82 year old female with of sarcoid and hypertension who experienced episodes of chest pain. She underwent a stress echocardiogram which showed normal rest and stress wall motion. She had frequent premature ventricular contractions during the stress echocardiogram. She is referred for cardiac MRI for further evaluation. Left VentricleThe left ventricle is mildly dilated with normal systolic function. Prominent LV trabeculation, not meeting criteria for LV noncompaction. The overall LV ejection fraction is 61%, the LV end diastolic volume index is 110 ml/m2 (normal range: 65+/-11), the LVEDV is 184 ml (normal range 109+/-23), the LV end systolic volume index is 43 ml/m2 (normal range 18+/-5), the LVESV is 73 ml (normal range 31+/-10), the LV mass index is 36 g/m2 (normal range 67+/-11), and the LV mass is 60 g (normal range 114+/-24). 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 pre-contrast native myocardial T1 relaxation time is normal (1000-1050 ms). There is no myocardial iron overload. Left AtriumThe left atrium is mildly dilated. Right VentricleThe right ventricle is mildly dilated with normal systolic function. The overall RV ejection fraction is 61%, the RV end diastolic volume index is 104 ml/m2 (normal range 69+/-14), the RVEDV is 173 ml (normal range 110+/-24), the RV end systolic volume index is 40 ml/m2 (normal range 22+/-8), and the RVESV is 67 ml (normal range 35+/-13). Right AtriumThe right atrium is mildly dilated. Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is trace 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 FindingsThere is mild atelectasis of the left lower lung. Probable right renal cyst. 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 mildly dilated with normal systolic function (LVEF 61%) without evidence of late gadolinium enhancement. 2. The right ventricle is mildly dilated with normal systolic function (RVEF 61%). I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.