ASPD a4c ultrasound clinical pocus s4c msk effusion lung sign phtn pleural cardiac 1: contrast

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

1. ... stretched PFO or ASD ... PVeins (extra-cardiac ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary

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