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AKT6-118

Mr Johnson is a 56 year old man with interstitial lung disease, diagnosed 8 years ago. He presents with a 2 year progressive history of tiredness, shortness of breath and exertional dizziness. On examination, he has a right parasternal heave, raised jugular venous pressure and peripheral lower limb oedema.

Based on the likely diagnosis, which of the following is least correct?

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