30 year old male with possible bicuspid valve morphology by ECHO. Cardiac MRI done to evaluate aortic valve morphology and aorta size. Left VentricleThe left ventricle is normal in size and systolic function. The overall LV ejection fraction is 56%, the LV end diastolic volume index is 97 ml/m2 (normal range: 74+/-15), the LVEDV is 177 ml (normal range 142+/-34), the LV end systolic volume index is 43 ml/m2 (normal range 25+/-9), the LVESV is 78 ml (normal range 47+/-19), the LV mass index is 46 g/m2 (normal range 85+/-15), and the LV mass is 84 g (normal range 164+/-36). 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. No evidence of atrial septal defect. Right VentricleThe right ventricle is upper limits of normal size with normal systolic function. The overall RV ejection fraction is 50%, the RV end diastolic volume index is 104 ml/m2 (normal range 82+/-16), the RVEDV is 189 ml (normal range 142+/-31), the RV end systolic volume index is 52 ml/m2 (normal range 31+/-9), and the RVESV is 97 ml (normal range 54+/-17).Right AtriumThe right atrium is normal in size.Aortic ValveThe aortic valve opens widely and is bicuspid in morphology with nearly complete fusion of the right and left coronary cusps. There is trivial 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. No evidence of aortic coarctation. Sinotubular junction: 25x28mmSinus of Valsalva: 36x33x34mmAscending Aorta: 28x28mmTransverse Aorta: 24 mm x 23 mmDescending Aorta: 20 mm x 20 mmPulmonary 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 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 and systolic function (56%) without underlying myocardial fibrosis, inflammation, or infiltration.2. The right ventricle is upper limits of normal size with normal systolic function (50%)3. Bicuspid aortic valve with trivial aortic regurgitation4. Normal aortic root without evidence of aortic coarctation. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.