41 year old female with a history of sickle cell disease, hepatic cirrhosis secondary to blood transfusions referred for cardiac MRI. Left VentricleThe left ventricle is moderately dilated with normal systolic function. The overall LV ejection fraction is 60%, the LV end diastolic volume index is 121 ml/m2 (normal range: 65+/-11), the LVEDV is 192 ml (normal range 109+/-23), the LV end systolic volume index is 49 ml/m2 (normal range 18+/-5), the LVESV is 79 ml (normal range 31+/-10), the LV mass index is 48 g/m2 (normal range 67+/-11), and the LV mass is 76 g (normal range 114+/-24). There are no regional wall motion abnormalities present. . There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. T2 Star value for the myocardium = 39.5 ms and T2 star for the liver = 9.4 ms. There is evidence of iron overload in the liver but not in the myocardium. Pre-contrast native T1 myocardial relaxation times normal (1070 ms). Left AtriumThe left atrium is mildly dilated.Right VentricleThe right ventricle is mildly dilated with normal systolic function. The overall RV ejection fraction is 64%, the RV end diastolic volume index is 118 ml/m2 (normal range 69+/-14), the RVEDV is 188 ml (normal range 110+/-24), the RV end systolic volume index is 43 ml/m2 (normal range 22+/-8), and the RVESV is 68 ml (normal range 35+/-13). Right AtriumThe right atrium is normal in 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 AnatomyThere is a catheter in the SVC. The SVC and IVC drain normally into the right atrium. PericardiumThere is no obvious pericardial disease.Extracardiac FindingsThe course of the trachea is off-midline (previously noted in chest xrays). This 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 normal systolic function (LVEF 60%).2. The right ventricle is moderately dilated with normal systolic function (RVEF 64%). 3. There is evidence of iron overload in the liver but not in the myocardium (T2 Star value for liver = 9.4 ms; T2 Star value for the myocardium = 39.5 ms).4. Catheter present in SVC .I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.