A 24 y.o. female presents via EMS after being ejected from a vehicle in a rollover MVC.  On arrival, her GCS was 3 and her vitals were: BP 100/64, HR 118, RR 20.  The patient has multiple torso bruises and is noted to have diminished breath sounds on the left.  After the patient is intubated and the initial phase of the resuscitation is complete, you perform a FAST exam and note the following on the pericardial and perihepatic windows.

Take the Case