66 year old female with DM, HTN, breast cancer s/p lumpectomy and chemotherapy, cardiomyopathy for 2 years (NICM) LVEF 30% in TTE and 40% on cardiac catheterization. Referred for MRI to accurately assess LVEF. Left VentricleThe left ventricle is mildly dilated with moderately depressed systolic function. The overall LV ejection fraction is 32%. The LVEDV is 169 ml (normal range 109+/-23), LV end diastolic volume index is 91 ml/m2 (normal range: 65+/-11), LVESV is 115 ml (normal range 31+/-10), and LV end systolic volume index is 62 ml/m2 (normal range 18+/-5). 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. Abnormal septal motion noted.The native T1 myocardial relaxation time is <1050 ms and is not suggestive of underlying diffuse fibrosis or infiltration.There is no myocardial iron overload. There is no LV thrombus. Left AtriumThe left atrium is mildly dilated.Right VentricleThe right ventricle is normal in size with mildly depressed systolic function. The overall RV ejection fraction is 47%, the RVEDV is 72 ml (normal range 110+/-24), the RV end diastolic volume index is 39 ml/m2 (normal range 69+/-14), the RVESV is 39 ml (normal range 35+/-13), and the RV end systolic volume index is 21 ml/m2 (normal range 22+/-8).Right AtriumThe right atrium is normal in size. Aortic ValveThe aortic valve is trileaflet, opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is at least mild mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is at least mild eccentric 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 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 mildly dilated with moderately depressed systolic function. LVEF 32%. There are no regional wall motion abnormalities present. Abnormal septal motion noted.2.The right ventricle is normal in size with mildly depressed systolic function. RVEF 47%3.No late gadolinium enhancement.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.