Chest pain and dyspnoea.
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Chest X-ray PA and Lateral: enlarged pulmonary trunk with associated small aortic arch, in this age group, would be in keeping with an ASD. The lungs are clear and no free sub-diaphragmatic air.
This x-ray study illustrates a well-defined enlargement of pulmonary trunk and pulmonary arteries, in keeping with pulmonary hypertension. No further information was provided about this case, no aetiological confirmation.