A 58-year-old male presents with sudden onset of severe chest pain described as “tearing” that radiates to his back. He has a history of uncontrolled hypertension. His blood pressure is 210/118 mmHg in the right arm and 178/94 mmHg in the left arm. He is diaphoretic and anxious. What is the MOST likely cause of this patient’s presentation? A) Acute myocardial infarction B) Aortic dissection C) Tension pneumothorax D) Pulmonary embolism