José Vilar and Friends Case 22 (Update: Solution!)

Dear Friends,

After a complicated case (Case 21: Heterotaxia) here is more straightforward one.

A young man with breathing difficulty when doing physical activity.

Let’s see what you think!

Click here for the answer

Be Sociable, Share!
    20
    Jan 2020
    POSTED BY
    DISCUSSION 13 Comments

    13 Responses to : José Vilar and Friends Case 22 (Update: Solution!)

    1. Daniela says:

      Mitral valve disease

    2. Dr.Mona Alkaphoury says:

      plain radiograph of the chest revealed:
      – increased cardiothoracic ratio with left ventricular configuration,showing mitralized left cardiac border, denoting left atrial enlargement.
      – prominent right cardiac border, consistent with right atrial enlargement
      – bilateral prominent central and basal bronchopulmonary vasculature with increased vessel number(plethora), mostly represent shunt vascularity..
      – clear lung shadow with no definite nodule or consolidative patches.

      picture could suggest underlying congenital heart disease, mostly shunt pathology for echocardiographic assessment

    3. Dr Ahmad Al ani says:

      Pectus excavatum

    4. faysal says:

      left forward shift of the mediastinum with blurring of right heart borders pectus excavatum

    5. Wagdy says:

      Pectus excavatum

    6. Jalal Albazaz says:

      Looks like pectus excavatum

    7. Pppp says:

      Blurring of right heart border as well as horizontal posterior ribs and vertical anterior ribs.
      Could be pectus excavatum

    8. Maged Shaban says:

      Pectus excavatum, evident by:
      – blurring of right heart border
      – horizontal posterior and vertical
      anterior ribs (7 & inverted 7 shape)
      – displacement of Cardiac shadow
      towards the left

    9. ibrahim chouchane says:

      Pectus excavatum

    10. Pppp says:

      Purmonary trunk seems enlanged, finding compatible with pecuts excavatum.
      Physical appearance information is warranted

    11. ELM says:

      Partial pericadial agenesia

    12. Elnaz k says:

      Pectus excavatum