Female 2 years old Reason: Cardiomyopathy and pulmonary hypertension. Left VentricleThe left ventricle is normal. The overall LV ejection fraction is 64.9%, the LV end diastolic volume index is N/A ml/m2 (normal range: 65+/-11), the LVEDV is 30.29 ml (normal range 109+/-23), the LV end systolic volume index is N/A ml/m2 (normal range 18+/-5), the LVESV is 10.62 ml (normal range 31+/-10), the LV mass index is N/A g/m2, and the LV mass is N/A g. There are no regional wall motion abnormalities present. No evidence of late gadolinium enhancement.PERFUSION \T\ MYOCARDIAL VIABILITY:There are no perfusion defects and the LV myocardium does not enhance abnormally.Left AtriumThe left atrium is normal in size, large ASD noted. Right VentricleThe right ventricle is enlarged. The overall RV ejection fraction is 62.5%, the RV end diastolic volume index is N/A ml/m2 (normal range 69+/-14), the RVEDV is 57.07 ml (normal range 110+/-24), the RV end systolic volume index is N/A ml/m2 (normal range 22+/-8), and the RVESV is 21.4 ml (normal range 35+/-13). Right AtriumThe right atrium is enlarged and a large ASD is noted. Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation visualized. Dedicated through plane imaging was not performed.Mitral ValveThe mitral valve opens widely and there is no significant mitral regurgitation visualized. Dedicated through plane imaging was not performed.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation visualized. Dedicated through plane imaging was not performed.Tricuspid ValveThe tricuspid valve opens widely. There is no significant tricuspid regurgitation visualized. Dedicated through plane imaging was not performed.AortaThe ascending thoracic aorta is normal in size. There is a left sided aortic arch.AORTA FLOW QUANTITATION:Stroke volume in ml: 16.6Forward flow volume in ml: 17.1Backward flow volume in ml: 0.5Regurgitant factor in %: 2.9Pulmonary ArteryThe main, left and right pulmonary arteries are enlarged in size. PULMONARY ARTERIES FLOW QUANTITATION:Main pulmonary arteries flow quantitation values are as follows:Stroke volume in ml: 46Forward flow volume in ml: 46.2Backward flow volume in ml: 0.1Regurgitant factor in %: 0.3Right pulmonary artery flow quantitation values are as follows:Stroke volume in ml: 21.1Forward flow volume in ml: 21.1Backward flow volume in ml: 0Regurgitant factor in %: 0Left pulmonary artery flow quantitation values are as follows:Stroke volume in ml: 9.1Forward flow volume in ml: 9.5Backward flow volume in ml: 0.4Regurgitant factor in %: 4Venous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium. PericardiumThere is no pericardial thickening or effusion.Extracardiac FindingsTHORAX AND UPPER ABDOMEN:The aortic arch is left-sided and normal caliber; the brachiocephalic vessels branchnormally from the aortic arch. Chest wall is intact and pleural margins are sharp. No pleural effusions orpneumothorax.  Partial view of the liver, kidneys, adrenal glands, and spleen are normal..
1. Large ASD2. Right atrium and ventricle enlargement3 Increase flow to pulmonary circulation 2.77:14 No evidence of late gadolinium enhancement 