Bilal A. Jalil, MD, J. Shaun Smith, DO, Karim El-Kersh, MD  CHEST 

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A 34-Year-Old Woman With Hoarseness of Voice and an Abnormal Echocardiogram  Bilal A. Jalil, MD, J. Shaun Smith, DO, Karim El-Kersh, MD  CHEST  Volume 155, Issue 6, Pages e163-e166 (June 2019) DOI: 10.1016/j.chest.2019.01.021 Copyright © 2019 American College of Chest Physicians Terms and Conditions

Figure 1 Video laryngoscopy images show left true vocal cord paralysis (arrow) during (A) abduction and (B) adduction. CHEST 2019 155, e163-e166DOI: (10.1016/j.chest.2019.01.021) Copyright © 2019 American College of Chest Physicians Terms and Conditions

Figure 2 Chest CT scan shows enlarged pulmonary artery. CHEST 2019 155, e163-e166DOI: (10.1016/j.chest.2019.01.021) Copyright © 2019 American College of Chest Physicians Terms and Conditions

Figure 3 Cardiac echocardiogram shows severely enlarged right atrium and RV. RV = right ventricle. CHEST 2019 155, e163-e166DOI: (10.1016/j.chest.2019.01.021) Copyright © 2019 American College of Chest Physicians Terms and Conditions