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Case of the Week 493



What is the most likely diagnosis?

  • 61 year-old with increasing shortness of breath



Frontal Radiograph of Chest

  1. Aortic Stenosis
  2. Tetralogy of Fallot
  3. Tricuspid Atresia
  4. Tricuspid Regurgitation
  5. Mitral Stenosis

Additional Images - Axial CT Scan of Heart

 

Additional Images

 

Axial CT Scan of Heart


Answer:

 

5. Mitral Stenosis

 

More (Click Discussion Tab)

 

 

Mitral Stenosis

General Considerations

  • Rheumatic disease causes mitral stenosis in 99.8% of cases

  • Acute rheumatic fever (ARF) → pancarditis

  • Mitral valve most commonly involved valve

  • Followed by mitral and aortic together

  • Then by aortic alone
  • Acute phase → cardiomegaly

 

MORE . . .

 


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61 year-old with increasing shortness of breath
 
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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.