ASPD a4c ultrasound labeled renal asd clinical radiology cxr cardiac anomalous bubble rv large 2

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

Early transit of bubbles ... dysfunctional RV ... stretched PFO or ASD ... PVeins (extra-cardiac ... Echocardiogram #clinical

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