Another awesome dyspnea

This 65 year-old man has a history of coronary artery disease with CABG in 2004 and presents with worsening dyspnea and atypical chest pain. The findings here are awesome and subtle, what’s the diagnosis. Also, I have been tinkering with the “blog settings” to try to keep the obnoxious spam answers out, so let me know if you have trouble posting.

Need video clips

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