PATIENT: Holly Young
HISTORY: tachypnoea, interstitial lung disease on radiography, palpably abnormal structure of ventral aspect of thoracic cage – narrowed / compressed; cardiac sounds normal
A normal echocardiographic examination could not be performed in this patient: the abnormal structure of the ventral aspect of the thorax seems to have resulting in an abnormal positioning of the heart, and standard echocardiographic views do not produce expected images / alignment, making assessment difficult.
Cursory examination showed apparantly / subjectively normal left sided dimensions and systolic function, and mitral regurgitation was evident on colour doppler evaluation.
Referral is advised in this case.