Answer: E
The color-flow shows marked turbulent flow from LV to RV due to ventricular septal rupture post-myocardial infarction. It usually occurs 2-8 days after an infarction, and often precipitates cardiogenic shock.
Reference
1. Shabir Bhimji. Ventricular Septal Rupture Following Myocardial Infarction: WorkupMD, PhD. Medscape. Link here
2. Feigenbaum’s Echocardiography. Lippincott Williams & Wilkins. Link here