54 year old male with a past medical history of dilated cardiomyopathy, syncope, ICD, Ventricular tachycardia. MRI evaluation to rule out infiltrative diseases/scar. Left VentricleThe left ventricle is normal in size with mildly reduced systolic function. The overall LV ejection fraction is 47%. The LVEDV is 210 ml (normal range 142+/-34), the LV end diastolic volume index is 95 ml/m2 (normal range: 74+/-15), the LVESV is 112 ml (normal range 47+/-19) and the LV end systolic volume index is 51 ml/m2 (normal range 25+/-9). The LV mass is 137 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 obvious late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. Left AtriumThe left atrium is probably normal in size. Right VentricleICD lead noted in the right ventricle. The right ventricle is normal in size with mildly reduced systolic function. The overall RV ejection fraction is 47%. The RVEDV is 221 ml (normal range 142+/-31), RV end diastolic volume index is 100 ml/m2 (normal range 82+/-16), the RVESV is 103 ml (normal range 54+/-17), and the RV end systolic volume index is 53 ml/m2 (normal range 31+/-9). Right AtriumThe right atrium cannot be assessed due to limited views.Tricuspid/ Mitral/ Aortic/ Pulmonary ValvesUnable to assess valves due to lead artifact/ insufficient imagesAortaThere is a left sided aortic arch. 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.PericardiumSmall pericardial effusion. Extracardiac FindingsExtensive artifact from the ICD can. 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 mildly reduced systolic function. The overall LV ejection fraction is 47%. No obvious late gadolinium enhancement.2. The right ventricle is normal in size with mildly reduced systolic function. The overall RV ejection fraction is 47%3. Extensive artifact noted from the ICD lead and battery. Unable to assess valves. 4. Small pericardial effusion.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.