A 40-year-old female presents to clinic with complaints of abdominal pain. She states the pain has been ongoing for a couple weeks and that the pain worsens after eating large meals. Vital signs are within normal limits and the patient’s BMI is equal to 42. Physical examination is remarkable for right upper quadrant tenderness to palpation. A right upper quadrant ultrasound is performed in the office and reveals pericholecystic fluid as well as cholelithiasis. Which of the following findings on osteopathic structural examination is most consistent with the patient’s presentation?