68 year old female with sarcoidosis, mild atherosclerosis, mild pulmonary hypertension, possible PFO on bubble study. Referred for cardiac MRI to rule out cardiac sarcoid. Left VentricleThe left ventricle is normal in size with hyperdynamic systolic function. The overall LV ejection fraction is 76%. The LVEDV is 91 ml (normal range 109+/-23), LV end diastolic volume index is 58 ml/m2 (normal range: 65+/-11), LVESV is 22 ml (normal range 31+/-10), and LV end systolic volume index is 14 ml/m2 (normal range 18+/-5). The LV mass is 44 g (normal range 114+/-24) and the LV mass index is 28 g/m2 (normal range 67+/-11). 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. T1 relaxation time elevated at 1070-1090 msec. This may be consistent with diffuse myocardial fibrosis versus a nonspecific finding.Left AtriumThe left atrium is normal in size. Possible patent foramen ovale with left to right shunt.Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 67%, the RVEDV is 92 ml (normal range 110+/-24), the RV end diastolic volume index is 59 ml/m2 (normal range 69+/-14), the RVESV is 31 ml (normal range 35+/-13), and the RV end systolic volume index is 20 ml/m2 (normal range 22+/-8).Right AtriumThe right atrium is normal in size. 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 VeinsAll four pulmonary veins drain normally into the left atrium.Pulmonary ArteryThe main pulmonary artery is mildly dilated. Venous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium. PericardiumThere is no obvious pericardial disease.Extracardiac FindingsMediastinal adenopathy. 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 hyperdynamic systolic function (LVEF 76%)2.Normal sized right ventricle with normal systolic function (RVEF 67%)3.Mildly dilated main pulmonary artery.4.No late gadolinium enhancement. Slightly elevated T1 relaxation time (1070-90 ms) which could signify diffuse myocardial fibrosis versus a non-specific finding. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.