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An abnormal heart shape in a young man
I cannot possibly comment on these findings w/o specific information, but an enlarged heart in a young man suggest either a congenital defect or a cardiomyopathy, best evaluated next with a cardiac ECHO and other tests. Since he has had an ECHO already, there should be a lot more information available than what you have given me.
Please read more here and come back to me when you know more:
Hope this helps,
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