Quiros-Lopez and Garcia-Alegria 356 (25): 2630, Figure 1 June 21, 2007

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A healthy 28-year-old woman presented with a 1-year history of high blood pressure, which had been diagnosed during her first pregnancy and treated with amiloride and hydrochlorothiazide. Physical examination revealed a blood pressure of 200/100 mm Hg. She reported having no chest pain, shortness of breath, or headache. Radiography of the chest was performed. What is the diagnosis?

Editor's note: We invite our readers to submit their answers at www.nejm.org/mystery. We will publish the diagnosis in the Correspondence section of the August 16, 2007, issue and e-mail it to everyone who submits an answer. All answers must be received by July 4, 2007.