54-year-old woman with history of sarcoidosis and coronary artery disease. Left VentricleNormal-appearing left ventricle. Qualitatively normal LV function. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.Left AtriumThe left atrium is normal in appearance. Small patent foramen ovale, as before.Right VentricleNormal-appearing right ventricle. Qualitatively normal RV function.Right AtriumThe right atrium is normal in appearance.Aortic ValveMild aortic regurgitation. Question of mild aortic stenosis.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 are normal in size and drain normally into the right atrium.PericardiumThere is no obvious pericardial disease.Extracardiac FindingsAxillary lymphadenopathy again noted. Scarlike/fibrotic changes in the lungs again noted. Pulmonary nodules are better assessed on recent chest CT. Probable right renal cyst noted. Heterogeneous enhancement of the thyroid gland. 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.
No convincing evidence of cardiac sarcoidosis. No delayed hyperenhancement within the LV myocardium.Axillary lymphadenopathy, as before.Pulmonary changes consistent with given history of sarcoidosis.