Radiology Quiz 48238 | Radiopaedia.org

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Questions
Findings

Does the patient symptoms mean there is cardiovascular compromise?

Not necessarily. Although dyspnea on exertion can be related to cardiovascular compromise, there are also other reasons that the patient may have dyspnea on exertion. Sometimes patients with pectus deformity may not participate in sports or other activities because of an uncomfortable body image or a history of peers commenting or "making fun" of their appearance. This can result in a less than normal tolerance for exercise in some cases.

Presentation

The patient reports significant dyspnea and chest pain within a minute of any sprint activity and similar symptoms within 2-3 minutes with lite jogging. He also reports tachycardia with this exercise. No symptoms at rest or regular walking activity. No syncope or near syncope. No daily cough or wheezing. He also mention that he was tired of his peers making fun of his chest.

Patient Data

Age:	16
Gender:	Male