MRI CARDIAC W/FLOW QUANT WWO, 3/23/2016 12:26 PM Left VentricleThe left ventricle is severely dilated with moderate to severely reduced systolic function. The overall LV ejection fraction is 30%, the LV end diastolic volume index is 139 ml/m2 (normal range: 74+/-15), the LVEDV is 250 ml (normal range 142+/-34), the LV end systolic volume index is 97 ml/m2 (normal range 25+/-9), the LVESV is 176 ml (normal range 47+/-19), the LV mass index is 65 g/m2 (normal range 85+/-15), and the LV mass is 117 g (normal range 164+/-36). The LV dysfunction appears global. There is no obvious late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process, however the viability imaging quality is poor due to motion artifact and poor gadolinium uptake. Left AtriumThe left atrium is normal appearing (though RA bowing into LA). Right VentricleThe right ventricle is borderline dilated with severely reduced systolic function. The overall RV ejection fraction is 25%, the RV end diastolic volume index is 114 ml/m2 (normal range 82+/-16), the RVEDV is 205 ml (normal range 142+/-31), the RV end systolic volume index is 151 ml/m2 (normal range 31+/-9), and the RVESV is 273 ml (normal range 54+/-17).Right AtriumThe right atrium is severely enlarged.Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is mild mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is mild pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is moderate 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 a mild pericardial effusion.Extracardiac FindingsThere is a massive right sided pleural effusion and left sided pleural effusion. Large degree of ascities. 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 severely dilated with moderate to severely reduced systolic function. The LV dysfunction appears global. There is no obvious late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process; however, the viability imaging quality is poor due to motion artifact and low amount of gadolinium administered (renal dysfunction). 2. The right ventricle is borderline dilated with severely reduced systolic function. The overall RV ejection fraction is 25%3. Right atrium is severely dilatedI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.