72 year old female with a history of heart failure with reduced LV function, hypertension, s/p PVC ablation 10/18/16 of the basal anteroseptum. Referred for cardiac MRI for further evaluation Left VentricleThe left ventricle is moderately dilated and has mildly reduced systolic function. The overall LV ejection fraction is 49%, the LV end diastolic volume index is 121 ml/m2 (normal range: 65+/-11), the LVEDV is 191 ml (normal range 109+/-23), the LV end systolic volume index is 62 ml/m2 (normal range 18+/-5), the LVESV is 98 ml (normal range 31+/-10), the LV mass index is 43 g/m2 (normal range 67+/-11), and the LV mass is 68 g (normal range 114+/-24). There is mild hypokinesis of the basal anteroseptum. Previously demonstrated basal subendocardial delayed hyperenhancement has improved since last study. There is new focus of delayed hyperenhancement involving the basal anteroseptal portion of the LV, likely related to recent ablation procedure. The pre-contrast native myocardial T1 relaxation time is normal (~1000 ms). Left AtriumThe left atrium is mildly dilated. Right VentricleThe right ventricle is mildly dilated and has low-normal reduced systolic function. The overall RV ejection fraction is 51%, the RV end diastolic volume index is 101 ml/m2 (normal range 69+/-14), the RVEDV is 159 ml (normal range 110+/-24), the RV end systolic volume index is 50 ml/m2 (normal range 22+/-8), and the RVESV is 78 ml (normal range 35+/-13). Right AtriumThe right atrium is mildly dilated. 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 are normal in size and drain normally into the right atrium. PericardiumThere is no obvious pericardial disease.Extracardiac FindingsSmall pleural effusions and basilar atelectasis. 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 moderately dilated and has mildly reduced systolic function (LVEF 49%). There is mild hypokinesis of the basal anteroseptum. Previously demonstrated basal subendocardial delayed hyperenhancement has improved since last study. There is new focus of delayed hyperenhancement involving the basal anteroseptal portion of the LV, likely related to recent ablation procedure.2. The right ventricle is mildly dilated and has mildly reduced systolic function (RVEF 51%). I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.