Review Question - QID 210393

A 23-year-old man presents to his pediatrician for a wellness checkup. He has no complaints and states that he was recently hired as a construction worker. The patient has a past medical history of asthma and antisocial personality disorder. He is not currently taking any medications. He admits to smoking 1 pack of cigarettes per day. His temperature is 98.8°F (37.1°C), blood pressure is 127/78 mmHg, pulse is 70/min, respirations are 16/min, and oxygen saturation is 98% on room air. A physical exam is notable for the findings in Figure A. Which of the following is the diagnostic finding for this patient's most likely diagnosis?