A 30 year old female with suspected post-partum cardiomyopathy and complaints of palpitations and PVCs on the ECG. Referred to cardiac MRI to evaluate etiology Left VentricleThe left ventricle is normal in size with borderline systolic function. The overall LV ejection fraction is 50%, the LV end diastolic volume index is 82 ml/m2 (normal range: 65+/-11), the LVEDV is 159 ml (normal range 109+/-23), the LV end systolic volume index is 41 ml/m2 (normal range 18+/-5), the LVESV is 79 ml (normal range 31+/-10), the LV mass index is 42 g/m2 (normal range 67+/-11), and the LV mass is 82 g (normal range 114+/-24). There is global mild hypokinesis with regional variation. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.No intracardiac thrombus.Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size and systolic function. The overall RV ejection fraction is 54%, the RV end diastolic volume index is 70 ml/m2 (normal range 69+/-14), the RVEDV is 135 ml (normal range 110+/-24), the RV end systolic volume index is 32 ml/m2 (normal range 22+/-8), and the RVESV is 65 ml (normal range 35+/-13). 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.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 drain normally into the right atrium. PericardiumThere is mild pericardial fat.Extracardiac FindingsBilateral enlarged kidneys multiple cysts of various sizes. Several T2 sigh signal lesions occupy the liver, none in the pancreas. Recommend dedicated renal MRI to further characterize.
1. The left ventricle is normal in size with borderline systolic function. The LVEF is 50%. There is global mild hypokinesis with regional variation. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.2. The right ventricle is normal in size and systolic function. The RVEF is 54%.3. Bilateral enlarged kidneys with cysts of various sizes, along with multiple cysts in in the hepatic parenchyma. Recommend dedicated renal MRI, as polycystic kidney disease is suspected.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.