69Yrs-old male status post PVC ablation via endocardial and epicardial access, here for MRI evaluation of scar formation Left VentricleThe left ventricle is normal in size and function. The overall LV ejection fraction is 67%. The LVEDV is 166 ml (normal range 142+/-34), the LV end diastolic volume index is 70 ml/m2 (normal range: 74+/-15), the LVESV is 56 ml (normal range 47+/-19) and the LV end systolic volume index is 23 ml/m2 (normal range 25+/-9). The LV mass is 166 g (normal range 164+/-36) and the LV mass index is 69 g/m2 (normal range 85+/-15). There are no regional wall motion abnormalities present. . There is a focused area of late gadolinium enhancement in the basal anteroseptal region of the left ventricle, suggesting myocardial scarring and correlating with the anatomical ventricular summit. Left AtriumThe left atrium is severely dilated. Right VentricleThe right ventricle is normal in size and mildly reduced function. The overall RV ejection fraction is 43%. The RVEDV is 204 ml (normal range 142+/-31), RV end diastolic volume index is 86 ml/m2 (normal range 82+/-16), the RVESV is 115 ml (normal range 54+/-17), and the RV end systolic volume index is 48 ml/m2 (normal range 31+/-9).Right AtriumThe right atrium is normal sized.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 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. Left ventricle is normal in size and function. The overall LV ejection fraction is 67%.2. Right ventricle is normal in size with mildly reduced function. The overall RV ejection fraction is 43%.3. There is a focused area of late gadolinium enhancement in the basal anteroseptal region of the left ventricle, suggesting myocardial scarring and correlating with the anatomical ventricular summit.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.