75 year old with hypertension and suspected cardiac amyloidosis presenting for repeat evaluation after treatment. Left VentricleThe left ventricle is normal in size with normal systolic function. There is left ventricular hypertrophy, most prominent in the basal septum. The overall LV ejection fraction is 67%, the LV end diastolic volume index is 79 ml/m2 (normal range: 65+/-11), the LVEDV is 145 ml (normal range 109+/-23), the LV end systolic volume index is 26 ml/m2 (normal range 18+/-5), the LVESV is 48 ml (normal range 31+/-10), the LV mass index is 51 g/m2 (normal range 67+/-11), and the LV mass is 92 g (normal range 114+/-24). There is patchy late gadolinium enhancement in the basal lateral, inferolateral and inferior walls both subendocardial and midmyocardial suggesting the presence of an underlying fibrosing, infiltrative, or inflammatory process. This pattern appears to be consistent with previous LGE images (unchanged). Native T1 times are 1015 ms. Left AtriumThe left atrium is mildly dilated. Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 56%, the RV end diastolic volume index is 82 ml/m2 (normal range 69+/-14), the RVEDV is 151 ml (normal range 110+/-24), the RV end systolic volume index is 37 ml/m2 (normal range 22+/-8), and the RVESV is 67 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. The valve leaflets are notably thickened. 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 a small pericardial effusion.Extracardiac Findings: Multiple left 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. The left ventricle is normal in size with normal systolic function. There is left ventricular hypertrophy, most prominent in the basal septum. The overall LV ejection fraction is 67%. There is patchy late gadolinium enhancement in the basal lateral, inferolateral and inferior walls both subendocardial and midmyocardial suggesting the presence of an underlying fibrosing, infiltrative, or inflammatory process. This pattern appears to be consistent with previous LGE images. Native T1 times are 1015 ms (normal). 2. The right ventricle is normal in size with normal systolic function (RVEF 56%). Compared to previous study, the left ventricular, size, function and LGE are similar. 