Abnormal screening chest radiograph in a 21-year-old male.
A 21-year-old male with a medical history of scoliosis was referred for an abnormal chest radiograph performed on screening (figure 1). He was asymptomatic with good exercise tolerance. Blood pressure and heart rate were normal. The heart sounds were normal. The pulmonary examination was unremarkable. A treadmill test performed 3 years prior for atypical chest pain was normal. An ECG performed was also normal.



What abnormality is present in the chest radiograph? DextrocardiaEnlarged right heart borderMediastinal massProminent pulmonary vasculatureSitus inversus.
Department of Medicine, University Medicine Cluster, National University Health System, Singapore, Singapore.
Ching-Hui
CH
Sia
Department of Cardiology, National University Heart Centre Singapore, National University Health System, Singapore, Singapore.
Jieli
J
Kua
Department of Cardiology, National University Heart Centre Singapore, National University Health System, Singapore, Singapore.
Swee-Chong
SC
Seow
D004562:Electrocardiography; D005080:Exercise Test; D005729:Ganglioneuroma / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008479:Mediastinal Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D011237:Predictive Value of Tests; D013902:Radiography, Thoracic; D013908:Thoracotomy; D055815:Young Adult