is 92 ml/m2 (normal range 82+/-16), the RVEDV is 199 ml (normal range 142+/-31), the RV end systolic volume index is 28 ml/m2 (normal range 31+/-9), and the RVESV is 61 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 mild 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 Findings 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 hyperdynamic systolic function. The overall LV ejection fraction is 75%.2. There is no evidence of myocardial iron overload.3. There is a small amount of patchy late gadolinium enhancement in the basal infero- lateral wall which may suggest the presence of an underlying fibrosing or prior infiltrative/inflammatory process.4. The right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 70%.