NPPB and hydrops fetalis: Reviewing all the data obtained from the history, physical examination, POCUS, and laboratory tests, the team agreed that new-onset HF is the most likely diagnosis: an elderly female with fatigue, cough, dyspnea, and basal crackles; POCUS with reduced LV contractility, dilated IVC, bilateral pleural effusions, and bilateral pulmonary B-lines; elevated BNP; and impaired kidney function.