64 year old female with Wolf-Parkinson-White syndrome, and recent development of left ventricular dysfunction. Presents for cardiovascular MRI to evaluate for cardiomyopathy Left VentricleThe left ventricle is severely enlarged with severe global hypokinesis. The overall LV ejection fraction is 35%, the LV end diastolic volume index is 122 ml/m2 (normal range: 65+/-11), the LVEDV is 268 ml (normal range 109+/-23), the LV end systolic volume index is 79 ml/m2 (normal range 18+/-5), the LVESV is 174 ml (normal range 31+/-10), the LV mass index is 61 g/m2 (normal range 67+/-11), and the LV mass is 133 g (normal range 114+/-24). There is mid-myocardial late gadolinium enhancement in the basal and mid- septum. Left AtriumThe left atrium is moderately enlarged.Right VentricleThe right ventricle is normal in size and systolic function. The overall RV ejection fraction is 55%, the RV end diastolic volume index is 80 ml/m2 (normal range 69+/-14), the RVEDV is 177 ml (normal range 110+/-24), the RV end systolic volume index is 63 ml/m2 (normal range 22+/-8), and the RVESV is 79 ml (normal range 35+/-13). Right AtriumThe right atrium is normal in size. Aortic ValveThe aortic valve opens widely and there is trace aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is trace mitral regurgitation by visual estimation; dedicated imaging was not performed.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. The leaflets are thickened. There is no significant tricuspid regurgitation.AortaThere is a left sided aortic arch with a normal 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 pericardial effusion.
1. The left ventricle is severely enlarged with severe global hypokinesis (LVEF 35%). There is mid-myocardial late gadolinium enhancement in the basal and mid- septum which can be seen with dilated cardiomyopathy. 2. Normal right ventricular size and systolic function (RVEF 55%).3. Trace mitral and aortic regurgitation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.