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30-year old male with shortness of breath

  • Congenital defect with displacement of tricuspid valve into right ventricle producing “atrialization” of the ventricle.

DDX ON CXR for CMG with normal vascularity.

  • Pericardial effusion,
  • Volume overload
  • cardiomyopathy.

Cardiomegaly, primarily right heart involvement
Normal pulmonary vascularity
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