The patient with the above xray has no lung sounds on the right side. He was stabbed in the right chest with an ice pick. His heart is shifted to the left side of his chest. He has no vascular markings at all on the right side of his chest. He is in acute cardiopulmonary distress 31. What is his diagnosis? 175mm 32. Why does he have diminished venous return in both his superior and inferior vena cavae? BONUS #1!!! What treatment does this patient URGENTLY need?