40 year-old male referred for cardiac MRI to assess for etiology of cardiomyopathy. Stress portion of MRI had to be aborted due to patient size. Left VentricleThe left ventricle is moderately dilated with severely reduced systolic function. The overall LV ejection fraction is 26%, the LV end diastolic volume index is 131 ml/m2 (normal range: 74+/-15), the LVEDV is 335 ml (normal range 142+/-34), the LV end systolic volume index is 96 ml/m2 (normal range 25+/-9), the LVESV is 247 ml (normal range 47+/-19), the LV mass index is 90 g/m2 (normal range 85+/-15), and the LV mass is 231 g (normal range 164+/-36). The left ventricular dysfunction is global with regional variation. There is patchy mid-wall late gadolinium enhancement in the septum and inferolateral wall which is atypical for coronary artery disease and which suggests the presence of an underlying fibrosing, infiltrative, or inflammatory process.Left AtriumThe left atrium is mildly dilated. Right VentricleThe right ventricle is severely dilated with severely reduced systolic function. The overall RV ejection fraction is 19%, the RV end diastolic volume index is 199 ml/m2 (normal range 82+/-16), the RVEDV is 507 ml (normal range 142+/-31), the RV end systolic volume index is 161 ml/m2 (normal range 31+/-9), and the RVESV is 412 ml (normal range 54+/-17).Right AtriumThe right atrium is severely.Aortic ValveThe aortic valve opens widely and there is mild 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.The left ventricle is moderately dilated with severely reduced systolic function. The overall LV ejection fraction is 26%.The left ventricular dysfunction is global with regional variation. There is patchy mid-wall late gadolinium enhancement in the septum and inferolateral wall which is atypical for coronary artery disease and which suggests the presence of an underlying fibrosing, infiltrative, or inflammatory process.2.The right ventricle is severely dilated with severely reduced systolic function. The overall RV ejection fraction is 19%3.Biatrial enlargement