MRI CARD WWO CNTRST, VIABLTY/SCAR IMAG.MORPH/FUNCT,W/FLOW/VELOCITY MEASURE, 12/18/2015 2:16 PM Left VentricleThe left ventricle is normal in size with low normal systolic function. The overall LV ejection fraction is 52%, the LV end diastolic volume index is 82 ml/m2 (normal range: 74+/-15), the LVEDV is 162 ml (normal range 142+/-34), the LV end systolic volume index is 37 ml/m2 (normal range 25+/-9), the LVESV is 78 ml (normal range 47+/-19), the LV mass index is 38 g/m2 (normal range 85+/-15), and the LV mass is 76 g (normal range 164+/-36). The LV dysfunction is global. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size with low normal systolic function. The shape of the RV is mildly distorted by the patient's pectus. The overall RV ejection fraction is 50%, the RV end diastolic volume index is 83 ml/m2 (normal range 82+/-16), the RVEDV is 165 ml (normal range 142+/-31), the RV end systolic volume index is 41 ml/m2 (normal range 31+/-9), and the RVESV is 82 ml (normal range 54+/-17).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 has a common origin of the right subclavian and left common carotid arteries ("pseudo-bovine arch"), which is a normal variant. No evidence of thoracic aortic aneurysm, dissection, or coarctation. The aortic measurements are as follows: Sinus of Valsalva: 32 x 32 x 30 mmSinotubular Junction: Ascending aorta (4 cm from aortic valve): 29 x 28 mmAortic arch (mid portion): 22 x 21 mmDescending thoracic aorta: 18 x 17 mmPulmonary 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 FindingsA mild pectus excavatum is noted. The minimal AP dimension in the chest is 5.8cm. 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. Normal LV size with low normal systolic function (LVEF 52%) without evidence of underlying myocardial fibrosis, inflammation, or infiltration. 2. Normal RV size with low normal systolic function (RVEF 50%). The shape of the RV is mildly distorted by extrinsic compression from the chest wall.3. Normal thoracic aorta anatomy.