<prompt> In an ICU, following righ subclan rein cannulation for putting CV line, patient developed respiratory distress, dyspnoea, hypotension BP 10055 and tachycardia 140min HR, chest examination revealed diminished air entery and decreased breath sounds on auscultation and hyper resonance on percussion towards right side of chest. Left sided breath sounds were minimally reduced. The probable diagnosis isTension pneumothorarAcute MIAir embolismPulmonary edema  <response>: A i.e. Tension pneumothorar 