35 y/o female with DLBCL admitted for chemotherapy now found to have a depressed EF on echocardiography where previously normal LVEF on cMR. Left VentricleThe left ventricle is mildly dilated (when indexed) and systolic function. The overall LV ejection fraction is 53%, the LV end diastolic volume index is 98 ml/m2 (normal range: 65+/-11), the LVEDV is 149 ml (normal range 109+/-23), the LV end systolic volume index is 47 ml/m2 (normal range 18+/-5), the LVESV is 71 ml (normal range 31+/-10), the LV mass index is 32 g/m2 (normal range 67+/-11), and the LV mass is 48 g (normal range 114+/-24). There are no regional wall motion abnormalities present. Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is mildly dilated with normal systolic function. The overall RV ejection fraction is 55%, the RV end diastolic volume index is 105 ml/m2 (normal range 69+/-14), the RVEDV is 159 ml (normal range 110+/-24), the RV end systolic volume index is 47 ml/m2 (normal range 22+/-8), and the RVESV is 72 ml (normal range 35+/-13). Right AtriumThe right atrium is normal in size. Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is trace mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is trace tricuspid regurgitation.AortaThere is a left sided aortic arch with a common right brachiocephalic and left common carotid trunk takeoff (normal variant). 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. There is artifact within the SVC, likely related to catheter. 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 mildly dilated when indexed for body surface area with normal systolic function (LVEF 53%)2. Right ventricle is mildly dilated when indexed for body surface area with normal systolic function (RVEF 55%) Compared to CMR of 4/2/2015, the pericardial effusion is smaller and the LV and RV volume are slightly larger on current study. LVEF is also slightly lower.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.