This pt of 60 years, driver, tall c/o pain in whole length of vertebral column for six months and weakness, not able to work. He feels something moving in retro sternal area from neck to epigastrium. All x-rays and MRI of vertebral column shows spondylotic changes. On auscultation systolic murmur and EDM audible in A A.

Cardiologist is not able to confirm that Aortic valve is bicuspid or tricuspid  due to calcification/ sclerosis  . Can it be a Marfan syndrome?