48 year old male with HFrEF due to non ischemic dilated cardiomyopathy, persistent atrial fibrillation. MRI to evaluate function. Left VentricleThe left ventricle is dilated with reduced systolic function. The overall LV ejection fraction is 29%. The LVEDV is 222 ml (normal range 142+/-34), the LV end diastolic volume index is 109 ml/m2 (normal range: 74+/-15), the LVESV is 161 ml (normal range 47+/-19) and the LV end systolic volume index is 79 ml/m2 (normal range 25+/-9). 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. There is [no ]LV thrombus. Left AtriumThe left atrium is moderately dilated. Right VentricleThe right ventricle is dilated with reduced systolic function. The overall RV ejection fraction is 29%. The RVEDV is 228 ml (normal range 142+/-31), RV end diastolic volume index is 112 ml/m2 (normal range 82+/-16), the RVESV is 160 ml (normal range 54+/-17), and the RV end systolic volume index is 78 ml/m2 (normal range 31+/-9).Right AtriumThe right atrium is moderately dilated.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.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. Moderately dilated left ventricle with reduced systolic function (LVEF 28%)2. Moderately dilated right ventricle with reduced systolic function (RVEF 29%)3. No LV thrombus4. No evidence for delayed enhancementSee extra cardiac findings.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.