89 year-old female with severe LVH on echocardiogram. Sent for CMR assessment Left VentricleThe left ventricle is mildly dilated with normal systolic function. There is mild LVH. The overall LV ejection fraction is 58%, the LV end diastolic volume index is 101 ml/m2 (normal range: 65+/-11), the LVEDV is 156 ml (normal range 109+/-23), the LV end systolic volume index is 43 ml/m2 (normal range 18+/-5), the LVESV is 66 ml (normal range 31+/-10), the LV mass index is 97 g/m2 (normal range 67+/-11), and the LV mass is 150 g (normal range 114+/-24). There are no regional wall motion abnormalities present. Asymmetric mid-septal hypertrophy. Maximal septal thickness noted in mid interventricular septum (11-12 mm). No SAM. Abnormal tagged imaging at the level of the mid-septum. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.Left AtriumThe left atrium is moderate-severely enlarged . Right VentricleThe right ventricle is normal in size and systolic function. The overall RV ejection fraction is 67%, the RV end diastolic volume index is 81 ml/m2 (normal range 69+/-14), the RVEDV is 124 ml (normal range 110+/-24), the RV end systolic volume index is 27 ml/m2 (normal range 22+/-8), and the RVESV is 42 ml (normal range 35+/-13). There is no RVH.Right AtriumThe right atrium is mildly enlarged. Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is mild mitral regurgitation. Mitral annular calcification and thickening of the mitral leafletsPulmonic ValveThe pulmonic valve opens widely. There is mild 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 a small pericardial effusion. Extracardiac FindingsBilateral pleural effusions. 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. There is asymmetric mid-septal hypertrophy with maximal septal measurement 11-12 mm.The left ventricle is mildly dilated with normal systolic function. There is mild LVH. The overall LV ejection fraction is 58%. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.2.The right ventricle is normal in size and systolic function. The overall RV ejection fraction is 67%.3. The left atrium is moderate-severely enlarged.4. The main pulmonary artery is mildly dilated. 5. Small pericardial effusion6. See extra-cardiac findings. 