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A 41-year-old man comes to the emergency department due to 3 days of fever, chills, and nonproductive cough. The patient has also felt tired and weak during this period. He has a history of injection drug use and has been hospitalized several times for injection site cellulitis. Temperature is 38.3 C (101 F) , blood pressure is 125/72 mm Hg, and pulse is 112/min and regular. Cardiopulmonary auscultation reveals scattered rhonchi and a cardiac murmur, which were not previously present. Laboratory evaluation shows leukocytosis, and chest x-ray reveals nodular opacities. Echocardiography of this patient is most likely to reveal which of the following findings?
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