What did we find on POCUS? Guess the diagnosis? | Figure 1

What did we find on POCUS? Guess the diagnosis?

34 y/o Male

#RVD reactive - not on treatment
#PTB positive diagnosed on GXP - not on treatment
#Known IV drug user

Presented with a 1 week history of cough, SOB, constitutional symptoms.
On examination he was hypoxic (77% R/A), tachycardiac 115, normal blood pressures, raised JVP, muffled heart sounds, dull breath sounds especially more on the right side.
ECG and CXR as above.

Update 1

Pericardial + pleural effusions


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