67 year old female with previous lung cancer treated with left lung pneumonectomy and chemotherapy. Referred for interval assessment of RV size, function. Height: 152cmWeight: 57kgBSA: 1.6 m sq.Left VentricleThe left ventricle is normal in size and systolic function. The overall LV ejection fraction is 57%, the LV end diastolic volume index is 62 ml/m2 (normal range: 65+/-11), the LVEDV is 93 ml (normal range 109+/-23), the LV end systolic volume index is 26 ml/m2 (normal range 18+/-5), the LVESV is 40ml (normal range 31+/-10), the LV mass index is 31 g/m2 (normal range 67+/-11), and the LV mass is 47 g (normal range 114+/-24). 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 mild-moderately increased in size with mildly decreased systolic function. The overall RV ejection fraction is 46%, the RV end diastolic volume index is 111 ml/m2 (normal range 69+/-14), the RVEDV is 168 ml (normal range 110+/-24), the RV end systolic volume index is 60 ml/m2 (normal range 22+/-8), and the RVESV is 78 ml (normal range 35+/-13). Right AtriumThe right atrium is severely dilated. Aortic ValveThe aortic valve 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 severe tricuspid regurgitation.AortaThe aortic root is normal in size. There is a left sided aortic arch with a normal brachiocephalic branching pattern.Pulmonary VeinsThe right upper and lower pulmonary veins drain normally into the left atrium. There are no left sided pulmonary veins present.Pulmonary ArteryThe main pulmonary artery is normal in size. The left pulmonary artery ends in a blind pouch.Venous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium. PericardiumThere is no obvious pericardial disease.Extracardiac FindingsPost-left lung pneumonectomy with displacement of the heart into the left hemithorax. There is a well circumscribed mass in the liver consistent with cyst. This mass is similarly visualized on CT abdomen on 6/3/15. 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 LV size and systolic function (LVEF 57%) without evidence of underlying myocardial fibrosis, inflammation, or infiltration.2. Mild-moderately increased RV size and mildly decreased systolic function (RVEF 46%).3. Severe TR.4. Post-left lung pneumonectomy with displacement of the heart into the left hemithorax.5. Please see extracardiac findings for description of liver mass.6. Compared to prior cardiac MRI of 1/28/2011, RA and RV size has increased and RV function is mildly decreased. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.