59-year-old man with history of orthotopic heart transplant. Reduced ejection fraction. Left VentricleThe left ventricle is grossly normal in appearance. The overall LV ejection fraction is 43%, the LV end diastolic volume index is 76.1 ml/m2 (normal range: 74+/-15), the LVEDV is 143 ml (normal range 142+/-34), the LV end systolic volume index is 43 ml/m2 (normal range 25+/-9), the LVESV is 81 ml (normal range 47+/-19), the LV mass index is 59 g/m2 (normal range 85+/-15), and the LV mass is 111 g (normal range 164+/-36). 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.T1 value: 1108T2 value: 216Left AtriumThe left atrium is normal. Right VentricleThe right ventricle is grossly normal in appearance. The overall RV ejection fraction is 44%, the RV end diastolic volume index is 73 ml/m2 (normal range 82+/-16), the RVEDV is 130 ml (normal range 142+/-31), the RV end systolic volume index is 42 ml/m2 (normal range 31+/-9), and the RVESV is 73ml (normal range 54+/-17).Right AtriumThe right atrium is normal.Aortic ValveThe aortic valve 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 Findings6.5 x 4.7 x 3.2 cm fluid collection just inferior to the right atrium, likely representing a chronic postoperative fluid collection. Probable renal cysts. 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.
No late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. Intermediate LV T1 measurement, as above.Mildly reduced biventricular function.6.5 x 4.7 x 3.2 cm fluid collection just inferior to the right atrium, likely representing a chronic postoperative fluid collection.