A 19 YR OLD FEMALE CAME WITH C/O RIGHT SIDED CHEST PAIN SINCE EVENING HOPI- PT WAS APPARENTLY ASYMPTOMATIC 1 DAY BACK LATER SHE DEVELOPED CHEST PAIN RIGHT SIDED, INSIDIOUS IN ONSET, TENDERNESS+, PAIN IS NON RADIATING, SHARP TYPE OF PAIN. NO H/O HEAVY WEIGHT LIFTING AND WORKING NO H/O TRAUMA, PALPITATIONS, SWEATING, SOB NO H/O FEVER, COLD, COUGH, NAUSEA, VOMITINGS NO H/O BURNING MICTURITION, CONSTIPATION, PEDAL EDEMA, DECREASED URINE OUTPUT, ABDOMINAL PAIN. PAST HISTORY- NOT A K/C/O HTN, DM, CVA, CAD, TB, ASTHMA NO H/O SIMILAR COMPLAINTS IN THE PAST H/O DELAYED MILESTONES + COURSE IN HOSPITAL: PT WAS ADMITTED I/V/O CHEST PAIN ON FURTHER EVALUATION,GENERAL EXAMINATION,SHE HAS ANTIMONGOLOID PALPEBRAL FISSURE,MICROTIA,MICROGNATHIA,LOW SET EARS,ADONTOTIA?PARTIAL CLEFT LIP,HIGH ARCHED PALATE,SANDAL GAP,NAIL DYSTROPHY IN ALL FINGERS AND TOES. SHE HAS DELAYED MILESTONES IN INFANCY 2D ECHO SHOWED LARGE ASD BASED ON ABOVE FINDINGS SHE IS SUSPECTED TO HAVE ? TREACHER COLLINS SYNDROME,...