25 year old female with history of symptomatic supraventricular tachycardia and premature ventricular contractions presenting for evaluation to rule out arrhythmogenic right ventricular cardiomyopathy. Left VentricleThe left ventricle is mild-moderately dilated and systolic function. The overall LV ejection fraction is 55%, the LV end diastolic volume index is 102 ml/m2 (normal range: 65+/-11), the LVEDV is 202 ml (normal range 109+/-23), the LV end systolic volume index is 47 ml/m2 (normal range 18+/-5), the LVESV is 92 ml (normal range 31+/-10), the LV mass index is 42 g/m2 (normal range 67+/-11), and the LV mass is 83 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.Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is mildly dilated with normal systolic function. The overall RV ejection fraction is 50%, the RV end diastolic volume index is 106 ml/m2 (normal range 69+/-14), the RVEDV is 210 ml (normal range 110+/-24), the RV end systolic volume index is 54 ml/m2 (normal range 22+/-8), and the RVESV is 106 ml (normal range 35+/-13). No RV wall motion abnormalities (akinesia or dyskinesia) noted. 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 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 mild-moderately dilated and systolic function. The overall LV ejection fraction is 55%. No late gadolinium enhancement.2. The right ventricle is mildly dilated with normal systolic function. The overall RV ejection fraction is 50%3. Major criteria for ARVC not met, however RVEDV indexed is mildly dilated. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.