37 year old woman with history of NICM, referred for evaluation of infiltrative disease and constrictive physiology. Left VentricleThe left ventricle is normal in size with severely reduced systolic function. The overall LV ejection fraction is 22%, the LV end diastolic volume index is 73 ml/m2 (normal range: 65+/-11), the LVEDV is 85 ml (normal range 109+/-23), the LV end systolic volume index is 57 ml/m2 (normal range 18+/-5), the LVESV is 66 ml (normal range 31+/-10), the LV mass index is 31 g/m2 (normal range 67+/-11), and the LV mass is 36 g (normal range 114+/-24). LV dysfunction is global. The myocardial native T1 time is 1047, which is within normal range. There is no evidence of iron overload on T2 star imaging. Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size with moderately reduced systolic function. The overall RV ejection fraction is 35%, the RV end diastolic volume index is 58 ml/m2 (normal range 69+/-14), the RVEDV is 68 ml (normal range 110+/-24), the RV end systolic volume index is 38 ml/m2 (normal range 22+/-8), and the RVESV is 44 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 mild mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is trace pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is mild 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 significant pericardial thickening. No evidence of myocardial to pericardial tethering on myocardial tagging imaging. No respiratory-related changes in interventricular septal position. There is no MRI findings consistent with constrictive physiology.Extracardiac FindingsRight adnexal cyst noted, please refer to dedicated abdominal imaging studies for further description. 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. No imaging evidence of infiltrative disease or constrictive physiology; however, no late gadolinium enhancement image was performed due to patient's contra-indication to gadolinium.2. The left ventricle is normal in size with severely reduced systolic function. The overall LV ejection fraction is 22% without evidence of myocardial fibrosis, based on the presence of normal native myocardial T1 times.3. The right ventricle is normal in size with moderately reduced systolic function. The overall RV ejection fraction is 35%. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.