59 year old with history of atrial fibrillation and left ventricular systolic dysfunction presenting for Left VentricleThe left ventricle is severely dilated. The overall LV ejection fraction is 48%, the LV end diastolic volume index is 112 ml/m2 (normal range: 65+/-11), the LVEDV is 236 ml (normal range 109+/-23), the LV end systolic volume index is 59 ml/m2 (normal range 18+/-5), the LVESV is 123 ml (normal range 31+/-10). LV dysfunction is global without regional wall motion abnormalities. 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 mild to moderately enlarged. Right VentricleThe right ventricle is mildly enlarged. The overall RV ejection fraction is 60%, the RV end diastolic volume index is 99 ml/m2 (normal range 69+/-14), the RVEDV is 207 ml (normal range 110+/-24), the RV end systolic volume index is 39 ml/m2 (normal range 22+/-8), and the RVESV is 83 ml (normal range 35+/-13). Right AtriumThe right atrium is mildly dilated. Aortic ValveThe aortic valve opens widely and there is no significant 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 no significant 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 severely dilated. The overall LV ejection fraction is 48%2 No delayed enhancement3. Normal RV systolic function