35 year old male with a history of non-ischemic cardiomyopathy referred for cardiac MRI for further evaluation. Left VentricleThe left ventricle is severely dilated with severely reduced systolic function. The overall LV ejection fraction is 19%, the LV end diastolic volume index is 182 ml/m2 (normal range: 74+/-15), the LVEDV is 351 ml (normal range 142+/-34), the LV end systolic volume index is 148 ml/m2 (normal range 25+/-9), the LVESV is 285 ml (normal range 47+/-19).There is global hypokinesis. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. LV morphology consistent with non-compaction. The pre-contrast native myocardial T1 relaxation time of the mid septum is normal (950 ms). There is no evidence of myocardial iron overload.Left AtriumThe left atrium is moderately dilated. Right VentricleThe right ventricle is normal in size with severely reduced systolic function. The overall RV ejection fraction is 29%, the RV end diastolic volume index is 88 ml/m2 (normal range 82+/-16), the RVEDV is 170 ml (normal range 142+/-31), the RV end systolic volume index is 63 ml/m2 (normal range 31+/-9), and the RVESV is 121 ml (normal range 54+/-17). There is non-compaction of the RV.Right AtriumThe right atrium is moderately dilated.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.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 severely dilated with severely reduced systolic function (LVEF 19%). There is global hypokinesis. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. 2. The right ventricle is normal in size with severely reduced systolic function (RVEF 29%).3. There is non-compaction noted of the LV.4. There is non-compaction of the RV.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.