Woman With a History of Rheumatic Fever

A 25-year-old woman with a history of rheumatic fever in childhood presented with repeated episodes of respiratory tract infections and shortness of breath

A 25-year-old woman with a history of rheumatic fever in childhood presented with repeated episodes of respiratory tract infections and shortness of breath. On physical examination the patient was acyanotic and a diastolic murmur was detected. A CXR was performed as a preliminary investigation.

What are the CXR findings and what is the diagnosis ?