47 year old woman with diffuse large B-cell lymphoma, family history of coronary disease, found to have reduced LV function on pre-chemotherapy echocardiography. She is being followed with serial MRIs while on chemotherapy. Left VentricleThe left ventricle is with normal in size with mildly reduced systolic function. The overall LV ejection fraction is 52%, the LVEDV is 138 ml (normal range 109+/-23), the LV end diastolic volume index is 68 ml/m2 (normal range: 65+/-11), the LVESV is 66 ml (normal range 31+/-10), the LV end systolic volume index is 33 ml/m2 (normal range 18+/-5). The LV mass is 86 g (normal range 114+/-24) and the LV mass index is 42 g/m2 (normal range 67+/-11). There are no regional wall motion abnormalities present. The mild left ventricular dysfunction is global. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.Native T1 times are normal (1020 - 1040 ms).There is no myocardial iron overload. There is no LV thrombus. Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size with mildly reduced systolic function. The overall RV ejection fraction is 52%, the RVEDV is 109 ml (normal range 110+/-24), the RV end diastolic volume index is 54 ml/m2 (normal range 69+/-14), and the RVESV is 57 ml (normal range 35+/-13), the RV end systolic volume index is 26 ml/m2 (normal range 22+/-8). 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 drain normally into the right atrium. There is a catheter in the SVC. PericardiumThere is no obvious pericardial disease.Extracardiac FindingsPort present on right chest. 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 with normal in size with mildly reduced systolic function. The overall LV ejection fraction is 52%. The left ventricular dysfunction is global.2. The right ventricle is normal in size with mildly reduced systolic function. The overall RV ejection fraction is 52%. Overall the left and right ventricular function is mildly improved from the previous cardiac MRI on 5/5/2016.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.