A 50-year-old man with a 20 pack year history of smoking presents with shortness of breath of six months' duration. Examination findings reveal the apex beat is palpated in the 5th left intercostal space in the mid-clavicular line, a left parasternal heave and a loud P2 on auscultation. No murmurs are auscultated. Which of the following is his echocardiogram most likely to reveal? Answers A - E A Left ventricular hypertrophy B Right ventricular hypertrophy C Aortic stenosis D Aortic regurgitation E Mitral regurgitation O

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