47 year old male with decreased LVEF on recent nuclear stress test and subsequent normal coronary angiogram, MRI done to evaluate etiology Left VentricleThe left ventricle is normal in size with mildly decreased function. The overall LV ejection fraction is 42%. The LVEDV is 230 ml (normal range 142+/-34), the LV end diastolic volume index is 107 ml/m2 (normal range: 74+/-15), the LVESV is 132 ml (normal range 47+/-19) and the LV end systolic volume index is 61 ml/m2 (normal range 25+/-9). The LV mass is 134 g (normal range 164+/-36) and the LV mass index is 62 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.Left AtriumThe left atrium is normal. Right VentricleThe right ventricle is normal in size with mildly decreased function. The overall RV ejection fraction is 34%. The RVEDV is 148 ml (normal range 142+/-31), RV end diastolic volume index is 69 ml/m2 (normal range 82+/-16), the RVESV is 98 ml (normal range 54+/-17), and the RV end systolic volume index is 46 ml/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 drain normally into the right atrium.PericardiumThere is no obvious pericardial disease.Extracardiac FindingsPersistent elevation of the right hemidiaphragm. Probable bilateral renal cysts. This 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 decreased left ventricular systolic function with LVEF of 43%2. Mildly decreased right ventricular systolic function with EF of 34%3. No late gadolinium enhancement is noted in the myocardium. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.