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General Medicine General 1afa3537

A 38-year old woman presented with shoness of breath and fatigue. Her history is unremarkable except for a vague history of fever and joint pain as a child. She notes some recent fatigue and difficulty in sleeping that she attributes to job-related stress. On examination, her hea rate is 120 beats/min. ECG of the patient is given ECHO revealed following finding. Auscultation of the hea indicates a systolic murmur (during left ventricular ejection of blood) that is harsh in character. Which of the following pathological finding is not related with the underlying etiology: -

A
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B
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C
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D
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