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Case of the Week 625 
What is the most likely diagnosis?
- 60 year-old with shortness of breath
Frontal Chest Radiograph
- Ebstein Anomaly
- Hypertension
- Sarcoidosis
- Aortic Stenosis
- Mitral Stenosis
Additional Images - Lateral Chest Radiograph
Additional Images
Lateral Chest Radiograph
Answer:
5. Mitral Stenosis
More (Click Discussion Tab)
Mitral Stenosis
General Considerations
- Acute rheumatic fever (ARF) → pancarditis
- Mitral valve most commonly involved valve
- Followed by mitral and aortic together
- Then by aortic alone
- Acute phase → cardiomegaly
- Mitral regurgitation is valvular lesion of ARF
- As acute phase subsides, fibrosis alters leaflet or cusp structure
- Results in cuspal or leaflet thickening along valvular margins of closure
MORE . . .
.
This Week
60 year-old with shortness of breath |
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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. |
