37y female with a pmh of heart failure with reduced EF secondary to postpartum cardiomyopathy. Referred for cardiac MRI for reassessment. Left VentricleThe left ventricle is mildly dilated with systolic function at the lower limit of normal (unchanged from prior LVEF of 51%). The overall LV ejection fraction is 50%. The LVEDV is 184 ml (normal range 109+/-23), LV end diastolic volume index is 82 ml/m2 (normal range: 65+/-11), LVESV is 92 ml (normal range 31+/-10), and LV end systolic volume index is 41 ml/m2 (normal range 18+/-5). The LV mass is 97 g (normal range 114+/-24) and the LV mass index is 43 g/m2 (normal range 67+/-11). 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. There is no LV thrombus. Left AtriumThe left atrium is mildly dilated.Right VentricleThe right ventricle is mildly dilated with normal systolic function. The overall RV ejection fraction is 52%, the RVEDV is 193 ml (normal range 110+/-24), the RV end diastolic volume index is 86 ml/m2 (normal range 69+/-14), the RVESV is 92 ml (normal range 35+/-13), and the RV end systolic volume index is 41 ml/m2 (normal range 22+/-8).Right AtriumThe right atrium is mildly dilated. Small patent foramen ovale with left to right shunt.Aortic ValveThe aortic valve is trileaflet, 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 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 obvious pericardial disease.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.Mildly dilated LV with systolic function at the lower limit of normal, LVEF 50% (unchanged from prior LVEF of 51%). 2.Mildly dilated RV with normal systolic function, RVEF 52%.3.Small patent foramen ovale with left to right shunt.4.There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.