Evaluation of cardiac function prior to chemotherapy Left VentricleThe left ventricle has mildly reduced function. The overall LV ejection fraction is 51%, the LV end diastolic volume index is 99 ml/m2 (normal range: 74+/-15), the LVEDV is 205 ml (normal range 142+/-34), the LV end systolic volume index is 43 ml/m2 (normal range 25+/-9), the LVESV is 89 ml (normal range 47+/-19). There is hypokinesis of the mid-distal inferior wall. There is [no ]LV thrombus. Extrinsic flattening of the diaphragmatic surface of the LV.Left AtriumThe left atrium is moderately dilated. Right VentricleThe right ventricle is dilated and hypocontractile. The overall RV ejection fraction is 36%, the RV end diastolic volume index is 126 ml/m2 (normal range 82+/-16), the RVEDV is 198 ml (normal range 142+/-31), the RV end systolic volume index is 55 ml/m2 (normal range 31+/-9), and the RVESV is 86 ml (normal range 54+/-17).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 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 drain normally into the right atrium.PericardiumThere is no obvious pericardial disease.Extracardiac Findings . 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. Mildly reduced LV EF with inferior hypokinesis2. Moderately RV systolic dysfunction with RV enlargement.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.