47 year old woman with recent diagnosis of diffuse large B-celllymphoma, family history of coronary disease, found to have reduced LV function onpre-chemotherapy echocardiography. She is being followed with serial MRIs while on chemotherapy. Left VentricleThe left ventricle is with normal in size with moderately reduced systolic function. The overall LV ejection fraction is 41%, the LV end diastolic volume index is 70 ml/m2 (normal range: 65+/-11), the LVEDV is 145 ml (normal range 109+/-23), the LV end systolic volume index is 41 ml/m2 (normal range 18+/-5), the LVESV is 86 ml (normal range 31+/-10). The left ventricular dysfunction is global. Native T1 times are normal (1020 ms). Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size with mildly reduced systolic function. The overall RV ejection fraction is 45%, the RV end diastolic volume index is 52 ml/m2 (normal range 69+/-14), the RVEDV is 109 ml (normal range 110+/-24), the RV end systolic volume index is 29 ml/m2 (normal range 22+/-8), and the RVESV is 60 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 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. There is a catheter in the SVC. PericardiumThere is no obvious pericardial disease.Extracardiac FindingsPort present on right chest. 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 with normal in size with moderately reduced systolic function. The overall LV ejection fraction is 41%. The left ventricular dysfunction is global.2. The right ventricle is normal in size with mildly reduced systolic function. The overall RV ejection fraction is 45%. Compared to the previous study in 2/2016, the left ventricular systolic function is quantitatively and qualitatively worse on current study. 