18 year old obese female with Wolf-Parkinson-White syndrome, and chest pain. Referred for cardiovascular MRI for evaluation of function and coronary artery anomalies. Left VentricleThe left ventricle is normal in size with low-normal systolic function. The overall LV ejection fraction is 53%, the LV end diastolic volume index is 71 ml/m2 (normal range: 65+/-11), the LVEDV is 134 ml (normal range 109+/-23), the LV end systolic volume index is 34 ml/m2 (normal range 18+/-5), the LVESV is 63 ml (normal range 31+/-10), the LV mass index is 42 g/m2 (normal range 67+/-11), and the LV mass is 79 g (normal range 114+/-24). 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 normal in size. Right VentricleThe right ventricle is normal in size and systolic function. The overall RV ejection fraction is 57%, the RV end diastolic volume index is 77 ml/m2 (normal range 69+/-14), the RVEDV is 145 ml (normal range 110+/-24), the RV end systolic volume index is 33 ml/m2 (normal range 22+/-8), and the RVESV is 62 ml (normal range 35+/-13). Right AtriumThe right atrium is normal in size. 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.Coronary ArteriesNormal right and left coronary artery origins.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 a trace pericardial effusion.Extracardiac FindingsAlthough the anatomy is not well visualized, there is a suggestion that there might be a thyroid mass present, recommend dedicated imaging or correlation with physical exam. 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. Left ventricle is normal in size with low-normal systolic function (LVEF 53%) without evidence of underlying fibrosis, inflammation, or infiltration.2. Right ventricle is normal in size with normal systolic function (RVEF 57%)3. Normal right and left coronary artery origins.4. Although the anatomy is not well visualized, there is a suggestion that there might be a thyroid mass present, recommend dedicated imaging or correlation with physical exam. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.