case_images: PMC11250385_01
case_images: Bilateral proptosis worse on the right side with facial flushing.
case_images: cro-2024-0017-0001-539257_F01.jpg
case_images: PMC11250385_01_cro-2024-0017-0001-539257_F01.jpg
case_images: F1
case_images: On physical examination, the patient appeared flushed, with bilateral proptosis, worse on the right side (Fig. 1).
case_images: Pitting oedema on application of pressure to lower limbs.
case_images: cro-2024-0017-0001-539257_F02.jpg
case_images: PMC11250385_01_cro-2024-0017-0001-539257_F02.jpg
case_images: F2
case_images: The liver was palpable 8 cm below the right costal margin, with pedal oedema up to the knees (Fig. 2, 3).
case_images: Non-tender hepatomegaly identified on examination with liver edge palpable 8 cm below costal margin.
case_images: cro-2024-0017-0001-539257_F03.jpg
case_images: PMC11250385_01_cro-2024-0017-0001-539257_F03.jpg
case_images: F3
case_images: The liver was palpable 8 cm below the right costal margin, with pedal oedema up to the knees (Fig. 2, 3).
case_images: Colour Doppler echocardiogram showing moderate tricuspid regurgitation and enlarged right ventricle and atrium.
case_images: cro-2024-0017-0001-539257_F04.jpg
case_images: PMC11250385_01_cro-2024-0017-0001-539257_F04.jpg
case_images: F4
case_images: There was moderate tricuspid and mitral regurgitation, with mild to moderate aortic insufficiency (Fig. 4, 5).
case_images: Colour Doppler echocardiogram showing moderate mitral regurgitation and enlarged left atrium.
case_images: cro-2024-0017-0001-539257_F05.jpg
case_images: PMC11250385_01_cro-2024-0017-0001-539257_F05.jpg
case_images: F5
case_images: There was moderate tricuspid and mitral regurgitation, with mild to moderate aortic insufficiency (Fig. 4, 5).