Image Challenge

A 16 year old male presented with history of easy fatigability for 6 yrs, distension of abdomen and pedal edema for 4 yrs .Palpitation are intermittent, irregular and associated with diuresis.On examination, raised JVP with hepatojugular reflux +, kussmaul sign +.On CVS examination, S1 S2 (A2P2) heard, normal split, low pitched pansystolic murmur best heard at left parasternal border at 4th intercostal space. In the Per Abdomen examination, distended abdomen with hepatomegaly (liver span 16 cm, firm & smooth), shifting dullness +, bowel sounds heard.In hemogram, Total eosinophil count is high. The images of 2 D Echo and Cardiac MRI has been shown. What is the diagnosis?

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A 16-year-old male presented with a history of easy fatigability for 6 yrs, distension of the abdomen, and pedal edema for 4 yrs . Palpitation is intermittent, irregular, and associated with diuresis. On examination, raised JVP with hepatojugular reflux +, Kussmaul sign +.On CVS examination, S1 S2 (A2P2) heard, normal split, low pitched pan systolic murmur best heard at the left parasternal border at 4th intercostal space. In the Per Abdomen examination, distended abdomen with hepatomegaly (liver span 16 cm, firm & smooth), shifting dullness +, bowel sounds heard. In the hemogram, the Total eosinophil count is high. The images of 2 D Echo and Cardiac MRI have been shown. What is the diagnosis?

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