A 72 year old male with LV systolic dysfunction while on doxorubicin for diffuse large B cell lymphoma, referred to cardiac MRI to re-evaluate the LV function. Left VentricleThe left ventricle is normal in size with mildly reduced systolic function. The overall LV ejection fraction is 45%, the LV end diastolic volume index is 58 ml/m2 (normal range: 74+/-15), the LVEDV is 123 ml (normal range 142+/-34), the LV end systolic volume index is 32 ml/m2 (normal range 25+/-9), the LVESV is 68 ml (normal range 47+/-19), the LV mass index is 47 g/m2 (normal range 85+/-15), and the LV mass is 100 g (normal range 164+/-36). There is global hypokinesis regional variation. There is interventricular septal wall motion abnormality which may be conductional in origin.There is stable, focal, mid-myocardial, non-transmural late gadolinium enhancement which involves the basal inferior wall. This finding is atypical for prior myocardial infarction. This is in the region of wall motion abnormality and may be secondary to prior inflammation or chemotoxicity. Similar findings were noted in the previous cardiac MRI of 12/26/2013. There is no suggestion of cardiac amyloidosis. No thrombus was noted.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 51%, the RV end diastolic volume index is 56 ml/m2 (normal range 82+/-16), the RVEDV is 120 ml (normal range 142+/-31), the RV end systolic volume index is 28 ml/m2 (normal range 31+/-9), and the RVESV is 59 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 obvious pericardial disease.Extracardiac FindingsA port catheter occupies the left anterior chest wall with the catheter ending at the superior cavoatrial junction.
1. The left ventricle is normal in size with mildly reduced systolic function, the LVEF is 45%. There is global hypokinesis with regional variation. There is interventricular septal wall motion abnormality which may be conductional in origin. 2. There is stable, focal, mid-myocardial, non-transmural late gadolinium enhancement which involves the basal inferior wall. This finding is atypical for prior myocardial infarction. This is in the region of wall motion abnormality and may be secondary to prior inflammation or chemotoxicity. Similar findings were noted in the previous cardiac MRI of 12/26/2013. 3. The right ventricle is normal in size with normal systolic function, the RVEF is 51%. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.