{"ops":[{"insert":"A 19 year old man presents with dyspnea for several hours, which was sudden in onset. There is no history of asthma, cardiac diseases or chest trauma.\n \nHe was in general good health, and is not on any medications.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-029_en.png"}},{"insert":"\n"}]}
2
Investigate
Chest X-Ray
{"ops":[{"insert":"A moderate right-sided pneumothorax is present.\n"}]}
Echocardiogram
{"ops":[{"insert":"The ascending aorta is dilated, with a diameter of 4.5 cm. There is no aortic regurgitation, while the sinuses of Valsalva appear normal. Mild mitral valve prolapse is also seen.\n"}]}