45 year old man with known bicuspid aortic valve, mild aortic regurgitation and ascending aortic dilatation referred for cardiac MRI to evaluate cardiac volume and aortic dimensions. Left VentricleThe left ventricle is mildly dilated with normal systolic function. The overall LV ejection fraction is 62%, the LV end diastolic volume index is 108 ml/m2 (normal range: 74+/-15), the LVEDV is 199 ml (normal range 142+/-34), the LV end systolic volume index is 41 ml/m2 (normal range 25+/-9), the LVESV is 76 ml (normal range 47+/-19). 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.Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is moderately dilated with normal systolic function. The overall RV ejection fraction is 53, the RV end diastolic volume index is 137/m2 (normal range 82+/-16), the RVEDV is 252l (normal range 142+/-31), the RV end systolic volume index is 65ml/m2 (normal range 31+/-9), and the RVESV is 120l (normal range 54+/-17).Right AtriumThe right atrium appears mildly dilated.Aortic ValveThe aortic valve opens widely and is bicuspid with fusion of the right and left cusps. There is minimal aortic regurgitation on this study by qualitative and quantitative evaluation.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. Ao sizeSOV 36 x 41 mmAsc 44 x 46 mmArch (mid) 28 x 28 mmDesc 21 x 23 mmPulmonary VeinsAll four pulmonary veins drain normally into the left atrium.Pulmonary 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 FindingsThis 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. Mildly dilated left ventricle with normal systolic function (EF 62%). There is no late gadolinium enhancement to suggest the presence of an underlying infiltrative, inflammatory or fibrotic process. 2. Moderately dilated right ventricle with normal systolic function (EF 3. Bicuspid aortic valve with no significant aortic regurgitation.4. Dilated ascending aorta as reported above. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.