66 year old female for evaluation prior to atrial fibrillation ablation. Left VentricleThe left ventricle is mildly dilated with reduced ejection fraction. The overall LV ejection fraction is 47%. The LVEDV is 185 ml (normal range 109+/-23), LV end diastolic volume index is 93 ml/m2 (normal range: 65+/-11), LVESV is 98 ml (normal range 31+/-10), and LV end systolic volume index is 49 ml/m2 (normal range 18+/-5). The LV mass is 119 g (normal range 114+/-24) and the LV mass index is 60 g/m2 (normal range 67+/-11). There are no regional wall motion abnormalities present. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.Left AtriumLeft Atrium: The left atrium is severely dilated. There are four distinct pulmonary veins which drain normally into the left atrium. There is no evidence of left atrial appendage thrombus.Right VentricleThe right ventricle is normal in size with low normal systolic function. The overall RV ejection fraction is 47%, the RV end diastolic volume index is 69 ml/m2 (normal range 69+/-14), the RVEDV is 137 ml (normal range 110+/-24), the RV end systolic volume index is 36 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 are normal in size and drain normally into the right atrium. PericardiumThere is no obvious pericardial disease.Extracardiac FindingsLinear defect within the spleen may represent sequela of previous trauma or infarct and can be better evaluated on same day CT abdomen. 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. Left ventricle is mildly dilated with reduced ejection fraction of 47%2. Normal right ventricular size with low normal ejection fraction at 47%3. Severely dilated left atrium. Four pulmonary veins are present. There in no left atrial appendage clot noted.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.