A 60 year old female with history of transverse myelopathy suspected to be secondary to neurosarcoidosis, deep vein thrombosis, bilateral legs edema. Referred to cardiac MRI for further evaluation Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 57%, the LV end diastolic volume index is 49 ml/m2 (normal range: 65+/-11), the LVEDV is 97 ml (normal range 109+/-23), the LV end systolic volume index is 21 ml/m2 (normal range 18+/-5), the LVESV is 42 ml (normal range 31+/-10), the LV mass index is 26 g/m2 (normal range 67+/-11), and the LV mass is 52 g (normal range 114+/-24). There are no regional wall motion abnormalities present. No enhancement is present.No intracavitary thrombus was noted.No iron overload was noted.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 56%, the RV end diastolic volume index is 39 ml/m2 (normal range 69+/-14), the RVEDV is 78 ml (normal range 110+/-24), the RV end systolic volume index is 17 ml/m2 (normal range 22+/-8), and the RVESV is 34 ml (normal range 35+/-13). 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 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 pericardial effusion.Extracardiac FindingsBilateral apical high signal foci in the lungs correlate to fibrosis, better characterized on the recent CT thorax, compatible with patient's sarcoidosis. There is gastroduodenal lymph node that is enlarged, 2.0 x 2.6 mm (501/8), which is unchanged from recent CT
1. The left ventricle is normal in size with normal systolic function, the LVEF is 57%. 2. No enhancement is present to suggest myocardial sarcoid. 3. The right ventricle is normal in size with normal systolic function, the RVEF is 56%. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.