26 year old with history of hypertension and alcohol abuse presenting with heart failure. Left VentricleThe left ventricle is severely enlarged with severely reduced systolic function. There is global severe hypokinesis. The overall LV ejection fraction is 13%, the LV end diastolic volume index is 177 ml/m2 (normal range: 74+/-15), the LVEDV is 326 ml (normal range 142+/-34), the LV end systolic volume index is 153 ml/m2 (normal range 25+/-9), the LVESV is 282 ml (normal range 47+/-19), the LV mass index is 86 g/m2 (normal range 85+/-15), and the LV mass is 158 g (normal range 164+/-36).  There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. There is no left ventricular thrombus. Left AtriumThe left atrium is severely enlarged. Right VentricleThe right ventricle is borderline in size with severely reduced systolic function. The overall RV ejection fraction is 17%, the RV end diastolic volume index is 112 ml/m2 (normal range 82+/-16), the RVEDV is 206 ml (normal range 142+/-31), the RV end systolic volume index is 93 ml/m2 (normal range 31+/-9), and the RVESV is 172 ml (normal range 54+/-17).Right AtriumThe right atrium is moderately enlarged.Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is at least mild mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is trace pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is at least 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 are normal in size and drain normally into the right atrium.PericardiumThere is no pericardial effusion.Extracardiac FindingsThere are small bilateral pleural effusions and bilateral foci of high signal better characterized on recent CT.
1. The left ventricle is severely dilated with severely reduced left ventricular systolic function (LVEF13%). The left ventricular dysfunction is global and the entire myocardium is viable. There is no LV thrombus. 2. The right ventricle is normal in size with severely reduced systolic function (RVEF17%). 3. Biatrial enlargement. 