Evaluate for hypertrophic cardiomyopathy. Chest pain. Left VentricleThe left ventricle walls are thickened with special thickening of the interventricular septum and anterior wall. There are no regional wall motion abnormalities present. Mild to moderate LVOT obstruction noted. There is a possible late gadolinium enhancement of the anterior wall of the left ventricle (image 17 series 2/3/2001). The overall LV ejection fraction is 63%, the LV end diastolic volume index is 112.39 ml/m2 (normal range: 74+/-15), the LVEDV is 181.73 ml (normal range 142+/-34), the LV end systolic volume index is 41.59 ml/m2 (normal range 25+/-9), the LVESV is 67.24 ml (normal range 47+/-19), the LV mass index is 100 g/m2 (normal range 85+/-15), and the LV mass is 161 g (normal range 164+/-36). Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size. The overall RV ejection fraction is 45.66%, the RV end diastolic volume index is 89.93 ml/m2 (normal range 82+/-16), the RVEDV is 145.41 ml (normal range 142+/-31), the RV end systolic volume index is 48.88 ml/m2 (normal range 31+/-9), and the RVESV is 79.01 ml (normal range 54+/-17). Right AtriumThe right atrium is normal in size. Aortic ValveThe aortic valve opens widely. There is minimal dephasing inferior to the aortic valve suggesting mild aortic regurgitation. Dedicated through plane imaging of the aortic valve was not performed.Mitral ValveThe mitral valve opens widely. Anterior systolic motion of the anterior medial valve with consequent mild to moderate regurgitation. Dedicated through plane imaging of the mitral valve was not performed.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation visualized. Dedicated through plane imaging of the pulmonic valve was not performed.Tricuspid ValveThe tricuspid valve opens widely. There is no significant tricuspid regurgitation visualized. Dedicated through plane imaging of the tricuspid valve was not performed.AortaThe ascending thoracic aorta is normal in size. There is a left sided aortic arch.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 pericardial thickening or effusion.Extracardiac FindingsPartial visualization of the solid organs and hollow viscus of the upper abdomen are normal.
1. Hypertrophic cardiomyopathy with mild LVOT obstruction.2. Possible leg gadolinium enhancement of the anterior wall of the left ventricle. Follow-up in 6 to 12 months is recommended3. Mild to moderate mitral and aortic valve regurgitation.