Q1. A 40 yo female from Vietnam presents with a 2-month history of anorexia, palpitations, cough and dyspnea. She is unable to lie down at night without getting short of breath. She has no history of allergies and does not use any drugs. She came to the USA 20 years ago and does not remember if she had a throat infection as a child. She is afebrile with stable vitals. On exam, her JVP is elevated and she has rales. The patient has brought over an x-ray done 12 months ago- see below. You want to rule out?
A. Pericardial disease
B. Syphilis
C. Aortic aneurysm
D. Valve disorder
E. Lymphoma
f. Sarcoidosis