<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 68-year-old male visits his primary care physician after an episode of syncope during a tennis match. He reports exertional dyspnea with mild substernal chest pain. On physical exam a systolic crescendo-decrescendo murmur is heard best at the right 2nd intercostal space. This murmur was not heard at the patients last appointment six months ago. Which of the following would most support a diagnosis of aortic stenosis?? A: Presence of S3, B: Murmur radiates to carotid arteries bilaterally, C: Murmur radiates to axilla, D: Asymmetric ventricular hypertrophy, E: Double pulsation of the carotid pulse,  <response>: This is a clinical vignette describing a 68-year-old male with a history of syncope, exertional dyspnea, mild chest pain, and a new systolic crescendo-decrescendo murmur suggestive of aortic stenosis. The question is asking which finding would most support the diagnosis of aortic stenosis.Aortic stenosis causes left ventricular pressure overload and hypertrophy. As the aortic valve narrows, the ejection of blood through the stenotic valve causes a systolic crescendo-decrescendo murmur that radiates to the carotid arteries. The murmur and radiation of the murmur to the carotids would support the diagnosis. Asymmetric ventricular hypertrophy may also occur but would be less specific than the murmur. The other findings - S3, murmur radiation to the axilla, and double pulsation of the carotid pulse - are not typical of aortic stenosis.B: Murmur radiates to carotid arteries bilaterally 