68-year-old man with history of paroxysmal atrial fibrillation. Left VentricleMorphologically and function are normal ventricular function. Mild patchy delayed hyperenhancement within the mid wall of the left ventricle in the basal and mid-cavity LV.Left AtriumThe left atrium is mildly to moderately dilated.. Right VentricleMorphologically normal ventricular function. Mild RV dilation.Right AtriumThe right atrium is mildly to moderately dilated..Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation.Mitral ValveMild mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation.Tricuspid ValveMild 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. There is early branching of the right superior pulmonary vein. No evidence of pulmonary vein stenosis.Pulmonary ArteryThe main pulmonary artery is normal in size.Venous AnatomyThe SVC and IVC are normal in size and 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.
Mild patchy delayed hyperenhancement within the mid wall of the left ventricle in the basal and mid-cavity LV, which may represent myocarditis, fibrosis, or an infiltrative process. Consider cardiac MRI follow-up in 6 months or as per clinical protocol for reevaluation.Normal pulmonary vein anatomy with early branching of the right superior pulmonary vein. No evidence of pulmonary vein stenosis.Mild cardiomegaly predominantly involving the atria and right ventricle.