A 71 year old male with CNS lymphoma with suspected cardiac involvement according to PET study. Referred to cardiac MRI to evaluate cardiac involvement. Left VentricleThere is motion artifact secondary to breathing which limits the quality of the examination. The left ventricle is mildly enlarged with mildly reduced systolic function. There is thinning of the inferior wall from the base to the apical two thirds of the left ventricular chamber. The thickened segments are akinetic. The overall LV ejection fraction is 48%, the LV end diastolic volume index is 112 ml/m2 (normal range: 74+/-15), the LVEDV is 221 ml (normal range 142+/-34), the LV end systolic volume index is 58 ml/m2 (normal range 25+/-9), the LVESV is 115 ml (normal range 47+/-19), the LV mass index is 44 g/m2 (normal range 85+/-15), and the LV mass is 91 g (normal range 164+/-36). There are no regional wall motion abnormalities present. Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 62%, the RV end diastolic volume index is 84 ml/m2 (normal range 82+/-16), the RVEDV is 167 ml (normal range 142+/-31), the RV end systolic volume index is 32 ml/m2 (normal range 31+/-9), and the RVESV is 64 ml (normal range 54+/-17).Right AtriumThe right atrium is normal in size.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 are normal in size and drain normally into the right atrium.PericardiumThere is no pericardial effusion.
1. The patient was unable to cooperate with breathing instruction and thus the image quality is limited. Contrast was not injected for this reason.2. The left ventricle is mildly enlarged with mildly reduced systolic function, the LVEF is 48%. There is thinning of the inferior wall from the base to the apical two thirds of the left ventricular chamber, favoring prior myocardial infarct. The segments are akinetic.3. The right ventricle is normal in size with normal systolic function, the RVEF is 62%.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.