UOTW #34

67 yo nursing home patient presents with altered mental status. Vitals signs are as follows: BP 92/78, HR: 115, RR: 35, O2 sat: 89%. Patient is moaning and uncooperative with the physical exam. On auscultation, you are unable to appreciate any overt lobular rales or wheezing. You think you feel a distended bladder in the suprapubic region. Ultrasound shows the following in the right posterior lung field.  What is the finding and diagnosis?

 

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