A 34-day-old baby presented with increased respiratory effo along with grunting. The infant is always irritable, feeds very poorly and has not been able to gain weight. History of frequent recurrent pneumonia requiring hospitalization. O/E:- Wide pulse pressure Bounding peripheral pulses Hyperkinetic apex Continuous thrill in 2nd left intercostal space Continuous murmur localized to the 2nd left intercostal space and radiating down the left sternal border. ECG CHEST - XRAY Which of the following concomitant findings is most likely to be present in the above child: -