History of dilated aorta, aortic insufficiency and possible CAD. Left VentricleThe left ventricle is normal size. The overall LV ejection fraction is 58%, the LV end diastolic volume index is 81 ml/m2 (normal range: 74+/-15), the LVEDV is 175 ml (normal range 142+/-34), the LV end systolic volume index is 34 ml/m2 (normal range 25+/-9), the LVESV is 73 ml (normal range 47+/-19). There are no regional wall motion abnormalities present. . There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. The native T1 myocardial relaxation time is [1051]ms.There is [no ]myocardial iron overload. There is [ no]LV thrombus. Left AtriumThe left atrium is mildly dilated. Right VentricleThe right ventricle is normal. The overall RV ejection fraction is 54%, the RV end diastolic volume index is 81 ml/m2 (normal range 82+/-16), the RVEDV is 173 ml (normal range 142+/-31), the RV end systolic volume index is 37 ml/m2 (normal range 31+/-9), and the RVESV is 79 ml (normal range 54+/-17).Right AtriumThe right atrium is normal size.Aortic ValveThe aortic valve is trileaflet and opens widely and there is mild aortic regurgitation. The calculated regurgitant fraction is 7%.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. SOV 41-42 mmAsc Ao 40 mmMid Ao arch 40 mmPulmonary 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 no obvious pericardial disease.Extracardiac Findings . 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 function with ejection fraction at 58%. Normal right ventricular function and size.2. Mild aortic insufficiency with dilated ascending aorta at 4.0 cm, unchanged from prior MRI report).3. No evidence of late gadolinium enhancement in myocardium.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.