30 year old male with non-ischemic cardiomyopathy referred for further evaluation. Left VentricleThe left ventricle is moderately dilated with severely reduced ejection fraction. The overall LV ejection fraction is 31%, the LV end diastolic volume index is 148 ml/m2 (normal range: 74+/-15), the LVEDV is 380 ml (normal range 142+/-34), the LV end systolic volume index is 102 ml/m2 (normal range 25+/-9), the LVESV is 260 ml (normal range 47+/-19). There is global hypokinesis present. There is no obvious late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process however there is artifact that reduces the diagnostic quality of the images. The pre-contrast native myocardial T1 relaxation time is normal (1060 ms of the mid septal wall).Left AtriumThe left atrium is mildly dilated. Right VentricleThe right ventricle is normal in size with mildly reduced ejection fraction. The overall RV ejection fraction is 40%, the RV end diastolic volume index is 94 ml/m2 (normal range 82+/-16), the RVEDV is 241 ml (normal range 142+/-31), the RV end systolic volume index is 57 ml/m2 (normal range 31+/-9), and the RVESV is 145 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 mild mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is mild 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 no obvious pericardial disease.Extracardiac Findings . 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 moderately dilated with severely reduced ejection fraction (LVEF 31%).2. The right ventricle is normal in size with mildly reduced ejection fraction (RVEF 40%). 3. There is no obvious late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process however there is artifact that reduces the diagnostic quality of the images. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.