Mitral valve replacement

Case contributed by Henry Knipe
Diagnosis almost certain

Presentation

Right chest pain and cough

Patient Data

Age: 70 years old
Gender: Male
x-ray

There is a new small right pleural effusion, extending to the right horizontal and major fissures. The lungs are otherwise clear, other than minor right upper paramediastinal linear opacity consistent with post-radiation changes. There is no focal consolidation to suggest pneumonia.

Cardiomediastinal contour is normal. Mitral valve replacement, sternotomy wires and upper abdominal surgical clips noted. 

Case Discussion

This case demonstrates a mitral valve prosthesis (CT proven - not shown). 

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