MRI CARDIAC W/FLOW QUANT WWO, 2/24/2015 1:00 PM Left VentricleThe left ventricle is normal in size with low normal systolic function. The overall LV ejection fraction is 52%, the LV end diastolic volume index is 79 ml/m2 (normal range: 65+/-11), the LVEDV is 166 ml (normal range 109+/-23), the LV end systolic volume index is 38 ml/m2 (normal range 18+/-5), the LVESV is 79 ml (normal range 31+/-10), the LV mass index is 60 g/m2, and the LV mass is 124 g. The motion of the left ventricle is distorted by extrinsic compression from the adjacent stomach; however, there is additionally, tardokinesis of the basal inferior wall.There is epi-myocardial late gadolinium enhancement of the basal inferior and inferolateral walls suggesting the presence of an underlying fibrosing, infiltrative, or inflammatory process. The pattern is atypical for prior myocardial infarction.There is no intracardiac thrombus.No evidence of iron overload.No findings of cardiac amyloid.Left AtriumThe left atrium is normal. Right VentricleThe right ventricle is normal in size and systolic function. The overall RV ejection fraction is 68%, the RV end diastolic volume index is 58 ml/m2 (normal range 69+/-14), the RVEDV is 122 ml (normal range 110+/-24), the RV end systolic volume index is 18 ml/m2 (normal range 22+/-8), and the RVESV is 39 ml (normal range 35+/-13). Right AtriumThe right atrium is normal. Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation visualized. Mitral ValveThe mitral valve opens widely and there is no significant mitral regurgitation visualized. Pulmonic ValveThe pulmonic valve opens widely. There is mild pulmonic regurgitation visualized. Tricuspid ValveThe tricuspid valve opens widely. There is no significant tricuspid regurgitation visualized. AortaThe ascending thoracic aorta is normal in size. There is a left sided aortic arch.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 a small pericardial effusion.Extracardiac FindingsA right side breast implant was noted. The stomach is significantly distended and causing extrinsic compression of the cardiac inferior and infero-lateral wall. 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. The left ventricle is normal in size with low normal systolic function, LVEF is 52%. There is tardokinesis of the basal inferior wall. The function and size have improved compared to previous cardiac MRI (2011).2. There is epi-myocardial late gadolinium enhancement of the basal inferior and inferolateral walls suggesting the presence of an underlying fibrosing, infiltrative, or inflammatory process. The pattern is atypical for prior myocardial infarction. There is no significant difference compared to previous cardiac MRI (2011).3. The right ventricle is normal in size and systolic function, RVEF is 68%. 4. There is a small pericardial effusion.5. The stomach is significantly distended and causing extrinsic compression of the inferior and inferolateral wall of the heart.