26 year old female with symptoms of shortness of breath, prior imaging with EF 51%, mitral valve prolapse and mitral valve regurgitation. Looking for assessment of EF, chamber quantification Left VentricleThe left ventricle is normal in size with low normal ejection fraction. The overall LV ejection fraction is 51%. The LVEDV is 194 ml (normal range 109+/-23), LV end diastolic volume index is 99 ml/m2 (normal range: 65+/-11), LVESV is 100 ml (normal range 31+/-10), and LV end systolic volume index is 51 ml/m2 (normal range 18+/-5). The LV mass is 140 g (normal range 114+/-24) and the LV mass index is 72 g/m2 (normal range 67+/-11). 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.The native T1 myocardial relaxation time is [1036]ms. These values are [normal], suggestive of [no]underlying diffuse fibrosis or infiltration. Left AtriumThe left atrium is normal.Right VentricleThe right ventricle is normal in size and function. The overall RV ejection fraction is 55%, the RV end diastolic volume index is 83 ml/m2 (normal range 69+/-14), the RVEDV is 162 ml (normal range 110+/-24), the RV end systolic volume index is 37 ml/m2 (normal range 22+/-8), and the RVESV is 72 ml (normal range 35+/-13). Right AtriumThe right atrium is normal sized. Aortic ValveThe aortic valve is trileaflet, opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is no significant mitral regurgitation. There is mild prolapse of the mitral valve leaflets and mild 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. Left ventricle is normal in size with low normal ejection fraction. The overall LV ejection fraction is 51%2. Right ventricle is normal in size and function. The overall RV ejection fraction is 55%.3. There is mild prolapse of the mitral valve leaflets with mild mitral regurgitation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.