Cadiac Auscultation - ULSE

You are incorrect - our patient's second heart sound at the upper left sternal edge shows persistent expiratory splitting.

Your choice: Normal splitting, loud P2
 
This is a graphic example of normal splitting of S2 with a loud pulmonary component, (P2).

An abnormally loud pulmonary component of the second heart sound is typical of pulmonary hypertension.