A 13 year old female with Chest pain. She has a history of mild to moderate exercise intolerance. Physical exam significant for abnormal heart sounds and holosystolic murmer. Interpret the radiograph please.

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Cardiomegaly. Straitnaid left heart border. Holosystolic murmur so that possibility of MR Bilateral minimal pleural effusion NYHA class two failure. Pt require 2D.Echo.
MR-Mitral Regurgitation
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Both lung fields are clear. Cardiac shadow is enlarged with bulged pulmonary conus and left atrial appendage area. Mitral valve disease.
Thank you sir
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I agree with Dr D Dholariya
Overexposed X-Ray. Lung fields look clear though there is a shadow of doubt regarding the b/l CP angles (maybe because of overexposed x-ray) There is straightening of left heart border. Coupled with findings of physical examination point towards a diagnosis of Mitral Regurgitation.
Thank you sir
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Two possibilities are there 1.vsd causing murmur, resp infection pneumonia causing chest pain and dyspnea 2.MR causing murmur and dyspnea... Chest pain? Echo has to be done to rule out the other
Lungs Field looks normal Cardiomegaly Straightening Of Left Heart border so could be PAH with RHD MR MS Further 2D Echo will required
A number of conditions which enlarge the right heart. The differentiating feature is the abnormal position of the tricuspid valve.
Thank you mam
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No pulmonic lesion Cardiomegaly with left border strate 1. Rhd with ms 2_ non cyanotic congenital heart disease
Thank you sir
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Pulmonary congestion, ? Alveolar edema, could be a case of VSD with? PHT
Thank you sir
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Cardiomegaly B/L pleural effusion. Murmur+ Required ECHO
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