22 year old with history of transient LV dysfunction, referred for cardiac MRI to evaluate for possible myocarditis or infiltrative disease. Left VentricleThe left ventricle is mildly dilated in size with normal systolic function. The overall LV ejection fraction is 61%, the LV end diastolic volume index is 94 ml/m2 (normal range: 65+/-11), the LVEDV is 172 ml (normal range 109+/-23), the LV end systolic volume index is 36 ml/m2 (normal range 18+/-5), the LVESV is 66 ml (normal range 31+/-10), the LV mass index is 27 g/m2 (normal range 67+/-11), and the LV mass is 49 g (normal range 114+/-24). 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 not significantly abnormal in the basal segments (1020ms). Left AtriumThe left atrium is mildly dilated.Right VentricleThe right ventricle is mildly dilated with normal systolic function. The overall RV ejection fraction is 59%, the RV end diastolic volume index is 102 ml/m2 (normal range 69+/-14), the RVEDV is 186 ml (normal range 110+/-24), the RV end systolic volume index is 42 ml/m2 (normal range 22+/-8), and the RVESV is 77 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 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 FindingsOblong enhancing lesion in the medial aspect the left breast at anterior depth which may represent an enhancing fibroadenoma or lymph node, likely a low-risk lesion in this young patient unless the patient has strong family history of breast cancer. 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. Mildly dilated left ventricle with normal systolic function (EF 62%). There is no late gadolinium enhancement to suggest an infiltrative, inflammatory or fibrotic process. No definitive evidence of recent active myocarditis.2. Mildly dilated right ventricle with normal systolic function (EF 59%).3. Mild left atrial enlargement.4. Oblong enhancing lesion in the medial aspect the left breast at anterior depth which may represent an enhancing fibroadenoma or lymph node, likely a low-risk lesion in this young patient unless the patient has strong family history of breast cancer. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.