71 year old male with concern for amyloid, here for further evaluation Left VentricleThe left ventricle is normal in size and systolic function. The overall LV ejection fraction is 59%. The LVEDV is 120 ml (normal range 142+/-34), the LV end diastolic volume index is 64 ml/m2 (normal range: 74+/-15), the LVESV is 49 ml (normal range 47+/-19) and the LV end systolic volume index is 26 ml/m2 (normal range 25+/-9). There are no regional wall motion abnormalities present. Sigmoid septum (normal variant)The native T1 myocardial relaxation time is approximately 1050ms. These values are [within normal limits], suggestive of [no]underlying diffuse fibrosis or infiltration.Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size and systolic function. The overall RV ejection fraction is 54%. The RVEDV is 121 ml (normal range 142+/-31), RV end diastolic volume index is 65 ml/m2 (normal range 82+/-16), the RVESV is 56 ml (normal range 54+/-17), and the RV end systolic volume index is 30 ml/m2 (normal range 31+/-9).Right AtriumThe right atrium is normal in size.Aortic ValveThe aortic valve is trileaflet, 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. Tortuous descending thoracic aorta.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 drain normally into the right atrium.PericardiumThere is no obvious pericardial disease.Extracardiac FindingsProbable basilar lung atelectasis. 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. The left ventricle is normal in size and systolic function. The overall LV ejection fraction is 59%.2. The right ventricle is normal in size and systolic function. The overall RV ejection fraction is 54%.3. The native T1 myocardial relaxation time is approximately 1050ms. These values are [within normal limits], suggestive of [no] underlying diffuse fibrosis or infiltration. Delayed enhancement not performed (patient refused contrast)I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.