A 20 year old male with abnormal EKG and exercise induced PVCs referred for evaluation of possible structural heart disease. Left VentricleThe left ventricle is normal in size and systolic function. The overall LV ejection fraction is 62%, the LV end diastolic volume index is 87 ml/m2 (normal range: 74+/-15), the LVEDV is 182 ml (normal range 142+/-34), the LV end systolic volume index is 33 ml/m2 (normal range 25+/-9), the LVESV is 70 ml (normal range 47+/-19), the LV mass index is 58 g/m2 (normal range 85+/-15), and the LV mass is 122 g (normal range 164+/-36). There are no regional wall motion abnormalities present. There is no late gadolinium enhancement.No intracardiac thrombus.Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size and systolic function. The overall RV ejection fraction is 59%, the RV end diastolic volume index is 37 ml/m2 (normal range 82+/-16), the RVEDV is 78 ml (normal range 142+/-31), the RV end systolic volume index is 92 ml/m2 (normal range 31+/-9), and the RVESV is 193 ml (normal range 54+/-17). No evidence of focal aneurysm or fibrosis. Right AtriumThe right atrium is normal in size.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 no significant tricuspid regurgitation.AortaThere is a left sided aortic arch. 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 are normal in size and drain normally into the right atrium.PericardiumThere is no pericardial effusion.
1. The left ventricle is normal in size and systolic function, the LVEF is 62%. No abnormal enhancement. 2. The right ventricle is normal in size and systolic function, the RVEF is 59%. No evidence of focal aneurysm or fibrosis. No MRI evidence of ARVC.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.