A 23-year-old patient who is tall and gracile presents with chief complaint of dyspnea and right-sided chest pain. Chest radiographs reveal absence of lung vascular markings with the presentation of a radiodense mass at the right heart border. What is the most likely diagnosis?

Question

Quizplus · Accepted Answer

The presentation of a tall and gracile patient with dyspnea and chest pain, along with radiographic findings of a radiodense mass at the right heart border, is suggestive of Marfan syndrome with atelectasis. Marfan syndrome patients are often tall with long limbs and can have lung problems, including spontaneous pneumothorax and atelectasis, which can present with chest pain and dyspnea. The absence of lung vascular markings and the presence of a radiodense mass could indicate a collapsed lung segment, consistent with atelectasis.

A 23-Year-Old Patient Who Is Tall and Gracile Presents with Chief