A 29 year old female with history of symptomatic bradycardia postpartum (8/2015) and a cardiac MRI on 8/26/2015 which showed severe biventricular dilatation with normal systolic function, moderate mitral regurgitation with significant biatrial enlargement. Now referred to cardiac MRI for further evaluation Left VentricleThe left ventricle is mildly dilated with normal systolic function. The overall LV ejection fraction is 59%, the LV end diastolic volume index is 97 ml/m2 (normal range: 65+/-11), the LVEDV is 180 ml (normal range 109+/-23), the LV end systolic volume index is 40 ml/m2 (normal range 18+/-5), the LVESV is 74 ml (normal range 31+/-10), the LV mass index is 29 g/m2 (normal range 67+/-11), and the LV mass is 54 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. Global relative enhancement, myocardial T2 ratio, and native myocardial T1 times were all also in the normal range. No intracavitary thrombus was seen.Left AtriumThe left atrium is normal in size. The LA volume is 74 ml.Right VentricleThe right ventricle is mildly dilated with normal systolic function. The overall RV ejection fraction is 52%, the RV end diastolic volume index is 99 ml/m2 (normal range 69+/-14), the RVEDV is 184 ml (normal range 110+/-24), the RV end systolic volume index is 48 ml/m2 (normal range 22+/-8), and the RVESV is 89 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 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 (31 X 31mm).Pulmonary VeinsAll four pulmonary veins drain normally into the left atrium.Pulmonary ArteryThe main pulmonary artery is normal in size (29mm). Venous AnatomyThe SVC and IVC are normal in size and 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 mildly dilated with normal systolic function, the LVEF is 59%. 2. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.3. The right ventricle is mildly dilated with normal systolic function, the RVEF is 52%.  When compared to the prior study, LV/ RV/ LA/ and RA volumes have improved. Also, the severity of tricuspid regurgitation has improved. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.