A 38 year old female with hypertension and hyperlipidemia. Hospitalized now with a clinical diagnosis of myo-pericarditis. Referred to cardiac MRI for further evaluation. Left VentricleThe left ventricle is normal size with overall normal systolic function. There is mild hypokinesia and the basal to mid inferolateral wall. The overall LV ejection fraction is 59%, the LV end diastolic volume index is 76 ml/m2 (normal range: 65+/-11), the LVEDV is 122 ml (normal range 109+/-23), the LV end systolic volume index is 31 ml/m2 (normal range 18+/-5), the LVESV is 51 ml (normal range 31+/-10), the LV mass index is 43 g/m2 (normal range 67+/-11), and the LV mass is 69 g (normal range 114+/-24). There is late gadolinium enhancement in the subendocardium and mid myocardium of the infralateral wall at the basal and mid segments. This corresponds to the area of mild wall motion abnormality. While this can be seen with myocardial infarct, based on the clinical history, the finding is most suggestive of myocarditis. No thrombus is present.Left AtriumThe left atrium is normal size. Right VentricleThe right ventricle is normal size and normal systolic function. The overall RV ejection fraction is 50%, the RV end diastolic volume index is 78 ml/m2 (normal range 69+/-14), the RVEDV is 126 ml (normal range 110+/-24), the RV end systolic volume index is 39 ml/m2 (normal range 22+/-8), and the RVESV is 63 ml (normal range 35+/-13). Right AtriumThe right atrium is normal size. 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 normal in size. Venous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium. PericardiumThere is no pericardial enhancement or effusion.
1. The left ventricle is normal size with normal systolic function, the LVEF is 59%. There is mild hypokinesia at the area of enhancementdemonstrated by the infero-lateral wall base to midchamber. Given the clinical history, this is suggestive of myocarditis. No associated pericardial effusion or enhancement.2. The right ventricle is normal size and normal systolic function, the RVEF is 50%. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.