Full 2L QBank
Radiology C.V.S. 3c014726

A previously healthy patient presents with dyspnea and low grade fever since 4 months. His lungs are clear. JVP is normal. ECG showed low voltage complexes. What is the possible diagnosis?

A
Syphilitic aortic aneurysm
B
Hypertrophic cardiomyopathy
C
Rheumatic mitral stenosis
D
Tuberculous pericardial effusion
High-Yield Explanation
Ans. D. Tuberculous pericardial effusionThe presence of low grade fever and dyspnea indicates an infective pathology. The CXR shows an increased CT Ratio which could be a tuberculous pericardial effusion. The diagnosis is given more credence due to low voltage ECG which is seen with a pericardial effusion.

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