Male 18 years old Reason: 18 yo with sickle cell disease undergoing pre-stem cell transplant evaluation. Evaluation for iron overload Left VentricleThe left ventricle is normal in size. There are no regional wall motion abnormalities present. Left ventricle free wall iron load is 23 ms and interventricular septum is 34 ms (normal value).Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size. Right AtriumThe right atrium is normal in size. Aortic ValveThe aortic valve opens widely. There is no significant dephasing inferior to the aortic valve to suggest significant aortic regurgitation. Dedicated through plane imaging of the aortic valve was not performed.Mitral ValveThe mitral valve opens widely. There is no significant mitral regurgitation. Dedicated through plane imaging of the mitral valve was not performed.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation visualized. Dedicated through plane imaging of the pulmonic valve was not performed.Tricuspid ValveThe tricuspid valve opens widely. There is no significant tricuspid regurgitation visualized. Dedicated through plane imaging of the tricuspid valve was not performed.AortaThe ascending thoracic aorta is normal in size. There is a left sided aortic arch.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 pericardial thickening or effusion.Extracardiac Findings: No focal lung opacities, effusions or pneumothorax. Partial visualization of all of this can's and solid organs of the upper abdomen are normal except for the spleen which shows hypointense signal, characteristic for sickle cell disease. Vertebral body bone changes related to sickle cell disease.
1. Normal iron load.2. Typical spleen and bone changes related to sickle cell disease. Dr. Peter Varga was present during the elaboration of this report and agrees with the findings.