Apical four chamber echocardiographic still image from a cine typical of many patients with acute severe COVID-19 pneumonia. The cine (Video 1) shows a dilated right ventricle and severe impairment of radial right ventricle systolic function with relative preservation of long axis function. The left ventricle is small and hyperdynamic. There is also paradoxical septal wall motion and a thin rim of pericardial effusion adjacent to the right atrium.