46 year old man with history of non-ischemic cardiomyopathy with worsening LV function on serial echocardiograms. He was referred for cardiac MRI to evaluate cardiac function. Left VentricleThe left ventricle is normal in size with mild to moderate reduced systolic function. The overall LV ejection fraction is 40%, the LV end diastolic volume index is 99 ml/m2 (normal range: 74+/-15), the LVEDV is 214 ml (normal range 142+/-34), the LV end systolic volume index is 60 ml/m2 (normal range 25+/-9), the LVESV is 129 ml (normal range 47+/-19). There is mild concentric hypertrophy. There is global hypokinesis with regional variation. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.Left AtriumThe left atrium is mildly dilated. Right VentricleThe right ventricle is normal in size with moderately reduced systolic function. The overall RV ejection fraction is 38%, the RV end diastolic volume index is 100 ml/m2 (normal range 82+/-16), the RVEDV is 216 ml (normal range 142+/-31), the RV end systolic volume index is 62 ml/m2 (normal range 31+/-9), and the RVESV is 135 ml (normal range 54+/-17).Right AtriumThe right atrium is moderately dilated.Aortic ValveThe aortic valve opens widely and there is trace 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 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 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. Mild to moderately reduced LV systolic function (EF 40%) with normal LV size. When compared to the previous MRI of 5/13/2014, LV function appears slightly worse.2. No evidence of late gadolinium enhancement to suggest a myocardial infiltrative, inflammatory or fibrosis process. 3. Normal sized RV with moderately reduced function ( EF 38%). RV function has worsened since the previous MRI of 5/13/2014. 4. Mild LA dilation and moderate RA dilation. 5. Mild tricuspid regurgitation.  I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.