Written report from private Cardiac Stress MRI advice needed

[Liam-James]

Hi guys so after chasing up with the private secretary I got a full written report of my recent cardiac stress MRI I paid privately for everything looks ok but I did notice one or two things that hadn’t been explained to me in my follow up consultation that I had. Does anyone think there’s anything cause for concern on here? Points Number 2,3,8 have made me slightly worried and do I need to be followed up further in the future regarding these points?

Overall satisfactory study

Sequences - black blood, SSFP, stress and rest perfusion, post contrast late gadolinium enhanced images

1. Both atria normal, left atrial AP dimension is 3.5 cm

2. Mitral and tricuspid valves normal. Aortic valve - number of leaflets unclear, appears trileaflet. Opens normally, no abnormal regurgitation

3. Aortic root non dilated, sinuses 3.0cm. Main pulmonary artery is mildly dilated measuring 2.9 cm

4. Left ventricle - size and function normal. End-diastolic dimension is 5.6 cm. Wall thickness is normal - septum 1.1 and inferolateral wall 0.9 cm. No regional changes noted. Systolic function is normal with an ejection fraction of 62%. End-diastolic volume 189mls, systolic volume 71, stroke volume 117 ml. Indexed values are normal. BSA 1.9

5. Interatrial septum appears intact with no obvious flow. Pulmonary venous drainage is normal

6. Right-sided structures - RA normal. RV size and function normal. End-diastolic volume 185 mls, systolic volume 85 stroke volume 100, ejection fraction 54%. Minor region minor regional change at the insertion of moderator band noted (this is commonly seen as normal variation). No other abnormalities. Indexed values are normal.

7. Pericardial appearance normal

8. Myocardial perfusion assessed at rest and during after Regadenoson stress. Baseline HR – 91, Peak HR – 140. No symptoms. Slice position has altered between rest and stress with slight difference is size. Overall myocardial perfusion appears normal at rest and stress (with some rim artefact).

9. Post contrast images - slightly suboptimal image due to low signal. No obvious hyper enhancement noted

Conclusions:

1. Overall satisfactory study

2. Normal ventricular size and function

3. No significant valve disease noted

4. No obvious scar/fibrosis

5. No reversible perfusion defect

The study is essentially within normal limits with no MRI features of cardiomyopathy or athletes heart.