An 80 year old male with history oh hypertension, stroke, end stage renal disease and systemic amyloidosis. A recent echocardiography showed good left ventricular function with hypertrophy. Referred to cardiac MRI (without contrast due to low kidney function) to evaluate cardiac amyloidosis Left VentricleThe left ventricle is normal in size with hyperdynamic systolic function. The overall LV ejection fraction is 70%, the LV end diastolic volume index is 99 ml/m2 (normal range: 74+/-15), the LVEDV is 177 ml (normal range 142+/-34), the LV end systolic volume index is 30 ml/m2 (normal range 25+/-9), the LVESV is 54 ml (normal range 47+/-19). There is concentric LVH. There are no regional wall motion abnormalities present. T1-mapping showed normal values suggesting that there is no presence of an underlying fibrosing, infiltrative, or inflammatory process.No LV thrombus was seen. No evidence of iron overload was notedLeft AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 53%, the RV end diastolic volume index is 100 ml/m2 (normal range 82+/-16), the RVEDV is 178 ml (normal range 142+/-31), the RV end systolic volume index is 47 ml/m2 (normal range 31+/-9), and the RVESV is 84 ml (normal range 54+/-17).Right AtriumThe right atrium is normal in size.Aortic ValveThe aortic valve opens widely and there is moderate to severe aortic regurgitation (regurgitant fraction of 42%). The number of AV leaflets could not be determined.Mitral ValveThe mitral valve opens widely and there is mild mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is mild 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. The SVC is normal in size while the IVC is dilated.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 normal in size with hyperdynamic systolic function, the LVEF is 70%. There is concentric LVH.2. T1-mapping showed normal values suggesting that there is no presence of an underlying fibrosing, infiltrative, or inflammatory process.3. The right ventricle is normal in size with normal systolic function, the RVEF is 53%. 4. There is moderate to severe aortic regurgitation (regurgitant fraction of 42%).