{"ops":[{"insert":"A 28 year old woman presents with worsening exertional dyspnea for one month which has now progressed to dyspnea at rest. She denies orthopnea, paroxysmal nocturnal dyspnea or chest pain. She also gives a background of intermittent low grade fever and a non-productive cough for the preceding year.\n\nHer medical history is otherwise unremarkable, and a full blood count is found to be normal. Her ESR is 110 mm\/first hour.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-225_en.png"}},{"insert":"\n"}]}
2
Investigate
ECG
{"ops":[{"insert":"The ECG is positive for low voltage QRS complexes.\n"}]}
Chest X-ray
{"ops":[{"insert":"The right lung shows apical shadowing. The cardiac silhouette appears normal.\n"}]}
