70 year old male with history of prostate cancer, atrial fibrillation, hypertension who presents for cardiac MRI for evaluation of pulmonary vein anatomy prior to possible RF ablation Left VentricleThe left ventricle is normal in size with moderately reduced systolic function. The overall LV ejection fraction is 34%, the LV end diastolic volume index is 94 ml/m2 (normal range: 74+/-15), the LVEDV is 216 ml (normal range 142+/-34), the LV end systolic volume index is 62 ml/m2 (normal range 25+/-9), the LVESV is 143 ml (normal range 47+/-19), the LV mass index is 75 g/m2 (normal range 85+/-15), and the LV mass is 170 g (normal range 164+/-36). There is global diffuse hypokinesis. 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 moderately reduced systolic function. The overall RV ejection fraction is 36%, the RV end diastolic volume index is 82 ml/m2 (normal range 82+/-16), the RVEDV is 186 ml (normal range 142+/-31), the RV end systolic volume index is 52 ml/m2 (normal range 31+/-9), and the RVESV is 120 ml (normal range 54+/-17).Right AtriumThe right atrium is moderately dilated.Aortic ValveThe aortic valve opens widely and there is at least mild aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is at least mild mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is mild tricuspid regurgitation.AortaThere is a left sided aortic arch with a normal brachiocephalic branching pattern. The aortic root is normal in size. The ascending aorta is mildly dilated, measuring 38x39 mm.Pulmonary VeinsAll four pulmonary veins drain normally into the left atrium. The ostia of the pulmonary veins were measured and found to be: RUPV = 28 x 22 mmLUPV = 25 x21 mmLLPV = 22 x15 mmRLPV = 20 x 18 mm.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 normal in size with moderately reduced systolic function[LVEF 34%]. No late gadolinium enhancement noted.2. The right ventricle is normal in size with moderately reduced systolic function [RVEF 36%]3. Pulmonary vein anatomy and measurements as above4. Mild ascending aorta dilation5. Moderate right atrial dilationI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.