MRI CARD WWO CNTRST, VIABLTY/SCAR IMAG.MORPH/FUNCT, 11/2/2016 12:49 PM Left VentricleThe left ventricle is normal in size and function. The overall LV ejection fraction is 56%. The LVEDV is 73 ml (normal range 109+/-23), LV end diastolic volume index is 46 ml/m2 (normal range: 65+/-11), LVESV is 32 ml (normal range 31+/-10), and LV end systolic volume index is 21 ml/m2 (normal range 18+/-5). The LV mass index is 37 g/m2 (normal range 67+/-11). 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.Left AtriumThe left atrium is mildly dilated. A large secundum atrial septal defect (18mm) is noted with evidence of continued left to right shunting on first pass contrast imaging. There is additionally an anomalous left superior pulmonary vein draining into the innominate vein. The remainder of the pulmonary veins drain normally into the left atrium. The Qp/Qs is 2.4.Right VentricleThe right ventricle is moderately dilated with normal systolic function. The overall RV ejection fraction is 62%, the RV end diastolic volume index is 114 ml/m2 (normal range 69+/-14), the RVEDV is 181 ml (normal range 110+/-24), the RV end systolic volume index is 21 ml/m2 (normal range 22+/-8), and the RVESV is 33 ml (normal range 35+/-13). Right AtriumThe right atrium is severely dilated. Aortic ValveThe aortic valve is trileaflet, opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely and there mild mitral regurgitation.Pulmonic ValveThe pulmonic valve is calcified and stenotic. There is turbulent flow thru the stenotic pulmonic valve with associated mild 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 ArteryThe main pulmonary artery is dilated (29x35mm). The left pulmonary artery is dilated (25x27mm). The right pulmonary artery is normal in size (16x17mm). 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 normal in size and function (56%) without evidence of underlying myocardial fibrosis, inflammation, or infiltration. 2. The right ventricle is moderately dilated with normal systolic function (RVEF62%).3. The left atrium is mildly dilated. The right atrium is severely dilated.4. There is a large secundum type atrial septal defect and anomalous left upper pulmonary vein to innominate vein noted.5. There is pulmonic valve stenosis noted with associated dilation of the main and left pulmonary artery. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.