37 year old female with first degree AV block and bradycardia. Referred for cardiac MRI to rule out infiltrative disorders. Left VentricleThe left ventricle is mildly dilated with normal systolic function. The overall LV ejection fraction is 64%. The LVEDV is 238 ml (normal range 109+/-23), LV end diastolic volume index is 100 ml/m2 (normal range: 65+/-11), LVESV is 86 ml (normal range 31+/-10), and LV end systolic volume index is 36 ml/m2 (normal range 18+/-5). The LV mass is 121 g (normal range 114+/-24) and the LV mass index is 50 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.The native T1 myocardial relaxation time is <1050 ms which is in the normal range.Left AtriumThe left atrium is mildly dilated.Right VentricleThe right ventricle is mildly dilated with normal systolic function. The overall RV ejection fraction is 61%, the RVEDV is 273 ml (normal range 110+/-24), the RV end diastolic volume index is 114 ml/m2 (normal range 69+/-14), the RVESV is 108 ml (normal range 35+/-13), and the RV end systolic volume index is 45 ml/m2 (normal range 22+/-8).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 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 mildly dilated with normal systolic function. LVEF 64%. 2.The right ventricle is mildly dilated with normal systolic function. RVEF 61%3.No late gadolinium enhancement. Normal native T1 myocardial relaxation time. Both these findings are consistent with an absence of an inflammatory or infiltrative process.4.Mild left atrial dilation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.