Review Question - QID 212372

A 36-year-old man comes to the clinical for “bumps under his nipples.” He is anxious that this could be breast cancer as his sister was just recently diagnosed. Past medical history is unremarkable except for an appendectomy at age 13. He currently works as a personal trainer and reports a diet that consists mainly of lean meat. The patient reports drinking 1-2 beers over the weekends. Physical examination demonstrates a muscular physique with mobile smooth masses below the areola bilaterally with no discharge. What other physical exam finding is most likely to be seen in this individual?