Review Question - QID 108897

A 56-year-old female presents to the emergency department complaining of abdominal pain. She reports a three-hour history of severe epigastric pain that radiates to her back. Her past medical history is notable for hypertension, diabetes, and alcoholism. She takes enalapril and metformin. Initial laboratory evaluation is notable for leukocytosis, elevated lipase, and elevated serum LDH. She is admitted to the hospital and given fluids and pain control. However, she develops shortness of breath on the second day of her admission. Her temperature is 99°F (37.2°C), blood pressure is 140/85 mmHg, pulse is 110/min, respirations are 24/min, and SpO2 is 90% on room air. Physical exam is notable for increased work of breathing with rales at the bilateral lung bases. A chest radiograph is shown in Figure A. Electrocardiogram reveals normal sinus rhythm. Brain natriuretic peptide is normal. An echocardiogram reveals no cardiomegaly. Which is the following findings is most likely to be seen in this patient?