CXR

1. What surgical approach was used for her cardiac surgery? Median sternotomy-the wires used to close the bony defect are seen (check the labels)

2. What valve was replaced? The mitral valve, which is faintly visible as a metallic ring

3. What is the likely cause of her symptoms? This radiograph has the appearance of CHF

4. What would you do next? Try diuresis, and recheck chest radiograph depending on clinical response.

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