47 year old male with PVC and RV dilation, MRI for further evaluation Left VentricleThe left ventricle is normal in size and function. The overall LV ejection fraction is 64%. The LVEDV is 138 ml (normal range 142+/-34), the LV end diastolic volume index is 70 ml/m2 (normal range: 74+/-15), the LVESV is 50 ml (normal range 47+/-19) and the LV end systolic volume index is 26 ml/m2 (normal range 25+/-9). The LV mass is 129 g (normal range 164+/-36) and the LV mass index is 66 g/m2 (normal range 85+/-15). 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 and function. The overall RV ejection fraction is 50%. The RVEDV is 160 ml (normal range 142+/-31), RV end diastolic volume index is 81 ml/m2 (normal range 82+/-16), the RVESV is 80 ml (normal range 54+/-17), and the RV end systolic volume index is 41 ml/m2 (normal range 31+/-9).Right AtriumThe right atrium is normal in size.Aortic ValveThe aortic valve is trileaflet, 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.PericardiumThere is no obvious pericardial disease.Extracardiac FindingsPectus excavatum. 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. Left ventricle is normal in size and function. The overall LV ejection fraction is 64%.2. Right ventricle is normal in size and function. The overall RV ejection fraction is 50%.3. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process in the ventricular myocardium.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.