26 year old man s/p heart transplant referred to evaluate for rejection. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 66%. The LVEDV is 142 ml (normal range 142+/-34), the LV end diastolic volume index is 62 ml/m2 (normal range: 74+/-15), the LVESV is 48 ml (normal range 47+/-19) and the LV end systolic volume index is 21 ml/m2 (normal range 25+/-9). The LV mass is 168 g (normal range 164+/-36) and the LV mass index is 74 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 1096ms in the basal interventricular septum, which is upper limits of normal. There is no LV thrombus. Left AtriumThe left atrium shows changes consistent with cardiac transplant.Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 60%. The RVEDV is 140 (normal range 142+/-31), RV end diastolic volume index is 61ml/m2 (normal range 82+/-16), the RVESV is 56ml (normal range 54+/-17), and the RV end systolic volume index is 24ml/m2 (normal range 31+/-9).Right AtriumThe right atrium is normal in size.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 are normal in size and 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.Normal left ventricular size and systolic function (LVEF 66%).2.Normal right ventricular size and systolic function (RVEF 60%).3.No late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.