case_images: PMC10847065_01
case_images: Chest X-ray in the current presentation (2023) showing cardiomegaly with dilation of the atrium. There is non-specific ground opacification with infectious or inflammatory etiology in the lungs.
case_images: cureus-0016-00000051819-i01.jpg
case_images: PMC10847065_01_cureus-0016-00000051819-i01.jpg
case_images: FIG1
case_images: Chest x-ray showed cardiomegaly (Figure 1). Chest x-ray showed an enlarged cardiac silhouette (Figure 1), a sequela thought to be linked to the chronic nature of her disease, compared to changes seen in prior chest imaging three years ago (Figure 4). Echocardiographic findings were indicative of several worsening cardiac disease processes (Figure 5, Video 1).
case_images: Normal sinus rhythm with possible left atrial enlargement, left ventricular hypertrophy, ST & T wave abnormality with prolonged QT of 573
case_images: cureus-0016-00000051819-i02.jpg
case_images: PMC10847065_01_cureus-0016-00000051819-i02.jpg
case_images: FIG2
case_images: EKG shows normal sinus rhythm, high voltage QRS, nonspecific ST & T wave abnormality, and prolonged QT (Figure 2) compared to normal QTC in the EKG taken two years prior to this presentation (Figure 3). 
case_images: Normal EKG and QT two years prior to current presentation
case_images: cureus-0016-00000051819-i03.jpg
case_images: PMC10847065_01_cureus-0016-00000051819-i03.jpg
case_images: FIG3
case_images: EKG shows normal sinus rhythm, high voltage QRS, nonspecific ST & T wave abnormality, and prolonged QT (Figure 2) compared to normal QTC in the EKG taken two years prior to this presentation (Figure 3). 
case_images: Chest X-ray from 2020 displaying no confluent infiltrate or effusion.
case_images: cureus-0016-00000051819-i04.jpg
case_images: PMC10847065_01_cureus-0016-00000051819-i04.jpg
case_images: FIG4
case_images: Chest x-ray showed an enlarged cardiac silhouette (Figure 1), a sequela thought to be linked to the chronic nature of her disease, compared to changes seen in prior chest imaging three years ago (Figure 4).
case_images: Echocardiogram showing ventricular dilation with ventricular wall hypertrophy.
case_images: cureus-0016-00000051819-i05.jpg
case_images: PMC10847065_01_cureus-0016-00000051819-i05.jpg
case_images: FIG5
case_images: Echocardiographic findings were indicative of several worsening cardiac disease processes (Figure 5, Video 1).