This is a parasternal short axis view in a patient with extensive pulmonary emboli on CTA. The troponin was mildly elevated and patient hemodynamically stable. A bedside echo revealed evidence of RV strain (note the “D” shaped left ventricle). Image courtesy of: Therese Mead, DO, Emergency Physician #Clinical #POCUS #Cardiac #Echocardiogram #PSAX #DSign #RVStrain #AcutePE #PulmonaryEmbolism