Make the Diagnosis: Chest X-ray Challenge

(MedPage Today) -- Case Findings: A 45-year-old female who immigrated to the United states 10 years ago from South America presents with a 4-month history of dyspnea on exertion. She denies any chest pain, but notes significant fluid accumulation in her abdomen and lower extremities. She has a history of childhood tuberculosis that was treated. Her ECG is unremarkable. Her chest X-ray is shown below. In addition to an elevated jugular venous pressure and a 3rd heart sound, which of the following is likely to be found on physical exam?
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