55 year old man with history of follicular lymphoma, undergoing anthracycline chemotherapy, referred for further evaluation of RV size/function after abnormal echo. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 55%, the LV end diastolic volume index is 77 ml/m2 (normal range: 74+/-15), the LVEDV is 170 ml (normal range 142+/-34), the LV end systolic volume index is 34 ml/m2 (normal range 25+/-9), the LVESV is 77 ml (normal range 47+/-19), the LV mass index is 52 g/m2 (normal range 85+/-15), and the LV mass is 116 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.Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size mildly reduced systolic function. The overall RV ejection fraction is 46%, the RV end diastolic volume index is 84 ml/m2 (normal range 82+/-16), the RVEDV is 187 ml (normal range 142+/-31), the RV end systolic volume index is 46 ml/m2 (normal range 31+/-9), and the RVESV is 102 ml (normal range 54+/-17). The RV appears trabeculated with less than normal tapering towards the apex. No mass or external compression noted. No evidence of aneurysms or wall motion abnormalities. There is no late gadolinium enhancement of the RV. 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 drain normally into the right atrium. There is a central line noted in the SVC.PericardiumThere is no obvious pericardial disease.Extracardiac FindingsAbnormal curvature of the spine. 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 55%2.The right ventricle is normal in size mildly reduced systolic function. The overall RV ejection fraction is 46%. The RV appears trabeculated with less than normal tapering towards the apex. No mass or external compression noted. No evidence of aneurysms or wall motion abnormalities. There is no late gadolinium enhancement of the RV. No minor or major criteria for arrythmogenic right ventricular cardiomyopathy. 3. Mild dilatation of the right atrium.4. See extra-cardiac findings.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.