74 year old man with paroxysmal AF, referred for MRI prior to AF ablation. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 57%, the LV end diastolic volume index is 73 ml/m2 (normal range: 74+/-15), the LVEDV is 161 ml (normal range 142+/-34), the LV end systolic volume index is 31 ml/m2 (normal range 25+/-9), the LVESV is 68 ml (normal range 47+/-19). There is mild concentric LVH. There are no regional wall motion abnormalities present. There is focal small area of delayed enhancement in the mid level lateral wall mid-myocardium of unclear significance. It does not have the appearance of myocardial infarct.Left AtriumThe left atrium volume is 166ml. Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 51%, the RV end diastolic volume index is 68 ml/m2 (normal range 82+/-16), the RVEDV is 150 ml (normal range 142+/-31), the RV end systolic volume index is 34 ml/m2 (normal range 31+/-9), and the RVESV is 74 ml (normal range 54+/-17).Right AtriumThe right atrium is mildly dilated.Aortic ValveThe aortic valve opens widely and there is trace aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is trace 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 "pseudo-bovine" brachiocephalic branching pattern. The aortic root is mildly dilated (41mm).Pulmonary VeinsAll four pulmonary veins drain normally into the left atrium.RUPV: 22x23mmRLPV: 22x22mmLUPV: 13x17mm LLPV: 12x19mmPulmonary ArteryThe main pulmonary artery is normal in size.Venous AnatomyThe SVC and IVC drain normally into the right atrium.PericardiumThere is no obvious pericardial disease.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 in size with normal systolic function. The overall LV ejection fraction is 57%.2. There is focal small area of delayed enhancement in the mid level lateral wall mid-myocardium of unclear significance. It does not have the appearance of myocardial infarct.3. The right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 51%.4. The left atrium volume is 166ml. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.