50 year old man referred for evaluation of thoracic aortic dissection. Patient not a candidate for CTA or urgent TEE. Decision made to perform "rapid" CMR protocol to rule out thoracic aortic dissection. Left VentricleThe left ventricle appears grossly normal in size. There is moderate concentric LVH. Visually, the LV function appears preserved.Left AtriumThe left atrium appears mild ot moderately dilated. Right VentricleThe right ventricle appears grossly normal in size. Visually, the RV function appears preserved.Right AtriumThe right atrium is grossly normal in size.AortaThere is a left sided aortic arch with a"psuedo-bovine" brachiocephalic branching pattern (normal variant). The aortic root is normal in size. There is no evidence of thoracic aortic dissection. There is a small area of aneurysmal dilation in the descending thoracic aorta measuring 33mm.Pulmonary VeinsAll four pulmonary veins drain normally into the left atrium.Pulmonary ArteryThe main pulmonary artery is mildly dilated.Venous AnatomyThe SVC and IVC drain normally into the right atrium.PericardiumThere is no obvious pericardial disease.Extracardiac FindingsGroundglass opacities predominantly in right lung field. 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. No evidence of thoracic aortic dissection2. Small area of aneurysmal dilation in descending thoracic aorta measuring 33mm (unchanged from prior study when measured on a side-by-side basis). 3. Lung abnormalities more localized to just the right lung now. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.