Q. A 60-year-old male presents to the emergency department accompanied by his wife. His wife stated that they were out to dinner when her husband suddenly started experiencing severe chest pain. He describes the pain to be sharp and radiating backwards into his neck. The patient states that it is a 10/10 on the pain scale. Past medical records are unremarkable as the patient has not sought care in the last 20 years. Chest examination reveals a crescendo decrescendo murmur on the left lower sternum. Chest x-ray shows a widened mediastinum. There is sinus tachycardia on the ECG, which shows nonspecific ST and T wave changes. What would a transesophageal echocardiography most likely show in this patient?