33 year old man with aortic root dilation on echo, referred for cardiac MRI for further evaluation. Left VentricleThe left ventricle is upper limits of normal with low normal systolic function. The overall LV ejection fraction is 54%, the LV end diastolic volume index is 107 ml/m2 (normal range: 74+/-15), the LVEDV is 296 ml (normal range 142+/-34), the LV end systolic volume index is 49 ml/m2 (normal range 25+/-9), the LVESV is 138 ml (normal range 47+/-19), the LV mass index is 55 g/m2 (normal range 85+/-15), and the LV mass is 154 g (normal range 164+/-36). 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.Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is upper limits of normal size with normal systolic function. The overall RV ejection fraction is 51%, the RV end diastolic volume index is 122 ml/m2 (normal range 82+/-16), the RVEDV is 339 ml (normal range 142+/-31), the RV end systolic volume index is 60 ml/m2 (normal range 31+/-9), and the RVESV is 167 ml (normal range 54+/-17).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. No evidence of mitral valve prolapse.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 (ie, sinus of Valsalva) is moderately dilated; however, there is no effacement of the ST junction. No evidence of aortic dissection or coarctation. The thoracic aortic measurements are as below:Sinus of Valsalva - 45x47mmSinotubular junction - 37x37mmAscending Aorta - 36x36mmProximal Aortic Arch - 33x33mmMid Aortic Arch - 28x30mmDescending Aorta - 27x28mmPulmonary 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. Left ventricle is upper limits of normal size with low normal systolic function (LVEF 54%) without evidence of underlying myocardial fibrosis, inflammation, or infiltration.2. Right ventricle is upper limits of normal size with low normal systolic function (RVEF 51%).3. The aortic root (ie, sinus of Valsalva) is moderately dilated; however, there is no effacement of the ST junction. Beyond the Sinus of Valsalva, the thoracic aorta looks unremarkable. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.