18 year old male with history of Hodgkin's lymphoma and chemotherapy, chronic pulmonary embolism on anticoagulation, referred for cardiac MRI. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 60%, the LV end diastolic volume index is 99 ml/m2 (normal range: 74+/-15), the LVEDV is 212 ml (normal range 142+/-34), the LV end systolic volume index is 40 ml/m2 (normal range 25+/-9), the LVESV is 85 ml (normal range 47+/-19), the LV mass index is 49 g/m2 (normal range 85+/-15), and the LV mass is 104 g (normal range 164+/-36). There are no regional wall motion abnormalities present. The native T1 myocardial relaxation time is 1040*-1050ms, which is borderline. The T2 STIR myocardial:skeletal muscle ratio is normal. 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 size. Right VentricleThe right ventricle is mild-moderately dilated with normal systolic function. The overall RV ejection fraction is 60%, the RV end diastolic volume index is 130 ml/m2 (normal range 82+/-16), the RVEDV is 276 ml (normal range 142+/-31), the RV end systolic volume index is 51 ml/m2 (normal range 31+/-9), and the RVESV is 110 ml (normal range 54+/-17).Right AtriumThe right atrium is mild-moderately dilated.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 at least mild-moderate 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. Pericardial thickness is 4mm. There is no evidence of pericardial edema or inflammation. Extracardiac FindingsThere is a large anterior mediastinal mass which displaces, but does not appear to compress, the innominate vein and SVC slightly posteriorly. There is an additional right paratracheal mass which was seen on previous chest imaging. 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 with normal systolic function (EF 60%). 2. There is no evidence of late gadolinium enhancement to suggest an underlying infiltrative, inflammatory or fibrotic process. There is no myocardial edema.3. The right ventricle is mild-moderately dilated with normal systolic function (EF 60%).4. There is no evidence of pericardial thickening or pericardial effusion. 5. At least mild-moderate tricuspid regurgitation.6. Large anterior mediastinal mass and paratracheal mass consistent with history of Hodgkin's lymphoma. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.