54 year old male with EKG with ST elevations, normal coronary arteries on recent coronary angiogram, concern for myocarditis. Left VentricleThe left ventricle is normal in size and function. The overall LV ejection fraction is 55%. The LVEDV is 206.8 ml (normal range 142+/-34), the LV end diastolic volume index is 86.8 ml/m2 (normal range: 74+/-15), the LVESV is 94 ml (normal range 47+/-19) and the LV end systolic volume index is 39.4 ml/m2 (normal range 25+/-9). The LV mass is 177 g (normal range 164+/-36) and the LV mass index is 74.3 g/m2 (normal range 85+/-15). There are no regional wall motion abnormalities present. . There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.The native T1 myocardial relaxation time not obtainable as image sequences for measurement are not present due to MRI software issues. Left AtriumThe left atrium is normal in size. Right VentricleRV function is qualitatively normal. However,the right ventricle is normal in size with mildly reduced function quantitatively. The overall RV ejection fraction is 30%. The RVEDV is 209 ml (normal range 142+/-31), RV end diastolic volume index is 87.7 ml/m2 (normal range 82+/-16), the RVESV is 146.6 ml (normal range 54+/-17), and the RV end systolic volume index is 61.5 ml/m2 (normal range 31+/-9).Right AtriumThe right atrium is normal.Aortic ValveThe aortic valve is trileaflet, opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely; 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 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.
1. Normal left ventricular systolic function at 55%.2. Qualitatively normal RV ejection fraction. Quantitatively, right ventricular ejection fraction is mildly reduced.3. No late gadolinium enhancement noted in myocardium. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.