A 55-year-old man comes to the emergency department due to a sudden onset of chest pain which started an hour ago. The pain is central and radiates to the mid-lower back. The patient also had mild shortness of breath. Medical history is significant for hypertension and gout. He is a smoker with 30 packs years and drinks alcohol occasionally. Blood pressure is 180/110 mm of Hg in both arms, and the pulse is 105/min and regular respirations are 25/ min. Pulse oximetry shows 95% on room air. Jugular venous pressure is normal. Breath sounds are normal on both sides. A fourth heart sound can be heard. Abdominal and neurological examination shows no abnormalities. ECG shows left ventricular hypertrophy. Serum troponin is normal. The D-dimer level is elevated. Chest X-ray reveals an enlarged cardiac silhouette. Hence, a chest CT scan is done, and the exhibit is shown in the picture.