22 year old woman with history of atrial tachycardia and PVC's and Crohn's disease referred for evaluation of structural heart disease. Left VentricleThe left ventricle is mildly dilated with normal systolic function. The overall LV ejection fraction is 54%, the LV end diastolic volume index is 94 ml/m2 (normal range: 65+/-11), the LVEDV is 129 ml (normal range 109+/-23), the LV end systolic volume index is 43 ml/m2 (normal range 18+/-5), the LVESV is 59 ml (normal range 31+/-10). Wall thickness is normal. There are no regional wall motion abnormalities present. There is no late gadolinium enhancement to suggest the presence of a focal underlying fibrosing, infiltrative, or inflammatory process. There is no evidence of myocardial edema.The native T1 myocardial relaxation time is 1130ms, which is mildly abnormal. Left AtriumThe left atrium is small.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 92 ml/m2 (normal range 69+/-14), the RVEDV is 126 ml (normal range 110+/-24), the RV end systolic volume index is 38 ml/m2 (normal range 22+/-8), and the RVESV is 53 ml (normal range 35+/-13). 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 obvious pericardial disease.Extracardiac FindingsThis 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 LV with normal systolic function (EF 54%). While there is no late gadolinium enhancement to suggest the presence of an underlying focal infiltrative, inflammatory or fibrotic process, the native myocardial T1 relaxation time is mildly elevated which may point to possible mild diffuse myocardial fibrosis.2. Normal size RV with normal systolic function (EF 58%).3. No significant valvular disease. 