36 year old male with OSA, asthma, GERD, sarcoidosis. Referred for cardiac MRI to assess for cardiac sarcoid. Left VentricleThe left ventricle is normal in size with mildly reduced systolic function. The overall LV ejection fraction is 46%. The LVEDV is 171 ml (normal range 142+/-34), the LV end diastolic volume index is 77 ml/m2 (normal range: 74+/-15), the LVESV is 93 ml (normal range 47+/-19) and the LV end systolic volume index is 42 ml/m2 (normal range 25+/-9). The LV mass is 136 g (normal range 164+/-36) and the LV mass index is 61 g/m2 (normal range 85+/-15). 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.The native T1 myocardial relaxation time is 966 ms in the ventricular septum and 1110 ms in the LV free wall (the latter is suggestive of underlying diffuse fibrosis or infiltration). Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is mildly dilated with mildly reduced systolic function. The overall RV ejection fraction is 48%. The RVEDV is 207 ml (normal range 142+/-31), RV end diastolic volume index is 94 ml/m2 (normal range 82+/-16), the RVESV is 109 ml (normal range 54+/-17), and the RV end systolic volume index is 49 ml/m2 (normal range 31+/-9).Right AtriumThe right atrium is mildly dilated.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 normal in size.Venous AnatomyThe SVC and IVC drain normally into the right atrium.PericardiumThere is no obvious pericardial disease.Extracardiac FindingsMediastinal lymphadenopathy and diffuse lung disease suggestive of sarcoidosis. 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.The left ventricle is normal in size with mildly reduced systolic function. LVEF 46%. No regional wall motion abnormalities.2.The right ventricle is mildly dilated with mildly reduced systolic function. RVEF 48%. 3.There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. 4. The native T1 myocardial relaxation time is 966 ms in the ventricular septum and 1110 ms in the LV free wall (the latter suggests possible underlying diffuse fibrosis or infiltration). Consider follow up cardiac MRI in 6 months for reassessment.5.Mediastinal lymphadenopathy and diffuse lung disease suggestive of sarcoidosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.