Murmur, character, intensity, and radiation are depicted. Sound of pulmonic closure exceeds that of aortic closure. Left ventricular (LV) thrust and right ventricular (RV) lift (heavy arrows) are identified. A 4th heart sound (S₄) and systolic thrill (T_S) are present. a = aortic closure sound; p = pulmonic closure sound; S₁ = 1st heart sound; S₂ = 2nd heart sound; 3/6 = grade of crescendo-diminuendo murmur (radiates to both sides of neck); 2/6 =grade of pansystolic apical crescendo murmur; 1+ = mild precordial lift of RV hypertrophy (arrow shows direction of lift); 2+ = moderate LV thrust (arrow shows direction of thrust).