Case 23

She is in her fifties and was perfectly fine until 4 months ago when she began suffering from gradual progressive dyspnea, fever and in spite of many medical consultations and treatments her condition continued to get worse so that attended us.

Examination:

There was marked pallor, tachycardia, tachypnea (50 c/m), systolic murmur, harsh vesicular breathing.

Chest X-ray: see the photo.

 

 

N.B. click on photo to enlarge

 

 

 

 

 

 

 

 

Answer

 

Answer