The question involves interpreting a radiograph for a male patient with hypertension. The key to solving this problem is understanding the common radiographic signs associated with the given conditions:
- Tetralogy of Fallot: This condition typically presents with a "boot-shaped" heart due to right ventricular hypertrophy, not commonly associated with hypertension in adults.
- Ebstein's Anomaly: Characterized by an enlarged heart with a globular appearance due to atrial enlargement, not primarily linked with hypertension.
- TAPVC (Total Anomalous Pulmonary Venous Connection): This would show pulmonary congestion and possibly a "snowman" or "figure-of-8" shape in supracardiac type, not a match in this context.
- Coarctation of Aorta: This condition is associated with notching of the ribs due to collateral circulation and a figure-of-3 sign or rib notching on the chest X-ray, often linked with hypertension due to increased upper body blood pressure compared to the lower body.
Among the options provided, Coarctation of Aorta aligns with the presence of hypertension and specific radiographic signs. This condition would typically result in chest radiograph findings such as the aforementioned figure-of-3 sign or rib notching due to collateral blood flow.
Therefore, based on the problem context and known imaging features:
Correct Diagnosis: Coarctation of Aorta