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MRI Results Question

Hello,

I recently saw my MRI results online but do not have an appointment to discuss them for another month. Hoping someone can shed some light on possible issues. Main thing that concerns me are the ejection fraction and hypokinesis. All of this came up as I had a dramatic increase in palpitations. I have always had them every few weeks then it turned in to every few days then a couple a day. These were very strong in that they stopped me in my tracks. I had an echo done last summer in a fainting incident that was unrelated and it has an ejection fraction of 59% where the MRI done just over a year after has 43%. Should I be concerned about such a dramatic drop? I am a 26 year old male in very good physical shape. I exercise 3-5 times a week and have done so for about 10 years. My MRI  results are below and the echo from a year ago is below that. I understand that my doctor knows best but I don't see him for a month and it would be nice to have an idea before then.

MRI:

LVEDD: 50 mm; LVEDV: 181 mL (normal: 102-235); LViEDV: 101 mL/m2 (normal: 53-112);
LVESD: 40 mm; LVESV: 103 mL;
LVSV: 78 mL;
LVEF: 43% (normal: 55-73);
LV mass: 112 g (normal: 85-181); LV mass indexed: 63 g/m2 (normal: 46-83);
LV maximum wall thickness: 7 mm (normal: 20ms, 52+/-16 ms)
Liver T2*: 34 ms (normal: >20ms, 33+/-7 ms)

RIGHT VENTRICLE (RV):
Normal volume and wall thickness. Mildly reduced systolic function.

RVEDD: 33 mm; RVEDV: 186 mL (normal: 111-243); RViEDV: 104 mL/m2 (normal: 58-114);
RVESV: 105 mL;
RVSV: 81 mL;
RVEF: 44% (normal: 48-63);

ATRIA: Normal.
VALVES: No significant anomaly.
PERICARDIUM: Normal thickness. No effusion.

OTHER FINDINGS:
Normal pulmonary venous return.
Normal central pulmonary arteries size.

OPINION:
1. Mildly reduced biventricular function. No segmental wall motion abnormality. No obvious structural abnormality is seen.

2. Normal myocardial signal. No delayed enhancement; specifically, no evidence of myocardial infiltrate, fibrosis or scarring.

ECHO:

Left Ventricle Left ventricular size and function are normal.
Left Ventricle There is normal left ventricular wall thickness.
Left Ventricle Left ventricular mass index is within normal limits.
Left Ventricle There is normal diastolic function .
Left Ventricle The left ventricular ejection fraction is calculated at 59%.
Right Ventricle The right ventricle is normal in size and function.
Atria The left atrial size is normal.
Atria Right atrial size is normal.
Atria The IVC collapses normally with inspiration.
Atria There is no Doppler evidence for an atrial septal defect.
Mitral Valve The mitral valve is normal.
Mitral Valve There is trace mitral regurgitation.
Tricuspid Valve The tricuspid valve is normal.
Tricuspid Valve There is trace tricuspid regurgitation.
Tricuspid Valve Right ventricular systolic pressure is normal.
Aortic Valve The aortic valve is trileaflet.
Aortic Valve The aortic valve opens well.
Aortic Valve No aortic regurgitation is present.
Pulmonic Valve The pulmonic valve leaflets are thin and pliable; valve motion is normal.
Great Vessels The aortic root is normal size.
Great Vessels The ascending aorta appears normal.
Pericardium/Pleural There is no pericardial effusion.
Interpretation Summary There is no comparison study available.
Interpretation Summary Normal biventricular and valvular function. There is normal left ventricular
Interpretation Summary wall thickness.

Thanks,

Jeff
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