45 year old soldier from Iraq has persistent dry cough for 2 weeks. O/E his chest is clear

45 year old soldier from Iraq has persistent dry cough for 2 weeks. O/E his chest is clear. But
he has a systolic murmur at the apex. A CXR is given I couldn’t see anything on it. Whats the
diagnosis?
a) pulmonary
b) lung ca no murmur
c) sarcoidosis
d) pneumonia

Patient from Iraq.Gives history of dry cough.No fever not hemoptysis.You notice pan systolic
murmur at apex.Chest x ray given.Diagnosis?
Tb
Mycoplasma Pneumonia
Rheumatic fever
Ca.Bronchus
august 2018