66 year old female with a history of hypertrophic cardiomyopathy who underwent heart transplant in 12/2015 who developed CMV viremia and chest pain. She is referred for cardiac MRI for further evaluation of possible pericarditis. Due to chronic kidney disease, contrast was not administered for this study. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 64%, the LV end diastolic volume index is 51 ml/m2 (normal range: 65+/-11), the LVEDV is 92 ml (normal range 109+/-23), the LV end systolic volume index is 18 ml/m2 (normal range 18+/-5), the LVESV is 33 ml (normal range 31+/-10), the LV mass index is 42 g/m2 (normal range 67+/-11), and the LV mass is 76 g (normal range 114+/-24). There is mild, concentric left ventricular hypertrophy (~12 mm at the mid septal and lateral walls). There are no regional wall motion abnormalities present. The pre-contrast native myocardial T1 relaxation time is normal (1080 ms). Left AtriumThe left atrium is consistent with transplant. Right VentricleThe right ventricle is mildly dilated with normal systolic function. The overall RV ejection fraction is 58%, the RV end diastolic volume index is 104 ml/m2 (normal range 69+/-14), the RVEDV is 26 ml (normal range 110+/-24), the RV end systolic volume index is 47 ml/m2 (normal range 22+/-8), and the RVESV is ml (normal range 35+/-13). Right AtriumThe right atrium is consistent with transplant. 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 mild 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 mild hyperintensity of the pericardium in T2 STIR and T2 GRASE imaging. There is no evidence of pericardial constriction. No definite pericardial adhesions.Extracardiac FindingsSternal wires are present. 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 (LVEF 64%). 2. The right ventricle is mildly dilated with normal systolic function (RVEF 58%). 3. There is mild hyperintensity of the pericardium in T2 STIR and T2 GRASE imaging. This finding may suggestive pericarditis. There is no evidence of pericardial constriction. Of note, gadolinium not administered due to renal function, so complete pericardial evaluation not possible. 