A 54 year old female with known extrapulmonary sarcoidosis who complaint about palpitations while the echocardiography showed normal systolic left ventricular function. Referred to cardiac MRI to rule out cardiac involvement. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 58%, the LV end diastolic volume index is 73 ml/m2 (normal range: 65+/-11), the LVEDV is 174 ml (normal range 109+/-23), the LV end systolic volume index is 31 ml/m2 (normal range 18+/-5), the LVESV is 73 ml (normal range 31+/-10), the LV mass index is 44 g/m2 (normal range 67+/-11), and the LV mass is 105 g (normal range 114+/-24). There are no regional wall motion abnormalities present. There is no myocardial late gadolinium enhancement to suggest the presence of underlying myocardial fibrosis, inflammation, or infiltration. Normal native myocardial T1-times and global relative enhancement ratio.No intracavitary thrombus.No myocardial iron overload.Global Relative Enhancement1.2Normal <4T1 MOLLI Pre contrast myocardium1006Normal <1050msT1 MOLLI Pre contrast blood pool1718Extracellular volume fraction21.8normal 20-30%Left AtriumThe left atrium is moderately enlarged. The LA volume is 146 ml.Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 54%, the RV end diastolic volume index is 72 ml/m2 (normal range 69+/-14), the RVEDV is 171 ml (normal range 110+/-24), the RV end systolic volume index is 33 ml/m2 (normal range 22+/-8), and the RVESV is 78 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 mild to moderate mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is mild 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. PericardiumThere is no obvious pericardial disease.Extracardiac FindingsSmall hilar lymph nodes noted. 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 normal in size with normal systolic function, the LVEF is 58% without evidence of underlying myocardial fibrosis, inflammation, or infiltration. No MRI evidence of cardiac sarcoidosis.2. The left atrium is moderately enlarged. 3. The right ventricle is normal in size with normal systolic function, the RVEF is 54%. 4. The right atrium is mildly dilated. 5. There is mild to moderate mitral regurgitation.6. Small hilar lymph nodes notedI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.