 LevocardiaNormal ventricular and atrial position.Interatrial and interventricular septa are intact; prior VSD patch noted. Left VentricleThe left ventricle is normal in size and systolic function. The overall LV ejection fraction is 60%, the LV end diastolic volume index is 62 ml/m2 (normal range: 65+/-11), the LVEDV is 116 ml (normal range 109+/-23), the LV end systolic volume index is 25 ml/m2 (normal range 18+/-5), the LVESV is 47 ml (normal range 31+/-10). Abnormal septal motion of unclear significance. There are no regional wall motion abnormalities present. Left AtriumThe left atrium is mildly dilated.Right VentricleThe right ventricle is severely dilated with mild-moderately reduced systolic function. The overall RV ejection fraction is 44%, the RV end diastolic volume index is 146 ml/m2 (normal range 69+/-14, previously measured as 114 ml/m2 (2013)), the RVEDV is 276 ml (normal range 110+/-24), the RV end systolic volume index is 82 ml/m2 (normal range 22+/-8, previously measured as 60 ml/m2 (2013) ), and the RVESV is 154 ml (normal range 35+/-13). Right AtriumThe right atrium is moderately enlarged. The IVC, SVC and CS all drain into the RA normally.Aortic ValveThe aortic valve appears bicuspid. The aortic valve opens widely and there is at least mild aortic regurgitation.Mitral ValveThe mitral valve opens widely. The leaflets appear thickened and there is at least moderate mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is severe pulmonic regurgitation (regurgitant fraction = 57%, regurgitant volume = 60 ml).Tricuspid ValveThe tricuspid valve opens widely. There is mild tricuspid regurgitation .AortaThere is a left sided aortic arch. The aortic root is normal in size. There is an aberrant R SC artery arising from the distal aortic arch.Pulmonary VeinsAll four pulmonary veins drain normally into the left atrium and are of normal calibre.Pulmonary ArteryThe main pulmonary artery is moderately-severely dilated and there is marked infundibular enlargement. The RPA is severely dilated. The LPA was not well seen.Venous AnatomyThe SVC and IVC drain normally into the right atrium. There is a persistent LSVC that drains into the RA directly (not the CS).PericardiumThere is no obvious pericardial effusion. Extracardiac FindingsThere is artefact from previous sternotomy. 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. LV size and systolic function are normal, LVEF 60%.2. RV is severely dilated with reduced systolic function, RVEF 44%. The RVEDV has increased from prior MRI (2013)3. Severe pulmonary regurgitation with regurgitant fraction 57% and regurgitant volume of 60 mL.4. Persistent LSVC to RA. 5. LPA not well seen.