35 year old woman with history of DLBCL s/p doxorubicin chemotherapy, referred for evaluation of LV function. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 51%, the LV end diastolic volume index is 80 ml/m2 (normal range: 65+/-11), the LVEDV is 129 ml (normal range 109+/-23), the LV end systolic volume index is 35 ml/m2 (normal range 18+/-5), the LVESV is 57 ml (normal range 31+/-10). There are no regional wall motion abnormalities present. 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 51%, the RV end diastolic volume index is 79 ml/m2 (normal range 69+/-14), the RVEDV is 127 ml (normal range 110+/-24), the RV end systolic volume index is 39 ml/m2 (normal range 22+/-8), and the RVESV is 63 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 trace 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. A catheter is noted in the SVC, terminating at the SVC-RA junction.PericardiumThere is no pericardial effusion.Extracardiac FindingsThere is an infusion port noted in the R chest. 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. The left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 51%. Compared to prior MRI studies on 7/1/15, the LVEF is similar (53%). The LV size has decreased to normal indexed range compared to the study on 7/1/15.2. The right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 51%. Compared to prior studies on 4/2/15 and 7/1/15, the RVEF is similar (52 and 55%). The RV size has decreased to normal indexed range compared to study on 7/1/15, but is similar in size to the study on 4/2/15.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.