Concluded Case

Patient 60 years old female P/w c/o severe breathlessness since 1 day Her BP:100:60 PR: 70/min Spo2: 90% on o2 R/R: 22/min Auscultation reveals: B/l rhonchi with basal crepts Comment on the Xray Cardiac auscultation could not be done due to presence of rhonchi (Interesting case)

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Concluded answer

Patient is case of SEVERE MS with mod MR with copd! She has been advised for a valve replacement!

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Rotation of xray Hyperinflated lung fields Crowding of ribs Cardiomegaly Pulmonary conus is straightened and lt atrium is prominent Rt pulmonary artery is prominent and dilated Rt cardiac border is prominent Overall it looks to be valvular heart disease with ccf Ecg should be posted

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Hyperinflation Rib crowding seen. Left paracardiac heziness seen. Prominent Pulmonary arteries seen. Cardiomegaly with prominent Pulmonary conus. Possibly ASD with PAH. Adv Echo CD.

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It's a chest X ray bedside showing prominant pulmonary artery with dialated left atrium suggestive of pulmonary hypertension. Most common causes are COPD, ASD, MS. Needs Further workup .

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COPD Right perihilar opacity Cardiomegaly, prominent PULMONARY artery IMPRESSION COPD, PAH , COR PULMONALE Needs ECG, ECHO HRCT

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Enlarged cardiac shadow with bulged pulmonary conus and left atrial appandage area. Mitral valve disease with PAH.

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Cardiomegaly with prominent pulmonary vessels are seen . Go for 2D echo to R/o ASD or any valvular heart disease.

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Hyperinflation, rib crowding Bronchvascular marking prominent, cardiomegaly Go for ECHO, ECG, HRCT CHEST

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Copd large cardiomegaly do hrct pft 2 decho doubtful pneumonic lt basal lung calcified hilar both

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Patient is having cardiomegaly requires diuretic and may have mitral stenosis do the workup for it

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SUGGESTIVE OF VALVULAR HEART. DISEASE... PAH.. COPD CARDIOMEGALY.. NEEDS. FURTHER EVALUATION

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