Right side hydro-pneumothorax

A 34-year-old Male patient was presented with right side hydro-pneumothorax. What can be the possible reason behind this kind of apical impulse. Plz, share your valuable suggestions.

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It is succusion pulse in hydropneumothorax dueto Air& water

Succusion pulse due to presence of water and air in HYDROPNEUMOTHORAX.

Congestive cardiac failure

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