54 year-old male with history of conduction system disorder. Sent for CMR to rule out infiltrative heart disease Left VentricleThe left ventricle size is upper limits of normal with normal systolic function. The overall LV ejection fraction is 64%, the LV end diastolic volume index is 105 ml/m2 (normal range: 74+/-15), the LVEDV is 233 ml (normal range 142+/-34), the LV end systolic volume index is 38 ml/m2 (normal range 25+/-9), the LVESV is 85 ml (normal range 47+/-19), the LV mass index is 67 g/m2 (normal range 85+/-15), and the LV mass is 150 g (normal range 164+/-36). There are no regional wall motion abnormalities present. Localized area of high signal intensity seen in the inferolateral wall which is also appreciated on the pre-contrast short axis cine images making it highly unlikely to represent fibrosis/ LGE. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.Left AtriumThe left atrium is mildly dilated. Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 61%, the RV end diastolic volume index is 105 ml/m2 (normal range 82+/-16), the RVEDV is 235 ml (normal range 142+/-31), the RV end systolic volume index is 40 ml/m2 (normal range 31+/-9), and the RVESV is 80 ml (normal range 54+/-17).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 trace mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is trace 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 size is upper limits of normal with normal systolic function. The overall LV ejection fraction is 64%. No wall motion abnormalities. Thin line of high signal intensity seen in the inferolateral wall which is also appreciated on the pre-contrast short axis cine images suggestive of an artefact. No late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.2. Normal right ventricular size and systolic function. The overall RV ejection fraction is 61%3. No evidence of infiltrative cardiomyopathy on this exam.