A 22-year-old male is evaluated by his primary care physician for dysuria. A urethral swab is positive for Chlamydia trachomatis. He receives appropriate antibiotic treatment. He returns to the clinic four weeks later complaining of pain in the knees, ankles, and lower back. Repeat testing is negative for both Chlamydia and Neisseria gonorrheae. Which additional finding might be expected on examination?

A. Right upper quadrant pain and hepatomegaly

B. Scleral icterus

C. Conjunctival injection

D. Nontender subcutaneous nodules over several large joints

E. Crackles in both lung fields