39 year old female referred for cardiac MRI for pre-operative evaluation prior to possible hysterectomy. Hx of possible ASD and VSD since birth. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 63%. The LVEDV is 111 ml (normal range 109+/-23), LV end diastolic volume index is 74 ml/m2 (normal range: 65+/-11), LVESV is 41 ml (normal range 31+/-10), and LV end systolic volume index is 27 ml/m2 (normal range 18+/-5). The LV mass is 50 g (normal range 114+/-24) and the LV mass index is 33 g/m2 (normal range 67+/-11). There are no regional wall motion abnormalities present. Suspect membranous VSD but direct images of VSD not possible on this study. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. There is no LV thrombus. Left AtriumThe left atrium is normal in size. Inter-atrial communication noted. First pass images non-diagnostic.Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 56%, the RVEDV is 128 ml (normal range 110+/-24), the RV end diastolic volume index is 85 ml/m2 (normal range 69+/-14), the RVESV is 56 ml (normal range 35+/-13), and the RV end systolic volume index is 37 ml/m2 (normal range 22+/-8). Right AtriumThe right atrium is normal in size. Aortic ValveThe aortic valve is not well seen, opens widely and there is no significant aortic regurgitation. Calculated aortic forward flow = 64 mL.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. Calculated pulmonary forward flow = 79 mL.Qp:Qs was calculated to be 1.25:1.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 normally into the right atrium. Prominent azygous vein which drains into the SVC.PericardiumThere is no obvious pericardial disease.Extracardiac FindingsScoliosis was 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.The left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 63%. 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.2.The right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 56%3.Suspect membranous VSD but direct images of VSD not possible on this study. 4.Small atrial septal defect noted. 5.Qp:Qs = 1.25:1.6.See extra-cardiac findings.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.