62 year old man referred for cardiac MRI prior to atrial fibrillation ablation. Left VentricleThe left ventricle is normal in size with mildly reduced systolic function. The overall LV ejection fraction is 43%, the LV end diastolic volume index is 91 ml/m2 (normal range: 74+/-15), the LVEDV is 239 ml (normal range 142+/-34), the LV end systolic volume index is 52 ml/m2 (normal range 25+/-9), the LVESV is 137 ml (normal range 47+/-19). LV dysfunction is global. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.Left AtriumThe left atrium is severely dilated. The LA volume is 182ml.Right VentricleThe right ventricle is normal in size with mildly reduced systolic function. The overall RV ejection fraction is 44%, the RV end diastolic volume index is 94 ml/m2 (normal range 82+/-16), the RVEDV is 247 ml (normal range 142+/-31), the RV end systolic volume index is 53 ml/m2 (normal range 31+/-9), and the RVESV is 139 ml (normal range 54+/-17).Right AtriumThe right atrium is severely dilated. The RA volume is 173ml.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 trace 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. Dimensions as below:RUPV: 21mm x 20mmRLPV: 23mm x 22mmLUPV: 17mm x 24mmLLPV: 12mm x 22mmPulmonary ArteryThe main pulmonary artery is moderately dilated.Venous AnatomyThe SVC and IVC drain normally into the right atrium.PericardiumThere is trace pericardial effusion.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. Mildly reduced bi-ventricular systolic function2. Severe biatrial enlargement3. No LV delayed enhancement.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.