17 year old male with a history of chest pain and syncope referred for cardiac MRI after echocardiogram noted mild right ventricular dilation/dysfunction. Left VentricleThe left ventricle is normal size with normal systolic function. The overall LV ejection fraction is 58%, the LV end diastolic volume index is 99ml/m2 (normal range: 74+/-15), the LVEDV is 186 ml (normal range 142+/-34), the LV end systolic volume index is 41ml/m2 (normal range 25+/-9), the LVESV is 77 ml (normal range 47+/-19), the LV mass index is 64 mg/m2 (normal range 85+/-15), and the LV mass is 120 (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. The pre-contrast native myocardial T1 relaxation time is normal (1005 ms). Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size with normal systolic function. No focal right ventricular aneurysms or wall motion abnormalities noted. The overall RV ejection fraction is 53%, the RV end diastolic volume index is 97 ml/m2 (normal range 82+/-16), the RVEDV is 183 ml (normal range 142+/-31), the RV end systolic volume index is 45 ml/m2 (normal range 31+/-9), and the RVESV is 86 ml (normal range 54+/-17).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.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 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 normal size with normal systolic function (LVEF 58%) without evidence of an underlying fibrosing, infiltrative, or inflammatory process.2. The right ventricle is normal in size with normal systolic function (RVEF 53%) without evidence of arrhythmogenic right ventricular cardiomyopathy. 3. Trace pericardial effusion. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.