58 year old man with multivessel coronary artery disease, referred for further evaluation of possible LV thrombus. Left VentricleThe left ventricle is moderately dilated with mildly reduced systolic function. The overall LV ejection fraction is 45%, the LV end diastolic volume index is 152 ml/m2 (normal range: 74+/-15), the LVEDV is 378 ml (normal range 142+/-34), the LV end systolic volume index is 83 ml/m2 (normal range 25+/-9), the LVESV is 207 ml (normal range 47+/-19), the LV mass index is 74 g/m2 (normal range 85+/-15), and the LV mass is 184 g (normal range 164+/-36). There is apical dyskinesis. There is hypokinesis and thinning of the mid to apical inferior wall. There is a small area of late gadolinium enhancement in the apical inferior wall, indicative of a prior myocardial infarction and is not likely to be viable. There remainder of the myocardium is viable. There is no evidence of an LV thrombus.Left AtriumThe left atrium is moderately 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 100 ml/m2 (normal range 82+/-16), the RVEDV is 249 ml (normal range 142+/-31), the RV end systolic volume index is 44 ml/m2 (normal range 31+/-9), and the RVESV is 108 ml (normal range 54+/-17).Right AtriumThe right atrium is mildly dilated.Aortic ValveThe aortic valve 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 moderately dilated (37mm).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. There is no evidence of an LV thrombus.2. The left ventricle is moderately dilated with mildly reduced systolic function. The overall LV ejection fraction is 45%. There is apical dyskinesis. There is hypokinesis and thinning of the mid to apical inferior wall. There is a subtle area of late gadolinium enhancement in the apical inferior wall, indicative of a prior myocardial infarction and is not likely to be viable. There remainder of the myocardium is viable.3. The right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 56%.4. Moderate dilation of the main pulmonary artery. 