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A 65-year-old male patient arrives to your Emergency department following an episode of collapse shortly after an episode of left-sided chest pain. He is anticoagulated with an INR of 2.4 for atrial fibrillation. On arrival, he is hypotensive with a SBP of 70 mmHg, a lactate of 12 and a haemoglobin of 100 g/L.

A bedside ultrasound scan performed by the emergency physician shows the following:

A CT scan with contrast is performed urgently after appropriate resuscitation.

What is the most likely diagnosis?

(Please select 1 option)