Case 43-1980

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Abstract
Presentation of CaseA 27-year-old woman was admitted to the hospital because of dyspnea.She was well until five weeks earlier, when she began to have pain in the left flank, hip, and thigh. Two weeks before admission progressive dyspnea and a dry cough developed. Two days before entry she was admitted to another hospital, where examination revealed a dyspneic, cyanotic woman with a blood pressure of 110/75 mm Hg. The jugular veins filled just above the level of the clavicle at 30° of elevation. The lungs were clear. The heart was not enlarged; a right ventricular lift was present; . . .