Quiz 8 - 15 year old boy with chest pain

This 15 year old boy presented with history of recurrent episodes of chest discomfort over last 6 months. There was no history of trauma, fever, breathlessness or syncope. His physical exam was unremarkable. Given below are his EKG and CXR.
Questions:
1) What are the findings on the EKG and CXR?
2) What is the diagnosis?


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3 comments:

Unknown August 2, 2009 at 11:41 AM  

looks like WPW and the heart is resting on the diaphragm.

Anonymous September 22, 2010 at 6:21 AM  

x-ray shows qrs complex changes with rt axis deviation
CXR shows increase lung infiltation

VSD

Anonymous September 22, 2010 at 6:22 AM  

good