A lady presents with complaints of dysnea. Pulse rate is 70/min while BP=110/70 mm Hg. On examination there is an early-diastolic murmur. CXR is given here. Diagnosis of the patient is?
Pulmonary aery hypeension
Pulmonary venous hypeension
Valvular lesion of left side of hea
Congestive hea failure
The striking feature in this chest X-ray is the remarkably prominent main pulmonary aery segment (MPA), which appears to be dilated. This X-ray also shows a prominent right atrial contour, indicating right atrial dilatation as a consequence of pulmonary hypeension and right ventricular hyperophy. In view of prominent pulmonary aery segment with early diastolic murmur the clinical diagnosis is pulmonary aery hypeension causing a mild pulmonary regurgitation. The female gender is suggestive of a connective tissue disorder that can lead to pulmonary aery hypeension.
Hypeension