ALP cardiology cxr a4c hyperpigmentation cardiac algorithm 2 differential doubleshunt - GrepMed

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Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with

L shunt as RAP>LAP ... PVeins (extra-cardiac ... DavidWienerMD #DoubleShunt ... clinical #pocus #a4c ... intrapulmonary #cardiology

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