43 year old female with abnormal EF of echo, MRI done for further evaluation. Left VentricleThe left ventricle is normal in size and function. The overall LV ejection fraction is 57%. The LVEDV is 134 ml (normal range 109+/-23), LV end diastolic volume index is 73 ml/m2 (normal range: 65+/-11), LVESV is 58 ml (normal range 31+/-10), and LV end systolic volume index is 32 ml/m2 (normal range 18+/-5). There are no regional wall motion abnormalities present. There is a small focus of LV late gadolinium enhancement at the inferoseptal RV insertion point of unclear significance.Left AtriumThe left atrium is normal in size.Right VentricleThe right ventricle is normal in size and function. The overall RV ejection fraction is 51%, the RV end diastolic volume index is 81 ml/m2 (normal range 69+/-14), the RVEDV is 148 ml (normal range 110+/-24), the RV end systolic volume index is 39 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 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 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. Left ventricle is normal in size and function. The overall LV ejection fraction is 57%.2. Right ventricle is normal in size and function. The overall RV ejection fraction is 51%.3. There is a small focus of LV late gadolinium enhancement at the inferoseptal RV insertion point of unclear significance. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.