Troj/TCXMedi-D is a Trojan related to pornographic material.
Troj/TCXMedi-D downloads an image from an adult website, storing it as SETUPZMP.DLL in the Windows folder.
Troj/TCXMedi-D sets the following registry entry in order to run itself on system startup:
HKCU\Software\Microsoft\Windows\CurrentVersion\Run
cmsound
<Trojan filename including path>
The Trojan may also create registry entries under HKCU\Software\Microsoft\MSDN\DevCTR.