Review Question - QID 210548

A 57-year-old man presents to the emergency department with sudden severe pain in his ankle. He has experienced this pain before but states that this time his pain did not respond to high doses of ibuprofen and naproxen. The patient has a past medical history of hypertension treated with hydrochlorothiazide. His temperature is 98.5°F (36.9°C), blood pressure is 167/98 mmHg, pulse is 90/min, respirations are 16/min, and oxygen saturation is 99% on room air. A physical exam reveals a tender and inflamed ankle that cannot be manipulated due to severe pain. The finding in Figure A is noted. Which of the following would most likely be found in this patient?