ASPD bidirectional atrial radiology cxr bubble chf 2 msk pocus saline background negative effect

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Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left

Small secundum ASD ... to right shunt 2. ... opacification by agitated saline ... echocardiogram #s4c #pocus ... #bubble

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