SonoSim Ultrasound Challenge: RUSH Protocol

This 65-year-old male presents with acute-onset abdominal and back pain. Abdomen is tense and distended. T=36C BP=60/p HR=94 bpm RR=15 bpm. Using the RUSH ultrasound protocol, what is the most likely diagnosis?

Findings: Ruptured abdominal aortic aneurysm with intraperitoneal extravasation