65 year old male with history of MVP repair ('00), HTN, atrial fibrillation s/p ablation in '07, frequent PVCs. Referral for cardiac MRI to look for late gadolinium enhancement. Left VentricleThe left ventricle is moderately dilated with normal systolic function. There is no LV hypertrophy. The overall LV ejection fraction is 59%. The LVEDV is 243 ml (normal range 142+/-34), the LV end diastolic volume index is 116 ml/m2 (normal range: 74+/-15), the LVESV is 99 ml (normal range 47+/-19) and the LV end systolic volume index is 47 ml/m2 (normal range 25+/-9). Sigmoid septum. There are no regional wall motion abnormalities present. There is a small area of late gadolinium enhancement in a subendocardial pattern in the basal lateral wall, just beneath the mitral annulus, to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.The native T1 myocardial relaxation time is within normal limits suggestive of absence of underlying diffuse fibrosis or infiltration.There is no myocardial iron overload. There is no LV thrombus. Left AtriumThe left atrium is severely dilated. Right VentricleThe right ventricle is mildly dilated with normal systolic function. The overall RV ejection fraction is 49%. The RVEDV is 206 ml (normal range 142+/-31), RV end diastolic volume index is 99 ml/m2 (normal range 82+/-16), the RVESV is 106 ml (normal range 54+/-17), and the RV end systolic volume index is 51 ml/m2 (normal range 31+/-9).Right AtriumThe right atrium is mildly dilated.Aortic ValveThe aortic valve is trileaflet, opens widely and there is no significant aortic regurgitation.Mitral ValveCOnsistent with prior MV repair. There is at least mild-moderate MR.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 dilated at the sinuses of valsalva (SOV 4.5 cm). Remaining aortic root appears normal.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 are normal in size and 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. Prior mitral valve re[air with at least mild-moderate MR.2. The left ventricle is moderately dilated with normal systolic function. The overall LV ejection fraction is 59%. 4. There are no regional wall motion abnormalities present. There is a small area of late gadolinium enhancement in a subendocardial pattern in the basal lateral wall, just beneath the mitral annulus. The native T1 myocardial relaxation time is within normal limits suggestive of absence of underlying diffuse fibrosis or infiltration. 5. Dilated at the sinuses of valsalva (SOV 4.5 cm). Remaining aortic root appeared normal.6. The right ventricle is mildly dilated with normal systolic function. The overall RV ejection fraction is 49%. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.