Patient's Query
Hello doctor,
I had a cardiac MRI done, and I would like to see if you can interpret it for me. I am worried.
Please advise.
Hello,
Welcome to icliniq.com.
We are here to help you.
I have evaluated your report (attachment removed to protect patient identity), and it appears normal to me. Your report does not indicate the presence of any ischemic heart disease, which means your cardiac function is good according to the report. To assist you further, this report needs to be correlated with your clinical symptoms. Therefore, I need to know the symptoms for which this MRI (magnetic resonance imaging) was performed, as well as any pre-existing conditions you may have.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
Well, the reason I had this MRI done is that I was experiencing some chest pain. My doctor suspected anxiety and sent me for a nuclear stress test, where the ejection fraction was 46 percent. He mentioned that it was low and ordered this MRI. I just wanted to know if the cardiac dimensions shown in this MRI are normal. What could be the implications of tricuspid insufficiency and thickening of the anteroseptal wall?
Hello,
Welcome back to icliniq.com.
If we correlate your symptoms with your MRI (magnetic resonance imaging) report, it indicates that your symptoms are not related to a cardiac issue, as there is no evidence of a cardiac problem or heart attack in the MRI results. In this situation, I recommend a treadmill test (TMT) or a stress echocardiogram (ECHO) to rule out any evidence of angina or stress on the heart.
Let me explain the abnormal findings described in your MRI. A mild intensity delayed enhancement pattern is observed, which can occur in healthy individuals and does not signify any cardiac issues. However, there is a suspicion of sarcoidosis, which could be clarified through a CT (computed tomography) scan of the chest and serum ACE (angiotensin-converting enzyme) levels. This is particularly significant if you experience a cough or fever.
Your ejection fraction is 64 percent, indicating that your heart is functioning well. The thickening of the anteroseptal wall is only significant if you have high blood pressure or pre-existing cardiac issues. Since you do not have these conditions, this finding is not significant. Additionally, mild tricuspid insufficiency is generally considered normal.
Overall, my opinion is that if you have any breathing issues or a cough, further evaluation of these findings is necessary. Otherwise, these results can be regarded as normal, and there are no cardiac issues noted in your report.
I hope this information is helpful to you.
Thank you.
Was this conversation helpful?
Answered byDr. Anshul Varshney
Medically reviewed byDr. K. Shobana
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
Can chest pain have other reasons than heart attack?
MRI spine showed intramedullary mass at T4. Is it a cyst or malignancy?
MRI shows 'intermediate signal intensity lesion in endometrial cavity.' What is it?
Do you think I have WPW syndrome?
Chest pain since 15 days. ECG & TMT reports are normal. What could be the problem?
Is a ketone diet good for those who are diabetic?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.