,Heart: The apical impulse on heart palpation is located in the left border of cardiac dullness in the midclavicular line, in the left fourth intercostal space in the midclavicular line and no thrill noted. 
,Heart : The apical impulse on heart palpation is located in the left border of cardiac dullness in the midclavicular line , in the left fourth intercostal space in the midclavicular line and no thrill noted .