Case 104


A 72-year-old male presented to an emergency unit with a 3-month constant thoracic and upper back pain of moderate intensity. He had history of hypertension, chronic obstructive pulmonary disease and smoking. Findings on examination included: BP (right-arm): 112/61mmHg; BP (left-arm): 126/59mmHg; HR: 63 bpm; RR: 20 irpm; normal heart sounds with a grade II/VI diastolic murmur at aortic area.

Which of the following findings IS NOT observed in the image herein provided?

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