37 year old male with history of HTN, frequent PVCs, and dizziness who presents for cardiac MRI to evaluate for right and left heart function, structure, and fibrosis. Left VentricleThe left ventricle is upper limits of normal in size with normal systolic function. The overall LV ejection fraction is 62 %, the LV end diastolic volume index is 112 ml/m2 (normal range: 74+/-15), the LVEDV is 227 ml (normal range 142+/-34), the LV end systolic volume index is 43 ml/m2 (normal range 25+/-9), the LVESV is 87 ml (normal range 47+/-19), the LV mass index is 52 g/m2 (normal range 85+/-15), and the LV mass is 105 g (normal range 164+/-36). 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.No intracardiac thrombus.Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is upper limits of normal in size with normal systolic function. The overall RV ejection fraction is 54%, the RV end diastolic volume index is 126 ml/m2 (normal range 82+/-16), the RVEDV is 155 ml (normal range 142+/-31), the RV end systolic volume index is 59 ml/m2 (normal range 31+/-9), and the RVESV is 119 ml (normal range 54+/-17). No micro or microaneurysms are present. No abnormal enhancement.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 no significant pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is no significant tricuspid regurgitation.AortaThere is a left sided aortic arch. The thoracic aorta 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.
1. The left ventricle is upper limits of normal in size with normal systolic function (LVEF 62%). 2. The right ventricle is upper limits of normal in size with normal systolic function (RVEF 54%).3. There is no MRI evidence of arrhythmogenic right ventricular cardiomyopathy.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.