47 year old woman with non ischemic cardiomyopathy, referred for further evaluation of underlying etiology. Left VentricleThe left ventricle is severely dilated with severely reduced systolic function. The overall LV ejection fraction is 28%, the LV end diastolic volume index is 137 ml/m2 (normal range: 65+/-11), the LVEDV is 307 ml (normal range 109+/-23), the LV end systolic volume index is 97 ml/m2 (normal range 18+/-5), the LVESV is 218 ml (normal range 31+/-10). There is regional variation in segmental contraction. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. There is no evidence of acute inflammation or edema on T1 or T2 imaging.Left AtriumThe left atrium is enlarged. Right VentricleThe right ventricle is normal in size with lower normal systolic function. The overall RV ejection fraction is 54%, the RV end diastolic volume index is 54 ml/m2 (normal range 69+/-14), the RVEDV is 120 ml (normal range 110+/-24), the RV end systolic volume index is 25 ml/m2 (normal range 22+/-8), and the RVESV is 56 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 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. The left ventricle is severely dilated with severely reduced systolic function. The overall LV ejection fraction is 28%. There is dyssynchronous contraction. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. Additionally there is no evidence of acute inflammation or edema on T1 or T2 imaging.2. The right ventricle is normal in size with lower normal systolic function. The overall RV ejection fraction is 54%.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.