1st April 2022

A 2-month-old girl presents with her mother to her GP with shortness of breath

A 2-month-old girl presents with her mother to her GP with shortness of breath and sweating when feeding. She is also losing weight. On examination, you notice that she is tachypnoeic and tachycardic with a bounding pulse. On auscultation of the heart, you hear a continuous “machine-like” murmur in the left infraclavicular region and in the back. As a result of the respiratory symptoms, a chest X-ray is performed. Given the most likely diagnosis, what can be found on the X-ray?

Select the SINGLE most appropriate option from the list below. Select ONE option only.