murmur left lower sternal border continuous heard clearest with patient sitting and leaning forward at end expiration
murmur left lower sternal border continuous heard clearest with patient sitting and leaning forward at end expiration
murmur left lower sternal border continuous heard clearest with patient sitting and leaning forward at end expiration (physical finding)
murmur left lower sternal border continuous heard clearest with patient sitting and leaning forward at end expiration (physical finding)