67 year old male with history of AL amyloidosis and kidney involvement, eval for cardiac involvement Left VentricleThe left ventricle is normal in size and function. The overall LV ejection fraction is 72%. The LVEDV is 116 ml (normal range 142+/-34), the LV end diastolic volume index is 65 ml/m2 (normal range: 74+/-15), the LVESV is 32 ml (normal range 47+/-19) and the LV end systolic volume index is 18 ml/m2 (normal range 25+/-9). The LV mass is 138 g (normal range 164+/-36) and the LV mass index is 78 g/m2 (normal range 85+/-15). There are no regional wall motion abnormalities present. The native T1 myocardial relaxation time is mildly elevated at around [1080-1180]ms. These values are suggestive of [possible]underlying diffuse fibrosis or infiltration.Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size and function. The overall RV ejection fraction is 59%. The RVEDV is 103 ml (normal range 142+/-31), RV end diastolic volume index is 58 ml/m2 (normal range 82+/-16), the RVESV is 43 ml (normal range 54+/-17), and the RV end systolic volume index is 24 ml/m2 (normal range 31+/-9).Right AtriumThe right atrium is normal in size.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. Left ventricle is normal in size and function. The overall LV ejection fraction is 72%.2. Right ventricle is normal in size and function. The overall RV ejection fraction is 59%.3. The native T1 myocardial relaxation time is mildly elevated at around [1180]ms. These values are suggestive of [possible]underlying diffuse fibrosis or infiltration.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.