47 year male with history of CAD, s/p PCI to RCA CTO, here for evaluation after procedure Left VentricleThe left ventricle is normal in size with mildly decreased ejection fraction. The overall LV ejection fraction is 48%, the LV end diastolic volume index is 102 ml/m2 (normal range: 74+/-15), the LVEDV is 209 ml (normal range 142+/-34), the LV end systolic volume index is 53 ml/m2 (normal range 25+/-9), the LVESV is 108 ml (normal range 47+/-19), the LV mass index is 64 g/m2 (normal range 85+/-15), and the LV mass is 131 g (normal range 164+/-36). There is mild basal inferoseptal tardokinesis. There is small area of late gadolinium enhancement in the basal inferior myocardial wall involving the subendocardium. This pattern of late gadolinium enhancement is consistent with prior myocardial infarction and is likely not viable. The remainder of the ventricular myocardium is viable. Left AtriumThe left atrium is mildly dilated. Right VentricleThe right ventricle is normal in size and function. The overall RV ejection fraction is 50%, the RV end diastolic volume index is 113 ml/m2 (normal range 82+/-16), the RVEDV is 231 ml (normal range 142+/-31), the RV end systolic volume index is 57 ml/m2 (normal range 31+/-9), and the RVESV is 116 ml (normal range 54+/-17).Right AtriumThe right atrium is mildly dilated.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 FindingsThere are several left sided axillary nodes. 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 mildly decreased systolic function at 48%. 2. The right ventricle is normal in size with mildly decreased systolic function at 50%.3. There is mild basal inferoseptal tardokinesis. There is small area of late gadolinium enhancement in the basal inferior myocardial wall involving the subendocardium. This pattern of late gadolinium enhancement is consistent with prior myocardial infarction and is likely not viable. The remainder of the myocardium is viable. 4. Mild biatrial enlargement.5. See extracardiac findings