Unknown

A 40-year-old female G4P4L3A1 who gave bih to her third child 1 month ago presented with recent onset of cough and palpitations associated with paroxysmal nocturnal dyspnea, ohopnea and exeional intolerance. Patient also complained of a few episodes of hemoptysis 2 days back. Patient also had a history of pre-eclampsia in her last pregnancy. O/E, JVP- increased Crepts in B/L basal lung fields along Shift of the apical impulse ECHO studies showed left ventricular ejection fraction < 45%. Patient was given treatment for the same but the patient didn't survive. HPE examination was done from autopsied hea. THE gross specimen of the hea is shown below. Which finding would be most likely present on HPE examination: -