33 year old female with history of lupus, endstage renal disease on dialysis and pleuritic chest pain was referred for cardiac MRI without contrast to evaluate for pericardial disease. Left VentricleThe left ventricle is mildly dilated with normal systolic function. The overall LV ejection fraction is 67%, the LV end diastolic volume index is 96 ml/m2 (normal range: 65+/-11), the LVEDV is 213 ml (normal range 109+/-23), the LV end systolic volume index is 21 ml/m2 (normal range 18+/-5), the LVESV . There are no regional wall motion abnormalities present. Native T1 relaxation time is ~1010ms, which is within normal limits.Left AtriumThe left atrium is mildly dilated. Right VentricleThe right ventricle is normal size with normal systolic function. The overall RV ejection fraction is 60%, the RV end diastolic volume index is 79 ml/m2 (normal range 69+/-14), the RVEDV is 176 ml (normal range 110+/-24), the RV end systolic volume index is 32 ml/m2 (normal range 22+/-8), and the RVESV is 71 ml (normal range 35+/-13). Right AtriumThe right atrium is mild-moderately dilated. Aortic ValveThe aortic valve opens widely and there is at least mild 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 at least mild 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 AnatomyThere is an SVC catheter. The SVC and IVC are normal in size and drain normally into the right atrium. PericardiumThere is a trivial pericardial effusion. Pericardial thickness is ~4mm, which is within normal limits. There is no evidence of increased signal on T2-STIR imaging to suggest pericardial edema. Further characterization is not possible due to inability to administer contrast. Tagging sequences and real-time cine imaging are not suggestive of constrictive physiology.Extracardiac FindingsThere is a trivial right pleural effusion. Kidneys are small consistent with history of chronic kidney disease. Liver is relatively hypointense. Tiny cyst within the liver anteriorly. 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. Mildly dilated left ventricle with normal systolic function (EF 67%).2. Normal size right ventricle with normal systolic function (EF 60%).3. At least mild tricuspid regurgitation.4. At least mild aortic regurgitation.5. A trivial pericardial effusion is present without overt evidence of pericardial thickening, edema or constriction. 