51 year old woman with history of cardiac sarcoid and new-onset heart block who presents for cardiac MRI to evaluate for progression of disease Left VentricleThe left ventricle is severely dilated with severely reduced systolic function. The overall LV ejection fraction is 26%, the LV end diastolic volume index is 155 ml/m2 (normal range: 65+/-11), the LVEDV is 272 ml (normal range 109+/-23), the LV end systolic volume index is 115 ml/m2 (normal range 18+/-5), the LVESV is 201 ml (normal range 31+/-10), the LV mass index is 78 g/m2 (normal range 67+/-11), and the LV mass is 137 g (normal range 114+/-24). There is global hypokinesis with regional variations. There is akinesis of the basal to mid anterior wall and severe hypokinesis of the basal to mid inferior walls. There is limited evaluation of gadolinium enhancement due to breathhold difficulties however there is likely extensive mid-myocardial late gadolinium enhancement in the entire base and mid anterior, septal, and inferior walls. No intracardiac thrombus.Left AtriumThe left atrium is severely dilated. Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 58%, the RV end diastolic volume index is 95 ml/m2 (normal range 69+/-14), the RVEDV is 166 ml (normal range 110+/-24), the RV end systolic volume index is 40 ml/m2 (normal range 22+/-8), and the RVESV is 70 ml (normal range 35+/-13). Right AtriumThe right atrium is moderately dilated. Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve posterior leaflet is tethered and there is at least moderate mitral regurgitation. The jet is eccentric and posteriorly directed. 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 common origin of the left innominate and left common carotid artery. 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 are normal in size and drain normally into the right atrium. PericardiumThere is no pericardial effusion.Extracardiac FindingsThere is bilateral hilar and mediastinal lymphadenopathy. There are areas of high signal in the lungs that correlate with granulomas seen on prior chest CT. No evidence of fibrosis or pleural effusions.
1. The left ventricle is severely dilated with severely reduced systolic function[LVEF 26%]2. The right ventricle is normal in size with normal systolic function [RVEF 58%]3. There is extensive mid-myocardial late gadolinium enhancement in the entire base and mid  anterior, septal, and inferior walls, similar to prior.  I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.