73 year old female with hypertension, chronic kidney disease, and mildly reduced left ventricular function noted on echocardiogram referred for cardiac MRI for further evaluation. Left VentricleThe left ventricle is moderately dilated with low normal reduced systolic function. The overall LV ejection fraction is 52%, the LV end diastolic volume index is 99 ml/m2 (normal range: 65+/-11), the LVEDV is 199 ml (normal range 109+/-23), the LV end systolic volume index is 48 ml/m2 (normal range 18+/-5), the LVESV is 96 ml (normal range 31+/-10), the LV mass index is 14 g/m2 (normal range 67+/-11), and the LV mass is 27 g (normal range 114+/-24). There are no regional wall motion abnormalities present. There is no late gadolinium enhancement that suggests the presence of an underlying fibrosing, infiltrative, or inflammatory process. The pre-contrast native myocardial T1 relaxation times are normal (~950ms). There is no evidence of myocardial iron overload. Left AtriumThe left atrium is moderately dilated. Right VentricleThe right ventricle is normal in size and normal systolic function. The overall RV ejection fraction is 52%, the RV end diastolic volume index is 77 ml/m2 (normal range 69+/-14), the RVEDV is 154 ml (normal range 110+/-24), the RV end systolic volume index is 36 ml/m2 (normal range 22+/-8), and the RVESV is 74 ml (normal range 35+/-13). Right AtriumThe right atrium is mildly dilated. Aortic ValveThe aortic valve opens widely and there is mild aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is mild mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is mild tricuspid regurgitation.AortaThere is a left sided aortic arch with a normal pseudobovine 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 mildly dilated.Venous AnatomyThe SVC and IVC are normal in size and 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. Moderate left ventricular dilation with low normal systolic function (LVEF 52%) without evidence of underlying myocardial fibrosis inflammation or infiltration.2. Normal right ventricular size and systolic function (RVEF 52%).3. Moderate left atrial dilation.4. Mild dilation of the main pulmonary artery. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.