75 year old male with a history of PVCs, syncope and cardiomyopathy. First Pass PerfusionDuring hyperemia, no perfusion defects were present. Viability/ Myocardial ScarMotion artifacts on this study limit image interpretation. There was no clear areas of late gadolinium enhancement noted suggesting no prior myocardial infarction, fibrosis, inflammation, or infiltration. The entire myocardium is viable. Left VentricleThe left ventricle is normal in size with low normal systolic function. The overall LV ejection fraction is 52%. The LVEDV is 249 ml (normal range 142+/-34), the LV end diastolic volume index is 104 ml/m2 (normal range: 74+/-15), the LVESV is 119 ml (normal range 47+/-19) and the LV end systolic volume index is 50 ml/m2 (normal range 25+/-9). The LV mass is 120 g (normal range 164+/-36) and the LV mass index is 50 g/m2 (normal range 85+/-15). There are no regional wall motion abnormalities present. The native T1 myocardial relaxation time is <1100 ms suggestive of absence of underlying diffuse fibrosis or infiltration.Left AtriumThe left atrium is moderately dilated. Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 59%. The RVEDV is 189 ml (normal range 142+/-31), RV end diastolic volume index is 79 ml/m2 (normal range 82+/-16), the RVESV is 77 ml (normal range 54+/-17), and the RV end systolic volume index is 32 ml/m2 (normal range 31+/-9).Right AtriumThe right atrium is mild-moderately dilated.Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is trivial to mild 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 measures 37 mmVenous AnatomyThe SVC and IVC drain normally into the right atrium.PericardiumThere is no obvious pericardial disease.Extracardiac FindingsThere are 2 cyst-like lesions in the liver; one in the superior mid right lobe and one in the posterior aspect of the right lobe. Imaging artifact is noted in the left chest from the implantable loop recorder. 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.No perfusion defects/ "ischemia" present during hyperemia.2.No prior myocardial infarction. Motion artifacts limited interpretation of late gadolinium enhancement images. No definitive areas of late gadlinium enhancement. The entire myocardium is viable.3.Normal LV size with low normal systolic function (LVEF 52%).4.Normal RV size with normal systolic function (RVEF 59%).5.Biatrial dilation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.