A 51-year-old man is evaluated in hospital. His point of maximal impulse is palpated in the subxiphoid space. A chest x-ray is shown.

Which of the following is most likely to be seen in this patient?
A) Cystic medial necrosis
B) Loud P2
C) Increased FEV1/FVC
D) Mid-systolic murmur
E) Usual interstitial pneumonitis
