76 year old female with LV dysfunction, LBBB (LVEF 43% on TTE). Referred for cardiac MRI to evaluate etiology. Left VentricleThe left ventricle is moderately dilated with normal systolic function. The overall LV ejection fraction is 60%. The LVEDV is 186 ml (normal range 109+/-23), LV end diastolic volume index is 81 ml/m2 (normal range: 65+/-11), LVESV is 75 ml (normal range 31+/-10), and LV end systolic volume index is 33 ml/m2 (normal range 18+/-5). 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 <1000 ms suggestive of absence of underlying diffuse fibrosis or infiltration.There is no myocardial iron overload. There is no LV thrombus. Left AtriumThe left atrium is moderately dilated.Right VentricleThe right ventricle is mildly dilated with normal systolic function. The overall RV ejection fraction is 65%, the RVEDV is 175 ml (normal range 110+/-24), the RV end diastolic volume index is 76 ml/m2 (normal range 69+/-14), the RVESV is 61 ml (normal range 35+/-13), and the RV end systolic volume index is 27 ml/m2 (normal range 22+/-8).Right AtriumThe right atrium is mildly dilated. Aortic ValveThe aortic valve is trileaflet, opens widely and there is mild 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. Aorta tortuosity noted.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 moderately dilated with normal systolic function. LVEF 60%.2.The right ventricle is mildly dilated with normal systolic function. RVEF 65%.3.No late gadolinium enhancement.4.Mild aortic regurgitation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.