Bedside echocardiogram (ECG) was performed and interpreted by an emergency physician to diagnose respiratory problems in a patient. Some of the significant findings included severe left ventricular failure and a relatively small right ventricle. Initial plans were made for orotracheal incubation and the patient was given sublingual nitroglycerine. Intravenous nitroglycerine infusion and and intravenous flurosemide were also started on the patient. The albuterol nebulization was stopped and the patient was subjected to high-flow oxygen by non-rebreather mask. It was observed the patient had improved by the time her portable chest radiograph was available for viewing. The chest radiograph confirmed the diagnoses of acute pulmonary edema and the patient was admitted to the cardiac intensive unit and diagnosed with severe diffuse isechemic cardiomyopathy.