61 year old female referred for cardiovascular MRI to evaluate etiology of heart failure. Left VentricleThe left ventricle is normal in size with mildly reduced systolic function. Mild concentric left ventricular hypertrophy. The overall LV ejection fraction is 49%, the LV end diastolic volume index is 75 ml/m2 (normal range: 65+/-11), the LVEDV is 155 ml (normal range 109+/-23), the LV end systolic volume index is 38 ml/m2 (normal range 18+/-5), the LVESV is 80 ml (normal range 31+/-10), the LV mass index is 64 g/m2 (normal range 67+/-11), and the LV mass is 132 g (normal range 114+/-24). There are no regional wall motion abnormalities present. There is a borderline region of increased signal on the late gadolinium enhancement images along the basal anterolateral wall of unclear significance which could represent a small amount of mild underlying fibrosing, infiltrative, or inflammatory process; however, I suspect it is more likely an imaging artifact.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 55%, the RV end diastolic volume index is 66 ml/m2 (normal range 69+/-14), the RVEDV is 136 ml (normal range 110+/-24), the RV end systolic volume index is 29 ml/m2 (normal range 22+/-8), and the RVESV is 60 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 trivial pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is trace 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 a trace pericardial effusion.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. Left ventricle is normal in size with mild left ventricular hypertrophy and mildly reduced systolic function (LVEF 49%). There is probably no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.2. Right ventricle is normal in size with normal systolic function RVEF 55%)I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.