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What Does My MRI Scan Test Report Indicate?

Posted on Thu, 6 Oct 2016

Question: For Dr IIiri Sharka

Hello Dr IIir Sharka

As I had discussed with you before, my cardiologist had ordered MRI because he thought LVEF of 58% on Echo was depressed. Attached is copy of the MRI report. The report shows LVEF of 70% (hyper dynamic) and RVEF of 54% as normal. Everything else also looks normal. Although, it says preliminary report. Are the stroke volumes normal and RVEF of 54% normal? Can the report change after preliminary report, because I am not sure why it says preliminary report. Also, report does not give chamber sizes etc. but says no focal thinning or dilation. What is meant by no delayed Gadolinium enhancement was seen.
Thanks

Answered by Dr. Ilir Sharka (7 hours later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome back on HCM!

I carefully passed through your question and reviewed your cardiac MRI report.

You should know that cardiac MRI is a very exact test, much more than cardiac ultrasound.

Let me explain these findigs:

a- No Gadolinium enhancement means that there is no myocardial scar present.

b- 58%LVEF in cardiac ultrasound and 54% RVEF in cardiac MRI are quite normal and indicate a normal function of your heart.

c- No focal thining or dilation means that you have a normal size of the cardiac chambers.

So, your cardiac MRI indicates a perfectly normal heart structure and function.

These results are permanent, and are not going to change.

So relax and do not worry about it!

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (8 hours later)

Thank you Dr. Sharka.
LVEF on the MRI was actually 70%. May be I was a bit anxious.

Thanks again.

Answered by Dr. Ilir Sharka (1 hour later)

Brief Answer:
You are welcome!

Detailed Answer:
I am glad to have been helpful to you!

Best wishes,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (3 days later)

Sorry Dr. Sharka

I forgot to ask you one thing. In my Echo 10 years ago, my PAP was 41 and my cardiologist at that time told me that it was clinically non significant since Echo is not gold standard for measuring pulmonary pressure. In my recent Echo, PAP was 37, which is less than I had 10 years ago. I don't have any lung issues. Is there any significance of this number on Echo report.

Thanks

Answered by Dr. Ilir Sharka (1 hour later)

Brief Answer:
Opinion as follows:

Detailed Answer:
Hello again!

If your recent cardiac ultrasound has been performed with sufficient measurement accuracy, then a PAP of 37 mmHg dosn't mean you have pulmonary hyopertension, because on ECHO reports is usually prescribed peak systolic PAP.

For confirming pulmonary hypertension, it is necessary to reveal mean PAP (mean pulmonary artery pressure) above 25 mmHg, not peak systolic PAP > 25 mmHg.

Another medical evidence that supports the conclusion you have not any obvious pulmonary hypertension, is the fact that PAP has not progressed over a long period of time (10 years).

Coming to this point, as your doctor has confirmed you, I would like to assure you it doesn't seem that your PAP values are implicated in any important pathological process.

So, just relax and don't worry about.

Kind regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (8 hours later)

THANK YOU VERY MUCH.

Answered by Dr. Ilir Sharka (9 hours later)

Brief Answer:
You are welcome!

Detailed Answer:
I am glad to have to have been helpful to you!

If you have any other uncertainties, you can ask me directly at any time at the link below:

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765

Best wishes,

Dr. Iliri

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar