65 year-old man with ischemic cardiomyopathy referred for EF assessment. Left VentricleThe left ventricle is moderate-severely dilated with severely reduced systolic function. The overall LV ejection fraction is 20%, the LV end diastolic volume index is 141 ml/m2 (normal range: 74+/-15), the LVEDV is 341 ml (normal range 142+/-34), the LV end systolic volume index is 112 ml/m2 (normal range 25+/-9), the LVESV is 271 ml (normal range 47+/-19), the LV mass index is 117 g/m2 (normal range 85+/-15), and the LV mass is 282 g (normal range 164+/-36). There is global hypokinesis with regional variation. The interventricular septum is dyssynchronous. Left AtriumThe left atrium is moderate-severely dilated. Right VentricleThe right ventricle is visually mildly dilated with a moderately reduced systolic function. The overall RV ejection fraction is 28%, the RV end diastolic volume index is 95 ml/m2 (normal range 82+/-16), the RVEDV is 231 ml (normal range 142+/-31), the RV end systolic volume index is 69 ml/m2 (normal range 31+/-9), and the RVESV is 167 ml (normal range 54+/-17).Right AtriumThe right atrium is moderately dilated.Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation, but the severity of aortic regurgitation can be underestimated by the MRI pulse sequence used in this study.Mitral ValveThe mitral valve opens widely and there is at least mild-moderate mitral regurgitation which could be underestimated. Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation, but the severity of pulmonic regurgitation can be underestimated by the MRI pulse sequence used in this study.Tricuspid ValveThe tricuspid valve opens widely. There is at least mild-moderate tricuspid regurgitation which could be underestimated.AortaThe ascending aorta is dilated. The maximum diameter is 41mm. There is a left sided aortic arch with a normal brachiocephalic branching pattern.Pulmonary VeinsAll four pulmonary veins drain normally into the left atrium.Pulmonary ArteryThe main pulmonary artery is dilated and has a diameter of 33mm.Venous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium.PericardiumThere is no obvious pericardial disease.Extracardiac FindingsSternal wires are noted. 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. Moderate-severe LV dilatation with a severely reduced systolic function (LVEF 20%).2. Visually mild RV dilatation with a moderately reduced systolic function (RVEF 28%).3. Biatrial dilatation.5. At least mild-moderate mitral amd tricuspid regurgitation.6. Ascending aorta is 41mm in maximum diameter.