64 year old female with a history of hyperlipidemia, former smoker who was recently discovered to have pulmonary sarcoidosis. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 71%, the LV end diastolic volume index is 73 ml/m2 (normal range: 65+/-11), the LVEDV is 121 ml (normal range 109+/-23), the LV end systolic volume index is 21 ml/m2 (normal range 18+/-5), the LVESV is 35 ml (normal range 31+/-10), the LV mass index is 39 g/m2 (normal range 67+/-11), and the LV mass is 64 g (normal range 114+/-24). 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. Native T1 times were normal (<1050ms). Left AtriumThe left atrium is normal in sizeRight VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 52%, the RV end diastolic volume index is 92 ml/m2 (normal range 69+/-14), the RVEDV is 151 ml (normal range 110+/-24), the RV end systolic volume index is 44 ml/m2 (normal range 22+/-8), and the RVESV is 72 ml (normal range 35+/-13). 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 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 FindingsThere are right lung abnormalities consistent with patient's known sarcoid (refer to dedicated imaging). Indeterminate but well-defined T2 hyperintense lesion within the right lobe of the liver measuring 1.2 cm, which was present on previous CT studies from late 2015 but was not definitely present on the study from 2014. Patient status post left nephrectomy. 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. The left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 71%. 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. Native T1 times were normal (<1050ms). 2. The right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 52%. 3. Indeterminate well-defined T2 hyperintense lesion within the right lobe of the liver measuring approximately 1.2 cm. This is unlikely to represent a cyst given its appearance on previous CT scans. This may represent a focus of sarcoidosis given recent diagnosis of this condition. This can be reevaluated on imaging follow-up in 6-12 months as clinically indicated.