Case of the Week: January 7th, 2019

A middle aged man presented to the Emergency Department 5 days after a ERCP and stent insertion for obstructive jaundice feeling unwell, feverish, and lightheaded. He rapidly deteriorated with hypotension and was admitted to the ICU with sepsis NYD. What (if anything) is concerning on this patient's RUQ/biliary POCUS? What management steps would you recommend based on these images?