64 year old female with history of cavernous hemangioma of the liver and secondary portal vein thrombosis, HTN here for pre-liver transplant cardiac MRI evaluation. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 62%. The LVEDV is 105 ml (normal range 109+/-23), LV end diastolic volume index is 58 ml/m2 (normal range: 65+/-11), LVESV is 40 ml (normal range 31+/-10), and LV end systolic volume index is 22 ml/m2 (normal range 18+/-5). Sigmoid septum present. 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. The native T1 myocardial relaxation time is normal (1040-1080 ms). This is not suggestive of underlying diffuse fibrosis or infiltration. There is no myocardial iron overload. There is no LV thrombus. Left AtriumThe left atrium is normal in size.Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 59%, the RV end diastolic volume index is 121 ml/m2 (normal range 69+/-14), the RVEDV is 66 ml (normal range 110+/-24), the RV end systolic volume index is 49 ml/m2 (normal range 22+/-8), and the RVESV is 27 ml (normal range 35+/-13). Right AtriumThe right atrium is externally compressed by the liver mass. 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 Veins3 pulmonary veins drain normally into the left atrium. LUPV not well seenPulmonary ArteryThe main pulmonary artery is normal in size. Venous AnatomyThe SVC and IVC drain normally into the right atrium. PericardiumThere is no obvious pericardial disease.Extracardiac FindingsMassively enlarged right lobe of the liver which appears to be elevating the right hemi-diaphragm to at least the mid right lung. 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.Normal sized left ventricle with normal systolic function and no hypertrophy (LVEF 62%).2.Normal sized right ventricle with normal systolic function and no hypertrophy (RVEF 59%).3.Massively enlarged right lobe of the liver with compressive effects on the right atrium and minimally on the right ventricle as well.4.No late Gadolinium enhancement to suggest fibrosis, inflammation or infiltration.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.