39 year old man with recent history of ventricular tachycardia s/p dual chamber ICD and non-ischemic cardiomyopathy who was referred for cardiac MRI to evaluate for scar. Left VentricleThe left ventricle is severely dilated. Due to interference from device-related artifact, cardiac volumes could not be reliably assessed. However, systolic function appears severely reduced (LVEF <20%), and there is global hypokinesis with regional variation. There is no evidence of late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.Left AtriumThe left atrium is dilated. Right VentricleThe right ventricle appears normal in size. Due to interference from device-related artifact, cardiac volumes could not be reliably assessed. A device lead is noted.Right AtriumThe right atrium is dilated. A device lead is noted.Mitral ValveThe mitral valve opens widely.Tricuspid ValveThe tricuspid valve opens widely. AortaThere is a left sided aortic arch. Pulmonary VeinsTwo right sided pulmonary veins are visualized and drain into the left atrium; the left sided veins are not well seen.Venous AnatomyThe SVC and IVC drain normally into the right atrium. There are device leads visualized in the SVC.PericardiumThere is no obvious pericardial disease.Extracardiac FindingsThere is a pulse generator in the left upper chest with associated artifact. 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. Severely dilated left ventricle with severely reduced systolic function (EF <20%). 2. No evidence of late gadolinium enhancement to suggest the presence of an underlying inflammatory, infiltrative or fibrotic process. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.