57 VF arrest, CAD, MI Left VentricleThe left ventricle is severely reduced. The overall LV ejection fraction is 31%, the LV end diastolic volume index is 112 ml/m2 (normal range: 65+/-11), the LVEDV is 211 ml (normal range 109+/-23), the LV end systolic volume index is 77 ml/m2 (normal range 18+/-5), the LVESV is 146 ml (normal range 31+/-10). There are regional wall motion abnormalities present with apical hypokinesis, inferolateral hypokinesis and apical lateral akinesis. . There is late gadolinium enhancement in the endocardial pattern in the basal-mid inferolateral wall and extension in the basal inferior wall to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. The pattern of the enhancement is a distribution which suggests myocardial infarct. In most of the segments the enhancement is approximately 50% which suggests partial viability.Left AtriumThe left atrium is enlarged. Right VentricleThe right ventricle is mild-moderately reduced. The overall RV ejection fraction is 38%, the RV end diastolic volume index is 89 ml/m2 (normal range 69+/-14), the RVEDV is 169 ml (normal range 110+/-24), the RV end systolic volume index is 38 ml/m2 (normal range 22+/-8), and the RVESV is 55 ml (normal range 35+/-13). Right AtriumThe right atrium is enlarged. Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation, but the severity of aortic regurgitation can be underestimated by the MRI pulse sequence used in this study.Mitral ValveThe mitral valve opens widely and there is no significant mitral regurgitation, but the severity of mitral regurgitation can be underestimated by the MRI pulse sequence used in this study.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation, but the severity of pulmonic regurgitation can be underestimated by the MRI pulse sequence used in this study.Tricuspid ValveThe tricuspid valve opens widely. There is no significant tricuspid regurgitation, but the severity of tricuspid regurgitation can be underestimated by the MRI pulse sequence used in this study.AortaThe aortic root is normal in size. There is a left sided aortic arch with a normal brachiocephalic branching pattern.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 FindingsBilateral pleural effusions R > L.. 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 reduced. The overall LV ejection fraction is 31%, There are regional wall motion abnormalities present with apical hypokinesis, inferolateral hypokinesis and apical lateral akinesis.2. There is late gadolinium enhancement in the endocardial pattern in the basal-mid inferolateral wall and extension in the basal inferior wall to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. The pattern of the enhancement is a distribution which suggests myocardial infarct. In most of the segments the enhancement is approximately 50% which suggests partial viability.3. Mild-moderate RV dysfunction.