34 year old with history of neuroblastoma of the retroperitoneum who presents for cardiac workup prior to planned stem cell transplant. Left VentricleThe left ventricle is normal in size and systolic function. The overall LV ejection fraction is 61%, the LV end diastolic volume index is 56 ml/m2 (normal range: 65+/-11), the LVEDV is 104 ml (normal range 109+/-23), the LV end systolic volume index is 22 ml/m2 (normal range 18+/-5), the LVESV is 41 ml (normal range 31+/-10). There are no regional wall motion abnormalities present. There is a small area of mid-wall late gadolinium enhancement in the basal lateral wall which suggests the presence of an underlying fibrosing, infiltrative, or inflammatory process.Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is is normal in size and systolic function. The overall RV ejection fraction is 52%, the RV end diastolic volume index is 62 ml/m2 (normal range 69+/-14), the RVEDV is 116 ml (normal range 110+/-24), the RV end systolic volume index is 30 ml/m2 (normal range 22+/-8), and the RVESV is 56 ml (normal range 35+/-13). Right AtriumThe right atrium is normal in size. There is a catheter within the right atrium. Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is trace 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 drains normally into the right atrium. There is a catheter in the SVC. PericardiumThere is a small pericardial effusionExtracardiac 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. Normal left ventricular systolic function (LVEF 61%)2. Normal right ventricular systolic function (RVEF 52%)3. There is a small area of mid-wall late gadolinium enhancement in the basal lateral wall which suggests the presence of an underlying fibrosing, infiltrative, or inflammatory process.4. There is a catheter in the superior vena cava and right atrium. 