The 51 y/o woman, she suffered from shortness of breath, exertional dyspnea and orthopnea for one week. The laboratory data shows WBC: 14200, Hb: 11.3 gm%, Hct: 35.2%, Seg: 81, FDP: 2430, BNP: 523, Blood gas show PH: 7.394, PCO2:34.5, PO2:79.9, HCO3:20.6, TCO2:21.6, BE: -3.5, %sO2: 95.2,. CK: 117< CK-MB: 3.5, Trop: 0.26.

The chest roentgenogram and cardiac echo as below:

Apical long-axis 3-chamber view

Transesophageal echocardiography as below:

  根據以上影像您的臆測是什麼?