A 25 year old female with history of non-ischemic cardiomyopathy (LVEF of 38%), hypertension, hyperlipidemia, obesity and insuline resistance. Referred to cardiac MRI for further evaluation Left VentricleThe left ventricle is mildly dilated with mild to moderately reduced systolic function. The left ventricle is hypertrabeculated and associated with myocardial thinning. The overall LV ejection fraction is 41%, the LV end diastolic volume index is 95 ml/m2 (normal range: 65+/-11), the LVEDV is 198 ml (normal range 109+/-23), the LV end systolic volume index is 56 ml/m2 (normal range 18+/-5), the LVESV is 117 ml (normal range 31+/-10), the LV mass index is 45 g/m2 (normal range 67+/-11), and the LV mass is 94 g (normal range 114+/-24). There is global hypokinesis with regional variation. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.No findings to support an active myocardial or pericardial inflammatory process.No myocardial iron overload was seen.No intracavitary thrombus was seen.Global Relative Enhancement1.7Normal <4T2 STIR Edema Ratio (ER)1.7Normal <2Left AtriumThe left atrium is normal in size. The LA volume is 65 ml.Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 52%, the RV end diastolic volume index is 64 ml/m2 (normal range 69+/-14), the RVEDV is 133 ml (normal range 110+/-24), the RV end systolic volume index is 31 ml/m2 (normal range 22+/-8), and the RVESV is 65 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 moderate mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is mild pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is mild to moderate 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 FindingsNon-significant lymph nodes are noted in the axilla. 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 mildly dilated with mild to moderately reduced systolic function (LVEF 41%). The left ventricle is hypertrabeculated and associated with myocardial thinning. These findings suggest the diagnosis of left ventricular non-compaction. 2. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.3. The right ventricle is normal in size with normal systolic function, the RVEF is 52%. 4. There is moderate mitral regurgitation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.