This is a 70yo F with a recent diagnosis of left sided lung cancer. She presented with hemoptysis and was subsequently admitted to the ICU for monitoring. There she was found to be tachycardic at 120bpm and had reduced urine output. The patient had no known cardiac history and no previous echocardiogram on file. The POCUS team performed a focused echocardiogram, given that she was a newly admitted patient with ongoing tachycardia.