A 50 year old male with hypertension, hypothyroidism, asthma, with moderately reduced left ventricular systolic function and frequent PVC's. Left VentricleThe left ventricle is mildly dilated with low normal systolic function. The overall LV ejection fraction is 50%, the LV end diastolic volume index is 102 ml/m2 (normal range: 74+/-15), the LVEDV is 237 ml (normal range 142+/-34), the LV end systolic volume index is 51 ml/m2 (normal range 25+/-9), the LVESV is 120 ml (normal range 47+/-19), the LV mass index is 51 g/m2 (normal range 85+/-15), and the LV mass is 119 g (normal range 164+/-36). There is no late gadolinium enhancement to suggest the presence of underlying replacement fibrosis, infiltration, or inflammation. However, the native myocardial T1 times are mildly increased (~1100ms) suggesting the presence of mild underlying interstitial fibrosis. No myocardial iron overload. No intracavitary thrombus.Left AtriumThe left atrium is moderately dilated (130ml).Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 65%, the RV end diastolic volume index is 84 ml/m2 (normal range 82+/-16), the RVEDV is 197 ml (normal range 142+/-31), the RV end systolic volume index is 29 ml/m2 (normal range 31+/-9), and the RVESV is 68 ml (normal range 54+/-17). No fatty infiltration, regional wall motion abnormality or focal aneurysm noted. No MRI evidence of ARVD.Right AtriumThe right atrium is mildly dilated.Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is mild 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. The left ventricle is mildly dilated with low normal `systolic function, the LVEF is 50%.2. There is no late gadolinium enhancement to suggest the presence of underlying replacement fibrosis, infiltration, or inflammation. However, the native myocardial T1 times are mildly increased (~1100ms) suggesting the presence of mild underlying interstitial fibrosis.3. The right ventricle is normal in size with normal systolic function, the RVEF is 65%. No fatty infiltration, regional wall motion abnormality or focal aneurysm noted. No cardiac MRI evidence of ARVD.4. The left atrium is moderately dilated and the right atrium is mildly dilated.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.