67 yo with cardiac arrest Left VentricleThe overall LV ejection fraction is 56%, the LV end diastolic volume index is 79 ml/m2 (normal range: 74+/-15), the LVEDV is 172 ml (normal range 142+/-34), the LV end systolic volume index is 35 ml/m2 (normal range 25+/-9), the LVESV is 76 ml (normal range 47+/-19). Moderate concentric LVH. There are no regional wall motion abnormalities present. Most of the delayed enhancement images are not interpretable. However the AP4C image is good. This clearly shows a mid wall stripe of delayed enhancement in the basal IVS and a focal midwall area of enhancement in the basal lateral wall. All other cardiac segments could not be evaluated. Left AtriumThe left atrium is moderately dilated. Right VentricleThe right ventricle is normal . The overall RV ejection fraction is 60%, the RV end diastolic volume index is 68 ml/m2 (normal range 82+/-16), the RVEDV is 147 ml (normal range 142+/-31), the RV end systolic volume index is 27 ml/m2 (normal range 31+/-9), and the RVESV is 59 ml (normal range 54+/-17).Right AtriumThe right atrium is mildly enlarged.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 no significant mitral regurgitation, but the severity of mitral regurgitation can be underestimated by the MRI pulse sequence used in this study.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 no significant tricuspid regurgitation, but the severity of tricuspid regurgitation can be underestimated by the MRI pulse sequence used in this study.AortaThe aortic root is dilated. SOV 39mm; pAscAo 38; dAscAo 34 mm; pDescAo 33mm; dDescAo 29 mm. 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 mildly dilated.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. Normal LV EF with moderate concentric hypertrophy. 2. No LV regional wall motion abnormalities.3. Limited delayed enhancement examination, but there is delayed enhancement in the basal septum and lateral wall4. Enhancement pattern is midwall and inconsistent with prior MI. 5. Normal RV size and function without wall motion abnormalities.6. Mildly dilated aorta.