33 year old female with PFO, TIA, mild LV dysfunction, pre-endometrial surgery. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 57%. The LVEDV is 99 ml (normal range 109+/-23), LV end diastolic volume index is 58 ml/m2 (normal range: 65+/-11), LVESV is 42 ml (normal range 31+/-10), and LV end systolic volume index is 25 ml/m2 (normal range 18+/-5). The LV mass is 58 g (normal range 114+/-24) and the LV mass index is 34 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. There is an crescent shaped artifact on the late gadolinium enhancement images along the anterolateral and inferolateral wall of the left ventricle.There is no LV thrombus. No evidence of myocardial iron overload. Left AtriumThe left atrium is normal in size.Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 53%, the RV end diastolic volume index is 62 ml/m2 (normal range 69+/-14), the RVEDV is 107 ml (normal range 110+/-24), the RV end systolic volume index is 29 ml/m2 (normal range 22+/-8), and the RVESV is 50 ml (normal range 35+/-13). 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 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.Normal sized left ventricle with normal systolic function (LVEF 57%) without evidence of underlying myocardial fibrosis inflammation or infiltration.2.Normal sized right ventricle with normal systolic function (RVEF 53%).I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.