62 year old male with recurrent PVC despite lifestyle modification and medication use. Left VentricleThe left ventricle is normal in size and function. The overall LV ejection fraction is 56%. The LVEDV is 194 ml (normal range 142+/-34), the LV end diastolic volume index is 97 ml/m2 (normal range: 74+/-15), the LVESV is 86 ml (normal range 47+/-19) and the LV end systolic volume index is 43 ml/m2 (normal range 25+/-9). The LV mass is 102 g (normal range 164+/-36) and the LV mass index is 50 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.Left AtriumThe left atrium is normal. Right VentricleThe right ventricle is normal in size and function. The overall RV ejection fraction is 61%. The RVEDV is 181 ml (normal range 142+/-31), RV end diastolic volume index is 90 ml/m2 (normal range 82+/-16), the RVESV is 71 ml (normal range 54+/-17), and the RV end systolic volume index is 35 ml/m2 (normal range 31+/-9).Right AtriumThe right atrium is normal.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 FindingsIndeterminate 1 cm T2 hypointense lesion along the anterior aspect of the pericardium at the level of the inferior cavoatrial junction. Probable small left renal cyst. 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 left ventricular structure and function with EF at 56%.2. Normal right ventricular structure and function3. Indeterminate 1 cm T2 hypointense lesion along the anterior aspect of the pericardium at the level of the inferior cavoatrial junction. Chest CT follow-up in 6 months is suggested to reassess this lesion.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.