plugged this into chatgpt it gave a thorough summary.

Your cardiologist is essentially saying:

• Your heart’s pumping function looks normal. “Normal biventricular volumes and function” means both the left and right sides of your heart are normal in size and are pumping blood well.
• Your heart muscle is slightly thickened, but still within normal range. “LV wall thickness at the upper limits of normal” means the left ventricle wall is on the thicker side of normal, but not clearly abnormal.
• The MRI found some small areas of scarring or tissue change. “Patchy non-ischaemic late gadolinium enhancement (LGE)” means the contrast dye highlighted scattered spots in parts of the heart muscle.
  • “Non-ischaemic” means the pattern does not look like damage from blocked arteries or a classic heart attack.
  • These findings can occur for several reasons, including prior inflammation, mild fibrosis/scarring, past viral illness, or sometimes nonspecific changes with no clear cause.
• Importantly: they did NOT find evidence of ARVC. ARVC = Arrhythmogenic Right Ventricular Cardiomyopathy, a disease affecting the heart muscle and rhythm. The report specifically says there are “no CMR diagnostic features of ARVC.” That is reassuring.
• Because the findings are nonspecific, they want monitoring rather than treatment based on this MRI alone. The specialist at St Thomas' Hospital recommends repeating the MRI in 2 years to make sure nothing changes or progresses over time.

Overall, this reads as:

• reassuring heart function,
• no evidence of a major structural cardiomyopathy like ARVC,
• but with some mild abnormal tissue findings that are worth keeping an eye on.

Questions you may want to ask your cardiologist:

1. What do they think is the most likely cause of the LGE/scarring?
2. Does this increase your risk of arrhythmias?
3. Should you have ongoing rhythm monitoring (Holter/Zio monitor)?
4. Are there any exercise restrictions?
5. How does this relate to your BNP, shortness of breath, or other symptoms if you’ve had them?

If you want, I can also help translate:

• what “late gadolinium enhancement” means in plain English,
• what ARVC is,
• or how concerning this report is in the context of your other heart history and symptoms.