A 59-year-old man comes to the physician for a 7-month history of intermittent dry cough, gradually progressive shortness of breath on exertion, and daytime fatigue. He has no past medical history. Dry inspiratory crackles are heard on auscultation. Blood pressure is 120/80. A high-resolution CT of the chest is shown.
Which of the following additional findings is most likely in this patient?
A) Diastolic rumbling murmur
B) Dynein arm defect
C) Mid-systolic murmur loudest at 2nd intercostal space, left sternal border
D) Normal pulmonary capillary wedge pressure
E) Senescent calcification of a bicuspid valve
