48 year old woman with sarcoidosis, referred for interval evaluation of cardiac involvement. Left VentricleThe left ventricle is normal in size with mildly reduced systolic function . The overall LV ejection fraction is 49%, the LV end diastolic volume index is 91 ml/m2 (normal range: 65+/-11), the LVEDV is 158 ml (normal range 109+/-23), the LV end systolic volume index is 46 ml/m2 (normal range 18+/-5), the LVESV is 81 ml (normal range 31+/-10). Normal wall motion. There is late gadolinium enhancement in the basal inferolateral wall which suggests the presence of an underlying fibrosing, infiltrative, or inflammatory process. Compared to prior MRI on 11/13/13, the extent of LGE has decreased.Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size with mildly reduced systolic function. The overall RV ejection fraction is 49%, the RV end diastolic volume index is 70 ml/m2 (normal range 69+/-14), the RVEDV is 121 ml (normal range 110+/-24), the RV end systolic volume index is 35 ml/m2 (normal range 22+/-8), and the RVESV is 61 ml (normal range 35+/-13). 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 mild mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is mild tricuspid regurgitation.AortaThere is a left sided aortic arch with a "psuedo-bovine" 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 FindingsSmall bilateral pleural effusions and atelectasis. Thoracic adenopathy. 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. The left ventricle is normal in size with mildly reduced systolic function . The overall LV ejection fraction is 49%.2. There is late gadolinium enhancement in the basal inferolateral wall which suggests the presence of an underlying fibrosing, infiltrative, or inflammatory process. 3. The right ventricle is normal in size with mildly reduced systolic function. The overall RV ejection fraction is 49%.4. Compared to prior MRI on 11/13/13, the LV and RV function has decreased and the extent of LGE has decreased.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.