On examination there is an early-diastolic murmur CXR is given here

A lady presents with complaints of dysnea. Pulse rate is 70/min while BP-110/70 mm Hg. On examination there is an early-diastolic murmur CXR is given here. Diagnosis of the patient is?

Pulmonary artery hypertension

Valvular lesion of left side of heart

Pulmonary venous hypertension

Congestive heart failure

See, This is case of dyspnea with typical enlarged PA, rt ventricular hypertrophy with PR ( as early diastolic murmur -Graham steel) pointing towards sever PAH

No mentioning of MDM with Opening snap…So better Not to pointing towards MS

PAH Graham steel murmur