49 year old female status post OHT done 11/2/2012, here for MRI post transplant. Left VentricleThe left ventricle is normal in size and systolic function. The overall LV ejection fraction is 66%. The LVEDV is 72 ml (normal range 109+/-23), LV end diastolic volume index is 38 ml/m2 (normal range: 65+/-11), LVESV is 25 ml (normal range 31+/-10), and LV end systolic volume index is 13 ml/m2 (normal range 18+/-5). The LV mass is 114 g (normal range 114+/-24) and the LV mass index is 60 g/m2 (normal range 67+/-11). There are no regional wall motion abnormalities present. There is no late gadolinium enhancement of the left ventricular myocardium to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.The native T1 myocardial relaxation time is [1073 ]ms (borderline normal). Left AtriumThe left atrium has transplant morphology.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 45 ml/m2 (normal range 69+/-14), the RVEDV is 85 ml (normal range 110+/-24), the RV end systolic volume index is 21 ml/m2 (normal range 22+/-8), and the RVESV is 39 ml (normal range 35+/-13). Right AtriumThe right atrium has transplant morphology. Aortic ValveThe aortic valve is trileaflet, 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 are normal in size and drain normally into the right atrium. PericardiumThere is no obvious pericardial disease.Extracardiac FindingsA 15x12mm nodule is noted in the left lower lung, correlation with chest CT suggested. 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. Normal left ventricular structure and function with EF of 66% without evidence of underlying myocardial fibrosis, inflammation, or infiltration. 2. Normal right ventricular structure and function with EF of 54%3. A 15x12mm nodule is noted in the left lower lung, correlation with chest CT suggestedI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.