3rd August 2020

A 65-year-old man presents with shortness of breath, and production of pink, frothy sputum

A 65-year-old man presents with shortness of breath, and production of pink, frothy sputum. ECG shows p-mitrale but is otherwise in sinus rhythm. You also notice he has arachnodactyly. On auscultation, what murmur are you most likely to hear? 

For the patient above, please select the SINGLE most likely diagnosis based on the murmur you hear. Select ONE option from the list above.