46 year old female, with a history of cervical cancer s/p LEEP, DLBC lymphoma on chemotherapy EPOCH-R, was noted with severe RV dilatation on echocardiogram. She is referred for cardiac MRI for further evaluate RV function. Left VentricleThe left ventricle is normal in size and function. The overall LV ejection fraction is 59%, the LV end diastolic volume index is 88 ml/m2 (normal range: 65+/-11), the LVEDV is 181 ml (normal range 109+/-23), the LV end systolic volume index is 36 ml/m2 (normal range 18+/-5), the LVESV is 75 ml (normal range 31+/-10), the LV mass index is 58 g/m2 (normal range 67+/-11), and the LV mass is 119 g (normal range 114+/-24). No LV hypertrophy was noted. Basal anterior interventricular septum is measured as 11 mm. 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.No intracardiac thrombus.Left AtriumThe left atrium is moderately to severely enlarged (46 mm). Right VentricleThe right ventricle is severely dilated with mildly reduced systolic function. The overall RV ejection fraction is 46%, the RV end diastolic volume index is 109 ml/m2 (normal range 69+/-14), the RVEDV is 226 ml (normal range 110+/-24), the RV end systolic volume index is 59 ml/m2 (normal range 22+/-8), and the RVESV is 122 ml (normal range 35+/-13). No aneurysm or enhancement.Right AtriumThe right atrium is moderately dilated. Aortic ValveThe aortic valve opens widely and there is aortic regurgitation, visually estimated to be trace.Mitral ValveThe mitral valve opens widely and there is mitral regurgitation with the jet directed posteriorly.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation.Tricuspid ValveThe valve opens normally. Dedicated valvular imaging was not performed. However, tricuspid regurgitation is present. The jet is eccentric and is directed anteriorly toward right AV groove. 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 severely dilated (47 mm). Proximal left pulmonary artery is measured at 28 mm and proximal right pulmonary artery is measured at 33 mm. Venous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium. PericardiumThere is no pericardial effusion.Extracardiac FindingsLeft scapular mass reduced in size with residual thoracic lymphadenopathy. For reference, there is a left axillary lymph node which is 22 mm short axis. Left supraclavicular lymph node is 15mm. The osseous structures of the left shoulder girdle, including the scapula, are not well visualized. Previous right axillary lymphadenopathy is not visualized. Right port catheter terminates at the superior cavoatrial junction.
1. The left ventricle is normal in size and function. 2. The right ventricle is severely dilated with mildly reduced systolic function. 3. The main pulmonary artery is severely dilated, suggestive of pulmonary artery hypertension.4. Left scapular mass reduced in size with residual thoracic lymphadenopathy.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.